Inspection on 24/04/08 for Church Walk Health Care Ltd

This inspection was carried out on 24th April 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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

CARE HOME ADULTS 18-65 Church Walk Health Care Ltd Church Walk Cavendish Road Kirkholt Rochdale OL11 2QX Lead Inspector Bernard Tracey Unannounced Inspection 24th April 2008 09:30 Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 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 Walk Health Care Ltd DS0000070963.V362840.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 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. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Church Walk Health Care Ltd Address Church Walk Cavendish Road Kirkholt Rochdale OL11 2QX 01706 717400 01706 837958 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) Church Walk Health Care Ltd Mr David Hill Care Home 18 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (18) of places Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home with Nursing - code N, to people of the following gender:- Either; whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia - Code MD. The maximum number of people who can be accommodated is: 18 New Service Date of last inspection Brief Description of the Service: The company, Exemplar, owns Church Walk Care Home. The home is a purpose built two-storey building that offers nursing care and support for up to 18 adults, who have been diagnosed with a mental disorder. The accommodation provides 18 single rooms, communal lounges, dining rooms, toilets and bathing facilities. There is a passenger lift to the first floor and is accessible for wheelchairs throughout. There is a private garden at the rear of the home. Church Walk is set in its own grounds in a residential area of Kirkholt with local shops, as well as the town centre, which is easily accessible by public transport. There is limited car parking to the front of the home. The current scale for charging for care is determined through a Social Services’ financial assessment for each individual and therefore varies according to personal circumstances. The average fee per week is presently £1,500.00 Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience Good quality outcomes. We (the Commission of Social Care Inspection) undertook a key inspection, which included an unannounced visit to the home. The staff at the home did not know the visit was going to take place. The manager was asked to fill in a questionnaire, called an Annual Quality Assurance Assessment (AQAA), telling us what they thought they did well, what they need to do better and what they have improved upon. Where appropriate, these comments have been included in the report. Comment cards were received from four residents and a relative of a resident. We spent seven and a half hours at the home over two days. During this time, we looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A tour of the building was undertaken and time was spent looking at records regarding safety in the home. We also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. We spent time speaking to three residents, as well as speaking to four staff, the acting manager and the Regional Manager. We have received one anonymous complaint about the service, which was found to be unsubstantiated. What the service does well: A lot of care and thought was taken in making sure Church Walk was the right place for a new resident. Prior to admission, the acting manager assesses residents’ health, social and psychological care needs. The assessment information is then used to form the basis for a plan of care. Care files seen were organised, easy to read and provided good detail with regard to individual care needs. Through discussion and observation it was evident that residents were treated respectfully and the home ensures good standards of privacy and dignity. The physical accommodation is of a good standard, with appropriate aids and adaptations available for the residents. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 6 Staff have access to appropriate training opportunities to enable them to have a thorough understanding of the needs of a person with a mental illness. 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 Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Admissions are not made to the home until a full needs assessment has been undertaken, thereby ensuring that assessed needs can be met. EVIDENCE: Before any resident is admitted to the home, an assessment of their needs is undertaken by the manager and a senior member of the nursing staff from the home. The assessments were detailed and gave a clear indication of the residents’ needs and their capabilities. The assessments looked at the physical, mental and social care needs of the residents, as well as the involvement, if any, of their relatives. We spoke with a resident who had recently been admitted, who stated that the manager had been out to see him whilst he was in hospital to undertake an assessment of his needs and also provided information that helped him to come to the decision that the home would be able to meet his needs. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 9 The majority of the questionnaires returned to the Commission confirmed that each individual felt that they had received enough detailed information prior to making a decision to come into the home, and residents spoken to confirmed they had been to look around prior to admission. Comments received included: “I liked the staff – I knew I would settle down here” “It’s a friendly safe place to be” The home welcomes prospective residents and their relatives to visit the home prior to making a decision to move in. They are encouraged to spend some time at the home, look around, see their room, stay for a meal and get to know the staff and residents and ask any questions to reassure them. Overnight stays are available but, as yet, no-one has chosen to do so. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. There is a detailed care planning system in place that provides the information required to meet the needs of the residents. EVIDENCE: Any potential restrictions on choice, freedom, services or facilities that become part of the resident’s daily life, had been discussed and agreed with the resident during assessment and recorded in the care plan. One resident spoken with confirmed that she had been given “good information about how the home is run before coming here.” The plan sets out how the current and anticipated needs are to be met. There is evidence that the resident, together with family, friends or advocate, is involved in the drawing up of the plan. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 11 Not all care plans examined had been reviewed and no evidence was found to indicate that the resident had been involved in the review, although two residents were able to explain to us that the care plan “is how we are cared for” and “it sets out the details of the how I am going on”. Information in respect of residents is shared within the home team and visiting professionals in the interests of the resident. In this respect, it may also be necessary for the home to share personal identification and some medical detail with the local police when concern surrounds an individual who is absent from the home without prior arrangement and the home feels that the person may be at risk. Procedures for responding to unexplained absences and who should be notified are confirmed in a written policy. Wherever possible, residents are encouraged to manage their own finances, but where the home does manage the finances for individuals, records are maintained and a recognised tool for audit is incorporated in the monthly review of finance. In a group discussion with three residents, all agreed that staff cared very well for the residents and they felt they were consulted in regard to how the home was run. Observations made during the inspection indicated that staff had developed a good rapport with residents and there was a calm and relaxed atmosphere throughout the home. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The home has made some progress in implementing an activities programme that reflects the expressed wishes of the residents, to ensure that the leisure needs of residents are met. EVIDENCE: It was apparent from discussion with the acting manager that she was aware that there is not an adequate activity programme to meet the needs of this resident group, either individually or collectively. At the time of the inspection, the home had advertised for an Activities Person to take responsibility and particular interest in providing a varied programme and encouraging individuals to participate, supported by the nursing and care staff. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 13 Enquiries have been made by the home to access adult education classes and links with a local mental health resource centre. It is envisaged that following the appointment of a dedicated co-ordinator, access to wider activities, both in and out of the home, will become a part of the individual programme for each resident. We took the opportunity to have a lunchtime meal with a group of residents. The table settings were poorly prepared: no tablecloths, condiments, cutlery or napkins were evident when we sat down to eat. As each meal was served, the cutlery was then made available and salt, pepper and vinegar were made available on request. The table settings contrasted starkly with the dining room on the vacant ground floor where each table was tastefully set. The meal of cheese toasty and chips was adequately presented and appropriately served. A choice of tea or a cold drink was offered. Residents informed us that the food is good and there is always an alternative offered. In the AQAA the manager told us that there is a Forum to discuss the provision of meals in the home. This forum does not include a resident and a decision to include the views of the residents should be considered. Residents told us that they were actively supported to keep in touch with their families and friends. One resident said he preferred not to maintain contact with his family and the staff had respected his wishes. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. 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. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The residents’ physical and emotional health needs are being met, promoting good health and responsive individual care. EVIDENCE: Relationships between staff and residents seemed warm, friendly, caring and respectful. Staff treated residents with courtesy and supported them to make choices. Residents felt staff listened to them and treated them well. One resident said “living here is very good”, another that “it is a good home, I like it”. Individual care plans are in place for each resident. The three care plans examined were well written, but with little evidence of resident involvement in formulation of the plan and the review of care. Staff are on hand to provide personal care and support when needed and as agreed with the resident. This is dependent on individual needs. In the main, residents are prompted in maintaining their own personal care and appearance. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 15 Residents are registered with a local medical practice. For all other healthcare needs, residents are supported in accessing relevant community facilities, such as community psychiatric nurses, dentists and opticians. Where necessary, referrals would be made to specialist medical services. Where a resident would require support, a member of staff would escort them to any outside appointments. Prompt and appropriate specialist healthcare advice had been sought when residents had become unwell, particularly for those with more complex health problems. Care staff provide residents with information regarding general healthcare and specific issues relating to their lifestyles and needs. The medications system was safe. Medications were securely stored; the prescription administration sheets were filled in accurately and there was an accurate record of medicines received into the home and returned to the pharmacy. Designated and appropriately trained staff administered medicines. Currently, there are no service users who self-administer their own medication. All hand written entries should be signed by two staff members to avoid any mistakes being made. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. There was a clear procedure for dealing with complaints, which ensured that residents’ complaints and concerns would be dealt with appropriately. Staff had a thorough understanding of adult protection issues, ensuring that any allegations would be dealt with appropriately so that residents’ safety is promoted. EVIDENCE: A clear, detailed formal complaints procedure displayed in the home and provided to each resident, supported the home’s open culture, where residents were encouraged to express their views. Residents felt that staff listened to them and they were clear who to talk to if they were unhappy or had any concerns. Training records we examined confirmed that abuse awareness training was provided to all new starters, with planned annual updates. Staff who we spoke with understood the importance of listening to residents’ concerns and how to respond to any issues that were raised. There have been no complaints received by the home or the Commission of Social Care Inspection. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The standard of furnishing and fittings within the home provide a homely, clean and comfortable environment for residents to live in. EVIDENCE: Church Walk is a purpose built home that is situated on a residential estate off the main road near to Rochdale town centre. The home is set in its own grounds with a private enclosed garden space at the rear. The home is well maintained both internally and externally. During this visit a tour of the building was undertaken. The accommodation is spacious, homely and divided into two units; one on the first floor and one on the ground floor. Both units have two lounges a dining room, bathroom and toilets, as well residents’ own rooms. At the time of this visit only the first floor unit was occupied as there were only six residents living in the home. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 18 Bathrooms are domestic in style and tastefully decorated to enhance a relaxed atmosphere when bathing and are further equipped with lighting and sound systems, which can be controlled by residents when in the bath. We asked to see the bedrooms of two residents whose care plans we had looked at. Both were nicely decorated and the residents had brought their own personal possessions, including a sound system and some personal photographs. One told us, he liked his room and he had everything he needed. Residents are encouraged to keep their own rooms clean and tidy, staff are available to assist as and when required. Some residents are able to do their own laundry others require assistance. The home has domestic and kitchen staff that carry out the cooking and cleaning. The home is clean, odour free. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 36 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The arrangements in place promote and protect residents from unsuitable staff being employed. EVIDENCE: Random inspection of three staff files showed that not all the required recruitment checks had been made prior to employment. One of the three care assistant files we looked at contained only one reference. In order to protect residents, staff should not be employed before all relevant checks have been made, including two references, and the manager must ensure that all staff personnel files are audited to ensure they contain all of the relevant checks, prior to individuals commencing work in the home. All of the staff undertake a week long induction package, including both internal and external training, giving them an introduction to the home and mental health care. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 20 Computerised individual staff training records provided a clear summary of both induction and ongoing training. This was extensive and wide ranging, with mandatory courses, i.e., moving and handling, medication, fire safety, and first aid. Specialist training included care planning, risk assessment, mental health, suicide and self-harm and challenging behaviour. This training package was confirmed by the acting manager and was identified in the written AQAA she had provided us with. Similarly, staff who were interviewed confirmed that training was available, that they were encouraged to attend and that it gave them appropriate competencies to meet the needs of the residents. A staff member commented, “the training is excellent here”. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. 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 home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed and run in the best interests of residents. EVIDENCE: The home had been without the registered manager for approximately four months, due to ill health. The acting manager is a qualified nurse who has experience in caring for people with a mental illness. This is her first experience as manager of a care home. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 22 Since taking over the manager role, she has demonstrated a clear sense of direction and leadership and had made positive changes at the home with regard to management systems, day-to-day supervision and oversight of care planning meetings to determine how residents’ care needs will be met. Throughout the inspection we were able to evidence the professional, capable and approachable manner in which she undertook her role when dealing with residents, staff and visitors. Staff and residents said she was easily accessible and welcomed her ‘open door’ policy, as well as providing structure and a sense of direction through more formal meetings. Residents said she made sure she spoke to them on her arrival at the home each day to check how they were feeling. All safety equipment was regularly serviced in accordance with the manufacturers’ instructions, and the appropriate documentation to support this was available for examination. The manager, as part of the company strategy, completes regular audits and the results of these are collated at head office level and fed back to each home. Church Walk is awaiting the results of the last audit under these arrangements. Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 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. 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 2 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? New Service: First Key Inspection 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 YA34 Regulation Schedule 2 (3) Regulation 19(4) (c) Requirement When recruiting staff to work in the home, two written references, including, where appropriate, a reference from the last employer must be obtained before employment is offered. Timescale for action 30/06/08 Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 25 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 Refer to Standard YA6 YA20 Good Practice Recommendations Care plans should be drawn up in consultation with residents and/or their relatives, who should sign to say they are in agreement with the plan. All handwritten medicines records should be an exact copy of the pharmacist’s dispensing label, which should be double-checked and countersigned to help prevent mistakes. Dining tables should be set in a way that promotes a homely atmosphere by providing the residents with appropriate cutlery, napkins, tablecloths and drinking glasses. Residents should be actively supported to help plan the menu and have a say in the provision of meals in the home. To give people who use the service interest and stimulation, they should be asked about the activities they would like to take part in and be provided with opportunities to partake in these, both inside and outside the home. 3 YA17 4 5 YA17 YA14 Church Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Walk Health Care Ltd DS0000070963.V362840.R01.S.doc Version 5.2 Page 27 - 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!