Inspection on 18/06/08 for Cheyne House Care Home

This inspection was carried out on 18th June 2008.

CSCI found this care home to be providing an Adequate service.

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

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Cheyne House Care Home Main Road North Carlton Lincolnshire LN1 2RR Lead Inspector Dawn Podmore Announced Inspection 18th June 2008 09:30 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 Cheyne House Care Home DS0000071166.V366697.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. Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cheyne House Care Home Address Main Road North Carlton Lincolnshire LN1 2RR 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) 01522 730 078 01522 731 056 Cheyne Group Management Ltd Post Vacant Care Home 26 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (26) of places Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home with nursing - Code N 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 - Code OP Dementia - over 65 years of age - maximum number of places 4 Code DE The maximum number of service users who can be accommodated is 26 New Service so not Applicable 2. Date of last inspection Brief Description of the Service: Cheyne House is situated in the small village of North Carlton, approximately five miles from Lincoln. The building is a detached property with grounds and gardens accessible to residents. Car parking is available at the front of the property. There are no immediate facilities, but daily newspapers are delivered and transport can be arranged for residents who wish to visit the nearby city. Bedrooms are located on the ground and first floor, which is accessed via a stair lift. The home is registered to provide personal and nursing care to people over the age of 65years, with four places specifically registered to accommodate persons with dementia. Cheyne Group Management Ltd has recently purchased the home and the person registered with us to be responsible for the home is Mr Selvaratnam Suresh. Currently there is no Registered Manager at the home, but an acting manager has been appointed who will be overseeing the day to day running of the home until a new manager is appointed. At the time of the inspection the acting manager confirmed that the weekly fees ranged from £351 - £577 depending on the residents assessed needs. This does not take into account any monies paid in relation to nursing care assessments, which would be deducted from the total cost. Additional charges are made for services such as chiropody and hairdressing. Information about these costs, as well as the day-to-day operation of the home, including a copy of the last inspection report, is available from the office. Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 5 Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This key inspection was announced shortly before the visit as the new owner had requested to be present at the home during the inspection. It took any previous information held by C.S.C.I. about the home into account. As well as Mr Suresh the acting manager and deputy were also available to assist with the inspection process. The main method of inspection used was called case tracking. This involved selecting a proportion of residents and tracking the care they receive through the checking of records, discussions with them and the staff who care for them and observation of care practices. A partial tour of the home was also conducted which included looking at some bedrooms, communal areas, bathing and toilet facilities. Documentation was sampled and the care records of four residents were examined. We also spoke with 11 residents. 2 relatives and 4 staff who shared their opinion of the home and the care provided.. Prior to the visit the providers had returned an Annual Quality Assurance Assessment (AQAA) and this will be mentioned throughout this report. We sent out some ‘have your say about’ surveys 5 of which were returned in time to be included in this report. On the day of the visit 22 people were living at the home. What the service does well: What has improved since the last inspection? Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 7 This section is not applicable as this is the first inspection since the home was purchased. 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. Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 8 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 Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 9 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): Standards 1, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People coming into the home have access to a range of information to help them make a decision about moving into the home. The admission procedure includes an initial assessment, which helps to make sure that it can meet the needs of people admitted to the home. EVIDENCE: People told us that they had been given a copy of the home has a Statement of Purpose and a Service Users Guide, which contain information about the aims and objectives of the home, as well as how it intends to operate. A review of all information available prior to this visit, including the content of the A.Q.A.A, and people’s files during the visit, showed that the home does not admit residents without an assessment of their needs being completed. Although residents could not remember if assessments had taken place a relative confirmed that they had been visited prior to admission and that an assessment had taken place. Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 10 The acting manager said that the home does not provide intermediate care. Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 11 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): Standards 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s personal care and health needs are being met by staff who understand their needs and deliver care in a respectful manner. Care plans contain information about residents needs, but some do not provide staff with enough guidance on how to meet people’s individual needs. Residents are able to manage their medications themselves if they can, but if they need help staff are able to support them. EVIDENCE: We looked at the care records for 4 people living at the home. They contained basic information about people needs, but three of the files looked at did not tell staff exactly how to meet their individual needs. They did not identify resident’s preferences, which could lead to people not getting the level of support they want. For example plans said that people needed help with their personal hygiene, but there was no detail about the care of their nail, hair or teeth. Neither did they outline the resident’s abilities so that staff could help them to be as independent as possible. As some of the residents cannot speak for themselves it is important that this information is gained from relatives and recorded comprehensively. Care plans had been recently rewritten, but some Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 12 had not been evaluated for over a month. Daily notes in care files, observation on the day and people comments demonstrated that residents were receiving the correct level of care and