Inspection on 23/08/05 for Cherry Tree Lodge

This inspection was carried out on 23rd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Cherry Tree Lodge 13/11/06

Cherry Tree Lodge 10/01/06

Cherry Tree Lodge 21/12/04

Cherry Tree Lodge 26/10/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Cherry Tree Lodge 226/228 Bury Road Rawtenstall Lancs BB4 6DJ Lead Inspector Julie Playfer Announced 23 August 2005 9.30 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 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 Older People. 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. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cherry Tree Lodge Address 226/228 Bury Road Rawtenstall Rossendale Lancs BB4 6DJ 01706 224868 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Millicent Marina Testa Care Home 22 Old Age Dementia Dementia 18 3 1 Category(ies) of OP registration, with number DE(E) of places DE Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. Within the overall total of 22: A maximum of 18 people requiring personal care who fall into the category of OP (Old Age, not falling into any other category over 65 years of aged). A maximum of 3 people requiring personal care who fall into the category of DE(E) (Dementia, over 65 years of age) 1 person requiring personal care who falls into the category of DE (Dementia under 65 years of age) Date of last inspection 21st December 2004 Brief Description of the Service: Cherry Tree Lodge is registered with the Commission for Social Care Inspection to provide personal care and accommodation for 22 older people within the following categories: Mental Disorder, excluding learning disability or dementia (1), Mental Disorder, excluding learning disability or dementia - over 65 years of age (3), Old age, not falling within any other category (18). The premises are detached and situated in their own grounds with car parking facilities to the side. There is also an enclosed and well maintained garden area. The home is located on the main Bury Road and is close to local shops. Approximately half a mile away is Rawtenstall town centre with main shops, a library, banks etc. Bury Road is situated on a main bus route that offers transport to all towns in the Rossendale Valley area. Accommodation is provided in 14 single and 4 double rooms situated on two floors, the first floor being accessed by a passenger lift. Communal space is provided in two lounges, a conservatory and a dining area. Smoking is permitted in the staff room. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over one and a half days on 23rd and 24th August 2005. The previous inspection was carried out on 21st December 2005. No additional visits have been made to the home since the last inspection. On the day of inspection there were 21 residents accommodated at the home, with an additional person receiving day care. Information was obtained from staff records, care records and policies and procedures. The inspector also spoke to the residents, the staff on duty and the registered person. A tour of the premises was also undertaken. What the service does well: What has improved since the last inspection? The home was assessed as providing a good service on the last inspection. The previous report did not identify any legal requirements, hence there were no specific improvements noted on this visit. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 6 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. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 - 6 Useful information was available about the home and this assisted prospective residents to make a choice. However, residents must be provided with a personal copy of the service users guide, in line with legal requirements. The home’s admission procedures, including pre admission assessments helped to determine whether or not prospective residents’ needs could be met. EVIDENCE: Written information was available for residents in the form of a statement of purpose and service users guide. Both documents met regulatory requirements and were presented in a readily accessible format. However, none of the residents had been issued with service users guide. All residents were issued with a comprehensive statement of terms and conditions of residence, which included details about fees, insurance and the complaints procedure. The residents’ files viewed during the inspection demonstrated that the registered person or a member of the management team had carried out preadmission assessments, which compiled with standard 3.3. Social work Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 9 assessments were also carried out for those residents who were admitted under care management arrangements. However, following the assessment the registered person had not confirmed in writing that the home could meet the residents’ needs. Residents had wide ranging needs from those with varying degrees of memory confusion and memory loss associated with dementia and old age to those who were relatively independent. There was evidence to indicate the resident’s needs were being met. All residents who completed comment cards stated that they felt well cared for and that staff treated them well. One resident spoken to during the inspection said “We’re looked after in every way – always”. An invitation to visit the home prior to admission was part of usual practice. One resident described her visit to the home prior to moving in, which offered the opportunity to meet other residents and the staff. Intermediate care was not provided at Cherry Tree Lodge. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10 The care planning system addressed the health, personal and social care needs of the residents. This process could be further improved by ensuring the residents are formally involved in developing the care plans. Residents’ health care was monitored and promoted within the home. Care practice took full account of the residents’ rights to privacy and dignity. EVIDENCE: The individual files of three residents were seen during the inspection. It was evident each resident had a care plan based on an assessment of needs. The plans set out in detail the action needed to be taken by staff to ensure all needs were met. It was apparent the plans had been reviewed and updated in line with the residents’ needs. The registered person reported the care plans were discussed informally with the residents; however, there was no written evidence to indicate the residents’ involvement in the care planning process. Risk assessments formed part of the care plan. There were no separate risk assessments. The residents’ files seen showed that their health was monitored and promoted and they had access to all necessary health care facilities. Specialist advice had Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 11 been sought as necessary in line with the needs of the residents for instance the continence nurse. Residents’ rights to privacy and dignity were respected. Staff were seen being respectful and kind to residents, and in discussion with the inspector demonstrated an understanding and knowledge about the importance of these matters. All residents who were spoken with, and all who completed comment cards, stated that staff treated them appropriately and respected their right to privacy. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 - 15 Residents were able to make choices about their life at the home so that their lifestyle met their preferences. Residents’ social, cultural and recreational needs were met through links with their family and friends being maintained and opportunities to undertake activities both inside and outside the home. The meals offered at the home were varied and nutritious and to the liking of the residents. EVIDENCE: The residents reported that the daily routine was flexible and they were able to get up and go to bed at a time of their choosing. The plan of care gave information of the resident’s preferred daily routine and for staff to support residents to make decisions wherever possible. One resident said “it’s free and easy” and another resident said, “I just let someone know when I’m tired and then I go to bed”. The residents’ interests were documented in the care plans. A range of activities were planned and implemented by staff. Activities arranged in the home included music and movement, dominoes, singing, quizzes and a film night. Residents were also involved in activities outside the home, which included occasionally going the pub and visiting family and friends. A member of staff also explained that there was a forthcoming trip to Blackpool. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 13 Resident’s meetings were held approximately every 2 – 3 months and a record was made of the discussion and any agreements made. Visitors were welcome at the home. The residents were able to entertain their guests in any area of their choice. All relatives/visitors, who had completed a comment card expressed satisfaction with the standard of care provided by the home and all felt welcome in the home at any time. Residents were encouraged to exercise choice and control over their lives. As such residents were supported to manage their own finances. Residents were also able to bring in personal belongings and arrange their rooms how they wished. The residents were satisfied with the quantity and variety of meals, which were homemade. Residents spoken to described the food as “lovely” and “very nice”. Drinks and snacks were available at set times throughout the day and evening and at all other times on request. There was a record of the menus, but no specific record of actual meals served to residents. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Systems were in place to ensure any concerns of residents would be acted upon, however, residents must be supplied with their own copy of the complaints procedure. In order to safeguard the welfare of the residents the adult protection procedures must be updated. EVIDENCE: A copy of the complaints procedure was incorporated in the service users guide, however the procedure did not include the timescales for the complaints process, or the address of the Commission for Social Care Inspection and had not been distributed to the residents. The home had received no complaints. The home had a copy of “No Secrets in Lancashire” and an adult protection procedure. However the latter did not include details of the role of Social Services, in the event of any allegation or suspicion of harm or abuse. There was a whistle-blowing procedure for staff use. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 - 26 Residents were happy with their accommodation at the home and lived in a safe, clean and well-maintained environment. EVIDENCE: Cherry Tree Lodge is a detached house set in its own grounds. The home is located close to local shops and other amenities. Accommodation is provided in nineteen single bedrooms and four shared bedrooms. Two of the bedrooms have ensuite facilities. The home also provides one assisted bath, one assisted shower, a shower room and five separate toilets. Communal space is provided in one lounge/dining room and conservatory on the ground floor and a quiet lounge on the first floor. It was evident from a tour of the home that residents had personalised their rooms with their own belongings and decoration was good throughout. The residents said their rooms were comfortable and warm. Residents had been provided with aids and adaptations to assist their independence skills, these included grab rails, handrails, raised toilets and a stand aid hoist. The passenger lift provided access to first floor Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 16 accommodation. The provision of specialist equipment was determined by the needs of the residents. There was a call facility in every room. The doors to residents’ bedrooms had been fitted with suitable locks and keys had been distributed to residents, as appropriate. Storage heaters fitted in each room to provide heating. The registered person confirmed the storage heaters had a guaranteed low temperature surface. Water temperature was regulated by a central valve fitted to the main hot water tank. In addition, a preset valve was fitted to all baths and showers to guarantee water was delivered close to 43 degrees Celsius. The home was clean and odour free at the time of the inspection. A resident said “the home is always kept spotless”. The systems for maintaining hygiene included procedures for infection control. Plastic aprons and gloves were available to staff when undertaking care duties. There was a separate laundry room, which had sufficient and appropriate equipment to meet the laundry needs of the number of residents accommodated. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 - 30 The procedures for the recruitment of staff were not robust and must be improved to ensure protection for the people living in the home. Good arrangements were in place to ensure staff received appropriate training in line with the needs of the residents. EVIDENCE: A recorded staff rota was completed in advance, which indicated which staff were on duty and how many hours they had worked. All staff providing personal care were aged over 18 and all staff left in charge of the building were aged over 21. The management team had developed and implemented a staffing formula based on the needs of the residents. This meant each individual had been assessed in relation to their dependency needs. The assessment took into account a wide range of needs, including emotional and social as well as physical. The registered person had also used this formula to ensure staff were effectively deployed within the home. Whilst, two relatives/visitors indicated on comment cards that in their view there was insufficient staff on duty, the staffing levels were above the expected level during the day and in line with previous guidance during the evening and night. All new employees undertook an in house induction programme. This provided underpinning knowledge for NVQ level 2. At the time of inspection the equivalent of 75 of the care staff were trained to NVQ level 2 or above and 5 members of staff were working towards NVQ level 2. A member of the Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 18 management team had completed NVQ level 5 in operational management. Staff also attended both internal and external training courses. A recruitment and selection procedure for the employment of new staff was not seen. Two files were inspected of members of staff new to the home. Both people had completed an application form and attended for interview. However, there were shortfalls in the recruitment procedure, these included gaps in employment history with no satisfactory written explanation of the gaps. Only one reference was available for one person and both had been employed prior to receipt of either a POVA (Protection of Vulnerable Adults List) initial check or CRB (Criminal Records Bureau) check for their new employment. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 36 and 38 Staff and residents enjoyed positive relationships, which promoted an open and friendly atmosphere. Appropriate arrangements were in place to safeguard the health and safety of residents. Quality monitoring systems must be improved in order to monitor outcomes for residents. EVIDENCE: Relationships within the home were good and staff spoke about the residents with respect. The residents valued the help and support they received from the staff, who they described as “kind, caring and helpful”; one person also said, “that nothing was too much trouble”. The staff received supervision but this was mostly informal, to ensure the staff are appropriately supervised and supported they should receive at least six formal supervisions a year. The home had achieved an Investor’s in People Award. In addition to Residents’ Meetings, informal systems were in place to seek the views of Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 20 residents and their visitors. Satisfaction questionnaires had not been distributed to residents or their relatives. Systems to monitor the quality of the service were limited and the registered person had not devised an annual development plan. Staff received health and safety training, which included moving and handling, food hygiene, first aid and fire safety. Information provided on the pre inspection questionnaire indicated that gas and electrical systems were serviced at regular intervals. The home had a set of health and safety policies and procedures and risk assessments had been carried out in respect to the environment. The registered person confirmed window restrictors had been fitted as appropriate. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 3 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 2 x 3 2 x x 2 x 3 Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 22 No Are there any outstanding requirements from the last inspection? 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. 2. Standard 1 4 Regulation 5 14 Timescale for action The service users guide must be 30th supplied to all current and September prospective residents. 2005 Following the pre admission Immediate assessment the registered and person must confirm in writing to ongoing the prospective resident that the from the home is suitable for meeting date of his/her needs. inspection. The care plans must be drawn up 30th with the involvement of the September resident, recorded in a style 2005 accessible to the resident; agreed and signed by the resident whenever capable and/or a representative. The regsitered person must Immediate maintain a record of actual food and ongoing provided for residents. This from the record must include detials of any special diets prepared for date of individual residents. inspection. The complaints procedure must 30th be updated in line with the September requirements of Regulation 22 2005 and distributed to all residents. The adult protection procedure 15th must be amended to closely September align with No secrets in 2005 Lancashire. All records and documentation Immediate Version 1.30 Page 23 Requirement 3. 7 15 4. 15 17, 2 Schedule 4 (13) 5. 16 22 6. 18 13 7. 29 17, 19 Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc 8. 33 24 9. 33 24 10. 36 18 relating to the recruitment of new staff must be collated and maintained in line with the requirements of the Regulations. Appropriate Police checks must be carried out and received before a person commences work in the home or has any access to the residents. An annual development plan must be devised based on a systematic cycle of planning, action and review, reflecting the aims reflecting the aims and outcomes for service users. There must also be continuous monitoring, using an objective, consistently obtained and reviewed and verifiable method (preferably a professionally recognised quality assurance system and involves the service users and an internal audit takes place at least annually. Feedback must be sought from service users about the services provided in the home, through for example the use of anonymous user satisfaction questionnaires and individual and group discussion. Staff must be appropriately supervised and receive formal supervision at least six times a year. and ongoing from the date of inspection 1st December 2005 15th November 2005 Immediate and ongoing from the date of inspection. 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 7 Good Practice Recommendations It was recommended that separate and individual risk F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 24 Cherry Tree Lodge 2. 3. 29 33 assessments are carried out, as appropriate, according to assessed needs. A recruitment and selection procedure should be devised and implemented. The results of residents surveys should be collated and made available to residents and their representatives and other interested parties. Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Unit 4 Petre Road Clayton-le-Moors Accrington BB5 5JB National Enquiry Line: 0845 015 0120 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 Cherry Tree Lodge F57 F07 S9644 Cherry Tree Lod V231900 23.8.05 Stage 4.doc Version 1.30 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. 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