Inspection on 05/07/06 for Cleveleys Park Rest Home

This inspection was carried out on 5th July 2006.

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

Cleveleys Park Rest Home 23/02/09

Cleveleys Park Rest Home 16/06/08

Cleveleys Park Rest Home 13/08/07

Cleveleys Park Rest Home 04/01/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Cleveleys Park Rest Home 2 Stockdove Way Cleveleys Blackpool Lancashire FY5 2AP Lead Inspector Mrs Ruth Edgington Unannounced Inspection 5th July 2006 9.15 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 Cleveleys Park Rest Home DS0000065275.V286142.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. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cleveleys Park Rest Home Address 2 Stockdove Way Cleveleys Blackpool Lancashire FY5 2AP 01253 821324 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) Ms Sonal Solanki Miss Jemma Reed Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (14), Physical disability (1) of places Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 15 service users in the category of OP (older persons over the age of 65 years) and one service user in the category of PD (Physical Disability). Only 1 named service user in the category of PD over the age of 60 years may be accommodated within the overall number of registered places. 4th January 2006 3. Date of last inspection Brief Description of the Service: Cleveleys Park Care Home is situated within easy access of Cleveley’s local shops and amenities. The home provides personal care for a maximum of fifteen residents of both sexes aged 65years and above. The accommodation, which is on the ground and first floor, consists of nine single bedrooms and three shared bedrooms. Four of the bedrooms have ensuite facilities. There are sufficient bathing and toilet facilities to meet the needs of the residents accommodated. The communal rooms provide sufficient space and comfortable surroundings for the residents. There is a passenger lift to assist residents to move between the ground and first floor, however the home does not have available any special equipment except for a specialist bath, wheelchairs and walking frames. There is a Statement of Purpose/Service User Guide, which is available for persons making enquiries about the home. There is also a copy in each bedroom for residents and their relatives to refer to. The written information explains the care service that is offered and what the resident can expect if they decide to live at the home. A copy of the most recent inspection report is located in the hallway for residents and visitors to read. Information received on the visit confirmed that the fees for care at the home are from £300.0 to £350.0 per week and this includes hairdressing and chiropody. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, which commenced at 9.15am and took place over five hours. The homeowner confirmed that they wished to apply for a variation to the registration certificate to remove the condition to allow one named person in the category of PD (Physically Disabled) under the age of 60 years live in the home. This admission did not take place. Prior to the visit comment cards were received from the relatives of two residents and these were very positive. One comment was that the home was “Excellent a real home from home”. The manager stated that they had not received any request from the Commission for Social Care Inspection to complete a pre-inspection questionnaire. The information in this document would have been helpful in identifying any areas that required further clarification during the visit, however from observations and discussions made during the visit, relevant information was obtained. The manager, two care staff and a relative were spoken to. The homeowner was also contacted to verify some issues . Five resident were spoken to individually and conversations took place with a number of residents who were sitting in the lounge. A tour of the home was carried out and a selection of residents, staff and administration records were examined. From the observations made, comments received and written documentation seen, the information has been put together to produce this report. What the service does well: The residents in this home are well cared for. They are encouraged to be individual and their personal routines and lifestyles are respected. A relative spoken to during the visit said that they could not praise the staff highly enough. They were encouraged to play a part in the home and voice their opinions in order that the needs of the residents are met. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 6 The staff team work well and put a great deal of time and effort into meeting the individual needs of the residents. Observations made of the staff during the visit, showed that they were very caring and carried out all personal tasks in a sensitive manner. A comment was received from one relative, which confirmed that they were extremely happy with all the care provided. The staff work well with other agencies in order that the needs of the residents are met individually and as a group. The staff telephoned a district nurse during the visit, who then visited to offer advice and it was possible to observe the working relationship that had developed. Evidence was found that the individual likes, dislikes, preferences and expectations of the residents had been identified and were being met. A visitor confirmed that their relative had a particular dislikes of a certain food and that staff always made sure that this was not given. One resident was observed having a leisurely cooked breakfast, which they said they enjoyed. This was long after other residents had gone to sit in the lounge. At no time did staff attempt to hurry the resident on. What has improved since the last inspection? What they could do better: The manager and staff are committed to providing a care for the residents and therefore every opportunity should be provided to the staff to enable them to continue to provide a high level of care. This should include access to all relevant training courses, which would further their knowledge and understanding of the needs of the elderly. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 7 The manager should continue to work towards obtaining a recognised qualification in order that she can carry out her role effectively. The homeowner should ensure that the manager has clear lines of responsibility in order to undertake the day-to-day management of the home effectively in order that the needs of the residents are met. The homeowner should also carry out unannounced monthly visits to the home to ensure an external overview of the management of the home. A report of the visits findings should then be produced and a copy sent to the manager and to the Commission. Whilst the home is clean, safe and maintained to an acceptable standard, the homeowner should introduce a programme of upgrading and refurbishment to make sure that the physical standards of the home do not deteriorate. There was recognition by the management and staff of the improvements that need to be made in the future. 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. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 8 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 Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The admission and assessment procedures are clear to ensure that the care needs of the residents are met. The home does not provide intermediate care therefore this standard was not assessed. EVIDENCE: The homes admission procedure ensures that a formal assessment is carried out prior to any resident being admitted. The files of three of the most recent residents to be admitted were examined and found to contain a full assessment of their needs, which had been carried out prior to their admission, therefore ensuring that the home could meet their needs. Each residents file also contained written evidence confirming that the manager had informed the resident and their relatives, prior to admission, that the home could meet their assessed needs. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 10 Staff spoken to confirmed that they had access to the residents information and could describe in detail the care needs of the individual residents. A relative spoken to during the visit said that they had chosen the home for the resident and were very satisfied with their choice. They also confirmed that they had been involved fully in the admission process. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 &10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Promotion of health is taken seriously. Resident’s welfare is closely monitored to ensure health needs are met. EVIDENCE: A care plan is devised for each resident from the assessment of his or her needs. From examination of three residents’ files it was noted that in the case of two residents their care plans were in the process of being completed. This was due to the fact that the residents had only just been admitted and were in the process of settling in. Detailed information in relation to their health, personal and social needs was available for staff to compile the care plans with the involvement of the individual resident. Examination of the third file showed that a plan of care had been set up and that regular reviews had taken place. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 12 Confirmation was seen that the residents’ representatives are invited to the monthly reviews and they are advised of the date that this is to take place. The relative spoken to confirmed this and evidence was seen that they and the resident agreed with the care being provided. Significant events had been recorded and daily entries made setting out the care given. Through discussions with the staff it was evidenced that they were fully aware of the individual needs of the residents. During the visit evidence was seen of involvement with other professionals. Staff interacted well with a district nurse at the staffs request was visiting a resident to offer support. One resident spoken to was lying on their bed and they confirmed that this was their choice, as this made them feel more comfortable. The resident also said that they were well looked after and that the staff were very kind. Observations were made during the visit of the caring approach of the staff towards the residents and the practices in the home ensured that the residents were treated with respect and their right to privacy was upheld. Medication practices were safe and good records had been maintained. All staff who administered medication had undertaken training. The home recently changed to another local chemist and were now using a monitored dosage system, which has proved to be an improvement. One resident self medicated and the appropriate risk assessment and documentation had been completed and safekeeping facilities provided. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All the above standards were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirements and choice. EVIDENCE: The information obtained prior to admission and through the care plans contained reference to the social, cultural, religious and expectations of the individual residents. In the case of one resident, who had just been admitted, their religious beliefs differed from others in the home, however they said that they had no desire to actively follow this. Through discussion about their food presences they confirmed that they only had one dislike and it was recognised that this could relate to their religion. Staff said that they would include this information in the care plan and make everyone aware of this. There was a four-week menu in operation, however the manager said that it was changed frequently depending on the time of year and the wishes of the residents. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 14 Residents spoken to said that they enjoyed their meals. One resident was seen taking time over their breakfast long after everyone else had finished and said that they had enjoyed the meal. The documentation relating to one resident showed that they did not like any dairy products. The relative spoken to said that the resident liked porridge made with water and the staff always made sure that their wishes were carried out. Evidence was gained that one resident required alternatives to their diet due to being diabetic. An adequate and nutritious diet was being provided. Visitors are made welcome and residents are encouraged to maintain links with the community. Activities are encouraged especially in an afternoon, however from information received and observations made during the visit, residents confirmed that they enjoyed doing things together for a special event. They had all made Easter Bonnets and were happy to show their efforts. Some residents had taken part on cookery sessions. In the main the residents prefer to read or watch TV. Little conversation was observed between the residents during the visit. One resident confirmed that they liked reading even though the optician had confirmed that the sight in one eye was deteriorating. They said “ I will carry on doing what I want for as long as I can”. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 15 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The arrangements in place for handling complaints ensure that people feel confident that their complaints will be listened to and taken seriously. Procedures for dealing with and reporting abuse were in place to ensure that people are adequately protected. EVIDENCE: There is a detailed complaints procedure, which is included in the written information given to all residents and their relatives on admission. The relative of one resident said that whilst they had never had cause to make a complaint they felt confident that if they did it would be dealt with in a professional manner. The home keeps a record should any complaints be made. The Commission for Social Care Inspection (CSCI) has not received any complaints about the home since the previous inspection. From discussion with the manager and staff,evidence was gained to confirm that they had a good understanding of the procedures to be followed in the event of any allegation or suspicion of abuse or neglect. Staff had received training about recognising the signs of abuse,previously. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. A programme of upgrading, refurbishment and development programme is required to ensure that the residents continue to live in a comfortable, homely and safe environment. EVIDENCE: A tour of the home confirmed that the requirments made following the previous inspection in regard to the radiators had been complied with. All radiators had been fitted with thermostatic controls. Due to the very hot weather on the day of the visit, the heating was not on so it was not possible to check if these were working correctly. There were no adverse comments received that raised any concerns. The home was very clean and free from any offensive odours. In the main the standards of decoration and furnishings were satisfactory, however there was no evidence of a maintenace programme being kept. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 17 Attention to garden area on one side was required, which although did not represent any safety issue, could if neglected further, effect the appearance of the home . The provider was advised that a planned programme of maintenance and redecoration of the home should be produced and made available for inspection if required. It was pointed out to the manager that whilst the laundry room and office facilities had been in operation for many years, these were considered to be areas which should be looked at in any future improvements to be made. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All the above standards were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The policies and procedures for the recruitment of staff are robust and provide safeguards for the protection of the residents. EVIDENCE: There had been no new staff employed since the last inspection. The files of the two care staff on duty were checked and contained the required information and the recruitment procedures had been followed correctly. Examination of the staff rota confirmed that there were sufficient staff on duty to meet the needs of the residents presently accommodated, however the manager said that the rota was being reviewed to provide cover more efficiently. At the time of the visit, there were two care staff, two domestic staff and the manager on duty. Of the ten care staff employed, eight had a National Vocational Qualification (NVQ) level 2. Two of the care staff were due to undertake a formal induction course. All staff had received appropriate training by the previous providers. The manager confirmed that various training courses had been identified but was not able to access training this time unless funding was available. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 19 From discussions with the staff they were able to demonstrate their commitment to providing a good service. The relative of one resident said that the staff were very caring and she could not praise them enough. From observations made during the visit evidence was seen of the caring nature of the staff and the positive interaction with the residents. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. 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 the home. The home is run in the best interests of the residents. EVIDENCE: The manager has worked in residential care homes for the past eight years, four of which have been as a deputy manager and has undertaken a variety of relevant training courses. She is presently undertaking Level 4 NVQ training and RMA, (Registered Managers Award),completion of which had been delayed due to problems of the availabilty of an assessor. The manager is confident that she will complete the course by the end of the year. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 21 The homeowner visits the home at least once per week, however the lines of responsibilty were not very clear, which in some instances could prevent the day to day running of the home operating effectively. Safety checks are carried out ,although it was noted that the electrical appliances were due to be checked at the end of June and that the emergancy lighting and fire alarm system were also due in August for servicing. the manager and provider were reminded of this and asked to ensure that the checks were carried out. The provider was contacted during the visit about this matter. Residents are encouraged to control their own finances and if they are not able to do so then their relatives or representatives are asked to take over this responsibility. The manager confirmed that the home does not hold any monies or possessions on behalf of the residents and that services such as hairdressing and chiropody are funded by the home. Questionnaires were in place for the residents and their relatives to complete in order to accesss the quality of the service. A sample of these were seen and all were very positive. Monthly reports regarding the operation of the home were not being received by CSCI from the provider. Unannounced monthly visits need to be undertaken to the home by the homeowner to ensure an external overview of the management of the home. A report of the visits findings should then be produced and a copy sent to the manager and to the Commission. The policies and procedures are reviewed in line with changing legislation, however the home does not have a policy equality and diversity and therefore it was recommended that the manager incorporate into the policies how the home meets the issues relating to individual residents equality and diversity. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 22 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 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x x 2 Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP31 Regulation 26 Requirement The registered provider must visit the home on an unannounced basis at least once per month and forward a copy of their report to the Commission (Timescale of 31/01/06 not met) The registered provider must ensure that there are clear lines of accountability within the home Timescale for action 31/08/06 2 OP31 12 31/08/06 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 2 Refer to Standard OP19 OP30 OP31 Good Practice Recommendations A planned programme of maintenance and redecoration of the home should be produced. The registered provider should ensure that staff have continual access to relevant training courses in order that they are able to meet the changing needs of the residents The registered manager should obtain level 4 NVQ in management and care. Cleveleys Park Rest Home DS0000065275.V286142.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 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 Cleveleys Park Rest Home DS0000065275.V286142.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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