Inspection on 06/03/06 for Chrislyn House

This inspection was carried out on 6th March 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chrislyn House 30/07/08

Chrislyn House 07/08/07

Chrislyn House 17/08/06

Chrislyn House 02/11/05

Chrislyn House 28/01/05

Chrislyn House 07/09/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Chrislyn House 14 Rosemary Road Clacton On Sea Essex CO15 1NX Lead Inspector Tim Thornton-Jones Unannounced Inspection 6th March 2006 10:00 Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 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 Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 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 and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Chrislyn House Address 14 Rosemary Road Clacton On Sea Essex CO15 1NX 01255 428301 01255 428301 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) Flat Mead Limited Mrs Karen E Stanton Care Home 26 Category(ies) of Learning disability (26), Learning disability over registration, with number 65 years of age (26) of places Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd November 2005 Brief Description of the Service: Chrislyn House is a converted property, consisting of a main house and mews. It is situated in the centre of Clacton and has access to the facilities and services provided in the town, including the seafront, library, shops and cafes. The main building has accommodation for 22 service users, whilst the mews is intended for the use of four service users who are more independent. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At this inspection confirmation was given by the Manager, Mrs K Stanton that she was now also a Director of the Company that controls the home, Flatmead Limited. There is one other Director/Company Secretary. This inspection was aimed at inspecting those standards, that are required to be inspected at least annually, that had not been inspected within the previous 12 months. Overall, the service was found to meet the needs of service users accommodated. The service user group is very established, having lived at the home for a number of years. This is a group who are now becoming older and the majority are now over the age of 65 years. Discussion was held with the Manager in relation to the home’s registered status as the service is currently registered for adults. This is a matter that will be addressed in co-operation with the Registered Person in due course. Service users environment. spoken with were confident and relaxed within their Overall the service was positive, although some improvements will be needed to ensure that all National Minimum Standards are being complied with. What the service does well: What has improved since the last inspection? • Internal improvements have been made to the provision, including a walk-in shower. One lounge was being refurbished. Various improvements to the decoration were noted. Matters raised as a result of the previous inspection had been met. • Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 4&5 Service users benefit from having terms and conditions of residence. EVIDENCE: The previous inspection highlighted that the service terms and conditions were in need of improvement to meet regulatory requirements. These documents were sampled on this occasion and found to comply. Mrs Stanton advised that arrangements regarding the documents had been revised and re-issued and these included alternative formats that were aimed at improving service users’ understanding of the documents. All service users, currently accommodated, have been living at the service for some time. No new admissions have taken place since the previous/recent inspections. Mrs Stanton, however, confirmed that should a person decide to Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 9 live at Chrislyn House, the process would be subject to an admissions procedure, including a 3 month trial period. Admissions arrangements were set out in writing and Mrs Stanton reflected the procedure in practice. On this basis, in the absence of the ability to case track, the arrangements were satisfactory. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 & 10 Service users benefit from sound care planning and are subject to satisfactory arrangements for confidentiality. EVIDENCE: Care planning arrangements were sampled at random. The documentation was clearly set out, and recorded clear and appropriate decisions. The overall plan indicated that the service user had contributed to the process via attendance at review meetings and their wishes had been recorded and reflected within the plan. Care planning took account of social and leisure needs as well as physical and personal requirements. There was no indication of any decisions that the service user did not agree or co-operate with. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 11 The care delivery methods contained within the sampled plans were clear and adequately recorded, reflecting sound practice. The Manager will need to ensure that carers’ approach to service users remains appropriate, particularly regarding use of language when staff refer to service users at ‘dear’ or ‘lovey’, which was noted to be quite frequent. It is accepted that staff have a long and established relationship with most service users and these terms are intended to be endearing, but should not be indicative of the culture within the home. The plans showed evidence of internal review and included details of prescribed medicines and healthcare review. Service users were spoken with and all expressed satisfaction with the home and the staff. All were confident and talkative. The care plans seen took appropriate account of the increasing age range of service users, who are now mostly over the age of 65. Care plans indicated that a risk assessment approach was being operated and these were integral to the review process. Some of the documentation had been improved since the previous inspection. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 17 The service recognises service users’ rights. The meals provided meet the needs and expectations of service users. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 13 EVIDENCE: Overall, practice observed indicated that the regime did support individual rights. Some service users have chosen to lock their own rooms and retain the key, for example. The routines within the home appeared flexible and relaxed, however, whilst there were several service users out of the home at the time of inspection, several were located within a lounge and there did not appear to be adequate staff interaction. Several staff were noted to be in or around the upper floors, busy undertaking other tasks. A review of staff tasks during shifts may be useful to ensure that some staff are always available to support service users. Menu arrangements were satisfactory, with choices and alternatives evident. The recording arrangements were able to show that service users do receive a balanced diet. None of the sampled records inspected indicated that service users followed a specific health related diet. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21 Service users benefit from a service that reflects the aging process within the care planning. EVIDENCE: In discussion with the Manager, it was clear that the service users accommodated at the home have lived there for some years and there was recognition that, as the majority of service users are now over the age of 65, the service is gradually developing to meet the overall needs of an aging population. The service has fitted a passenger lift and has undertaken adaptations to various parts of the premises. Some equipment is available for those who are now less ambulant. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 15 Discussion with service users about illness and end of life issues is challenging although, when it has been possible, it has been undertaken. Relatives play an important part in the process and the Manager stated that in some instances discussions have taken place. It is important to ensure that when such discussions take place and when service users express a view, this is appropriately recorded in the individual plan. Where service users have expressed a wish not to discuss the matter, then this too should be recorded. The overall practice was adequate, although it is recommended that it be further developed, including the recording process. See recommendations. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards were checked within this section on this occasion. EVIDENCE: All of the practice and procedures for this group of standards were inspected at the last inspection and were found to comply with requirements. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 29 Service users benefit from a developing environment that includes improved facilities. EVIDENCE: The Registered Person has a programme of environmental improvement, and since the previous inspection has completed the refurbishment of a bathroom to a walk-in shower facility more suited to the needs of service users. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 18 The home pre-existed National Minimum Standards and within this criterion has maintained the required bathroom and toilet facilities. At the time of inspection a lounge area was in the process of being refurbished. Whilst no service users are physically disabled, the Registered Person is aware of the increasing support service users require with maintaining independence, resulting from the onset of older age. The environment benefits from various adaptations and equipment. This is re-assessed on a regular basis. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 36 Service users do not fully benefit from a staff group who are regularly supervised or fully trained. EVIDENCE: The Manager is operating an annual appraisal system that is quite comprehensive, although the ongoing supervision is chiefly an open door, informal approach. This does not meet with National Minimum Standards and needs to be organised in a manner that ensures that each carer has individualised and structured supervision. This ensures equal opportunities and tracks the performance, training and development of each employee. Each employee has a record of training attended, although this is not purposefully linked to the supervisory process. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 20 Whilst the previous inspection examined standards associated with the training and competence of the workforce, and was found to comply with requirements, this inspection suggested that the requirements might not have been fully maintained. Training records were examined at random and this indicated that some essential training had yet to be delivered. Five staff files were examined and this indicated that, whilst all had been trained in Challenging behaviours, fire training and most had received first aid training, only one had attended Protection of Vulnerable Adults (POVA) training. None of the staff sampled showed evidence of recent Moving and Handling, Food hygiene, Continence Management or Learning Disability related training, such as the Learning Disability Award Framework (LDAF). Carers who supervise others require training and senior staff require training in medicines. Whilst this training may have been undertaken, there was no evidence to suggest this. The Manager will need to structure the staff training and development approach to ensure that these matters are well recorded and structured. On this basis, a further review of standards 31 to 36 will be undertaken at the next inspection. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 41 Service users do not benefit from the maintenance of statutory recording systems. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 22 EVIDENCE: Various records were examined and whilst a structure is in place, some statutory records were either in need of improvement or were not available for inspection. Ten records were requested for inspection. Of these, those detailed below did not meet regulatory requirements. Supervisory records were not adequate and did not meet the required frequency set out in National Minimum Standards. The staff roster must be validated as accurate to ensure that it is maintained as a permanent record (held for a period of not less than 3 years). The Registered Person is required to ensure that the home is visited and a report compiled in accordance with Regulation 26 of the Care Homes Regulations 2001. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 3 28 X 29 3 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 X 36 2 CONDUCT AND MANAGEMENT Standard No Score 37 X 38 X 39 X 40 X 41 2 42 X 43 X 3 X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Chrislyn House Score X X X 3 DS0000017793.V286278.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA36 Regulation 18(2) Timescale for action The Registered Person must 30/05/06 ensure that all staff receive adequate and appropriate supervision at regular intervals. The Registered Person must 30/06/06 ensure that the workforce are trained to ensure they are skilled and knowledgeable as to how to deliver appropriate support to service users. The Registered Person must 30/05/06 ensure that all statutory records are maintained in accordance with Regulation. Requirement 2 YA32 18 3 YA41 17 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 YA21 Good Practice Recommendations The Registered Person should continue to develop the practice associated with reviewing service user wishes regarding illness and end of life issues and to record these within the care plan. DS0000017793.V286278.R01.S.doc Version 5.1 Page 25 Chrislyn House Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Chrislyn House DS0000017793.V286278.R01.S.doc Version 5.1 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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