Inspection on 15/07/08 for College House

This inspection was carried out on 15th July 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

College House 30/07/07

College House 31/07/06

College House 24/01/06

College House 07/09/05

College House 08/03/05

College House 19/10/04

College House 11/02/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE College House 87 College Street Cleethorpes North East Lincs DN35 8BN Lead Inspector Rob Padwick Key Unannounced Inspection 15th July 2008 12:30 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 College House DS0000002897.V368370.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. College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service College House Address 87 College Street Cleethorpes North East Lincs DN35 8BN 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) 01472 693957 01472 351749 Maria.Gatt@ntlworld.com Mrs Maria Gatt Mrs Maria Gatt Care Home 19 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (19), Old age, not falling within any other of places category (19) College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 day care place for under 65 with presenile dementia Date of last inspection 30th July 2007 Brief Description of the Service: College House is a well established home situated in a pleasant residential area in the seaside resort of Cleethorpes; it has good access to local amenities and public transport. The home is registered to accommodate 19 service users with residential care needs. Accommodation is provided on two floors; there is stair and chair lift access to the first floor. There are eleven single rooms and four shared rooms; three of the single rooms have en-suite facilities. The home has two lounges and one dining room; all rooms are decorated and furnished to a good standard. There are bathroom and WC facilities located on each floor. There is a pleasant courtyard area where service users can sit out. The home is well maintained and provides a pleasant, homely inclusive atmosphere. The home is owned and managed by Mrs Maria Gatt. Information about the home and its services can be found in the statement of purpose and service user guide, both these documents are available from the manager of the home. A copy of the latest inspection report for the home can also be obtained from the manager. Information given to us by the Provider indicated the weekly charges for the home range from £361 to £402. People are not expected to pay for chiropody treatments and toiletries. More up to date information on fees and charges can be obtained from the manager of the home. College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This inspection report is based on information received by the Commission for Social Care Inspection (CSCI) since the last key inspection of the home which took place on 30th July 2007 and a subsequent Random inspection that we carried out on 26th March 2008, together with information gained during a site visit to the home. As part of the inspection process we send out an Annual Quality Assurance Assessment (AQAA), which is a self-assessment document, which the registered person completed and returned to the Commission as requested. This site visit took place on 15th July 2008 and lasted for 6 hours. As well as talking with the acting manager, we spoke to the provider and some members of staff as well as some of the people living in the home. As part of the site visit we looked round the home including the shared areas, together with personal bedrooms, and inspected the records of people’s care, some staff files, the health and safety documents and other records kept in the home. What the service does well: What has improved since the last inspection? Some of the recommendations we made previously had been implemented and an air extractor had been fitted in the smoke room and more staff dementia training provided, although the provider told us that despite most of them having received this, there were sometimes delays in getting them started on courses about this. More activities have been developed for people using the service, although we saw evidence that more of this was still needed. Some areas in the home had been improved with new carpets laid and some parts College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 6 redecorated to meet the needs and choices of people living in the home. The manager told us about plans to develop the home with more training and better staff management arrangements to ensure their are more of them on duty to meet the needs of people with dementia. 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. College House DS0000002897.V368370.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 College House DS0000002897.V368370.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): 1, 2, 3, 5 and 6 People who use this service experience adequate outcomes in this area. Whilst the needs of people using the service are assessed to ensure it can meet them appropriately, clearer information about the home would help them to understand more about what they can expect from the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of people living in the home contained assessments about them, which had been carried out as part of their admission to the service. Whilst there was evidence the home’s staff had undertaken the assessments to ensure the service was able to meet their needs, it is recommended these are further developed to help staff make a more informed a decision about them. People using the service told us they liked living in the home and a relative confirmed she had visited the service to check its suitability before making a decision about it. Whilst written information was available to help people make decisions about the home, a requirement made previously concerning College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 9 this had not yet been fully met, although we saw evidence the provider had plans to develop this in the near future. Since the last time we visited the service, we received a concern that people living in the home had been moved to another service owned by the provider, without their formal agreement or consent being properly obtained. Whilst the Provider confirmed this and indicated it would not happen again and the files we inspected contained contracts issued to people using the service and the home, the previous requirement about this is repeated in order to protect their rights and to provide them with clear information about what they can expect from the home. The home does not accept intermediate care placements so standard six does not apply to this home. College House DS0000002897.V368370.