Inspection on 09/01/07 for Cherrytrees

This inspection was carried out on 9th January 2007.

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

The inspector 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

Cherrytrees 31/03/08

Cherrytrees 01/12/05

Cherrytrees 15/07/05

Cherrytrees 02/03/05

Cherrytrees 01/12/04

Cherrytrees 07/01/04

Cherrytrees 10/05/03

Cherrytrees 16/08/02

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

CARE HOMES FOR OLDER PEOPLE Cherrytrees 149 Park Road Cowes Isle Of Wight PO31 7NQ Lead Inspector Annie Kentfield Unannounced Inspection 9th January 2007 12:30 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 Cherrytrees DS0000012475.V320029.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. Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cherrytrees Address 149 Park Road Cowes Isle Of Wight PO31 7NQ 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) 01983 299731 01983 296084 Mrs Dorothy Mary Gustar Mr Laurence Woodford Gustar Shirley Anne Carley Care Home 25 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (6), Old age, of places not falling within any other category (25), Physical disability over 65 years of age (9) Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 2005 Brief Description of the Service: Cherrytrees is registered to provide personal care for up to 25 older people, the home may also provide care for up to 6 older people with a mental disorder. The home is a converted period property set within its own gardens and is within easy reach of the town and all of its amenities and facilities. For those individuals unable to walk into town or without other means of transport the local bus company operates a scheduled bus service, which runs directly past the home. Transport is provided by the home for appointments. If service users, visitors or representatives have their own transport then car parking is available to the rear of the home or along the roadside. The building is accessible with a passenger lift or stairs providing access to the upper floor. However, due to the layout of the building that has been converted from two adjoining properties, part of the first floor is only accessible via a short flight of steps from the passenger lift. The current scale of charges is from £336 to £460 per week with additional and varying charges for chiropody, newspapers, hairdressing and toiletries. Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of an evaluation of the quality of the service provided by Cherrytrees and brings together accumulated evidence of activity in the home since the last key inspection on 1st December 2005. Part of the process has been to consult with people who use the service; there were three responses to the care homes survey received from residents in the home. Four written responses were received from relatives or visitors to the home and three written responses from health and social care professionals who visit the home. The responses from the consultations were positive. Included in the inspection was an unannounced visit to Cherrytrees by an inspector on 9th January 2007. The registered manager was available to assist with the inspection and the visit included a tour of the building and looked at a selection of the home’s records. The registered providers were also in the home for some of the time. During the visit the inspector spoke with staff on duty, several residents in the privacy of their own rooms and also two relatives who were visiting the home at the time. The report also includes information provided in advance by the registered manager in the form of a pre-inspection questionnaire. What the service does well: What has improved since the last inspection? Two bedrooms have been re-carpeted and the car park to the rear of the property has been re-surfaced and block paved. A new fence has been put up along the back of the garden. There is ongoing repair and decoration to bedrooms and the communal areas. Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 6 The registered manager has now completed the National Vocational Qualification in Care – level 4. 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. Cherrytrees DS0000012475.V320029.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 Cherrytrees DS0000012475.V320029.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. (The home does not provide intermediate care) The manager ensures that the care needs of the people who live at Cherrytrees will be met by undertaking a thorough assessment of care needs prior to them moving into the home. EVIDENCE: The manager is clear about the level of care that the home can offer and takes into consideration the needs of the existing residents before a new resident moves into the home. There is a comprehensive assessment process that records all of the physical, emotional and social care needs of prospective residents and the manager also consults with relatives, representatives and others involved in a service users’ care such as care managers, psychiatrists and community nurses. The manager works closely with health and social care Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 9 professionals and ensures that additional community support is available if the assessment identifies specialist care needs. Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 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 system of care planning with an individual plan for each service user. These provide a good demonstration that residents’ health and social care needs are identified and met and include risk assessments and monthly reviews. Medication is securely held and appropriate records maintained. EVIDENCE: Each service user within the home has an individual plan of care that clearly identifies for care staff the care to be provided. Care plans are reviewed regularly and records kept of all health appointments. There is evidence that service users have access to all specialist health services and are registered with a local GP practice. A District Nurse commented; “staff appear to provide care appropriate and specific to each individual service user…communication is excellent and any instructions or advice we give is always acted on”. The manager has a clear understanding of the needs of service users who have a Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 11 mental illness or dementia and an awareness of relevant parts of the Mental Health Act that may affect service users. The manager works closely with the Older Persons Community Mental Health Team and the Social Services care managers to ensure that service users receive appropriate support and care. Medication is safely stored and administered and records of medicines dispensed are regularly checked by the manager. Staff who administer medication receive appropriate training and are assessed as competent by the manager. The Community Review Pharmacist reviewed all service users’ medication in October 2006. Care plans record important personal details about how service users like to be addressed, any particular preferences or wishes about how personal care is provided, and also include risk assessments and a plan to minimise any risk where this is identified. All care plans contain an assessment of service users’ mobility and a moving and lifting assessment. One service user said that care staff respect the fact