support, but this was not always reflected in their care plans. Various assessments had been completed in subjects such as, manual handling, pressure risk and nutrition. Risk assessments had been completed for any identified potential risks but the recording of these could be improved. The management team said that risk assessment training was already booked and that they would arrange care planning training as soon as possible to ensure that records improved. Records and what people told us showed that health needs were being met with appropriate recording of GP, district, optician and chiropody visits. When asked what the home did well one person who returned a survey said, ‘they liaison between staff and family and GPs’. The home has satisfactory policies and procedures in place concerning the receipt, storage, administration and disposal of medications. Medication records and observation demonstrated that the people being case tracked were receiving their medications correctly. However 2 other people’s charts had gaps in recording on one particular day. It was also noted that a resident who was prescribed 1 or 2 analgesic tablets but the nurses had not recording the number of tablets given each time on the MAR sheet. The nurse in charge said that this would be changed immediately. The nurse said that she had not had access to training to refresh her administration of medication skills. This was discussed with the owner who said that appropriate updates would be arranged. People were appropriately dressed and looked well cared for. People told us that they were very happy with the level of care and support provided and the way in which it was delivered. Comments from residents and relatives included: ‘I am very happy here’, ‘we are very happy with the care and attention given’, ‘I visit regularly, it is a very good home the residents are very well looked after’ and ‘the care home is fantastic in meeting the needs of my grandmother, they have always been very kind to her and this puts my mind at rest’. Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 13 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): Standards 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. Residents have access to a varied activities programme but records do not fully demonstrate their preferences regarding social stimulation. However people’s comments indicated that most people were happy with the current arrangements. Residents have access to the local community and make choices about their day-to-day lives including menu options. EVIDENCE: A carer is employed as activities coordinator for 8 hours a week and care staff told us that they try to arrange some stimulation between 2pm – 2.45pm each day. People said that activities available included: baking on a one to one basis, games, sing a longs, reading newspaper articles, memory games and exercise to music. Staff said that they took residents for walks around the village and the activities person said that outings were being arranged for the summer. The files we looked at contained a plan about meeting peoples social needs and some detail about their likes and dislikes. However as with the other care plans this information could be improved. There were records showing when people had participated in activities and when they had refused to take part. A monthly newsletter was in every bedroom telling people about forthcoming entertainment and things that were happening in the home. Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 14 Most people told us that they were happy with the level of social stimulation available. A relative told us, ‘they involve the residents in lots of ways, with sing a longs and social activities and are very friendly and loving to the residents’. One person told us that they would like to go out with the carers more and another said that they preferred to just read. Comments in one survey said, ‘X has a religious faith that is different from most and they are good at handling this so far as I can tell’ Both visitors spoken with said that staff made them welcome at the home and that they could visit at any time. One person who returned a survey said, ‘always informed about important issues e.g. called almost immediately after a fall last year’. People said that the menus were varied and that alternatives and specialist diets, such as a pureed diet were also available. The people we spoke to while lunch was being served were very complementary about the food. They said: ‘excellent food and plenty of it’, ‘I had porridge, grapefruit and scrambled egg and toast this morning’, ‘all the food is homemade, it looks lovely, mum and I are very impressed with it’ and ‘look at our cleaned plates, that says it all’. Staff were seen unobtrusively helping people who required assistance either in the dining area or in their rooms. Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 15 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): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by clear policies and procedures for handling complaints and allegations of abuse. Staff have received training to help them protect the people they support. EVIDENCE: The home has a complaint procedure, which is displayed in the home and included in the Service Users Guide. Details contained in the AQAA and records held at the home showed that they had received one complaint, which had been appropriately recorded, investigated and any issues addressed. People spoken with confirmed that they knew how to make a complaint, but said that they had none. They were complementary about the staff, manager and care provided. The home has procedures in place concerning the protection of vulnerable adults. Staff demonstrated a satisfactory knowledge of what to do if they suspected abuse could be occurring and had received training in the subject. Cheyne House Care Home DS0000071166.V366697.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): Standards 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home live in a safe, clean, comfortable and homely environment, but some areas need some attention. EVIDENCE: We took a partial tour of the home which included looking at the bedrooms of the residents being case tracked. Bedrooms had been personalised by the residents or their families with photographs, mementoes and small items of furniture. Not all bedrooms are ensuite and some are shared. Screens have been fitted in shared rooms to help make sure that people’s privacy is maintained. Bathrooms and toilets were clean, but one bathroom was cluttered with hair driers and a shower trolley. The management team said that the trolley was to be removed but there was currently nowhere else to store the hair driers. One person we spoke to said that these areas could be homier, but that they Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 17 were always spotlessly clean. Other people told us ‘the home is clean and nice’ and ‘some of the décor could be better, but I believe that it is in hand’ There were no unpleasant odours in the home with the exception of one bedroom, it was suggested that an air freshening devise might help to reduce this. It was later confirmed that appropriate actions had been taken to address this issue. People said that they were happy with their rooms and the communal facilities available. Various equipment was available including a hoist, raised toilet seat and grab rails. Gardens were well maintained and outdoor seating is available for use in fine weather. New facilities, including potted herbs and flowers, were on the patio area and the deputy manager said that raised flowerbeds were also being considered. The driveway is uneven and one relative said that this was a bit bumpy and uncomfortable for people using wheelchairs. The acting manager later confirmed that they were trying to address this issue. Cheyne House Care Home DS0000071166.V366697.