Inspection on 26/01/07 for Chandos Road, 167 (Consensa Care Ltd)

This inspection was carried out on 26th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chandos Road, 167 (Consensa Care... 10/11/05

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Chandos Road, 167 (Consensa Care Ltd) 167 Chandos Road Stratford London E15 1TX Lead Inspector Lea Alexander Unannounced Inspection 26 January 2007 11:00 th Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chandos Road, 167 (Consensa Care Ltd) Address 167 Chandos Road Stratford London E15 1TX 0208 552 8818 0208 471 9225 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Consensa Care Ltd Nicola Jane Rabey Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th November 2005 Brief Description of the Service: 167 Chandos Road is a seven-bedded residential unit. It is owned and will be operated by the Consensa Care organisation that also operates several other residential homes in the area. The home provides residential care to service users with acquired brain injury. The home opened in 2005 and currently has three service users in residence. There is easy access to the nearby Stratford Town Centre where bus routes, tube and the Docklands Light Railway can be accessed. There is unrestricted parking outside of the home. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the Inspectors second inspection at the home. The Inspector carried out this unannounced inspection over the course of a day, during which they met with the registered manager and one staff member on duty. The Inspector also spoke privately with one of the service users. In addition the Inspector toured the premises, viewed service users personal files, staff personnel records and other relevant documentation. What the service does well: What has improved since the last inspection? What they could do better: The process for reviewing these plans should be standardised and the home should clearly evidence how service users participate in the development of their plans. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 6 The home should introduce regular meetings to involve service users in the day-to-day running of the home. The home should also fully implement its quality assurance process and publish the outcome. As required (PRN) medication should be listed on the Medication Administration Record. Adult protection concerns should be promptly reported to the appropriate organisations, and staff should receive adult protection refresher training. Fire doors should not be wedged open, and required health and safety records should be appropriately maintained. A minimum of 50 of care staff must attain NVQ level 2, and the home must evidence that it obtains its own CRB as part of pre employment checks. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home assesses the needs of potential services and has produced a service users guide and statement of purpose to support potential service users to make informed decisions. EVIDENCE: The home has produced a statement of purpose and service users guide that were sampled by the Inspector. These were found to comply with National Minimum Standards and to reflect the service provided by the home. The Inspector sampled the personal files for two service users currently residing at the home. This evidenced that home obtains relevant information from other professionals and carries out its own assessment as part of the referral process for potential service users. From the records available the Inspector was not able to evidence that prospective service users are given the opportunity to “test drive” the home prior to moving in. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from individual plans and risk assessments and are supported to make their own decisions. However, the home must ensure that individual plans are reviewed as service users needs change. EVIDENCE: By sampling the personal files of two service users, the Inspector evidenced that the home prepares comprehensive, individual plans for each service user that address their health, personal and social care needs. The individual plans for one service user were signed by them to evidence their involvement in the planning process. The Inspector noted that individual plans are reviewed and updated at least every six months. However, the documentation for recording this review process differed between service users personal files and should be standardised. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 10 For both of the service users case tracked, the Inspector was able to locate an up to date risk assessment addressing a range of activities identified in the individual plan. The Inspector viewed the homes policy and procedure for unexplained absences and noted that this includes guidance for staff on the steps to take when a service user is identified as missing and for when they return. From discussion with service users and the Registered Manager, and by sampling individual plans the Inspector evidenced that the home encourages service users to manage their own finances and addresses identified support needs in this area in the individual plan. The Inspector sampled the available minutes of service users meetings. These evidenced that one meeting had been held in November 2006. A variety of issues including maintenance, activities and menus were evidenced as being discussed at this meeting. The Registered Manager advised that service users meetings would be held more frequently as service users take up residence in the home. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to engage in a range of appropriate occupational, community, and leisure activities. EVIDENCE: By sampling of records and discussion with service users the Inspector evidenced that the home supports service users to engage in a range of activities according to their needs and preferences. All service users regularly attend the local library and visit local shops. One service user has been supported to enrol on an adult education computer course and also attends adult literacy classes. Another service user has been supported to identify a local church they would like to attend. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 12 Each service user has a structured daytime activity programme that can include activities such as undertaking household chores and planning and preparing meals. Service users also receive regular sessions from staff aimed at developing and maintaining cognitive skills. There is a range of entertainment available within the home including satellite TV, a stereo music player and board games. One service user regularly attends local basketball courts to pursue his interest in this game. Discussion with service users and sampling of individual plans evidenced that the home supports service users to maintain contact with their families and that nature of this contact is recorded in the individual plan. During the course of the inspection the Inspector observed that staff talk to and interact with service users and that service users choose when to be alone or in company. The service user spoken to by the Inspector fedback that they enjoyed the meals provided in the home, and during the course of the Inspection it was observed that mealtimes are relaxed, unrushed and flexible to suit service users activities and schedules. The homes record of meals provided to service users evidenced that a variety of nutritious meals are provided for service users. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal care in the way they prefer and their physical health needs are met. However, the home must ensure that all medication is listed on the Medication Administration Record. EVIDENCE: Based on feedback from service users and by sampling individual plans the Inspector evidenced that the home identifies the support service users require to maintain their personal care and their preferences in receiving this. Service users choose their own clothes and hairstyles and their appearance reflects their personality. On each of the service users files sampled the Inspector located a health appointment matrix that recorded the date, appointment, outcome and follow up for each healthcare appointment attended. Recent appointments attended included routine GP and practise nurse appointments and hospital outpatient appointments. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 14 The Registered Manager advised that no service users are currently selfmedicating. The Inspector sampled the homes medication policy. This includes guidance on the administration, storage and disposal of medication and the use of “as required (PRN)” medication. The policy addresses selfmedication and identifies the need for this to occur within a risk assessment framework. The Inspector cross-referenced the medication actually available for two service users against that listed on the Medication Administration Record (MAR). This was found to correspond with the exception of one service users PRN medication that had not been listed on the MAR. The MAR sheets were found to be in good order with no omissions. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The homes complaints policy ensures that service users views are listened to and acted upon, but the home must ensure that it fully implements its own adult protection policy and promptly reports all adult protection concerns. EVIDENCE: The Inspector viewed the home complaints policy. This outlines the homes procedure for dealing with complaints, including the timescales the home aims to adhere to when responding to complaints. The home has developed a complaints log in which to record complaints, but has yet to receive any. Since the last inspection one adult protection allegation has been made. After consultation with the local authority adult protection officer the home has investigated the allegation and found it unsubstantiated. This has been further discussed with adult protection officer and a decision to take no further action has been made. The Inspector noted that the home did not report the initial allegation to the local authority in accordance with its own policy and local multi agency protocols, or advise the Commission for Social Care Inspection. The home must ensure that it does so should any further allegations be made. The Registered Manager advised the Inspector that adult protection refresher training is now being planned for all staff. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a comfortable, homely environment that it well maintained. EVIDENCE: The home is double fronted, extended Victorian terraced property. It has been extensively refurbished and on the ground floor there is a large entrance hall, two lounges - both of which are pleasantly furnished with a sofa, armchairs, coffee table, TV and stereo. There is a large kitchen with patio doors to the garden and a separate dining area that also has garden access. A small room off the dining area houses the freezer. There is a utility room that incorporates a WC. Two service users bedrooms are also housed on the ground floor, both of which have ensuite bathrooms. The home has installed portable ramp system that makes the entire ground floor wheelchair accessible. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 17 To the rear of the property there is a large garden currently laid to lawn. The garden also houses a prefabricated building which currently houses the homes laundry facilities. On the first floor there are a further five service user bedrooms and a small staff office. All the bedrooms and en suites have been kitted out with furniture including a bed, wardrobe and chest of draws. The property also has a cellar area that has been treated and waterproofed that is used as a document store. The home was noted to be generally well maintained, and only one minor repair identified during the course of the inspection. The Inspector did however note that some fire doors were wedged open. The home was observed to be clean and hygienic and free from offensive odours. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the homes recruitment practises and benefit from well supported and supervised staff. EVIDENCE: Discussion with the Registered Manager and a staff member on duty evidenced that staff are given specialist training relating to acquired brain injury as part of their induction. In addition to the Registered Manager and a Deputy Manager, four full time and two part-time care workers are employed by the home. At the time of this inspection only care worker had attained NVQ level 2, with the remainder of care staff still studying for this award. The Inspector viewed a current staffing rota and this was found to accurately reflect the staffing situation in the home at the time of the inspection. The Inspector formed the view that sufficient staffs were rostered on duty to satisfactorily undertake uninterrupted work with individuals and to undertake administration and the general day-to-day running of the home. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 19 The Inspector viewed the homes recruitment policy and procedure and noted that this complies with National Minimum Standards. Personnel records including details of pre employment checks are held at a centralised personnel office. A sheet containing a summary of this information was available on site for inspection. This evidenced that the home obtains two references and proofs of identity prior to employment commencing. The reference numbers for Criminal Records Bureau (CRB) checks were also available, however no date was recorded for one CRB. The Inspector was shown a blank format used to record staff induction training. The Registered Manager advised that this is completed for all new staff and retained in the central personnel file. The Inspector sampled supervision records for two staff members who had commenced employment within the last twelve months. Both were on target to receive a minimum of 6 supervisions within a year. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 41 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a generally well managed home. However the home should fully implement its quality assurance process and ensure that all required health and safety records are appropriately maintained. EVIDENCE: The Registered Manager has previous experience of managing a residential home for service users with acquired brain injury and has attained NVQ level 4. The Registered Manager advised the Inspector that the home has developed service user and other stakeholder feedback questionnaires as part of its Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 21 quality assurance process. These have yet to be distributed, but the home plans to carry out this exercise and publish the outcomes in the current year. The Inspector sampled a range of the homes policies and procedures and noted that a comprehensive range had been developed and implemented that comply with recognised professional standards. From the range of records and documents sampled during the course of the inspection it was evidenced that the home ensures individual service users records are secure, up to date and in good order. The Inspector sampled a number of health and safety records the home is required to maintain. Sampling of the homes fridge and freezer temperature log evidenced that no temperature had been recorded on several dates in January 2007. The homes fridge temperature recording chart states that the maximum temperature should not exceed 4 degrees, however on several occasions it was recorded at 8 degrees with in information on the action taken by staff to return the temperature to within the stated maximum. The Inspector sampled the contents of the homes fridge and freezer and found these to correctly stored and date labelled where appropriate. The home maintains a record of water temperatures and these were found to be within acceptable limits. The home operates a comprehensive incident reporting procedure and also maintains an accident record. Records evidencing weekly fire alarm checks were not available for inspection. There was no record of a fire evacuation drill having occurred. A portable appliance testing certificate was available for inspection and was dated the 16/06/06. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 2 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 2 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 3 3 2 X Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15 Requirement Individual plans must be signed by service users to evidence their involvement in the planning process. Timescale for action 30/06/07 2. YA8 24 3. YA20 13 & 17. 4. YA23 13 & 21. The process of reviewing individual plans and recording this review should be standardised. The home should facilitate 30/06/07 regular service users meetings that encourage service users to participate in the day-to-day running of the home. All medication, including “as 30/04/07 required (PRN)” medication must be listed on the Medication Administration Record. The home must report all adult 30/06/07 protection allegations to the local adult protection officer and the Commission for Social Care Inspection promptly. Staff must receive adult protection refresher training. The broken toilet seat in the downstairs WC should be repaired or replaced. 5. YA24 13 30/04/07 Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 24 6. 7. 8. YA32 YA34 YA39 18 19 24 9. YA42 12, 16 & 23 A minimum of 50 of care staff must attain NVQ level 2. The home must evidence that it obtains its own CRB as part of pre employment checks. The home must implement its quality assurance survey. Outcomes from this exercise should be collated and published. Fire doors should not be wedged open. An automatic return should be fitted if the door is to remain open. The home must maintain a daily record of fridge and freezer temperatures. The home must evidence that appropriate action is taken when fridge and freezer temperatures fall outside of agreed parameters. The home must have available for inspection records evidencing weekly fire alarm tests. The home must carry out and record with times a fire evacuation drill. 30/09/07 30/04/07 30/09/07 30/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA4 Good Practice Recommendations The home should evidence that prospective service users are supported to “test drive” the home. Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Chandos Road, 167 (Consensa Care Ltd) DS0000062699.V318475.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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