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 People who use this service experience good outcomes in this area. Whilst the health and personal needs of people living in the home were being generally well met, more accurate information about medicines kept in the home would help staff to safeguard their health and welfare and ensure people are not put at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home indicated their health and personal care needs were being met and care plans for them were contained in all of their files we inspected. Whilst these provided information concerning a range of areas of need, there was some evidence they could be improved and developed further to reflect the personal strengths and abilities of people using the service. This would enable staff to involve people more directly in the delivery of their support and ensure that it meets their individual wishes and maximise opportunities for them to be as independent as possible. A recommendation College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 11 is made about this. People living in the home were observed to look clean and well groomed and relatives confirmed they were satisfied with the home. One commented people using the service were “Always clean and well looked after” whilst others stated they “Wouldn’t want (xxx) anywhere else” and that they were “Immediately informed of changes” concerning changes in health conditions. Health service professionals confirmed the service was “Welcoming” and generally good in maintaining contact and following their advice. However, case files inspected contained some evidence this aspect of practice could be further developed. Some aspects relating to liaison with health professionals were not present in the files we inspected and whilst care plans were being regularly reviewed to ensure they were kept up to date, some aspects of risks relating to people living in the home (e.g. behaviours that challenge the service) needed more information in order to provide staff with clearer details about the management of them. A recommendation is made about this. We made requirements previously relating to the administration of medication to people living in the home. Some medication was observed stored in the home’s domestic fridge, although confirmation was obtained that an alternative was to be delivered in the near future for this. Whilst the service had a medication policy for staff to follow and training provided about this, there was some evidence this aspect of practice still needed managing better. The medication records we inspected were generally up to date, however some errors were found relating to hand written entries on them together failures to keep them up to date and amend them where needed. A Requirement is made about this. College House DS0000002897.V368370.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 People who use this service experience adequate outcomes in this area. Whilst people living in the home are able to maintain contact with friends and family and for them to receive a varied and nutritious diet, further opportunities for their involvement in meaningful activities would enable individual needs and choices to be better met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An activities coordinator visits the home to carry out gentle exercises with people using the service however there was some evidence these needed to be more regularly maintained in order to maximise their benefit. Whilst people living in the home indicated they were able to take part in various activities and evidence was seen of things they had been involved in contained in their records inspected, a number of people using the service were observed looking listless and bored or asleep in their chairs. Their was evidence that people living in the home can maintain links with the local community with visits to a sister home owned by the Provider and going on trips out, however a relative indicated a wish that more could be done to help people using the service be more stimulated. College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 13 People using the service have a mixed range of needs and conditions and a number have problems relating to memory or dementia. Whilst there was evidence that staff had received training about this and that more was to be provided about this in the future, the requirement made previously about activities is repeated to ensure that the individual needs of people living in the home are better met. We observed relatives of people using the service visiting the home and those spoken to confirmed they were generally happy with arrangements provided. Relatives told us the staff communicated with them well and one told us the staff were “Very kind and friendly…and also supportive to me”. Whilst people living in the home confirmed they were able to make choices about various things such as what they want to do, a recommendation is made that staff engage with them more proactively about their wishes and feelings, in order to maximise their ability to feel in control of their lives. We saw evidence the nutritional needs of people living in the home were being met and case files contained evidence of monitoring of aspects relating to this. People living in the home said that they liked the food served to them and a relative told us the “Quality of the food is brilliant…it couldn’t be better”. An Environmental Health Officer had visited the service since our last visit to the home and we saw evidence that staff were generally complying with recommendations made at that time. College House DS0000002897.V368370.