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): Standards 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. There are enough staff on duty to meet the needs of the people living at the home. Procedures for the recruitment of staff are robust and therefore offer protection for people living at the home. Staff have access to training and support to help them meet the needs of the people they care for. EVIDENCE: Staff rotas and peoples comments indicated that there was enough staff on duty to meet their needs. One member of staff said ‘staffing levels are very good at the moment’. Recruitment of new staff was being carried out correctly with essential checks such as references and C.R.B. (Criminal Records Bureau) checks being undertaken. A new member of staff confirmed this process and told us that they had also received a satisfactory induction to the home, which had included essential training and support from other staff. Records showed that a structured induction programme has been introduced, which provides staff with all the information they need. Records and staff comments demonstrated that the home has introduced a satisfactory training programme to make sure staff received both the mandatory and specialist training they need. This included manual handling, protection of vulnerable adults, food hygiene, infection control, oral care, dementia awareness and N.V.Q’s (National Vocational Qualification). Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 19 Information contained in the A.Q.A.A indicated that out of 15 care staff 10 have completed an N.V.Q. and 3 others are currently undertaking the award. Staff said that they felt that they were well trained and supported. One said ‘I am very happy at the home and another told us, ‘the training has improved a lot’. Residents and relatives told us that they were happy with the care they received. They said, ‘the staff are very good’, ‘I am very happy with the attention given’, ‘lovely girls very helpful’, ‘the staff are caring and most of them have been there a long time so they have the experience too’, ‘staff are aware of the residents needs’ and ‘all the staff are very conscientious’. Observation of care practices at the home demonstrated that staff were caring for people in an appropriate manner. Staff were visible in communal areas and responded well to their needs. Cheyne House Care Home DS0000071166.V366697.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): Standards 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. There is satisfactory management, guidance and direction provided to staff to ensure that care is delivered in a consistent manner. The home is managed in the best interests of the residents. There are systems in place to ensure that the health safety and welfare needs of residents are met. EVIDENCE: The home does not have a registered manager at the moment, but the owner said that interviews were to take place shortly. In the meantime an acting manager has been appointed and a deputy is in post to offer additional support. People said that they were happy with the way the home was managed. They told us, ‘ I would recommend it to everyone’, it’s a good home, they keep us Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 21 well informed’ and ‘ the owner comes and asks us for feedback about improvements etc’. Staff commented, ‘I am very happy with the way the home is managed’ and ‘it’s a really nice home, the residents are care for well, it’s a happy place to work’. Some identified areas for improvement such as the provision of an additional hoist and more time for activities, but generally there were no complaints. During the visit the acting manager and staff appeared to work well together and peoples individual needs were considered throughout the day. The home has a quality assurance system so that they can gain the views of people who use the service and ensure that the systems in place are being followed. The acting manager said that surveys were to be sent out shortly and care reviews took place regularly to make sure that people were receiving the support and care they needed. Mr Suresh had visited the home at least once a month and completed a report on his findings and what people told him so that he could evaluate how the home was operating. There is a system in place for resident’s monies to be held in safe keeping by the home. The people being case tracked had no monies in safe keeping so the records of two people were selected at random. Transactions were recorded with receipts and signatures and the monies held were correct. The home has a range of health and safety policies and procedures available to guide and instruct staff. There is a programme in place to service and maintain equipment in the home on a regular basis. Information provided in the AQAA, demonstrated that regular checks on equipment such as hoists and fire equipment had taken place. The kitchen was awarded a 4 star rating by the Environmental Health Officer last September. Kitchen staff said that they had maintained the standards and had access to appropriate produce and equipment Cheyne House Care Home DS0000071166.V366697.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 OP7 Regulation 15(1)(2) 13(4) Requirement Care plans must provide staff with clear guidance as to how care should be provided. They must include people’s choices, preferences and interests, as well as how to meet social needs. Regular reviews of the care plan must provide an evaluation of the effectiveness of the care plan. The administration of varying doses of medications must be recorded accurately so that their effectiveness and numbers used can be monitored. Timescale for action 01/10/08 2. OP9 17 (1) 01/08/08 Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 24 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 OP7 Good Practice Recommendations It is recommended that support plans include reference to the Mental Capacity Act, 2007 and the effects it has upon the service users lives. This is to ensure that their rights and choices are protected. Information contained in risk assessments would benefit from clearer recording about how to minimise identified risks. Staff who administer medications should attend refresher training to ensure that their practice is up to date All residents should have a detailed social care plan, which tells staff what they would like to do and how this will be facilitated. 2. 3. 4. OP7 OP30 OP12 Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Cheyne House Care Home DS0000071166.V366697.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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