Inspection on 19/12/05 for Colonia Court

This inspection was carried out on 19th December 2005.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Colonia Court 15/12/09

Colonia Court 17/09/08

Colonia Court 25/09/07

Colonia Court 11/10/06

Colonia Court 14/03/06

Colonia Court 10/03/06

Colonia Court 10/01/06

Colonia Court 03/11/05

Colonia Court 15/03/05

Colonia Court 01/02/05

Colonia Court 13/01/05

Colonia Court 09/12/04

Colonia Court 09/11/04

Colonia Court 13/07/04

Colonia Court 07/07/04

Colonia Court 22/06/04

Colonia Court 15/06/04

Similar services:

Claremont House

Chesham House

Oak Ridge

Argyll House

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

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

CARE HOME ADULTS 18-65 Colonia Court St Andrews Avenue Colchester Essex CO4 3AN Lead Inspector Francesca Halliday Unannounced Inspection Amber Lodge 19th December 2005 – 5th January 2006 09:15 Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 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 Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 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. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Colonia Court Address St Andrews Avenue Colchester Essex CO4 3AN 01206 791952 01206 794230 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) BUPA Care Homes (CRHCare) Limited No. 2741070 Care Home 110 Category(ies) of Dementia - over 65 years of age (30), Mental registration, with number disorder, excluding learning disability or of places dementia (20), Mental Disorder, excluding learning disability or dementia - over 65 years of age (1), Old age, not falling within any other category (30), Physical disability (3), Physical disability over 65 years of age (30) Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. 8. 9. Amber Lodge Persons of either sex, under the age of 65 years, who require nursing care by reason of Huntington`s Disease (not to exceed 20 persons) Persons of either sex, under the age of 65 years, who require care by reason of Huntington`s Disease (not to exceed 20 persons) One service user over the age of 65 years who requires care by reason of Huntington`s Disease Mumford House Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 30 persons) Blomfield House Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 30 persons) Paxman House Persons of either sex, aged 50 years and over, who require nursing care by reason of a physical disability (not to exceed 3 persons) Persons of either sex, aged 65 years and over, who require care by reason of a physical disability (not to exceed 30 persons) One service user under the age of 50 years, whose name is known to the Commission, who requires nursing care by reason of a physical disability The total number of service users accommodated not to exceed 110 persons 13th January 2005 Date of last inspection Brief Description of the Service: Amber Lodge is one of four houses at Colonia Court Residential and Nursing Home. Each house is staffed on an individual basis and the central services include administration, laundry and kitchen. The home has a spacious car park and a guest flat available. Colonia Court is set in a residential area and is approximately one mile from Colchester town centre and two miles from the railway station. Buses run along St Andrews Avenue outside the home. Amber Lodge is a 20 bedded specialist unit for residents over the age of 18 years with Huntington’s Disease. The unit is registered to provide both nursing and personal care. Amber Lodge has 20 single rooms, all with en-suite toilet and basins, and a wide range of communal rooms. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit was to Amber Lodge only. The inspection took place on 19th December 2005 and lasted 7 hours 30 minutes. The inspection process included discussions with 5 residents, 3 relatives, and 4 members of staff including the general manager. The premises and a sample of records were inspected. Further information was requested at the time of inspection and this arrived on 23rd December. The head of care was not present at the time of inspection and was spoken with on 20th December and 5th January 2006, and this concluded the inspection process. At the time of inspection the home was in the process of applying for a variation to the registration of Amber Lodge, in order to provide care for three residents over the age of 65 years 23 of the 43 standards were inspected: 3 exceeded the standard, 15 met the standards and 5 standards had minor shortfalls. The judgements made within the report are based on the observations and evidence gathered during this inspection. What the service does well: What has improved since the last inspection? A full time activities coordinator had been appointed, and the range of activities had improved since the last inspection. A partition had been erected to increase the safety of the kitchen area and prevent residents accessing the hot meals trolley. Redecoration of some of the communal areas and three of the rooms, had taken place since the last inspection. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 6 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. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 The information provided by the home enables prospective residents and their representatives to make informed choices about the suitability of the home. Residents and relatives are confident that the home can meet their needs. EVIDENCE: The home has a range of information for prospective residents and their representatives. Staff used the BASOLL assessment (Behaviour Assessment Scale of Later Life) as a pre-admission assessment tool. Further information was frequently provided from specialist nursing and medical reports. The charge nurse usually carried out the pre-admission assessments. Relatives spoken with were happy with the assessment process, and felt that residents’ needs were met. Infringements of rights, such as the security code for the entrance door and staff supervision of any smoking, was agreed with the individual resident and documented in their care records. The charge nurse confirmed that all residents had a review of their placement within three months of admission. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Residents are encouraged to be as independent as possible, and are actively involved in decisions about their care and review of their care needs. EVIDENCE: The overall standard of care plans had improved, and they were more resident focused than at the last inspection. The care plans were very detailed, and demonstrated a good understanding of residents’ individual needs and preferences. A few care plans seen had not been signed or dated. There was a wide range of risk assessments. These included both physical and mental health needs, such as moving and handling and the risk of challenging behaviour towards themselves and others. There were regular evaluations of care, care needs and risk assessments and they were generally of a very good standard. The charge nurse said that they were encouraging residents to develop “living wills” and discuss the care that they might wish to have in the future. For example whether they would wish to be fed via a PEG or be transferred to hospital if their condition deteriorated, and they were unable to voice an opinion at that stage. Residents confirmed that they were very involved in decision-making and were encouraged and supported in making choices within Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 10 the home. Relatives frequently acted as advocates on behalf of residents. The charge nurse confirmed that independent advocates had been used when they could be obtained. There was evidence that residents were encouraged to be as independent as possible, and that they and their relatives were involved in risk assessments and decisions about risk management. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Residents take part in a range of activities, within the home and community. Staff training in activities is still needed. Independence and autonomy are promoted. Residents are encouraged to maintain family links and friendships. Residents’ specific dietary needs are met. EVIDENCE: A full time activity coordinator had been appointed to Amber Lodge since the last inspection, and good records were being developed. There was evidence that participation in outings was a recognised part of the staff role. However, the activity coordinator’s role was not being fully covered when they were on leave or absent. There was no programme of activities at the weekend, although there was evidence that some activities did take place. A discussion was held about the need for staff on Amber Lodge to have training in the range of activities appropriate for residents at different stages of Huntingtons Disease. A discussion was also held about developing activity programmes specific to the individual resident that were linked to their social care plans. According to staff none of the residents were currently able or interested in taking a job. There was evidence that staff were encouraging residents to take part in activities or hobbies that they had engaged in prior to entering the Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 12 home. One resident had been enrolled on a computer course, starting in the New Year. There was evidence of visits to the local shops, pubs, cinemas, garden centres and local places of interest. A resident described how much they had enjoyed a recent visit to the zoo. One relative said that they very much appreciated the fact that staff wore their own clothes when accompanying residents out on trips. The charge nurse said that one resident had been on holiday this year, but that the many of the residents were not able to go due to their challenging and unpredictable behaviour. Staff on Amber Lodge said that visiting was unrestricted. Relatives confirmed that they were encouraged to visit at any time, and were made to feel very welcome. Staff said that part of their role was family support, and relatives confirmed that staff were extremely supportive. The Huntingtons Disease Association also provide support and advice to families. There was evidence that residents saw friends and family in private if they wished. Staff demonstrated awareness of the need to provide support and privacy for residents’ intimate relationships. Locks had been installed on all residents’ bedroom doors since the last inspection. There was evidence that staff promoted residents’ autonomy and independence, and encouraged choice and freedom of movement as much as possible. Staff were observed to knock before entering a resident’s room, and to engage with residents in a positive and friendly manner. Residents spoken with were aware of the rules on smoking and drinking, and said that they were comfortable with being supervised while smoking. Residents were generally very happy with the standard and choice of meals. Staff demonstrated a good understanding of the changing dietary needs of residents with Huntingtons Disease. There was evidence that additional snacks, meals and supplements were being provided to maintain residents’ weight, and that there was regular input from a dietician. Staff praised the kitchen staff and said that they responded extremely well to individual requests. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 19 Residents and relatives are confident that care is provided in the way they prefer, and that health and emotional needs are met. EVIDENCE: There was evidence that care was being given in a flexible manner, to meet residents’ choices and preferences, and that staff maintained residents’ privacy and dignity. Systems were in place to monitor residents’ physical and mental health. Residents had optical and dental checkups and visits from the chiropodist when necessary. Staff and relatives confirmed that there was good support from the GP, and access to local and specialist health services when necessary. Residents received considerable emotional support from staff and care was provided on a one to one basis when additional support was particularly needed. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Relatives are confident that residents are protected from harm. EVIDENCE: The home had a policy on the protection of vulnerable adults, which included a whistle blowing policy. The induction provided an introduction to the issues surrounding abuse and actions to take if abuse is suspected. The majority of staff had received training in the protection of vulnerable adults (POVA), and further training had been arranged. Residents said that they were very happy with the staff and the care provided. Relatives were confident that care was being provided in a manner which was in the residents’ best interests, and protected them from harm. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Residents live in a clean and comfortable environment. EVIDENCE: The home has a programme of ongoing maintenance and refurbishment. All corridors, the main lounge and three bedrooms had been redecorated since the last inspection. The charge nurse was aware that a few of the bedrooms still needed redecoration. The home is single storey and accessible to wheelchair users throughout. There were a large number of communal areas to suit residents’ differing needs. Furniture and furnishings were domestic in character. The smoking room had damaged flooring. The manager said that it was not possible to find flooring, which was safe for residents, would not present a fire hazard and would not show cigarette burns. He said that the flooring would be replaced annually. Amber Lodge has a large secure garden that surrounds the unit. Residents’ rooms were generally highly personalised and reflected their tastes and preferences. The home was clean, with no unpleasant odours, on the day of this unannounced inspection. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Some aspects of staff training need to be carried out in a more systematic manner. Systems for recruitment are generally sound. Staff are well supported. EVIDENCE: The home had a training programme and all new staff received an induction. The Huntington’s Disease Association area manager provided some staff training, and the charge nurse also provided in house training on Huntingtons Disease. However, there was evidence that staff would benefit from a more systematic approach to training, in order to ensure that the specific care and nursing needs of residents with Huntingtons Disease were fully covered. The charge nurse confirmed that the majority of staff needed further training in the management of challenging behaviour. One member of staff felt that they would benefit from more training on care planning. The charge nurse said that new nurses received supervision on the administration and handling of medicines, and an informal assessment was carried out. A discussion was held about the benefit of formalising the assessment to ensure a consistent standard. Care staff had not received copies of the General Social Care council code of practice, and the manager was advised were it could be obtained. The home’s recruitment processes were generally sound, with evidence of appropriate checks being made. A few records seen did not have all the Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 17 required identification on file. The staff interviews were carried out using set questions for some staff groups only, and information concerning the interview was not recorded in a systematic manner. Staff said that they received regular supervision and were well supported by the charge nurse on Amber Lodge. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Residents benefit from a well managed home, and they and their relatives are consulted about the standards on Amber Lodge. Programmes are in place to ensure that staff have training in safe working practices. Staff need to ensure that accident records are always completed. EVIDENCE: The general manager was very experienced and had completed an MBA in Health Services Management. The post of deputy manager and clinical lead for Colonia Court was vacant at the time of inspection and recruitment was underway. Residents, relatives and staff said that they had excellent support from the charge nurse. They considered that he managed Amber Lodge very well and was “very approachable”. They also considered that the general manager was very supportive of Amber Lodge. The home has a quality assurance programme with systems in place to regularly monitor the quality of services and care. The majority of staff had completed a “personal best” course. The course encourages staff to reflect on the care and services they provide, and to identify areas where they can Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 19 improve and provide their personal best. One member of staff said that the course helped them to provide more resident centred care. Accident records were generally well completed, however, a few accidents noted in the care records had not been recorded on accident records. There were programmes in place for all staff to receive training in safe working practices. All staff had received fire training, all staff had either received health and safety and food hygiene training or had been booked on a course. All staff had received moving and handling training, and staff requiring an update had been booked on to a session. A number of staff needed infection control training. There was evidence of good systems for maintenance and servicing of equipment. The home had regular health and safety inspections and no obvious hazards were noted during the inspection. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 20 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 4 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 4 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 X 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Colonia Court Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 2 X DS0000015331.V272975.R01.S.doc Version 5.0 Page 21 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 2 Standard YA6 YA14 Regulation 17(3) Requirement Timescale for action 01/02/06 01/02/06 3 YA14 4 YA14 5 YA32 The registered person must ensure that care plans are always signed and dated. 16(2)(m)(n) The registered person must ensure that there is a range of social activities each day of the week, which meet the individual interests, preferences and abilities of residents. An individual programme must be developed for all residents, which links to the social care plan. Requirement in previous report – timescale of 1.03.05 not met. 18(1)(a) The registered person must ensure that the activity coordinator’s role is fully covered when they are on leave or absent. 18(1)(c) The registered person must ensure that staff on Amber Lodge receive training in the range of activities suitable for residents at all stages of Huntingtons Disease. Requirement in previous report – timescale of 1.05.05 not met. 18(1)(c) The registered person must ensure that there is a DS0000015331.V272975.R01.S.doc 01/02/06 01/04/06 01/02/06 Colonia Court Version 5.0 Page 22 6 YA32 18(1)(c) 7 YA32 18(4) 8 YA34 19(4) 9 YA42 17(1)(a) 10 YA42 13(3) systematic training programme for staff on Amber Lodge, which covers all the specific care needs of the person with Huntingtons Disease. Requirement in previous reports – timescales of 1.10.04 and 1.04.05 not met. The registered person must ensure that all staff receive training in the management of challenging behaviour. The registered person must ensure that all care staff receive a copy of the GSCC code of practice. The registered person must ensure that full identification is available on file for all staff, as required by Regulation 19 and Schedule 2 of the Care Homes Regulations 2001. The registered person must ensure that staff complete an accident form whenever residents have an accident. The registered person must ensure that all staff receive infection control training. 01/03/06 01/02/06 01/02/06 01/02/06 01/04/06 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 Refer to Standard YA34 Good Practice Recommendations The registered person should ensure that interviews are carried out and recorded in a consistent manner. Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Colonia Court DS0000015331.V272975.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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