Inspection on 11/01/07 for Clarence Park Lodge

This inspection was carried out on 11th January 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

Clarence Park Lodge 07/01/09

Clarence Park Lodge 21/02/06

Clarence Park Lodge 07/10/05

Clarence Park Lodge 20/12/04

Clarence Park Lodge 14/06/04

Clarence Park Lodge 10/03/04

Similar services:

Clouds House

Closereach

Westcliffe House

Hilldales

Longreach

Chandos House

Cherry Orchards Camphill Community Ltd

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

CARE HOME ADULTS 18-65 Clarence Park Lodge 15 Clarence Road East Weston Super Mare North Somerset BS23 4BP Lead Inspector Nicola Hill Unannounced Key Inspection 11th January 2007 11:30 Clarence Park Lodge DS0000008103.V321784.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 Clarence Park Lodge DS0000008103.V321784.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. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clarence Park Lodge Address 15 Clarence Road East Weston Super Mare North Somerset BS23 4BP 01934 623867 01934 620575 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered management (if applicable) Type of registration No. of places registered (if applicable) Western Counselling Services Limited Mr John Alun Davies Care Home 14 Category(ies) of Past or present alcohol dependence (14), Past or registration, with number present drug dependence (14) of places Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 14 persons aged 17-64 years requiring personal care only Date of last inspection Brief Description of the Service: Western Counselling Services is registered with the Commission for Social Care Inspection (CSCI) and provides primary and secondary programmes of rehabilitation for up to 65 people between the ages of 17 and 64 years who have alcohol and/or drug dependencies. The bulk of the primary counselling programme takes place at a day centre and there are two houses (Meijer and St Davids), which provide accommodation for mixed sex groups on primary programmes. Three other houses, Larkhill, Kintyre and Clarence Park Lodge provide accommodation for single sex groups receiving secondary programmes. Clarence Park lodge provides up to 14 places. The counselling is based upon the twelve-step Minnesota model. These homes have a private arrangement with a local GP practice to provide medical support and assessments, especially for those who are in the initial part of the primary programme. The fees for the home are £455 per week. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection of Clarence Park Lodge took place with the inspector and the managing director, Amanda Lea. The first part of the inspection process involved reviewing documentation at the administrative headquarters of Western Counselling Services. The inspector then made a site visit to the home. At the time of the visit there were 10 people in residence. The majority of the residents and two members of staff were spoken with; the registered manager was also available when specific records relating to the home were reviewed. The inspector also had the opportunity to speak with a service commissioner who was visiting the home. The inspector gathered evidence for the report from the residents, staff, and documentation held at the home, and from the seven responses to the service questionnaire sent to service users by the Commission prior to the inspection. The home has been assessed as providing a good level of service What the service does well: Clarence Park Lodge provides a secondary care treatment programme based on the 12 steps Minnesota model for those addicted to drugs or alcohol. The service provision meets criteria identified in research by the National Treatment Agency (NTA) to promote retention of service users in treatment, in that it is a small home with a good staff/service user ratio. The organisation has a good success rate with approximately 60 of service users completing treatment. The organisation is able to be flexible with the length of the secondary care programme, and offer after care on a weekly basis. The quality of support from the counsellors and ancillary staff was noted by residents and appreciated. The accommodation, whilst communal, is of an adequate quality and there are a variety of facilities available. One service user commented that the house is satisfactory, staff pleasant, spacious and well equipped. The residents have regular house meetings to raise any concerns and speak directly to staff or other residents in order to find a resolution to issues. The residents stated that programme allowed flexibility with very clear boundaries. The group therapy approach supported the continuation of the Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 6 key themes of the programme in the absence of formal groups. Residents stated that the programme was strict but having adjusted to it and the house rules made them recognise that the boundaries were necessary and were what supported the residents to follow the programme successfully. The comments from residents were that the programme during the week was very full, however there was sufficient free time to allow residents to complete their files and any other personal chores such as laundry. The house leader oversaw the therapeutic duties but a very casual approach appeared to be taken about enforcement of duties. Overall the comments from the residents were very positive, and several stated that they would recommend Clarence Park Lodge. A comment made on the service user questionnaire said that “for me this place has given me a lot, its not about material things, it is about changing values to be a well person”. The service commissioner was also very impressed with the success of the programme at Clarence Park Lodge. She had included the home in the recommendations made to her client, as she had experienced of several clients completing the programme successfully. What has improved since the last inspection? What they could do better: The training for staff has covered basic statutory training but must include a personal development plan for each member of staff; training should reflect the aims and objectives of the home and maintaining current practice skills. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 7 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. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 8 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 Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 9 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): 2,4 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. A skilled and experienced member of staff always undertakes the assessment. EVIDENCE: All the residents have an assessment undertaken prior to admission in to Western Counselling Services. This covers all aspects of their life including any mental health issues. The residents at Clarence Park Lodge had followed up the primary care programme by going into secondary care. The residents currently in Clarence Park Lodge told the inspector that they had a choice of home to go to, however Western Counselling Services was chosen either because of the personal recommendation, either from care managers or from people who had already been through the programme. Residents were able to visit the home before moving in, and as the new residents had already met older residents at the day centre, the transition from primary to secondary was easier. The residents also demonstrated an awareness of the funding issues, and that an individual contract for them between the service commissioner and Clarence Park Lodge existed. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 10 The group of residents were of a mixed age range; Clarence Park Lodge is an all male home; the group was of mixed ethnicity. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 11 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. Staff are aware of current good practice and their practised promotes individuals to develop skills, including for some residents, independent living skills. EVIDENCE: All of the residents have an individual care file. The residents had their individual needs reflected on the care plans, and there was evidence that plans were reviewed and evaluated on a regular basis. The residents have responsibility to produce written work appropriate to where they are in the programme i.e. life histories. In addition to this the counsellors include records of therapy sessions in the daily records. The files were very detailed, well kept and informative. The home also records any visits to other agencies such as GP, probation officer. The care documentation at the home links together and can be used to track a residents progress from the initial referral with the presenting care needs to working through the programme, and the after care required on Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 12 discharge e.g. housing. The planned discharge arrangements supported residents to take responsibility for moving on from Clarence Park Lodge. Residents can access the Internet and use the telephone to make enquiries and set up appointments. The home has formalised the risk assessments as part of the care assessment and this demonstrates good practise. However in order to reflect National Treatment Agency guidance, risk assessments should identify potential risks and possible triggers that may cause relapse or disciplinary discharge. The assessments should outline strategies for safeguarding the health and welfare of service users after discharge. It is noted that all service users discharged early have tickets purchased for them to travel to their home address, and that unless there is a clearly identified place to go, to the organisation will not discharge. The service commissioners are also informed of any unplanned discharges. Individual choice and decision making is subject to the limitations of the programme, however, all the residents stated they were treated as individuals and supported as such. The strict routine and house rules do require a period of adjustment, which varies with the individual. Within the home there are personal choices made about meals etc, and all residents can leave the programme if they wish to. However the predominant view was that the residents understood the house rules were for their own good, and that it enabled them to focus on their progress through the programme. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 13 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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has a strong commitment to enabling residents to develop their skills, including social, emotional, communication, and independent living skills. Individuals are supported to identify their goals and work to achieve them. EVIDENCE: During the secondary part of the programme residents have more freedom and can attend sessions at the local sports centres or college. Funding for this was discussed as some residents had an expectation that service commissioner funded activities, and others that access to exercise equipment should be funded through by Western Counselling Services. The inspector explained that the organisation has plans for the future to convert a garage to a small gym area, and that the new day centre will have IT equipment for residents to access. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 14 As part of the programme the residents can attend A A and N.A meetings. This was seen as positive in some respects but that there were a large number of people in rehabilitation programmes who attend the meetings. The home operates a programme of individual and group therapy, and group support so that the residents learn to deal with issues that arise for them and to support others. The resident group at Clarence Park Lodge stated that they had learnt about themselves, especially through doing their life story, and by receiving feedback from their peers. The group support also ensures that people cannot isolate themselves when there are no planned therapy groups, and that untoward behaviour is challenged. The residents felt that on their arrival to the home this felt quite strange, however the benefits of having a peer group often more advanced in the programme than themselves was very positive and allowed them to express ideas/concerns as they occurred rather than having to wait until there were counsellors in the home. The residents were also very aware that the programme at Clarence Park Lodge although quite intensive had a high success rate. Within the group there is also a responsibility toward others, and one resident commented that they felt safe within the group and that what was discussed in sessions was confidential and not taken to outside agencies. Residents take responsibility for the day to day running of the household and all have allocated tasks. The residents stated they were not involved in meal planning, although took part in the preparation and serving of meals when the housekeeper was absent. The inspector observed the housekeeper preparing the evening meal and noted several large cakes prepared for the residents to have as an extra snack in between main meals. Residents stated that the food was good, that they were inclined to put on weight, but enjoyed their meals and the homemade cakes. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 15 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. Staff and understand the key principles of giving personal support and are responsive to the varied and individual requirements of the residents. EVIDENCE: All the residents require support through the programme, which is provided through counselling on a one-to-one basis and through group therapy. The house rules dictate that residents are well groomed and wear clean clothing in order to develop their personal-care skills and their sense of respect of themselves and towards their peers. All service users are supported to achieve optimum health and well being and are assessed on admission by the GP’s who support the home. Some of the residents have health care needs, which require external appointments such as hospital treatment, and local services are accessed when necessary. