Inspection on 30/05/07 for Clann House Residential Home

This inspection was carried out on 30th May 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

Clann House Residential Home 03/03/09

Clann House Residential Home 30/09/08

Clann House Residential Home 06/05/08

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Stallcombe House

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Clann House Residential Home Clann House Residential Home Clann Lane Lanivet Cornwall PL30 5HD Lead Inspector Alan Pitts Unannounced Inspection 30th May 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Clann House Residential Home DS0000068997.V340423.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. Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clann House Residential Home Address Clann House Residential Home Clann Lane Lanivet Cornwall PL30 5HD 01208 831305 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) julie.frape@btconnect.com Susan Ann Clarkson John Reid Clarkson Julia Ann Frape Care Home 26 Category(ies) of Dementia - over 65 years of age (26), Learning registration, with number disability over 65 years of age (1), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (3), Old age, not falling within any other category (3) Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One (1) service user between the age of 55 and 65 years for respite care. To include one (1) named service user outside the normal age range of the home with a mental illness (MD). 3rd October 2006 Date of last inspection Brief Description of the Service: Clann House is situated in three acres of land and gardens, in a quiet rural setting a short distance from the village of Lanivet, near Bodmin. The home is registered to provide accommodation and personal care for up to twenty six older people with a dementia; it is also registered to care for named residents with mental healthcare needs (3), old age (3) and one resident with a learning disability over 65 years. The adapted farmhouse offers comfortable accommodation, with level access around the ground floor. The bedrooms offer views of the surrounding countryside. The home offers accommodation on both the ground and first floor, with stair lift provision for those who require it. An extension has been added to the home providing eleven en-suite bedrooms. Communal rooms comprise of three lounges, and a dining room. The dining room comfortably accommodates the residents. There is a central safe courtyard garden. The home has its own car parking with space for approximately 5-7 cars. Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key unannounced inspection at Clann House took place over approximately 10 hours with two inspectors. Key standards assessed included an inspection of the safety and cleanliness of the home, medication, meals, staffing to include training and recruitment, policies and procedures, and the management arrangements for the home. The home has a number of residents who have very complicated care needs to include frailty and challenging behaviour. Conversation with these residents was therefore limited and observations of care delivery took place during the course of the inspection using a recognised observation tool. Conclusions from these observations were that staff treated the residents in a kind and caring manner and that interactions between the staff and the residents were positive. There are a number of requirements and recommendations, but these should not detract from the overall impression of an improving service, and the hard work of the registered providers, registered manager and staff is recognised. The range of fees at the home per week is from £385 to £393. What the service does well: What has improved since the last inspection? Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 6 The home’s policies and procedures have been reviewed and added to. There is effective day-to-day leadership from the registered manager, who has achieved the Registered Managers Award. The home adheres to a robust employment procedure in order to protect residents from abuse. 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. Clann House Residential Home DS0000068997.V340423.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 Clann House Residential Home DS0000068997.V340423.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An assessment of care needs takes place by the registered manager on any potential admission to the home to ensure that all care needs can be met. The home does not provide intermediate care. EVIDENCE: Prior to admission the registered manager assesses all potential residents to ensure that the home will be able to meet their needs. A pre-admission document is completed prior to admission, and assessment information is also accessed from the referring authority. This practice was confirmed by the comments of the registered manager and the documentation available for two recent admissions to the home. Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 9 The home does not provide intermediate care. Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 10 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 resident’s health, personal and social care needs are being met as evidenced by care planning and direct observation. Medication arrangements were found to be satisfactory. The resident and staff interactions were noted to be very positive. EVIDENCE: The home operates a computerised system for recording care delivery. The system is backed-up, and protected. Users have password-protected access, and entries are recorded chronologically. All the residents have a comprehensive plan of care in place. The care plans include the practicalities of activities of daily living, mental health needs, social care needs, mobility and Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 11 moving and handling assessments and pressure sore risk calculations. The care plans are supported by daily day and night records. The daily care records indicate that aspects of care to include fluid and dietary needs, general well-being and mood of the individual are commented on well in the daily records. Regular reviews of the care plans are taking place, but it is noted that there is no involvement of the representative of the residents’ in care planning. The registered manager should do more to ensure that residents’ representatives are given the opportunity of participating in the review of care plans. All the residents are registered with a general practitioner. The residents receive annual health checks. Chiropody and dental services are available in the home as required. Dietary information is included in care planning and daily records include the intake of meals and drinks. The home has regular contact with external health care professionals, such as District Nurses and Community Psychiatric Nurses. The residents are regularly weighed, currently alternate months but a District Nurse is now to start visiting monthly for this purpose. Observations of residents in the communal areas occurred over a period of approximately 1.5 hours using the Commission for Social Care Inspection SOFI tool: • • • • Approx 82 of the observations showed residents in a positive state of well-being, when they appeared generally happy, contented, comfortable, and relaxed. Approx 25 of observations included residents interacting with each other or with staff. Approx 25 of observations showed residents engaging with their environment in activities’, which had purpose to that individual. All interactions with staff were seen to be good: providing residents with the feeling of safety, are sensitive and assist the individual to be in control of their actions and lives. The medication administration policy and procedure is satisfactory and medication administration records were also found to be satisfactory on the day of the inspection. Where it is necessary to hand-write a prescription onto a Medicine Administration Record, the registered manager should ensure that there are two initials provided to ensure accuracy of the entry. Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care planning evidences that the social care needs of the residents are identified. There is an activity plan, but this is not reflected in the care notes. The home welcomes all family and friend visitors to Clann House and encourages them to stay in touch with their relative. Meals were seen to be well presented, and a rotational menu is in operation. A choice is available to residents. EVIDENCE: Care planning documentation identifies the social and spiritual care needs of the residents. There is an activities plan, which identifies three activities a day at different times. The daily records provide too little evidence of how these needs are being met, and whether the planned activities are actually happening. There are repetitive entries in the care notes that indicate some staff are ‘cutting and pasting’ one entry rather than writing individual entries Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 13 for each resident (e.g. “X has chosen different flavour sandwiches for tea and has had two cups of tea this pm”). There is not enough depth of information to gain a ‘picture’ of the residents’ lifestyle at the home. This was discussed with the registered manager. The registered manager must make arrangements for a programme of activities, having regard for the wishes and needs of the residents. Visitors are welcomed to the home (at any time) and the home actively encourages all family/friends to stay in touch. There were a number of visitors to the home on the day of the inspection. On the days of the inspection breakfast was seen to take place over a number of hours, as did the waking and rising time of the residents. It is apparent that the residents are helped to exercise choice and control over their lives, which is a credit to the staff considering the majority of the residents cannot verbally express their choices. The cook is fully aware of the likes and dislikes of the residents and is able to provide a menu choice to meet the resident needs. Specific diets can be catered for. The menu changes over a 2-3 week period. Record keeping should be improved. The rotational menu should be recorded and kept (e.g. in the kitchen diary), and the home should make use of the facility in its computer software system for recording the actual meal provided and individual choices made on a daily basis. Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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. The home has a complaints policy and procedure. Adult protection policies and procedures are in place to guide staff on good practice. EVIDENCE: The home has a complaints procedure that is up to date, clearly written, and is easy to understand. Unless there are exceptional circumstances the service always responds within the agreed timescale. The policies and procedures regarding the protection of residents are regularly reviewed and updated. The home is clear when incidents need external input and who to refer the incident to. The procedure clear shows the steps to take in the event of an allegation of abuse. Training of staff in the area of protection is arranged by the home. There are a low number of referrals made as a result of lack of incidents, rather than a lack of understanding when incidents should be reported. Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 15 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. Clann House is suitable for its stated purpose. The property is generally well maintained and provides a safe, clean environment for residents. EVIDENCE: The home has had, and continues to be in the process of ongoing maintenance, upgrading, and redecoration since it’s recent purchase by new owners. Access around the ground floor is level. The staircase is protected by a keypad system. There is sufficient, pleasantly decorated and comfortable communal space. Resident’s rooms were seen to be clean and tidy, and personalised to varying degrees. No odours or evident hazards were noticed in the home. Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 16 The registered provider might consider varying the colour scheme in different areas to assist residents in finding their way around the building (e.g. different colour bedroom doors, different pastel colours in different communal areas). The flowers and beds are well cared for in the courtyard garden. Further consideration should be given to increasing the garden available to residents if the home is extended. The kitchen was seen to be clean and well organised. The laundry is modern, clean and well equipped. There is documentary evidence of regular and frequent maintenance of the premises and the equipment in use. Car parking is just sufficient at the moment, and the registered manager said that options were being explored to increase this. There is currently work underway to extend the building into adjoining cottages, increasing the home’s registration. An application has been made to Commission for Social Care Inspection’s Central Registration Team in Taunton. The building work does not affect the residents as this is away from the accommodation and communal areas in use. The registered manager said that once the current building work is complete there are plans to relocate the main entrance to the premises. Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 17 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 adequate. This judgement has been made using available evidence including a visit to this service. The home cannot show that residents’ needs are fully met by the numbers and skill mix of staff. Residents are protected by the home’s recruitment procedure. There is an evident commitment to generic training, but there is room for improvement in training specific to the care needs of the residents. EVIDENCE: The staff were busy throughout the inspection, but remained pleasant and appropriate in their interactions with residents. The staff numbers and skill mix ensure that the residents’ physical and health care needs are met, and contribute towards their social and recreational needs. However, as has previously been noted the activity plan does not correlate with the activities seen at the time of the inspection or with the entries in the care notes. A requirement has been made in this respect. Of the 20 care staff, 12 are qualified to NVQ Level 2 or above, with a further 6 undertaking this training. This is commendable and easily meets the target of 50 being qualified. Approximately 50 of staff have undertaken the Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 18 ‘Yesterday, Today, Tomorrow’ training provided by the Alzheimer’s Disease Society. A smaller number of staff have undertaken dementia-specific training and the registered manager should consider the benefits of such training to staff and residents. Unfortunately this commitment to training is not consistent: Whilst the home has National Training Organisation documentation available, the two examples seen of this 12-week induction-training programme were both signed off as complete without evidence to support this, and apparently completed on one day. One other employee file showed that the National Training Organisation induction should have been used, but was not used. The registered manager must ensure that staff receive training appropriate to the work to be undertaken, in this case National Training Organisation compliant induction training. Similarly, whilst the home uses a training record sheet as an aid memoir of training undertaken for each staff member, the samples inspected were either inaccurate or incomplete. For example, the fire brigade recommend two fire instructions in the first month of employment, the home’s training record sheets invariably showed only one being provided – reference to fire training is made in the next section of this report. It is recognised that overall there is an apparent improvement in ethos at the home and a commitment to encourage staff members to undertake external qualifications beyond the basic requirements, and recognise the benefits of a skilled, trained workforce. It is hoped that this will become ever more evident at future inspections. A number of staff personnel files were inspected, and these show that the home is adhering to a robust employment procedure that protects residents from abuse. This includes the taking up of references and Criminal Records Bureau checks. As discussed at the time of the inspection, it is recommended that the home establish a procedure for the periodic re-checking of Criminal Records Bureau results (perhaps 3-yearly). Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 19 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, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the required qualification/s and experience and is competent to run the home. The home has sound policies and procedures, which the manager effectively reviews and updates. If they wish and are able to, residents are helped to take responsibility for managing their own money. They are provided with facilities to keep their valuables and money safe. EVIDENCE: The registered providers are Mr and Mrs Clarkson, though the registered manager is in day-to-day control of the home. The registered providers bought Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 20 the home at the start of the year, and Mrs Julie Frape became the registered manager at the same time. The registered manager has recently achieved the Registered Managers Award, and is qualified to NVQ Level 4 in care. The registered manager is included in the staff numbers and on the staff duty rota. A deputy manager has been appointed to help ensure that the registered manager has sufficient managerial/administrative time. The observations of residents support the contention that there is a comfortable and relaxed relationship with staff, and similarly staff comments were positive in respect of the registered manager. It is early days for the registered manager, but specific requirements and recommendations aside; the overall impression is one of improved management and systems. Quality assurance systems were not specifically inspected at this time, though the registered provider and registered manager will be aware from previous inspection reports that this was an area for improvement at the home. Discussions with staff, the registered manager, and observations on the day of the inspection are consistent with an ethos that is resident focused. The home has regular and frequent contact with external agencies and health care professionals, and therefore the opportunity for feedback. There are accurate financial records supported by receipts. Only small amounts of money are held for residents, some of which manage their own affairs. Only one resident has accumulated a significant amount, which the registered manager undertook to return to their representative. All residents have someone acting in their interests. The premises are generally well maintained with documentary proof of regular safety checks and equipment maintenance. Once building work has completed the registered provider should ascertain the date of the last IEE hard wiring certificate, and if necessary obtain a new one for the whole building. There is suitable insurance cover in place. Fire training has been provided jointly by an external consultant, and internally by the registered manager. The registered manager has not undertaken any training in order to be able to train others in this regard. The registered manager must make arrangements for staff to receive suitable fire training (in consultation with the fire brigade). This would have been an immediate requirement had staff not received recent training from the external consultant. Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 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 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 2 Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 22 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 OP12 Regulation 16 Requirement The registered manager must make arrangements for a programme of activities, having regard for the wishes and needs of the residents. The registered manager must ensure that staff receive training appropriate to the work to be undertaken, in this case National Training Organisation compliant induction training. The registered manager must make arrangements for staff to receive suitable fire training (in consultation with the fire brigade). Timescale for action 01/08/07 2. OP30 18 01/07/07 3. OP38 23 01/07/07 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 OP7 Good Practice Recommendations The registered manager should do more to ensure that residents’ representatives are given the opportunity of DS0000068997.V340423.R01.S.doc Version 5.2 Page 23 Clann House Residential Home 2. OP9 3. OP15 4 5. OP29 OP30 participating in the review of care plans. Where it is necessary to hand-write a prescription onto a Medicine Administration Record, the registered manager should ensure that there are two initials provided to ensure accuracy of the entry. The menu should be recorded and kept (e.g. in the kitchen diary), and the home should make use of the facility in its computer software system for recording the actual meal provided and individual choices made on a daily basis. The registered manager should establish a procedure for the periodic re-checking of Criminal Records Bureau results (perhaps 3-yearly). The registered manager should consider the benefits of dementia-specific training to staff and residents. Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Clann House Residential Home DS0000068997.V340423.R01.S.doc Version 5.2 Page 25 - 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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