Inspection on 05/05/05 for Colwill Lodge

This inspection was carried out on 5th May 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 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

Colwill Lodge 12/06/07

Colwill Lodge 20/10/05

Colwill Lodge 05/10/04

Colwill Lodge 22/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Colwill Lodge Leypark Walk Plymouth Devon PL6 8UE Lead Inspector Tina Maddison Announced 05/05/05 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 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 Stationary 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. Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Colwill Lodge Address Leypark Walk, Plymouth, Devon, PL6 8UE Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01752 768646 01752 776255 Plymouth City Council Andrew Rowing-Parker Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users Age 18 - 65. 2. Service Users with Learning Disabilities who may also have physical disabilities or sensory impairment. Date of last inspection 5th October 2004 Brief Description of the Service: Colwill Lodge is a respite care home that provides short term personal care and accommodation for up to 12 people who have a learning disability and who may also have a sensory impairmaent or physical disability. It is owned by Plymouth City Council and provides a respite service for approximately 50 to 6o people overall. The home is located at the end of a cul de sac in the residential area of Estover in Plymouth, that is close to pubs, shops and other amenities. The home was opened in 1997, and consists of a detatched bungalow. The home has eight single bedrooms and two shared rooms, none of which have en suite facilities. There are however, bathing and toilet facilities close to bedrooms and communal areas. There are two lounge areas, one of which is designated as a quiet room, a dining room that is also used for various activities, and a sensory room. There is a call bell system throughout the home. The home has attractive, spacious gardens that are accessible to service users. Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A pre inspection questionnaire was completed by the Registered Manager prior to the inspection. Comment cards were received from a number of relatives and carers. The Inspection commenced at 0930 and finished at 1630. A tour of the building was undertaken, and discussions were held with the Registered Manager and staff. Records and documents were seen for a variety of topics. Service users will be interviewed to gain their views of the service at the next unannounced inspection. Colwill Lodge is a respite service and the service users are in residence in the evenings and at weekends. What the service does well: What has improved since the last inspection? The programme to cover all radiators in the home has been completed. Service users money is now individually accounted for. An annual appraisal system for staff has been introduced. Staff records are now available for inspection at the home. Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 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 standard(s) 1,2,3,4,5. Prospective service users are able to use an appropriate comprehensive service users guide and statement of purpose to help to enable them to be sure that Colwill Lodge will be able to meet their care needs when they require respite care. EVIDENCE: The home has a detailed statement of purpose that is available to all service users and families/representatives. The service users guide has been updated and a shortened version has been produced using a combination of photographs, symbols and pictures in order to provide necessary information about the home. The Manager is considering providing alternative formats such as audio and video tapes. Service users are invited to visit the home prior to a respite stay. Discussion with the Manager and information contained in service users files indicated that all referrals for admission came via the Care Management system, and the home had referral and eligibility criteria and referral forms were completed for all new service users to ensure that their care needs could be met. The documented procedure for admission was comprehensive and detailed. Each service user had a plan of care and detailed risk assessments had been carried out. Colwill Lodge, as a provider of respite care, does accept emergency admissions, and these procedures were documented in detail. Local Authority contracts for all service users were on file, and there are separate copies of terms and conditions for use when required. Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 9 Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 10 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 standard(s) 6,7,8,9,10. Service users can be assured that staff will enable them to be as independent as possible and be encouraged to safely participate in all aspects of life in the home. EVIDENCE: Service users plans were holistic and detailed, covering all areas of health and welfare, and were documented as being regularly reviewed. Files contained comprehensive manual handling and risk assessments, as well as guidelines for managing individual needs. Each service user had a nominated key worker and their roles/responsibilities were documented. The Manager confirmed that service users are involved as much as possible in this process and in choosing key workers, but the short duration of respite stays meant that this may not always be practicable. Although some service users have limited communication, every effort is made by staff to enable the service users to make decisions about their lives. Choices of bedrooms that service users prefer to use when they stay at Colwill are noted. Service users personal money, although accounted for separately, is still not kept separately, and is pooled in a suspense account that is not interest bearing. The Registered Manager confirmed that he is investigating Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 11 other ways of holding this money individually at the home, and is making service users aware that the money held will not accrue interest. Service users are given the opportunity to meet prospective staff members and the Registered Manager confirmed that service users are consulted individually about the home and provided with verbal information about the policies, procedures, activities and services. Overall level of participation in the home depends on the level of abilities of the service users, but service users are encouraged to participate all aspects of life in the home. Discussion with the Registered Manager, information contained in service users files, and risk assessments indicated that service users were enabled to take responsible risks that had been assessed and risk management strategies were in place. The home has a comprehensive missing persons procedure. The home has a comprehensive confidentiality policy that was a Plymouth City Council corporate policy. Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 12 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 standard(s) 11,12,13,14,16,17. Service users can enjoy a range of social activities that are available to all. Personal development is encouraged enabling service users to maintain their independent living skills. Personal development is encouraged and meals provided at Colwill Lodge are nutritious and varied. EVIDENCE: As much as possible within a respite setting, personal development opportunities were actively encouraged and documented in service users files. It was evident from discussion with the Registered Manager that service users are enabled to maintain and develop all aspects of independent living skills. Service users were enabled to attend a local church if they wished. Service users participate in a variety of activities outside of the home, and these activities are arranged by Social Services as part of an overall package of care, of which respite was also a part, provided to service users who live in the community with their relatives/carers. Information contained in service users plans indicated that service users are enabled to access community facilities as much as possible, such as local shops, pubs, clubs and churches. Staff provide information to service users Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 13 about what is happening in the community. The home has access to a 12 seater minibus with a tail lift at weekends and weekends to facilitate trips out. The use of transport by service users at weekends has been risk assessed and this was documented. Mealtimes are flexible, and staff recognise that individual service users may have preferred routines. Dietry preferences, special diets and nutritional needs were noted. There was a set menu, devised on a weekly basis, that evidenced a variety of nutritional and wholesome meals. Alternatives are always available. Service users could choose what they would like for their meals, and this choice was facilitated by the use of symbols, pictures and photographs. Snacks and hot drinks were available throughout the day. Records are kept of meals taken by service users. If assistance with eating was needed, this was documented. Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 14 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 standard(s) 18,19,20. Service users can be assured that staff will treat them with respect and their personal care needs will be given in the way they prefer, and their health care needs will be met. EVIDENCE: Service users files contained details of moving and handling preferences, and these preferences were documented and staff were made aware of these at staff meetings. Visits from health professionals were made in private, although staff were always present to facilitate communication. Due to the respite nature of the home, service users retain their own GP, although the nearby health centre is available for advice. The home has pressure relieving equipment, such as special mattresses and chairs and service users files evidenced that they have contact with physiotherapists, occupational therapists and other health and social care professionals. None of the service users are self medicating at present. As the home only provides respite, the procedure is that all medication is checked in and out of the home for each service user on each visit, in accordance with written policy and procedures. In view of recent minor errors concerning the administration of medication the Manager is reviewing these documents. No medication is retained in the home when a service user is not in residence. The Manger confirmed that staff receive medication training from the homes pharmacist Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 15 and a community nurse, as well as specialist training if required. Controlled drugs are appropriately stored and accounted for. Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 16 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 standard(s) 22,23. Service users can be confident that their concerns will be listened to, taken seriously and acted upon. The homes vulnerable adult procedure is robust which will ensure the protection of service users. EVIDENCE: The Registered Manager and pre inspection documentation indicated that the home had not received any complaints since the last inspection. The home has a complaints procedure prominently displayed, which has also been produced in symbol format. The home keeps a book that records all issues, concerns and complaints, and the details of the action taken to remedy these. The book also contains a section for compliments received, and there were several cards or notes of appreciation that had been received from the parents/carers of service users, and from service users themselves. The home has comprehensive corporate policies regarding adult protection, whistle blowing, gifts and legacies. The home has a corporate policy relating to aggression towards staff generally, and a policy relating to physical restraint and restriction of liberty. Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 17 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 standard(s) 24,25,26,27,28,29,30. Colwill Lodge is decorated and furnished to a good standard. It is very clean and warm, and the gardens are accessible, pleasant, which overall creates a comfortable and safe environment for service users. EVIDENCE: The premises are accessible to all of the service users, and the home was found to be comfortable, well furnished and decorated, clean and light. There were no offensive odours. Rooms are redecorated and furnishings/fittings/other items are replaced as necessary. The home employs a maintenance person for 16 hours a week to ensure that repairs are undertaken as soon as possible. A detailed maintenance and renewal programme was available for inspection. Three of the eight bedrooms exceed 10 sq m, and the remaining five bedrooms all measure 9.7 sq m. All bedrooms may be used to accommodate service users who use wheelchairs but who are not usually independently mobile. There are two shared rooms, but these are only shared when service users choose to do so, and are usually used as single rooms. Bedrooms are not personalised as service users usually only stay for a few days or weeks. However, they are generally decorated to a high standard with good quality furnishings. Bedrooms do not have telephone points but the Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 18 home has a pay phone situated in the smaller of the two lounges where service users could make and receive telephone calls in private. Bedroom doors are fitted with appropriate locks. All bedrooms contain low level wash hand basins. There are three bathrooms consisting of one bath, one shower unit and a shower bed. There are six toilets in total, two of these are in bathrooms and four separate toilets, including a disabled toilet facility. Bathrooms and toilets are fitted with appropriate locks. The home has two lounges and a dining room. The garden is well maintained and accessible are. Kitchen and laundry facilities were found to be satisfactory. When staff are sleeping in they have a bedroom that has an en suite shower and toilet facility. Colwill Lodge has appropriate aids and adaptations in order to meet the needs of the service users. The home has hand/gab rails, a mobile hoist, shower chairs, shower bed, ramps, call alarm system, sensory room and sensory equipment, and is commended for the extensive use of symbols, pictures and photographs to facilitate communication with service users, which demonstrates excellent practice. Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,22,24,35,36. Care staff numbers are adequate to meet the care needs of the service users. The home has a robust recruitment procedure, and this offers protection to service users. There is a consistent staff team who are committed, caring, and appropriately skilled to provide care to service users. EVIDENCE: All staff receive job descriptions that clearly define their roles and responsibilities. Observation of staff indicated that roles are understood. Polices, procedures and care plans included in the induction process are always available to staff to enable them to fulfil their duties. The home does not employ any volunteers. Robust procedures are in place to ensure that new staff are suitable and are always supervised until they were deemed to be competent. On the date of the inspection there were two assistant managers, and twelve care staff employed at the home. Staffing rotas evidenced adequate numbers of staff employed to meet service users care needs. Most relatives and carers felt that adequate staff were employed at the home. Discussion with the manager confirmed that staffing was flexible due to the different numbers and needs of service users who were resident at any one time. On the day of inspection the number of staff on duty were two from 3.30pm – 4.00pm, four from 4pm –10pm two waking night staff from 10pm – 7am and six care staff from 7am – 8am, five from 8.00 – 8.30am, four from Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 20 8.30am – 9.00am and three from 9.00 – 10.00am. If day care is required then the manager will rota additional staff. Also employed are catering and domestic staff. