Inspection on 27/09/07 for Cherrydale

This inspection was carried out on 27th 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

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Cherrydale Springfield Road Camberley Surrey GU15 1AE Lead Inspector Mavis Clahar Unannounced Inspection 27th September 2007 09:15 X10015.doc Version 1.40 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 Cherrydale DS0000069977.V349581.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 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. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherrydale Address Springfield Road Camberley Surrey GU15 1AE 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) 01276 682585 01276 684272 cherrydale@hotmail.co.uk Nightingale Residential Care Home Ltd Mrs Jean Alice Joyce Care Home 22 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0) of places Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 2. Dementia (DE). The maximum number of service users to be accommodated is 22. Date of last inspection New service Brief Description of the Service: Cherrydale is a large detached property situated in a rural residential area, some distance from the local shops of Camberley. Accommodation is provided on three floors, all-accessible by passenger lift and stairs. There are eighteen single bedrooms and two double bedrooms some with en-suite facilities. The home has a number of communal areas for service users to enjoy. The home is set in spacious and well-maintained grounds and garden, which are easily accessible to the service users. There is an ample car parking space to the front of the house. Fees are in the range of £403.20 to £565.25 per week. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit, which forms part of the home’s first key inspection undertaken by the Commission for Social Care Inspection, (CSCI) was completed by Mrs Mavis Clahar on the 27th September 2007 and lasted for six hours, and fifteen minutes, commencing at 09:15 hours and concluding at 15:30 hours. The home has recently being purchased and the new owners have retained the registered manager and all staff. Currently, there is one Adult Protection investigation that is being dealt with by the Surrey Safeguarding Adults’ team. The first part of the visit was spent with the registered manager of the home, discussing and agreeing how the inspection process would be conducted. This was followed by discussion about the Annual Quality Assurance Assessment (AQAA) she submitted to CSCI, the training needs of the care workers and how these needs were being identified and met, and employment and induction of new care staff. A review of residents’ files and care workers records was undertaken and all found to be in good order. The second part of the visit was spent reviewing residents care notes, which were up to date and sampling selected policies and procedures. The information contained in this report is gathered from residents’ notes and records kept by the home, from information contained in the AQAA, from relatives and residents feedback in the pre inspection questionnaires and from discussions with residents. Information was also gathered from direct observation by the inspector, along with discussions with care workers, and one visitor present on the day of the visit. The third part of the inspection was spent visiting and discussing with residents and observing lunchtime activities. Residents were enthusiastic about their home and the service they receive. Residents spoken to said they enjoyed their lunch, which was prepared freshly in the home’s kitchen. Time was spent observing the presentation of the meal, care workers and residents’ interactions and to obtain feedback on the meal, its suitability, taste, texture and amount. The inspector observed that portions were varied to suit the appetite of the residents and that they all ate their meal in a very social gathering, all sitting at tables which were laid for four, and six. A tour of the home was undertaken and it was observed that residents’ bedrooms were kept in very good condition, both decorative and clean and tidy. The bedrooms are attractively presented. Generally, the home presents as clean and tidy. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 6 It was observed that one GP had not written a prescription with sufficiently clear instructions for staff to safely administer the medication and a requirement was issued for the registered manager to rectify as soon as possible. The inspector would like to thank all the residents and care staff who made the visit so productive and pleasant on the day. The final part of the visit was spent giving feedback to the manager about the findings of the visit. What the service does well: 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. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information was obtained from prospective service users prior to them being admitted to the home. This allowed for carers and service users to make informed decision regarding the planning and delivery of care. EVIDENCE: We were told the manager assess all service user prior to them being admitted to the home. This was verified when reviewing the random sample of service user files. She also encourages them to come into the home for a day to enable them to assess the home and staff to make sure this is the home they want to come into. Prospective service users and their relatives are all encouraged to return, as often they like prior to making the final decision. The home does not provide for respite care. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good and clear care plan in place for service users, which also includes appropriate risks assessments. This forms the basis for care based on the agreed care needs of the service users and demonstrated that health and personal care needs were met. Care staff receive training to meet the assessed care needs of the service users ensuring that competent staff support service users and their health and care needs are met. The home’s medication policy on receiving, storing and administering and return of medication was in place and being adhered to thereby ensuring the safety and protection of the service users. Care workers are aware of the need to treat service users with respect and to maintain their dignity and privacy when delivering personal care Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 10 EVIDENCE: We observed that each service user has a care plan drawn up from the assessment detailing their care needs and their social activities. The randomly selected care plans which were reviewed regularly were clear and easy to read, identifying risks to service users. The daily work sheet along with discussion with service users demonstrated that service users care needs are met according to the agreed plan of care. The health care needs of the service users are met by their GP. The community Opticians and the domiciliary dental practice also visit on an annual basis and