Inspection on 19/09/07 for Cherre Villa Care Home

This inspection was carried out on 19th September 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Cherre Villa Care Home 21/06/06

Cherre Villa Care Home 14/02/06

Cherre Villa Care Home 14/02/05

Cherre Villa Care Home 14/09/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Cherre Villa Care Home 168 Fosse Road South Leicester Leicestershire LE3 0FR Lead Inspector Keith Charlton Key Unannounced Inspection 19th September 2007 03:45 Cherre Villa Care Home DS0000006436.V341578.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 Cherre Villa Care Home DS0000006436.V341578.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. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherre Villa Care Home Address 168 Fosse Road South Leicester Leicestershire LE3 0FR 0116 223 9374 F/P 0116 223 9374 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) Miss Hema Malini Patel Miss Hema Malini Patel Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 21st June 2006 Brief Description of the Service: Cherre Villa is registered to provide care for three adults with learning disabilities. The home is situated close to Leicester city centre and within easy reach of a range of local amenities. Residents are accommodated in one single and one shared bedroom. In addition to their rooms, residents have access to a lounge and a large kitchen / dining room. There is a tarmaced area to the rear of the property. Cherre Villa is run as a small family home. Residents attend colleges and day care during the day if they choose. They have access to a range of leisure and recreational activities both within the home and in the local community. The weekly fees are linked to Social Service Department funding, currently £337 per week. This information was by the Registered Manager on the inspection. There are additional costs for individual expenditure such as hairdressing etc. The home provides information to residents and prospective residents in the form of a Service Users Guide that describes the services it offers, and a copy of the Statement of Purpose and last Inspection Report is available on request, so as to give a view as to the quality of life for residents. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care received through looking at their records, discussion with the resident and care staff, and observation of care practices. The inspection took place between 3.45pm and 6.20pm. Planning for this inspection included reviewing the previous inspection report and the service history. The Commission for Social Care Inspection has not received any complaints since the last inspection. There was one incident of Vulnerable Adults reporting. The subsequent investigation produced no evidence to support this. There were three residents present at the time of the inspection with a staff member. The inspector returned and completed the inspection the following day with the Registered Manager and another staff member. What the service does well: The service focuses on residents’ individual needs, e.g. residents spoken with said they liked living in the home and thought staff were friendly, the food was good and they liked their bedrooms. Care Plans are comprehensive and detailed to assist staff to deliver care that fits individual residents care needs. A choice of foods is always available to residents and there is some emphasis on healthy eating. Pictures are used for residents’ information – Quality Assurance Surveys, the Statement of Purpose that describes the services offered, the Complaints Procedure, menus etc., to make it easier for residents to understand this information. The Statement of Purpose was written by residents and has a lot of photographs to illustrate services. The principles of care continue to be well understood and put into practice at Cherre Villa with residents rights being recognized and promoted. There was again evidence of this was in the routines of the home and in the friendliness of staff with residents with encouragement to take part in chores – cooking, opening tinned vegetables etc, thereby promoting independence. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 6 Residents continue to have a good quality of life, with a choice of activities, and are supported by a well-trained staff group. Residents are involved both in the decision-making and in the running of the home. Staff were found to be positive, friendly and helpful in their dealings with residents. What has improved since the last inspection? What they could do better: 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. Cherre Villa Care Home DS0000006436.V341578.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 Cherre Villa Care Home DS0000006436.V341578.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): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An assessment system to meet residents needs is in place. EVIDENCE: The Statement of Purpose was viewed – this is a document outlining the services of the home. The Registered Manager has reviewed this information to make it more user friendly with residents writing the document. It has lots of photographs in it so that all residents and prospective residents can more easily understand it. Residents are commended for their work in producing this. This home has a stable group of residents who have resided there for a number of years. There was evidence on a file inspected that staff had completed a full assessment for prior to admission and that this form was detailed and followed the issues contained in the National Minimum Standard. Cherre Villa Care Home DS0000006436.V341578.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): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The individual needs and choices of people living in the home are well met. EVIDENCE: Residents said that they had Care Plans and were involved in setting them up so that staff understood what was needed for them. The staff member spoken to said the Registered Manager encouraged staff to read Care Plans to be aware of the care needed for each resident. Residents have comprehensive care plans and risk assessments, which are reviewed on a regular basis. One resident again said he has a Person Centred Plan, which he had done himself and is now a person centred trainer so that he could help people understand that people in homes had the same dreams as anyone else. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 10 The inspector case tracked two care records, which again clearly demonstrated that residents changing needs are being monitored and supported whilst living at the home. Records, observations and discussions with residents demonstrated that they make decisions about their lives and have independent life styles as much as possible, e.g. two residents are able to go out on their own, residents are encouraged to do household chores, do as much of their personal care as possible and they can use the kitchen with staff supervision and help with the cooking. It is recommended that residents life histories be recorded, subject to obtaining the resident’s permission to do this, so that all relevant issues relating to the resident can be fully appreciated by staff. Cherre Villa Care Home DS0000006436.V341578.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): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living at the home have the opportunity to have a fulfilling lifestyle. EVIDENCE: Residents spoken with thought they were well looked after and no one thought they were restricted in any way. Residents meetings are held monthly and are documented in detail. The records showed that residents views are sought for all relevant issues. Residents are enabled to attend their reviews if they wish to do so. It is again recommended that residents have the right to interview prospective staff and be part of staff meetings, if they wish, so as to increase their voice as to the running of the service. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 12 The inspector observed staff members supporting residents to make decisions about food choices for tea and activities available to them. Residents said they can make decisions about their own lives wherever possible e.g. what time to get up and go to bed, where they want to go on holiday, when they want to bathe, etc. Staff said that residents independence is always encouraged, as it is an essential part of the philosophy of the home. Staff spoken with were knowledgeable about the care and support each service user required. Staff were observed offering choices to residents, e.g. choice of food for tea. Residents spoken to said they could do what they wanted to do and that they liked going out. Residents said they had recently been on two holidays, one at Butlins and one in Spain, which they really enjoyed. There was evidence of other activities – music, cooking, going out to activities – colleges, discos, local pubs etc. Residents said they went shopping, to pubs, the park, and the post office to get their money as well as attending groups for people with learning disabilities. Residents said they could have their visitors to the home and that there were no restrictions on visiting times. Residents talked about contact with their friends and family and said that staff were always welcoming. Residents said they always liked the food and were asked what they wanted. Food records showed that residents are given a choice of food. The tea tasted was of a good standard with a choice of food – one residents said he did not like the curry so he had meat pie instead. Residents were observed helping to cook by cooking and opening a can of tomatoes, which gave them a sense of achievement as they were praised by staff. It is recommended that staff consider adding vegetables to main meals, e.g. the curries, to include healthier eating options. Cherre Villa Care Home DS0000006436.V341578.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. Residents receive good personal support with their physical and emotional health needs being well met. EVIDENCE: Residents said that if that were not well then they could see a GP if they needed and this was supported by key workers recording this in their records. Residents said staff were always available to talk to and help them if they needed this. There is a very comprehensive information kept in residents Care Plans, which details all medical appointments and check ups on an individual basis - from GPs, dentist, etc. Care Plans indicate all aspects of residents health care needs are covered – e.g. management of personal care, monitoring weight, communication, social skills, work and play etc. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 14 Accident/Incident Records were checked and it was found that there has not been an accident since 2006. A staff member stated that the pharmacist has trained all staff that issue medication, and also there was distance learning pack that staff were expected to complete. The home has a policy and procedure for the safe administration of medications. Medication records were checked and found to be up to date. Medication is kept securely locked away. The Registered Manager was asked to check with the GP as to obtain written permission to administer homely medication. Cherre Villa Care Home DS0000006436.V341578.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 good. This judgement has been made using available evidence including a visit to this service. Residents welfare is protected by robust procedures. Residents views are listened to and acted upon. EVIDENCE: Residents said that if they were worried about anything they would speak to staff or the Manager and they thought it would be followed up. The Registered Manager said that there have been no complaints made by residents or relatives in the last year, although the complaints book could not be found to support this. It was recommended that the Registered Manager have a complaints book so that this information can be easily accessed. The Commission for Social Care Inspection has also received no complaints regarding the service in this time. The Complaints Procedure seen by the inspector reflects the National Minimum Standard in that it stated that any complaints would be properly followed up. It now needs to mention the local Social Service Department as the lead agency for complaints with the contact details of this and the Commission for Social Care Inspection. The Registered Manager said this would be changed. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 16 There are residents meetings held where all residents are invited to attend and share their views about the home. A record of these meetings is available for residents and staff to refer to. A staff member on duty was asked about the understanding of whistle blowing procedures, and demonstrated a good understanding of the protection of residents from abuse and said that training is provided on adult protection. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 17 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. Residents live in a homely and comfortable environment, and standards of hygiene are good. EVIDENCE: Residents said that they liked their bedrooms and they could have all their things in them. A resident talked about how his bedroom was going to be reorganised to suit his taste. An electrical socket was seen to need repair. The Registered Manager said she was waiting for the electrician to come to do this. Some residents showed the inspector their bedrooms. Observations of the bedrooms demonstrated that décor in their bedrooms suit their lifestyles. Communal areas looked comfortable. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 18 Standards of cleanliness and odour control in all areas of the home were good. One resident said last year that it would be nice if there were also a shower as well as a bath to give him a choice. The Registered Manager said this had been looked at but it was found that the water pressure was a problem so it could not be done. The Inspector looked at two bedrooms and residents said that they had arranged and furnished them as they wished and that apparent shortfalls in furnishings were documented in records as being of their choice. The outside area has now been renovated with a new patio, painting of walls and pot plants. A privacy lock has been installed for the WC/bathroom. The Registered Manager agreed to ask the maintenance man to change this to a lock that can be accessed from the outside in case of emergency. There were missing glass panes to a window in a wall of a resident’s bedroom, which allowed anyone to look in thereby compromising this service user’s privacy. The Registered Manager said this had been attended to but it had been broken again. She said this would be attended to. Residents said that the bedroom window in the single bedroom let in water. The Registered Manager said this would be checked and repaired if needed. There is a maintenance book that ticks off when items have been attended to. The home is due to have kitchen flooring installed shortly. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 19 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): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a dedicated staff group, with sufficient staff numbers on duty to meet residents needs. EVIDENCE: Residents spoken to again said they were happy with staff and saw them as helpful and friendly. Staffing levels during the course of the inspection met the relevant minimum standards. There is one care staff on duty during daytime/evening periods, with a sleeping staff member on duty at night. Staff said there was staff in a sister home nearby on call if needed. Staff records were inspected but and found to have all the necessary statutory checks, with identification on records. The Registered Manager now keeps the Protection of Vulnerable Adults checks until seen by an inspector, to check this had been received before employment commences. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 20 Staff members were spoken to and had a good knowledge of residents care needs and were committed to providing a good service to residents. The Registered Manager has stated that staff are encouraged to take the National Vocational Qualification and staff spoken to confirmed they were encouraged to undertake this training. One staff member said she was now taking National Vocational Qualification level 3 training. Staff said they had training in a wide range of topics – e.g. the Person Centred Planning system which identifies residents individual needs, Learning Disability Award Framework training, Communication, Health Action Planning, Fire, Food Hygiene, challenging behavior etc. There was also a file, which contained relevant information as to training issues, e.g. on Autism, Obsessive Compulsive Disorder etc. Training records are kept within individual staff files. New staff have to go through a detailed induction programme which covers key issues – service user rights, the philosophy of care etc. The Registered Manager agreed to send the training matrix to the inspector so that the training staff have received can be checked. Staff spoken to said that the Registered Manager asks that staff read the Policies and Procedures of the service, so that care is consistently delivered. Staff are supplied with supervision, though this was not found to be on a two monthly basis, as per the National Minimum Standard. The Registered Manager said this would be followed up. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 21 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): 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health and safety is protected by the Policies and Procedures of the service. EVIDENCE: Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 22 Both residents and staff spoke highly of how the Registered Manager runs the home. The Staff Meeting notes seen are detailed and comprehensive and focus on ensuring staff meet residents care needs. The last Meeting was recorded as being four months previously. It is recommended that Meetings be held two monthly, as per the National Minimum Standard. Residents have been asked as to their views on the way the home is run through Quality Assurance survey, and the Registered Manager has analysed the results of surveys, and included this information in the Statement of Purpose. A staff member was asked as to the fire procedure and was aware of this. Fire records showed that regular testing of fire bells was in place and there are regular fire drills. The fire risk assessment is in place. Some residents monies were checked and found to be in order. Records had receipts, running balances and two signatures and monies are checked daily to ensure they are correct. This situation is commended. The Registered Manager has not fit radiator covers as she has assessed they are not needed; with the thermostatic controls on the radiators to prevent residents from burn injuries. The need for window restrictors to stop residents falling from bedrooms has been Risk Assessed and not found to be currently needed. The hot water temperature was measured and found to be at the National Minimum Standard of 43c. Health and Safety Policies and Procedures are in place and staff said they are encouraged to read them. Risk Assessments for safe working practices were not detailed and need to be extended to cover all areas of known risk – the Registered Manager said that there is to be a new system in place shortly, which will be comprehensive. Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 23 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cherre Villa Care Home DS0000006436.V341578.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Cherre Villa Care Home DS0000006436.V341578.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!