Inspection on 06/11/07 for Churchview

This inspection was carried out on 6th November 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

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Churchview 8 St Andrews Road Taunton Somerset TA2 7BW Lead Inspector Judith McGregor-Harper Unannounced Inspection 6th November 2007 09:30 Churchview DS0000070027.V353363.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 Churchview DS0000070027.V353363.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. Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Churchview Address 8 St Andrews Road Taunton Somerset TA2 7BW 01823 323451 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) Mrs Sandra Claire Joyce Mrs Janet Mary Wonnacott Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Churchview DS0000070027.V353363.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 providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability (Code LD) The maximum number of service users who can be accommodated is 5. Date of last inspection Not applicable. Brief Description of the Service: Church View is run by Liberare and is a large three storey terraced house situated within walking distance of Taunton town centre. The home is registered with the Commission for Social Care Inspection to provide accommodation for up to five adults who have a learning disability. The home is not registered to provide nursing care. The home promotes a homely atmosphere and has two lounges, a dining room, kitchen and utility room. One bedroom is located on the ground floor. There are three bedrooms on the first floor and a further bedroom and sleep-in room on the second floor. The home has a large patio area at the rear of the property. The home would not be appropriate for service users with mobility difficulties. The Registered Provider is Mrs Sandra Joyce and Mrs Janet Wonnacott is the Registered Manager. Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted on one day by one inspector. The home’s owner Mrs Joyce and the registered manager Mrs Wonnacott were available throughout the inspection. No other staff were on duty at the time of this inspection. The duration of the inspection was spent with people living at the service where their views were listened to in a relaxed manner. A selection of records were examined and communal areas were seen. Prior to the inspection the service submitted an Annual Quality Assurance Assessment (AQAA) on requirement to the Commission. This self-assessment provided very good evidence of supporting statements about the service. Surveys were sent to people living at the home, staff, relatives of people living at the service and community health professionals linked to the home. All responses gave a positive overview of the home. The homes current fee range is between £350 and £550 per week. This was a positive first inspection for Liberare Church View. We inspected key standards at this inspection. Under the Commission’s rules a first inspection following registration can achieve a maximum overall quality rating of ‘good’ until the service has demonstrated a track record for more than a year with the Commission. As a result of this first inspection the overall quality of the service is rated ‘good’. What the service does well: Liberare Church View provides a comfortable and very homely environment for adults with a learning disability. People living at the home benefit from an ethos that is both open and inclusive. People are encouraged and supported to be fully involved in all aspects of life at the home. This was very evident at the time of the inspection. Survey responses were very positive regarding the care and support offered and all comments remarked on the kindness of the manager and staff team. The service has taken appropriate steps to ensure the health and safety of people living at the home, staff and visitors. Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 6 The sale and transfer of ownership of this service was handled in a sensitive and professional manner in order to minimise potential distress to people who have lived at the service for many years and regard it as their home. 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. Churchview DS0000070027.V353363.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 Churchview DS0000070027.V353363.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): We inspected Standards 1 and 3. There have been no new admissions to the service for many years and the service has no vacancies. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are provided with the information they need to make an informed choice about living at the home. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide as part of a requirement of registration. The Service User Guide is being produced in Total Communication format. People who live at the home meet additional charges for personal toiletries and clothing. The home has no vacancies and there have been no changes in occupancy for a considerable period of time. Through discussion with people living at the home, the registered manager and on examination of records, it was apparent that the home is meeting the Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 9 current assessed needs of residents. People who live at the service were very positive about the care they received. Churchview DS0000070027.V353363.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): We inspected Standards 6, 7, 8 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s care planning process is clear and consistent and demonstrates service user involvement although the service should review the practice of writing in the first person, if this is not a direct quotation. The service is able to demonstrate that people living at the service are consulted fully on decisions affecting their daily lives in order to promote equality of opportunity within a risk assessed framework. EVIDENCE: During this inspection we spoke with three people who live at the home. People stated that they felt very well cared for and all commented on the kindness of staff. The atmosphere at the home was very inclusive and people moved freely around the property. The home’s AQAA submitted to the Commission stated. “We have comprehensive care plans for each resident which are regularly reviewed.” Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 11 Two care plans were inspected. There was evidence of involvement in the care planning process by individuals and their wishes, preferences, likes and dislikes were recorded. The care plans examined contained clear information for staff on the current assessed needs of the individual and how these needs should be met. Care plans are written in the first person in parts but not signed by the person whose plan it is. The manager said that it was the practice to write care plans as if the person living at the home were speaking, although the plans are an approximation of what a person might say or feel about their care. This may lead to a false impression of authorship and this practice ought to be reviewed. Detailed information was in place relating to the contact details of appropriate healthcare professionals. Records are also maintained for any health appointments attended. Appropriate risk assessments had been completed and reviewed within the last month. The service has endeavoured to use pictorial formats for care support plans where this is more appropriate to the individual’s method of communicating. Financial records for two people were randomly inspected. These were up to date and provided a robust, clear audit trail to protect the individual from financial abuse. Churchview DS0000070027.V353363.