more often if required. Chiropody service is on an eight weekly basis or more often if required. All service users are registered with a General Practitioner (GP). Further health care provision is obtained from the District nurse, Community Psychiatric Nurse, Occupational Therapist Audiologists Physiotherapist and Chiropodist as requested by the GP. Records of visits are kept and are available for inspection. Service users spoken to were able to verify this. They said they could see their GP whenever they are not feeling well. Also the AQAA stated that a member of staff accompanies service users to all health related appointments whenever a relative is unable to accompany the service user. Administration of medicines to service users is in accordance with the homes policy on administration of medicines. No service users at the home on the day of the visit were assessed as capable to administer their medication. A list of care workers trained and considered competent to administer medication was available for review. Random sample of care workers files have indicated staff are trained to administer medication and staff spoken to regarding administration of medicine were knowledgeable about receiving, storing, administering and returning of medicines.. It was noted that one GP is not writing prescriptions clearly, to enable carers to administer medication safely. A requirement was issued on this standard. There was no relatives visiting the home at the time of inspection. However relatives’ response to the questionnaire sent out by CSCI indicated a high level of contentment with the home. Service users spoken to rate the personal care they receive as very good. Service users unanimously said, “We are treated with respect”. They said the staff team are friendly and they attend all appointments accompanied either by staff or if their relative decides to accompany them. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users lifestyles matched their needs and preferences and where possible they are able to maintain contact with family, friends and the local community. Service users are able to make choices in accordance with their abilities and were provided with a balanced diet in pleasant surroundings and in an unhurried way. EVIDENCE: Service users spoken to say they were able to go to bed and get up when they choose, take part in activities as they wished and consulted on how they would like to spend their time. This statement was supported by the manager, who told us “Activities are built into normal routine, rather than having activities and entertainment arranged. It works well.” The Annual Quality Assurance Assessment (AQAA) stated “ We offer the facility of stimulation by means of outings, “in house” activities, parties, church visits, pets as therapy, mobile library etc. Whilst we encourage participation we respect the decision of any resident who expresses a wish not to take advantage of any activities on offer. All our entertainment come at no additional cost to the resident”. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 12 The inspector did not observe any visitors to the home during the visit. Two healthcare professionals visited the home during the process of the inspection and although one declined the request to speak with us due to shortage of time on her part, the other was accommodating. In discussion with the Community Psychiatric nurse we were told that she has been visiting service users at this home for a long time. She told us she was always made welcome by all the staff, who are always polite and friendly. She found information about service users she visited were always forthcoming. She has never had to make a complaint and she is not aware of any of her service users making a complaint. Her visits are on different days and varying times and she observed that there is always staff around and she has never had to seek staff out. She further observed that staff treats the service users with respect, in a friendly but professional way. We observed that service users were dressed appropriately for the cold weather. In discussion with the service users we complemented one service user on how well groomed she looked. One service user told us “I am able to dress myself with help from my carer, after she helps me with my bathing”. “Staff are kind”. Another service user said, “the food is good really good and I get enough to eat. The staff are so very good. I walk in the garden when the day or weather is ok”. In discussion with the care worker she said she has been with the home for a long time and she has completed her induction and the National Vocational Qualification (NVQ) Level 2 (L2) course, and has attended all the mandatory courses and have had yearly updates to enable her to care for the service users. Service users said their friends and families are always welcome to visit at any time. Catering facilities are managed and carried out by the homes’ Cook, who told us she has been with the home for many years and she was able to discuss the dietary needs and preferences of the service users. On the day of the visit the service users were served their mid-day meals from the previously agreed two main menus. The inspector did not sample the meals, but the service users all said the food is good, the texture just right and the amount was what they ordered. It was observed that the dining room was pleasantly decorated, and that staff interactions with service users were friendly but professional. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints policy and procedure and training in place that evidenced that service users and relatives concerns are listened to and acted upon. Robust Safeguarding adults’ policies are in place to protect the service users from abuse. EVIDENCE: CSCI Oxford received no complaints about the home. No complaints were logged at the home, and the manager informed us that she is in touch with service users on a daily basis and issues raised are dealt with immediately; this prevents any need for service users to complain. Service users spoken to said they have no need to complain, as they are able to discuss everything with the manager/owner. The home has a complaints procedure and policy, which is fully adhered to. The care workers were aware of the homes’ policy and procedure on Safeguarding Adults and felt secure in the knowledge that if they had to use the whistle blowing procedure the manager/ Owner of the company would support them. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 14 The home has received a number of complimentary letters and cards from relatives of service users, commenting in a positive way about the care their relatives’ received at the home. A random sample of care workers training record demonstrated that care workers are being trained to undertake the duties of meeting the service users assessed needs, thereby protecting them from abuse. Planned programme of update on Protection of Vulnerable Adults (POVA) is planned for next year. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables service users to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The management and staff encourage service users to see the home as their own home. It presents as a comfortable, attractive home, which has all the specialist adaptations, needed to meet the service users needs. It was noted that call bells were left within reach of each service user and service users said the bells are answered promptly. We were told that since the purchase of the home, the back stairs have been re-carpeted and the surrounding areas have been redecorated. The home has attractive gardens, which are well maintained and there is good access to the gardens from various parts of the home. Some service users told Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 16 the inspectors that they try to go out daily, weather permitting, to enjoy the gardens. It was noted that adverse weather would not stop service users enjoying the garden, as the windows are low enough to allow service users to view the gardens from their armchairs. It was also noted that service users were able to personalise their bedrooms with small items of furniture, paintings on the walls and many family photographs. Generally, the home presents as clean, safe, pleasant, hygienic and tidy and free from offensive odours. Random review of care workers training record demonstrated they have had training in infection control and this was evident in the storage of waste. The AQAA stated, “ staff are trained on the safe disposal of clinical waste and are provided with protective clothing to minimise the risk of spreading infection”. We observed staff wearing disposable gloves and aprons whilst undertaking tasks during the visit. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of the service users. EVIDENCE: The staff rota demonstrated the number and grade of staff on duty to provide care and attention to service users for any twenty-four period was suitable to meet the assessed care needs of the service users. The home has a programme of planned training in place and all members of staff have an individual training record. Over 50 of care workers have attained the National Vocation Qualification at Level 2 (NVQ L2). Care workers are encouraged and enabled to undertake developmental training as well as the mandatory training. . All newly appointed staff undertakes the Skills for Care Common Induction programme. The home ensures that staff undertakes the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with the manager and care workers and from review of care workers training records. It was noted that staff turnover at the home is relatively low. All care workers are Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checked prior to commencing employment, and they are in receipt of terms Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 18 and conditions of employment, as evidenced in their randomly selected files, which contained the information required under care Homes Regulations 2001 Schedule 2. The manager told us that supervision records were up to date and this was verified during random sampling of care workers files. Documented evidence indicated that the home ensures that care workers receive the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with the manager and care workers. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the experience to run the home and works to continuously improve services and provide an increased quality of life for the service users. There is a strong ethos of being transparent and open in all areas of running the home and the views of service users and their relatives are actively sought. Service users financial interests are safeguarded and the health, safety and welfare of service users and staff are protected and promoted by the homes’ policies and procedures. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager has demonstrated that she has kept herself updated on issues relating to care of the service users and staff in her charge. She has attained the Registered Managers Award and also the National Vocational Qualification Level 4 in care. In discussion with the manager it was evident she was knowledgeable about the care needs of the service users and the training needs of the care workers to meet these identified needs. There are clear lines of accountability within the home, each member of staff spoken to on the day of inspection aware of their role and responsibilities. We were told that the service users are not all capable to be fully involved in the running of the home, but their relatives are encouraged to be as involved as their time allows them to be. The residents of the home are treated as part of a large family and meetings are held at regular intervals to allow service users, their relatives, carers, and the manager to discuss issues pertaining to the smooth running of the home. Every one is then able to contribute to the running of the home, whether it is to change the four weekly menus or to replace major items in the home. The manager explained “this approach is preferable by all parties concerned as any occurrence in the home affects us all”. The home does not become involved in service user’s finance. Their relatives manages all their finance. Only small amount of spending money is kept for some service users and good records are kept with receipts for any expenditure. Review of documented records demonstrated that health and safety checks are routinely carried out at the home. All equipment examined on the day was properly maintained. Records indicated that fire drills, fire alarm, and water temperature were regularly checked. Random sample of care workers’ training files demonstrated that up to date and relevant training were carried out by care workers to protect service users’ health, welfare and safety. In discussion with care workers they discussed their understanding and implementation of appropriate procedures to safeguard service users. Furthermore they spoke about their understanding of promoting safe working practices based on their health and safety training. Throughout the service there is a highly evolved understanding of the equality and diversity needs of the individual service users. Care workers are confident in delivering high quality outcomes for service users in the areas of age, sexuality, gender, disability and belief. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? New Service 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 OP9 Regulation 13.2 Requirement Ensure General Practitioner write service users’ medication dosage administration times clearly Timescale for action 28/09/07 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 OP38 Good Practice Recommendations Obtain a copy of the DOH Essential Steps To Assess Your Current Infection Control. Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 Cherrydale DS0000069977.V349581.R01.S.doc Version 5.2 Page 24 - 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!