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 16 There are homely remedies held at the home such as paracetamol, however these are under staff control. No regular medication was held at the home at the time of the inspection. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 17 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. The home has an open culture, which enables residents to express their views, and concerns in a safe and none blame environment. EVIDENCE: Residents and others associated with the service state that they are very satisfied with the service provision, feel very safe and well supported by an organisation that has their protection and safety as a priority. Clarence Park Lodge ensures that all residents receive a copy of the complaint procedure. No complaints had been recorded at the home. There have been no adult protection issues at the home. The residents were able to confirm that the systems at the home support them when raising issues; none of the residents who spoke with the inspector expressed any dissatisfaction or concerns about the home. Clarence Park Lodge DS0000008103.V321784.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): 24,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that meets the specific needs of the residents who live there. There is a rolling programme to include redecoration and replacement of fixtures and fittings. EVIDENCE: The inspector toured Clarence Park Lodge with Amanda Lea. The building has very large rooms and appears tired in places. The inspector confirmed with the residents that the home was well maintained and that no hazards had been identified. Residents also confirmed that any issues of maintenance were raised by the house leader and addressed quickly. The management has an ongoing plan for redecoration and refurbishment, subject to funds and availability of premises. Some areas of the home were observed to be cleaner than others; this was also commented on in the service questionnaire in response to the question Is the home fresh and clean? the comment made was that “sometimes we don’t always put in full work (among peers)”. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 19 The flooring in the residents’ tea/coffee making area is torn and should be replaced. Laundry facilities were available for residents to use, and were stated to be in working order and sufficient to meet the needs of the client group. Clarence Park Lodge DS0000008103.V321784.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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The skills and training of the staff team are planned as to meet the needs of the service users. EVIDENCE: The home is not staffed on a 24-hour basis; out of hours staffing is by support workers, and on call counsellors. The inspector spoke with one counsellor who works in Clarence Park Lodge alongside the registered manager. They were able to confirm the induction, training and support mechanisms available within the organisation. The statutory training for staff generally was up-to-date. The specialist skills training requirements, linked to the DANOS recommendations for support staff working in drug and alcohol rehabilitation, had been met as staff either had or were working toward equivalent counselling qualifications. The external supervision for counsellor staff is continuing, and this is supplemented internally by counsellor staff group meetings and individual supervision. The management must also ensure that a formal supervision/appraisal is undertaken for all staff in order to identify individual training needs, and produce development plans for staff. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 21 Clarence Park Lodge DS0000008103.V321784.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): 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 management is person centred in their approach and leads the staff team who have been recruited and trained to meet occupational standards. EVIDENCE: The registered manager for the home Alun Davies, is very experienced and continues to work closely with the residents in the secondary stages of the programme. The managing director, Amanda Lea, takes responsibility for the quality assurance, budget management, training and staff supervision for Clarence Park Lodge. The central administration office also deal with the financial accounts and building maintenance. Minutes for staff meetings are held at the organisation’s administrative office. Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 23 The quality assurance carried out at the home includes collation of information relating to retention rates, service user satisfaction and completion rates. The home also holds regular reunions, which are well attended and give an indicator to the success of the programme. Amanda Lea is undertaking regulation 26 visits and reports are currently sent to the commission with a copy being held by the organisation. Amanda Lea undertakes the monthly audits of the home. Other audits for areas such as the buildings and provision of domestic services, are undertaken by the managers responsible for these areas. Currently a business plan for the forthcoming year is being formulated. The record keeping at the home is well maintained by the counselling staff; residents are aware that they have the right to see all records held on them. Monies are held on behalf of service users who are then supported to manage their finances. Whilst at the home there were no areas of concern about the health and safety implementation. The inspector was able to see records of testing and maintenance of equipment. The fire alarm system testing had been implemented appropriately, with regular testing of equipment and drills. There is a signing in and out book so that there is an accurate record of people in the building. The inspector reviewed the accident records for residents/staff, which indicated no recorded incidents since April 05. The first aid box contents should conform to the contents listed on the guidance card. Clarence Park Lodge DS0000008103.V321784.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 X 2 3 3 X 4 3 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 3 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 25 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. 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. Refer to Standard YA9 Good Practice Recommendations Risk assessments should identify potential risks and possible triggers that may cause relapse or disciplinary discharge. The assessments should outline strategies for safeguarding the health and welfare of service users after discharge Replacement of the torn flooring in the tea/coffee making room. Training and development plans should be in place for all staff. 2. 3. YA24 YA35 Clarence Park Lodge DS0000008103.V321784.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Somerset Records Management Unit 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 Clarence Park Lodge DS0000008103.V321784.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. 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