Inspection on 29/08/06 for Chrissian Residential Home Limited

This inspection was carried out on 29th August 2006.

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

Chrissian Residential Home... 24/02/09

Chrissian Residential Home... 03/11/08

Chrissian Residential Home... 29/08/07

Chrissian Residential Home... 17/12/05

Chrissian Residential Home... 10/06/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Chrissian Residential Home Limited 526-528 Woodbridge Road Ipswich Suffolk IP4 4PN Lead Inspector Mary Jeffries Unannounced Inspection 29th August 2006 09:00 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 Chrissian Residential Home Limited DS0000058102.V306649.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. Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chrissian Residential Home Limited Address 526-528 Woodbridge Road Ipswich Suffolk IP4 4PN 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) 01473 718652 Chrissian Residential Home Limited Mrs Bibi Rookian Molabaccus Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th December 2005 Brief Description of the Service: Chrissian House is situated on a main road into Ipswich town centre. The home comprises two buildings joined together at ground and first floor level. There is a medium sized garden to the rear of the building, with patio area and a small amount of outdoor furniture and seating. The accommodation was developed in early 2002 to meet the standards at that time. The number of double rooms was reduced, and new rooms were created when the development was completed. The garden has had landscaping, and is attractively maintained. The home caters for those with low and medium needs only. The interior of the home is basic in decoration, with stair lifts to aid those with poor mobility. The home would not accept a resident who was a wheelchair user at the time of admission. The home’s current charge is £331.00 per week. This does not include hairdressing, personal toiletries, magazines and newspapers, sweets and taxis. Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place one day in August 2006. It lasted eight hours. The Deputy Manager facilitated the inspection. Care staff also participated in the inspection. Five residents were tracked, and other residents were observed in both the main lounge and the annex. A pre inspection questionnaire was completed by the home, six relatives comments cards were returned to the CSCI and twelve residents’ “ Have your say” surveys were returned. What the service does well: What has improved since the last inspection? The agreement for Terms and Conditions of residence included the number of the room to be occupied. Daily records had improved, those seen contained at least one entry every 24 hours. The home had set up a full record of complaints. Some internal redecoration had occurred, all lights had shades and all radiators that required covering had been covered. Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 6 Material towels had been removed form communal bathrooms. All new staff had received appropriate induction and nine out of 16 care staff now have NVQ2. Four more were undertaking NVQs. The supervision policy had been revised in line with the standard. The fixed electrical installation had been be inspected and tested and Portable Electrical appliance testing had been undertaken and recorded. 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. Chrissian Residential Home Limited DS0000058102.V306649.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 Chrissian Residential Home Limited DS0000058102.V306649.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,6 The quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Prospective residents can expect to have been assessed prior to admission to the home, and for the home to have established whether it can meet their needs prior to admission. EVIDENCE: The agreement for Terms and Conditions of residence included the number of the room to be occupied. All residents files’ inspected contained social care single assessments and also an assessment undertaken by the home which considered the home’s ability to meet the prospective residents’ needs. The deputy manager confirmed that the home does not provide intermediate care. Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 The quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Residents can expect to have their health needs met and to consult appropriately with medical services on their behalf. They can expect to receive medication that is safely kept and administered. Residents cannot be assured that they will have complete and up to date risk assessments. EVIDENCE: All five residents tracked had care plans, based on their assessments which had been regularly reviewed, but risk assessments on two of the files inspected were not completed, and one care plan was not completed. This was discussed with the deputy manager, as previously these records have been found to be in order, they advised that it was in part due to the loss of a member of staff who had been given a senior role. Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 10 One element of the complaint investigated raised a number of matters in relation to this set of standards; it was partially upheld, One of the residents tracked had had a number of slips and falls; these were all documented in the accident book and their care notes. This resident uses a wheel chair. The resident had a risk assessment in respect of trips and falls in place, but it was not completed. There was no manual handling assessment. The complainant had alleged that residents are picked up from the floor without the use of the hoist, and that the sling available was too small. Staff were asked what action they took if a resident fell and needed assistance to get up, they advised that they do not use a hoist, but were able to call the deputy manager to attend if they were not present to assist. The deputy manager advised that the sling was not required for any of the current residents, and that they could not recall an incident when it was necessary to use it. Daily records seen were adequate, and contained at least one entry every 24 hours. One of these residents was not well, and very withdrawn. The home had requested a visit from a community nurse and had also been in contact with a volunteer from a local community group that the resident belongs to. The volunteer and the nurse were spoken with as they attended on the day of the inspection, both spoke very well of the home, the way in which they delivered care to this service user, and liaised with them. Staff spoken to had a good knowledge of the resident’s needs. There was evidence of consultation and visits from other health care professionals on all files tracked. A requirement had been made at the last inspection that the home ensure residents do not run out of prescribed medication. There was no evidence that this had reoccurred. The deputy manager was asked what measures had been put in place to ensure this, they advise that this was an exceptional situation, and no special measures had been put in place. The administration of the morning medication was observed and Mars sheets were inspected. No errors were found. All residents were clean and tidy, and appropriately dressed; no odours were detected. Staff spoken with advised that resident clothing was changed regularly. Bell cords were seen to be in place by residents’ beds. A resident spoken to confirmed that they used theirs if they were incontinent. They explained that response times had improved since they came to the home. Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 11 Six of the relatives’ comments card received by the CSCI indicated that they were satisfied with the overall care provided by the home. Incontinence pads were discretely stored. None of the residents had bedsides in place. Chrissian Residential Home Limited DS0000058102.V306649.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Residents can expect to enjoy choice in their daily routines, and to be encouraged to participate in the daily discussions and conversation of the home. Some may find there are not as many organised activities as they would like. EVIDENCE: One resident indicated that they could not see their relative in private; another that they could see their elative in private but that it was a long walk to their room. The deputy manager and residents spoken with confirmed that residents can take relatives and friends to their rooms. Residents spoken with advised that they enjoyed their daily routines, there was a good banter occurring during the day, and a group discussion was facilitated in the afternoon. One resident stated that they used to do more board games with staff than they currently do. One element of the complaint investigated raised a number of matters in relation to standard 15. It was partially upheld, as basic food hygiene certificates were found to be out of date. The complainant stated that meat was not cooked on the premises, and that the manager brings it in from home. Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 13 It was established that cooked joints are purchased from a supermarket and carved at the managers’ home. Whilst it is acceptable to purchase a cooked joint it is not acceptable to prepare the food at an unregistered premises. Other parts of the complaint were not upheld. Carers were seen to use tongs to serve food at teatime, which was observed to be a relaxed time. The day’s meals were displayed on a menu board. One resident indicated on their ‘Have your Say’ questionnaire that they thought the food was “beautiful.” One diabetic resident was spoken with, they advised that they purchased their own jam, staff confirmed this. Residents are encouraged to get up and spend their day in the main area of the home. They can choose if they wish to have a lie in. One resident sat having their breakfast alone on the morning of the inspection, after the other residents had eaten; they explained that this was their daily routine and they enjoyed it. Chrissian Residential Home Limited DS0000058102.V306649.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 The quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Residents can expect to be able to know how to complain and to have access to the management so that they can do this directly. EVIDENCE: A complete and full record of complaints was maintained. The deputy advised that all residents were given a copy of the Service User’s Guide, which contains the complaints procedure when they come to the home. A recently admitted resident confirmed this. Two residents spoken with together were asked how they would go about complaining if they needed to, they advised that they would “talk to the bosses”, and named the manager, their husband and the deputy. They confirmed that these personnel were regularly available in the home, and that one had put them to bed recently. An anonymous complaint was received by the CSCI on 23/08/06, which was investigated on the day of the inspection. The complaint had three main elements, each of which had a number of parts. The elements related to personal care and standards 15 and 26. It is addressed within this report under those standards, each element was partially upheld. Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 15 In February 2006, it was established that the home had recruited a new member of staff whist they were being investigated for financial abuse at another home, without reference from their current/last employer. The worker was not, after investigation, included on the PoVA list. This matter was taken up in correspondence by the CSCI, and measures put in place to ensure that residents were not at risk pending the outcome of the investigation. Whilst the deputy manager advised that this person was known to them and they had no doubt that they would not be found to have acted inappropriately, the formal recruitment procedure did not protect against this. All other recruitment files inspected were, however in order. Two carers were spoken with regarding protection of vulnerable adults; they had a good knowledge of signs and symptoms and were aware of the steps to take if abuse were suspected. Chrissian Residential Home Limited DS0000058102.V306649.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,24,25,26 The quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Residents can expect the home to be clean and odour free. EVIDENCE: Some redecoration had occurred in the home and the home had plans to complete a redecoration schedule across the home. All lights had appropriate shades. Two radiators which had risk assessments stating they should be covered, had been covered. One resident who had been unhappy with their bed had been provided with a new bed. A requirement made at the last inspection that material Towels must not be left in shared bathrooms was found to be met. One element of the complaint investigated raised a number of matters in relation to standard 26. Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 17 This element of the complaint was partially upheld, as the deputy manager confirmed that incontinence pads were not separately disposed of, that the home disposed of these with ordinary rubbish, and had no contract for their disposal. At east one resident is catheterised, and there were no special arrangements in place for the disposal of these. A member of staff spoken with advised that tea towels and sheets were washed separately, on a hot wash. The deputy manager confirmed this. It was not possible to establish whether this always happens, the complainant had alleged it did not. The washing machines dial had been removed and set on a quick wash only. The deputy manager advised that this was because residents‘ clothes had been shrunk, and that when a hot wash is required staff ask a manager to set this. Plastic aprons and gloves were available in the home and another member of staff advised that these were always available. The complainant had alleged that aprons were not available until recently. The order book was inspected, and whist there was a record of orders for plastic gloves, apart from a recent order for aprons, there were no previous orders in the book. Records of bedding washed were inspected, Duvet covers changed monthly, but were not put on the bed next to residents, a top sheet was used. Sheets were seen to be changed weekly or more often as required. The home was clean and without odour. Chrissian Residential Home Limited DS0000058102.V306649.