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 People who use this service experience good outcomes in this area. The concerns of people living in the home are taken seriously and staff have received training to ensure people using the service are safeguarded from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home indicated they had no complaints about the service and that staff listened to their concerns. The home had a generally satisfactory complaints procedure, which needed a minor alteration, although the Provider said she would update and amend this. Relatives of people living in the home said they were confident the Provider would listen to their views and that they had no concerns about the service. No complaints or concerns, other than the one indicated previously (See Choice Of Home) had been made to CSCI since our last visit to the home and inspection of the service’s records indicated none had been made to the home. Policies and procedures were in place to ensure people using the service were safeguarded from harm and we saw evidence staff had received training about this aspect of practice. We witnessed an incident between people living in the home, which needed reporting to the Local Authority and received confirmation this was referred appropriately to them the following day for in order to ensure they are safeguarded from potential harm. College House DS0000002897.V368370.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 People who use this service experience good outcomes in this area. People living in the home are provided with a clean and comfortable environment that is well maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was comfortably furnished and we saw evidence in the records it was being appropriately maintained. People using the service indicated they liked living in the home and the bedrooms inspected were individualised to reflect their personal tastes and choices. Access to the bedrooms is by use of a staircase and stair lift and corridors areas were wide enough for wheelchairs although the positioning of stairs meant that people with limited mobility would be reliant on staff for support to move freely in some areas of the home. The last time we visited we made recommendations to improve the facilities in the College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 16 smoking room and we saw evidence the provider had implemented these with the provision of additional ventilation to provide a more comfortable environment. We saw evidence of steps taken to ensure the home is kept clean and tidy together with actions to implement previous recommendations made by the Environmental Health Department as previously noted. (See Daily life and social activity). College House DS0000002897.V368370.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 People who use this service experience good outcomes in this area. Whilst the needs of people using the service are generally well met by a friendly staff team who have been trained to ensure can do their jobs, some further adjustments to the management of them would help them provide better outcomes for people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home indicated that staff were meeting their needs and relatives commented on the “Friendly and welcoming” atmosphere in the home and said staff had the “Right Approach”. Staff told us they enjoyed working for the service and whilst five of them were on duty at the time of our visit, and relatives told us they “mix well with people using the service and sit and talk with them”, we observed times when people using the service were left alone or not actively engaged with for some periods of time. The home had a training programme to enable staff to do their jobs, and saw evidence this was being monitored to ensure their skills were updated. A requirement made previously that dementia training should be provided had College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 18 been implemented and we saw evidence of plans to provide this to others who had not received it. Whilst staff files contained evidence of regular supervision and appraisals, their times we observed times when they needed to engage better with people living in the home about their individual needs and preferences. The service had recruitment policies and procedures to ensure staff are safe to work with people living in the home. No new staff had been employed since our last visit to the home, although on that occasion we had a concern about a missing second reference for a newly recruited staff member. A re inspection confirmed this had correctly been requested, although we saw evidence they had started work following initial POVA FIRST clearance, but before a Criminal Records Bureau had been received for them. The provider was reminded this practice should only be followed in exceptional circumstances. College House DS0000002897.V368370.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 and 38 People who use this service experience adequate outcomes in this area. Whilst the service was being generally well run, improved management and administrative arrangements would help support the health, safety and welfare of people living in the home and ensure they are consulted more fully about it. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home indicated the service was being well run and relatives confirmed they were “satisfied” with the service and confident the Provider would listen to their concerns. A senior carer had recently been promoted to acting manager, to enable the Provider to concentrate on other issues, and whilst we saw evidence he had started a Registered Manager’s Award course, College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 20 their was some evidence he needed to be supported further to manage the home. An incident relating to an accident and emergency admission had not been reported to the Commission for Social Care Inspection correctly and neither had two possible outbreaks of scabies, although these had been notified to the Health Protection Authorities. A Requirement is made about this. Quality assurance systems were in place to ensure people living in the home are consulted about it, although there was some evidence these needed to be developed. Whilst the records inspected confirmed they and their relatives were generally happy with the service provided, we were told resident meetings did not generally take place and that staff meetings had not occurred for some time. A recommendation is made to develop the consultation systems for the home and proactively invite feedback from people using the service in order to take account of their views. The Provider had completed all parts of the homes self assessment as required, although there were areas where more supporting evidence would have been useful in order to illustrate what had been done over the past year and what plans their were to improve the service further. A range of the home’s maintenance records were inspected which provided evidence of appropriate checks to ensure the health and safety of people living in the home. We saw evidence the provider had taken action to comply with previous recommendations about offensive smells and poor ventilation and were told the service does not help people look after their personal finances. College House DS0000002897.V368370.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 2 2 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 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 2 X N/A X X 3 College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP1OP1 Regulation 4 and 5 Requirement The registered provider must make sure the home’s statement of purpose and service user guide meet the requirements of schedule 1, so that people and relatives know everything there is to know about the service of care they can expect in the home. Items missing include a list of room sizes and item 15, and those requiring expansion are items 6, 8, 10, 11, 14 and 16. Previous timescale of 30/06/07 was not met The registered provider must ensure the statement of terms and conditions and service user guide meet the criteria of Regulation 5 of the Care Home Regulations and includes the information asked for in The Care Standards Act 2000 (Establishments and Agencies)(Miscellaneous Amendments) Regulations 2006 (for Regulation 5), which came into force on 1st September 2006, including room number and current fee payable. This is so people know how DS0000002897.V368370.R01.S.doc Timescale for action 15/09/08 2. OP2OP2 5(b)(c) Amended regulation s2006 15/09/08 College House Version 5.2 Page 23 3. OP9OP9 17 4. OP12OP12 16(2)(m) and (n) 6. OP31OP31 37 much they have to pay for their care, what they are getting for their money and the cost of any additional extra services they may wish to purchase. Previous timescale of 30/09/07 was not met and 31/5/08 not met The registered provider must ensure that accurate records are maintained of medication administered to people living in the home. This is to make sure people receive their medication correctly and that their health and safety is not put at risk. The registered provider must ensure people have the opportunity to exercise their choice in relation to leisure and social activities; that these choices are recorded and they are offered a range of stimulating activities both inside and out of the service to ensure people do not get bored and to ensure they are able to take part in meaningful activities. This requirement has been partly met and now needs to be met for those with less cognitive abilities. Previous timescale of 31/12/07 and 30/6/08 not met. The registered provider must ensure that significant events effecting people using the service are reported to the Commission for Social Care Inspection in order to safeguard their health, safety and welfare. 15/09/08 15/09/08 15/08/08 College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 24 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 OP7OP7 Good Practice Recommendations The registered provider should develop the care plans belonging to people living in the home to include information about their individual strengths and abilities, in order to help staff engage more fully and maximise the opportunities to support people using the service to be as independent as possible. The registered provider should liaise further with health professionals and follow their advice and guidance relating to the development of assessments about risks to people living in the home in order to provide staff with clear information about the management of them. The registered provider should ensure that staff engage more fully with people living in the home about their individual wishes and feelings in order to maximise their ability to feel more in control of their lives. The registered provider should continue to provide staff with training that specifically reflects the needs of older people and those with dementia. Providing staff with better training around the needs of people in the service will ensure they have all the knowledge and skills they need to meet the needs of people and this will have a positive impact on the care they receive. The registered provider should develop the consultation systems for the home and proactively invite feedback from people using the service in order to take account of their views. 2. OP8OP8 3. OP14OP14 4. OP30OP30 5. OP33OP33 College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 College House DS0000002897.V368370.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!