Inspection on 25/06/07 for Church View Residential Care Home

This inspection was carried out on 25th June 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Church View Residential Care Home 03/06/09

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Church View Residential Care Home 1 Main Street South Church Bishop Auckland County Durham DL14 6SL Lead Inspector Mr Stephen Ellis Unannounced Inspection 25th June 2007 12:50 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 Church View Residential Care Home DS0000069662.V343709.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. Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Church View Residential Care Home Address 1 Main Street South Church Bishop Auckland County Durham DL14 6SL 01388 451565 01388 451560 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) Southern Cross Healthcare (Focus) Limited Barbara Barker Care Home 45 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (20) of places Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia, over 65 years of age - Code DE(E), maximum number of places 25 Old age, not falling within any other category - Code OP, maximum number of places 20 The maximum number of services users who may be accommodated is 45. First inspection following change of registered provider 02/03/07. 2. Date of last inspection Brief Description of the Service: Church View is a purpose built home which has been fully refurbished and renovated within the past 5 years. It is situated in a village setting at South Church just outside Bishop Auckland. There is a regular bus service (with a stop very close to the home) to Bishop Auckland where there is a railway station. The home has a secure private garden and a large parking area. The entrance is accessible for people with mobility problems and there is a passenger lift. The home is on two floors which work as separate units: the first floor is for twenty-five elderly people with dementia and the ground floor accommodates up to twenty elderly people. All the bedrooms are well-equipped singles with en suite toilets and wash hand basins. Each unit has its own lounges and dining room. The weekly fees vary between £364.50 and £417. The fee covers all accommodation, meals and personal care. Hairdressing, toiletries, newspapers, plus services from private opticians, dentists and chiropodists are not included in the fee. The actual amount people pay will depend upon their individual circumstances. Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5 hours. It included a tour of the building, examination of a number of records and discussions with 12 residents, 4 relatives and 8 staff. The overall quality rating for this care home is: ‘good’. This judgment has been made from evidence gathered both during and before the visit to this service. What the service does well: Residents and relatives said they were very satisfied with the care and facilities provided. Typical comments included “The staff are kind and helpful; excellent quality of service, cannot speak too highly of the care that is provided at Church View; I’m well looked after and I’m happy here; the home is always welcoming and Mum’s room is very nice; Mum’s very comfortable, the care is good, it is a safe environment and staff are very approachable; there are regular reviews to which relatives are invited, plus a newsletter to keep everyone up to date with what’s going on; my health care needs are well taken care of and I can see the doctor or the nurse whenever I need to; the food’s very good and plentiful; you can visit at any time; the care’s good here.” They liked their rooms and described them as comfortable and pleasant. Most residents said they enjoyed the meals and felt their preferences were well catered for. Residents and visitors get on well with the staff and would not hesitate to discuss any concerns or complaints with staff or management. They described a cheerful, happy environment. The home has lounges and dining rooms on each floor, which allow residents to meet in groups of various sizes for a number of social and recreational activities. The home is well equipped and generally well maintained. Staffing levels and staff training are good. Over 90 of care staff have achieved National Vocational Qualifications (NVQ) in care at either level 2 or 3, which is commendable. There is a friendly, welcoming atmosphere. Management are keen to receive comments from residents and others about the quality of service provided by the home. The service is well run (although still in a period of transition, whereby documents and procedures are being amended in keeping with the new provider’s methodology) and the information provided to residents and prospective service users is detailed and explicit. Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Church View Residential Care Home DS0000069662.V343709.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 Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed and a contract which tells them about the service they will receive. EVIDENCE: Comments received from residents and relatives confirmed that full assessments of needs were carried out prior to admission to the home. They said there was enough information from which to make a choice about being admitted. A service user’s guide and statement of terms and conditions of residence are supplied routinely. These are helpful documents and the content is detailed and explicit. Care plans revealed comprehensive, detailed assessments of need being carried out both prior to admission and afterwards, as confirmed by members of staff and management. These assessments showed that the home only admitted people whose assessed needs it could meet. Intermediate care for the purpose of intensive rehabilitation is not provided at this home. Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Residents and relatives said that service users’ health and social care needs were well known by staff and were being fully met. They said that the community nurse or doctor would see the resident whenever required. Residents’ personal and social care needs were well known, understood and respected by the staff team. They said that they felt they were treated with respect and sensitivity. Typical comments from residents and relatives included: “The staff are kind and helpful; excellent quality of service, cannot speak too highly of the care that is provided at Church View; I’m well looked after and I’m happy here; the home is always welcoming and Mum’s room is very nice; Mum’s very comfortable, the care is good, it is a safe environment and staff are very approachable; there are regular reviews to which relatives are invited, plus a newsletter to keep everyone up to date with what’s going on; my health care needs are well taken care of and I can see the doctor or the nurse whenever I need to; the food’s very good and plentiful; you can visit at any time; the care’s good here.” These comments were supported by Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 10 detailed, service user plans of care that were comprehensive and generally well maintained. However, it was noted that some reviews of plans of care had not been fully documented in a minority of cases, due to the changeover of files and document formats to Southern Cross’s own, that was proving to be a considerable task, but being accomplished week by week. Also, there was evidence of appropriate equipment, such as a special bed, pressure relieving mattress and bed rails that had been subjected to written risk assessment. Staff training in Care (for example, National Vocational Qualifications (NVQ) at levels 2 and 3) has included the important issues of privacy and dignity and over 90 of care staff have completed NVQ in care, which is commendable. There are good arrangements for the safe administration of medicines. All staff members responsible for medicines have completed Safe Handling of Medicines training. There is good support from a local Pharmacist who supplies most of the medication in monitored dosage blister packs. There are good storage systems and staff thoroughly check all medication when it is received into the home. The home requires medication to be administered only from the container(s) into which the pharmacist dispensed it originally. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication, but in practice most prefer to delegate this responsibility to staff. The home is careful not to stockpile large quantities. Senior staff confirmed that medicine audits are carried out routinely and that the local pharmacist provides consultation and advice. Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: Residents and relatives said that service users enjoyed living at the home and got on well with the staff. All described the staff as being kind and helpful. Typical comments included: “I am happy here; I can spend my time as I wish; there are lots of activities provided but you don’t have to join in if you don’t want to; the food is great and there is a good choice and plenty of it; staff treat me with respect; things have been getting better here in recent times and the service does the best it can with the resources it has; my sister is the family representative because I live abroad and she visits often and takes part in all the reviews of Mum’s care.” Residents and their relatives confirmed that service users could choose how they spent their time in the home and were free not to join in activities and social events if they did not wish to. An activities organizer arranges and leads an impressive programme of social and recreational activities, including monthly religious services at the home for various denominations. There are good links with the wider community and the home holds several fairs and fund raising events each year, which are well supported. Residents, relatives and staff confirmed that relatives and friends Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 12 may visit at any reasonable time and are always made welcome. Most residents said they liked the meals at the home. There was a very good choice of menu, including cooked breakfasts and home baking, and residents’ preferences were catered for wherever possible. Relatives’ comments confirmed these views. Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. 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 robust, effective complaints procedure and are protected from abuse. EVIDENCE: All residents and relatives said that they were confident about approaching staff and management about any concerns or complaints they might have. They described the staff and management as being very approachable, helpful and friendly. A written complaints procedure is provided in the statement of purpose and service user’s guide and guidance is provided on notice boards. Staff and management are aware of the need to safeguard adults from abuse or neglect and most have undergone training in these issues. Further training is planned for 2007-08. They are aware of the home’s ‘whistle blowing’ policy, which encourages staff to speak out about any suspected abuse. All staff members have had enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks carried out as required by law. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. Staff confirmed that new staff members go through induction and foundation training so that they have the right knowledge and skills to do their jobs competently. Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, wellmaintained and comfortable environment, which encourages independence. EVIDENCE: There were no unpleasant odours and the home was found to be clean in all the areas inspected. Most staff members have completed training in health and safety, fire safety, food hygiene and infection control. Residents said that they were pleased with the premises, finding them comfortable and homely as well as practical. They also described the home as being clean. The home is well maintained with repairs and servicing being carried out promptly and according to schedule. Typical comments included “I’m well looked after and I’m happy here; the home is always welcoming and Mum’s room is very nice; Mum’s very comfortable, the care is good, it is a safe environment and staff are very approachable.” Bedrooms are all spacious singles with en suite toilets and wash hand basins of good size. These rooms are well equipped with furniture and fittings appropriate to the needs of older people, including comfortable easy chairs and footstools. Service users are encouraged to personalise their rooms by bringing in ornaments, pictures and furniture if they wish. They are Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 15 also consulted about décor. On the first floor it was noted that the home is introducing coloured doors with brass numbers, knockers and simulated letterboxes, to promote orientation and individuality of residents. Also, the use of pictures, including ones that are tactile, and the display of pictures and handicraft produced by residents, in a ‘gallery’ section, aids orientation and promotes dignity. Although the home has a number of bathrooms and an assisted shower on the first floor, it does not have an assisted bathing facility on this floor. In practice, service users go downstairs to the assisted bathroom if they require a bath, as opposed to a shower. It is desirable to be able to offer residents an assisted bathing facility on each floor and the home is considering the provision of an assisted bathroom on the first floor. Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: On the day of inspection, the home had 41 residents and only four vacancies (two on each unit). Residents and relatives said that they got on very well with staff and all felt that there were sufficient numbers of staff to meet their needs, most of the time. This view was reflected in staff comments. Staff morale was reported to be good. During the day on the dementia care unit, there are 3 carers plus one senior care assistant on duty from 8 am to 8 pm. On the older persons’ unit during the day, there are also 3 carers plus one senior care assistant on duty. In addition, there is a dedicated activities organizer (25 hours per week) who works 5 days per week. The registered manager is full time, mainly Monday to Friday. A senior carer heads each shift on each unit and the home operates a deputy system, whereby two senior staff members deputise for the registered manager. A key worker system is in operation, with a named member of staff linked to each resident. The home employs a full time administrator each weekday. A maintenance man is available each weekday and there are dedicated catering and domestic staff deployed in sufficient numbers for the needs of the home. At night (8 pm to 8 am) there is one senior care assistant and 4 carers on duty across the whole home. A comprehensive staff training and development programme is in operation. Staff confirmed that they had undergone induction and foundation training. Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 17 Over 90 of care staff have completed National Vocational Qualifications (NVQ) in care at level 2 or 3, which is commendable. Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. The service is run in the best interests of service users. The home has effective quality assurance systems developed by an experienced manager and competent management team EVIDENCE: The registered manager is experienced and competent in her role, with the support of the wider management team, including the visiting operations manager from Southern Cross, the full time administrator at the home, plus the contribution of the senior staff who deputise for the manager from time to time. Residents, relatives and staff spoke well of the manager’s accessibility and commitment to good outcomes for residents. She was described as being approachable and caring. She is working towards the Registered Manager’s Award and qualification in care at National Vocational Qualifications (NVQ) level 4, although still has some way to go due to changes in her training provider, which have been beyond her control. Staff confirmed that they were Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 19 very well trained, supported and supervised, although not always in a formal sense. The manager is planning a full programme of staff supervision sessions for 2007-08, to be implemented with assistance from her deputies. Good accounting procedures are followed, with receipts and signatures obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the personal monies of many residents. In those situations where the home looks after residents’ monies, such as personal allowances, clear individual records are maintained. Residents have ready access to monies looked after for them by the home. Comments received from staff confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and also of staff. All staff members do refresher training in Health and Safety as required, such as moving and handling, fire safety and food hygiene. This helps reinforce the registered provider’s written policies on Health and Safety. Health and Safety issues are also discussed at regular staff meetings and in staff supervision sessions. Residents, relatives and staff expressed satisfaction with the way the home was run and the good standards that were evident in many instances. They said they believed the home was safe and run in the best interests of residents. For example, the home has introduced annual surveys of residents’ satisfaction and has a monthly newsletter and excellent notice board for communicating important issues concerning service users’ interests. The registered provider’s representative visits the home at least monthly to check on the welfare of residents and the progress of the home. The manager routinely invites comments and suggestions for improvements from both residents and visitors to the home, via regular meetings, surveys and consultations, including monthly evening surgeries. Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 20 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 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 x 3 x x 3 Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 21 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 OP31 Regulation 9 (2) (b) (1) Requirement The manager must obtain suitable qualifications for her role and responsibilities within the service, such as Registered Manager’s Award and qualification in care at National Vocational Qualifications (NVQ) level 4. Timescale for action 31/03/09 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 OP21 Good Practice Recommendations Consideration should be given to providing an assisted bathing facility on the first floor, along with the current assisted shower room on this floor, in the interest of service user choice. Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Church View Residential Care Home DS0000069662.V343709.R01.S.doc Version 5.2 Page 23 - 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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