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Residents can expect their to be sufficient staff on duty and for the majority to have been trained to a good standard, however, they cannot be sure that staff are up to date with manual handling training or food safety, and both areas have shortfalls identified. EVIDENCE: There were adequate staff on duty on the day of the inspection; rotas inspected showed this always to be the case. One of six relatives providing pre inspection comments stated that occasionally, when several residents needed assistance at the same time, or when staff are taking their breaks there can seem to be insufficient staff on duty. Other relatives and residents indicated that they were satisfied with the level of staffing. The home had previously had some difficulty achieving the workforce target of 50 care staff with NVQ2, due to two training providers ceasing to operate. The Pre inspection questionnaire stated that nine out of 16 care staff now have NVQ2, and that four more were undertaking NVQs. Three other carers are registered nurses. Staff recruitment files were inspected and were all found to be in order. Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 19 Staff files inspected included evidence that all new staff had received appropriate induction. Existing staff were being taken through this induction, which was carried out by the deputy manager who had undertaken a tool kit for trainers course for the new induction standards. Food Hygiene and Manual Handling training records and a training analysis showed that refresher courses for these were overdue. They had been found to be on line at the last inspection. The deputy manager acknowledged that these had fallen behind in the drive to achieve the NVQ target, and that required updates were scheduled to be provided before Christmas. Chrissian Residential Home Limited DS0000058102.V306649.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34,35,36,38 The quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Residents can expect that the home’s management will have a good knowledge of their needs, but cannot be assured that all health and safety requirements have been met. EVIDENCE: The Registered Manager is a qualified nurse. The homes business plan states that it is planned that Mr Faisal Molabaccus, the deputy manager takes much of the day-to-day responsibility for management, will apply to become Registered Manager in 2006. The deputy confirmed that it is intended that this will occur towards the end of the year. Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 21 The owners and the deputy manager all work at the home, and where very knowledgeable about resident’s needs. The deputy manager confirmed written advice supplied in the pre-inspection questionnaire, that the home does not get involved in residents’ finances. The supervision policy had been revised to be in line with the standard, and a copy provided to the CSCI following the last inspection. The deputy advised that a residents survey had been conducted, but that this had not yet been compiled. There was evidence that the fixed electrical installation had recently been inspected and tested. Portable Electrical appliance testing was recorded as having been undertaken. A new fire risk assessment was in place. The home had not yet complied with a requirement made by the fire officer to move a freezer, which, positioned under a staircase was considered to be a fire risk. Chrissian Residential Home Limited DS0000058102.V306649.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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X 2 X 3 3 1 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 3 3 X 2 Chrissian Residential Home Limited DS0000058102.V306649.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. 1. Standard OP7 Regulation 15(2)(b) 13(5) Requirement Moving and handling assessments must be completed for any resident identified as being at risk of slips or falls, with particular attention to any need for physical assistance and the need for the use of a hoist. Risk assessments must be up to date and complete. Care plans must be completed in a timely way. The needs for special diets for diabetics must be met by the home. Satisfactory arrangements must be made for the segregation and disposal of incontinence pads and catheter bags. It must be ensured that staff always separate soiled washing and washing requiring a very hot wash, and are able to set the machine at an appropriate temperature. Manual handling and food safety updates must be provided. Food preparation must not take place off the premises. The freezer under the stairs DS0000058102.V306649.R01.S.doc Timescale for action 30/09/06 2. 3. 4. 5. OP7 OP7 OP15 OP26 15(1) 15(1) 16(2)(1) 23(5) 30/09/06 30/09/06 29/08/06 07/10/06 6. OP26 13(4) 30/09/06 7. 8. 9. OP30 OP38 OP38 18(1)(c)(i ) 13(4)(c) 23(5) 23(4) 24/12/06 29/08/06 30/09/06 Page 24 Chrissian Residential Home Limited Version 5.2 must be moved in accordance with fire the officer’s advice. 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. 2. 3. Refer to Standard OP12 OP19 OP22 Good Practice Recommendations The recreational and activities programme should be revised in the light of the changing needs of residents. A redecoration schedule addressing current needs should be provided. The Registered Person is advised to obtain an assessment of the premises and facilities from a suitably qualified person, including a qualified occupational therapist, with a specialist knowledge of the client group catered for, and provide evidence that the recommended disability equipment has been secured or provided and environmental adaptations made to meet the needs of residents. Staff should not be recruited whist under a PoVA investigation, and the lack of a reference from a current Employer should be fully explored formally. The service should find ways to develop resident’s confidence to express negative and positive opinions and encompass resident’s views in the business plan in terms of developing the service. The business plan should be developed and a financial plan included. 4. 5. OP18 OP32 6. OP34 Chrissian Residential Home Limited DS0000058102.V306649.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Chrissian Residential Home Limited DS0000058102.V306649.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!