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): We inspected Standards 11, 12, 13, 14, 15 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People benefit from an inclusive and relaxed environment where they are given support to maintain and develop independent living skills, friendships and family ties. Meals are wholesome and varied; people living at the service are fully involved in planning, shopping and cooking. EVIDENCE: Survey responses from relatives indicated strongly that people living at the home are supported to maintain family links and friendships in line with their wishes/preferences. Contact details of friends and relatives are recorded in the individual’s plan of care. The home welcomes visitors at any reasonable time in line with the wishes and preferences of people at the home. People at the home said they Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 13 choose where to see their visitors and can use the privacy of their own bedroom if they so choose. People living at the home have enjoyed two short seaside holiday breaks this year. The home has a people carrier available to transport people to regular leisure or day centre appointments. The people living at the home contribute toward the running of the car via mobility benefits. People living at the service are regular visitors to day centres and community clubs. The home has a cat. People living at the service are given the opportunity and support to participate in all aspects of life at the home. This ranges from domestic chores, cooking and shopping. Survey responses were also very positive regarding the meals available at the home. All stated that the food was excellent and that they could choose what they had. Churchview DS0000070027.V353363.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): We inspected Standards 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home takes appropriate steps to ensure that individual’s healthcare needs are met by providing assistance if required. The home’s procedures for the management and administration of medicines are safe. EVIDENCE: Survey responses from health professionals linked to the home indicated confidence that the service staff and managers handled the health needs of people living at the service competently. Care records inspected provided a clear audit trail of staff offering support to people in accessing appropriate community healthcare professionals. The home management confirmed good links and support from relevant professionals. The home’s procedures for the management and administration of medication were examined and were found to be well maintained. Medication administration records were inspected and were maintained properly in line with professional best practice guidelines. The home uses the Monitored Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 15 Dosage System with pre-printed Medication Administration Records (MAR). Currently no one at the home is able to self-administer his or her own medicines. This was appropriately risk assessed in two randomly sampled plans of care. Staff have received training in the management and administration of medicines and an update is booked for later this month. Staff have received training updates in first aid and moving and handling during since June 2007. Training is booked for all staff members in epilepsy and diabetes management, also in November 2007. Churchview DS0000070027.V353363.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): We inspected Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home takes appropriate steps to reduce the risk of harm or abuse to people living there. The open culture for raising concerns gives people confidence in the service that any problems they may raise will be sensitively dealt with. EVIDENCE: The home has produced a complaints procedure. This has recently been created in an easy to read form with pictorial aids. This is good practice. The AQAA for the service indicate that no formal complaints have been raised to the service. Survey responses indicated that there have been no complaints raised to the management. The Commission has received no complaints about the service since registration. During the inspection people at the home said that they felt comfortable raising problems or concerns wither to the manager or any of the staff. They also reported that they believed their concerns would be taken seriously and something would be done to make things better for them. The home has appropriate systems in place to reduce the risk of harm or abuse to people living at the home. The home has policies relating to whistle blowing, adult protection and physical restraint. As part of the new owner’s Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 17 commitment to providing training updates for the staff team training in the recognition and reporting of abuse is scheduled for November 2007. Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 18 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): We inspected Standards 24, 25, 26, 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is homely and comfortable, located close to the centre of Taunton. The home is clean and presently adapted to meet current mobility needs of people living therein. EVIDENCE: Church View is a three storey town house situated within walking distance of Taunton town centre. There is easy access to bus routes and the train station. The home has been decorated and furnished to a good standard and promotes a ‘homely’ feel. People at home on the day of the inspection said they were very happy living at the service. Some people invited the inspector to see their individual private rooms. All were personalised, spacious and clean. Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 19 The home provides accommodation for up to five people who have a learning disability. Bedrooms are for single occupancy and are fitted with a wash hand basin. One bedroom is located on the ground floor, three on the first floor and one on the second floor. There are two lounges, a dining room, kitchen and large utility room. The communal bathroom and shower room are located on the first floor. An additional toilet is located on the ground floor. The home has small front garden and an attractive rear garden that is laid to patio, with garden furniture and has a summerhouse available to people living there. The home would not be suitable for people who have mobility difficulties, as the majority of bedrooms and the bathroom are located on the first floor, which are accessed by stairs. Grab rails have been provided on the ground floor, and on the first floor, leading to the shower room. There are banisters on either side of the stairs. There is a safety bar at the top of the stairs. The home has given consideration to installing a stair lift. Unfortunately this will not be possible due to the width of the stairwell. All areas of the home were seen to be clean and free from malodours. Cleaning is carried out by staff. People living at the home clean their own bedrooms with staff support as appropriate. Staff hand washing facilities are appropriately sited throughout the home. The new ownership has carried out upgrades to ground floor flooring and carpeting of the house. Some bedrooms have also been redecorated with occupants choosing the décor and colour schemes of their redecorated bedrooms. The owner has indicated in the AQAA a plan to redecorate and upgrade the front communal lounge during 2008. Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 20 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): We inspected Standards 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is staffed by well trained personnel with caring natures. Staff recruitment is conducted safely in order to protect vulnerable people and staff are regularly supervised providing opportunity for clear communication up and down the staff team. EVIDENCE: The minimum number of staff on duty at any one time is one person. During the day this rises to two or three depending on the routines of people living at the service. At night there is one member of staff on sleep-in duties. To justify this the home is recommended to ensure that everyone living at the service has a documented current night care routine. Most staff have successfully completed the NVQ award in care at level 3. This is good practice. There is an annual staff training plan and individual training needs are discussed at appraisal and supervisions. Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 21 There is a stable staff team at the service. Only one appointment has been made since the home changed ownership this summer. The recruitment file of the new staff member was inspected and had been completed in accordance with the Care Homes Regulations. Survey comments received about the qualities of staff working at the home included; “They are supportive in whatever my [relative] chooses to do.” “We would like to thank the staff for everything, [my relative] is so very happy there.” “They give loving care at all times, they also go out of their way with additional activities to take part in.” Staff receive supervision at least 6 times a year. Staff supervision records were sampled and had been signed by supervisor and supervisee. In staff survey responses staff indicated that they felt supervised and supported by the management at the home. Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 22 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): We inspected Standards 37, 38, 39 and 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has an open and inclusive style of management that promotes continuous feedback to improve the quality of the service. The home is taking appropriate steps to ensure the health and safety of staff, visitors and people living at the service. EVIDENCE: The registered manager is Mrs. Jan Wonnacott. She has many years experience of providing care to people who have a learning disability. She has obtained the NVQ level 3 qualifications in direct care, the Registered Manager’s Award and NVQ level 4 in Care Management. Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 23 Survey responses described the registered manager as having an approachable and style of management. She is fully involved in the direct care of people living at the service and day to day running of the home. She had known people living at the service for many years and appeared to have an excellent rapport with people at home on the day of the inspection. The views of people living at the home are encouraged to be expressed. This was observed during the inspection. We spoke with some people living at the home. Without exception, all were very positive regarding life at Church View and all commented on the kindness of the manager and staff team. The AQAA received for the home states. ‘We have undertaken new risk assessments since 12 June 2007 and have had an inspection of the home from an external health and safety consultant. We have analysed the asbestos survey report and developed notices to highlight the presence of any asbestos in the house. We have identified hazards that require attention in the short term and dealt with others already e.g. entrance mat was worn through and a trip hazard - now replaced. Staff receive training in health and safety issues’. Records relating to the health and safety of service users and staff were examined at this inspection and the findings were as follows: All staff at the home have received appropriate first aid training. This ensures that there is an appropriately trained person on duty at all times. Records are maintained for bath hot water outlets are maintained to ensure that they do not exceed HSE recommended limits. Warning signage is in place on hand washing outlets. The home records weekly checks for fire detection systems and emergency lighting. Regular in-house drills are conducted by the home. Staff received an update in fire prevention on the 31st October 2007. Some people living at the service were also able to correctly state how to keep themselves safe should the fire alarm be activated. Accident records were inspected and cross referenced against care records. Accidents affecting one person were explained by the individual concerned, who presented a good history of how the staff have assisted in understanding the reason for their falls and medical investigations undertaken to help to prevent further accidents. Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 24 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 N/A 3 3 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 4 16 X 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 4 X X 3 X Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 25 N/A Are there any outstanding requirements from the last 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. Standard Regulation Requirement Timescale for action 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 YA33 Good Practice Recommendations The service should review the practice of writing care plans in the first person, if this is not a direct quotation, as it is misleading to the plan’s authorship. Each person living at the service should have a night care routine documented. This will aid demonstration that current levels of night staffing support are appropriate and needs led. Churchview DS0000070027.V353363.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Churchview DS0000070027.V353363.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. 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