that she likes to get up in the morning and do as much as she can for herself at her own pace before she asks for assistance. Service users confirmed that care staff always knock on doors before coming into a bedroom or bathroom. The manager stated that the care philosophy of the home is to treat all of the service users as individuals and in the process staff in the home respect rights to individual choice and preference. In discussion, the manager said that service users could read their own care files at any time if they want to. It is evident that the manager consults with service users about their care plan wherever possible and this needs to be recorded in the care plan with the service users’ signature or that of the service users’ representative, and also when a care plan is reviewed and care needs change. The manager aims to record sensitive information about service users’ wishes and preferences with regards to terminal illness and instructions in the event of death. The manager tries to choose the appropriate time and place to discuss this with service users and sometimes will talk with family or friends if more appropriate or if a service user lacks the ability to make their own decisions. Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Cherrytrees offers a flexible and varied service where choices and preferences are encouraged and supported. Activities are offered to suit the needs of the residents. Friends and family are made to feel welcome and can visit at any time. Residents’ nutritional needs are satisfied with a varied and balanced diet of good quality food. EVIDENCE: Service users are offered the opportunity to comment on aspects of life in the home such as entertainment and activities and menus, through the resident meetings. In the past these have been held monthly but are less frequent at present, depending on how often the residents want to get together. The manager is also aware that some residents prefer to speak to her individually so she makes a point of speaking to all of the residents on a one-to-one basis, that way all of the residents are able to contribute to the day-to-day lifestyle. Comments from residents indicated that some social activities are more popular than others and the manager aims to arrange a social event or activity on two or three days each week. Activities offered are musical entertainment, Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 13 reminiscence, gentle exercise, games and quizzes or outings in small groups when the weather is good. The manager explained that a local arts group provides the reminiscence session and the co-ordinator tries to also incorporate tactile or physical objects that take into account any visual impairment. The musical entertainment and sing-along takes into account service users varying cognitive abilities. Service users are able to participate in religious worship if they choose to. Service users have access to a hairdresser. Some service users mentioned that they enjoyed sitting in the garden during the summer months and the home has purchased a large gazebo that is put up in the garden with outside seating. Two relatives mentioned that they would like to see more “physical and mental exercise” for their relatives living in the home and these comments were discussed with the manager. It is evident that the manager offers a variety of different activities and some have proved popular with the residents and some not. Residents are asked for their comments both formally and informally and the manager respects their choices. However, the manager is very approachable and always available for both service users and relatives to talk to and would be willing to try and meet individual requests for particular activities if at all possible. Some of the service users like to spend time in their own bedroom during the day and it is evident that service users have chosen items of furniture for their rooms that personalise the space and establish a sense of ownership and familiarity. Meals can be taken in the dining room or in bedrooms although service users are gently encouraged to walk to the dining room for at least one meal each day. The inspector was in the home at teatime and the number of residents sitting down in the dining room demonstrated that mealtimes are an important social activity in the home. Residents are offered a choice each day for lunch and tea and lunchtime is always a freshly prepared main meal with two courses and tea is a choice of hot or cold substantial snacks. Breakfast can be served in the dining room or in bedrooms if people choose. Drinks and snacks are available throughout the day and evening. The home employs a chef to prepare most of the meals and the manager explained that the menus are discussed with the residents and then choices offered each day depending on preferences, dietary requirements, and the season. Service users spoken to were happy with the food provided and also appreciated having wine or sherry with Sunday lunch. All responses to the care homes survey showed residents “always” liked the meals and one person said, “very good, variety and well cooked”. Residents’ birthdays are always celebrated with a special tea and birthday cake. During the inspection visit it was evident that visitors are always made welcome. The manager described the home as “flexible and family orientated” and makes a point of being available for any visitors or relatives who want to speak to her. There is a small sitting room on the first floor that can be used by relatives and residents if they want some privacy. Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home treats residents’ complaints seriously and responds appropriately. The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: The home has a complaints procedure and information about how to complain is included in the Service User Guide and also on display by the front door. The manager was advised to amend the complaints procedure to contain information about how to contact the Commission for Social Care Inspection (the information lists the previous regulatory body – National Care Standards Commission). A record is kept of any complaints and what action is taken and demonstrates the home’s commitment to respond promptly and appropriately to any concern or complaint. Written responses to the Care Homes survey from service users and visitors confirmed that all are aware of how to make a complaint but so far had not needed to do this. One service user wrote that they would speak to the manager “who is always helpful and cheerful”. In discussion with the manager and some of the staff it was evident that care staff would know what to do and who to contact if they had any concerns that Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 15 a service user was at risk or being abused in any way. The home’s policies and procedures are backed up with a staff training programme to raise awareness about adult protection issues and this is updated every 3 years or as needed. Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 16 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for its stated purpose in providing a safe and comfortable environment for those who live and work there. Decoration and maintenance are ongoing. All areas of the home are kept clean, hygienic and there are no unpleasant odours. EVIDENCE: The inspector toured the building and found all areas of the home to be clean, tidy and free of any unpleasant odours. Service users who responded to the care homes survey confirmed that the home is “always” fresh and clean. Some areas of the home receive a lot of use and the decoration and maintenance of the home is ongoing; work was being carried out to paint the Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 17 doors in the main hallway while the inspector was in the home. All of the communal areas are comfortably furnished and there are homely touches around the home of pictures, flowers and ornaments. The ground floor of the home is fully accessible and there is a passenger lift to the first floor. One area of the home on the first floor is only accessible via a short flight of steps from the passenger lift. This affects a small number of residents. The manager and owners of the home are very aware that this presents some difficulty for some residents and explained that they have sought expert advice on how the access can be made level, however, the area is unsuitable for any kind of ramp, stair lift or moving platform. At the moment, the manager is monitoring the situation and would offer service users another bedroom if and when necessary. All but four of the bedrooms have an en-suite toilet and washbasin and other rooms have a toilet and bathroom nearby. There are toilet facilities close to the main sitting/dining room and service users are able to access assisted bathing facilities. One toilet on the first floor does not have hand-washing facilities but there is a bathroom immediately next door. There are procedures in place for the promotion of good hygiene including training for staff in infection control, the provision of gloves and aprons, suitable hand washing facilities, and dispensing machines of anti-bacterial gel placed around the home for use by service users, staff and visitors. The manager is confident that these dispensers have been very successful in maintaining good hygiene in the home. Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 18 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 and 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 deployed in sufficient numbers and have the necessary skills and experience to meet the needs of the people who live there. The home operates a robust staff recruitment procedure, which ensures service users are protected. The staff training and development programme ensures the residents’ needs are met in line with the aims of the home. EVIDENCE: The management is committed to staff training and the development of skills within the care team, making a wide range of in-house and external courses available. The inspector spoke in depth to two members of the care staff and it was evident that the staff team feel very well supported by the manager, enjoy a lot of job satisfaction and are very confident that the training opportunities offered by the home equip them to do their job well. The care staff members demonstrated a good knowledge and awareness of the residents and their individual care needs. Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 19 The records of staff training and supervision are very organised and up to date as were records of staff recruitment. The manager operates a thorough system for recruiting new staff and inspection of some of the files demonstrated that the required checks are carried out with the aim of protecting the welfare and safety of the service users. The home employs 21 care staff and 11 of these already have a minimum NVQ level 2 in care, some staff have NVQ level 3 and there is an ongoing programme for more staff to achieve this qualification. All areas of training related to safe working practice in the home are covered as well as topics specifically related to the needs of the residents in the home. New staff follow a planned induction programme that meets the standards of the National Training Body ‘Skills for Care’. Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 20 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, 32, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager has the experience together with the relevant management qualifications to run the home and meet its stated purpose, aims and objectives. There are good quality assurance measures in place to ensure the home continues to meet its aims and objectives. The home has no involvement with service users’ financial affairs other than to provide a facility for safekeeping money or valuables on request. Policies, procedures and practice ensure so far as is reasonably practicable the health, safety and welfare of service users and staff. Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager is skilled and qualified and the home is well run in the best interests of the service users. Comments from service users, relatives, staff in the home, and from health and social care professionals demonstrate that the management approach is open, inclusive and positive and the manager is respected and well liked. Since the last inspection the manager has worked hard to achieve a further qualification in care (NVQ level 4) and is committed to updating her own professional development and practice. Since the inspection visit the manager has confirmed her NVQ level 4 qualification with a copy of the certificate from the qualifications and curriculum authority. The manager is supported by the registered owners who make their own inspections of the home and provide the Commission with copies of their report under Regulation 26 of the Care Homes Regulations 2001. The manager and owners of the home are keen to ensure that the home provides a high quality of care and undertake an annual quality assurance or customer satisfaction survey. In addition the manager keeps a record of the many cards and letters that are sent thanking the manager and staff for the care and support that is provided. Action is taken on all comments received in the quality questionnaire and in discussion it was recommended that a summary of comments and improvements made could be produced and made available to service users, staff and visitors. The manager operates a thorough system for looking after service user finances. The policy of the home is that the manager and staff do not have responsibility for service users’ financial affairs but there are systems for looking after personal allowances with necessary safeguards and precautions. Since the last inspection the home has been inspected for fire safety and all systems and procedures have been reviewed and updated to meet current regulations. A recent food safety inspection by the Environmental Health Department was completely satisfactory and the pre-inspection information supplied by the manager demonstrated that all required maintenance and equipment checks are satisfactory and up to date. Staff training records showed, and staff confirmed, that statutory training is scheduled and updated in manual handling, first aid, fire training, health and safety and food hygiene. Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 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 4 3 3 X 3 X X 3 Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Cherrytrees DS0000012475.V320029.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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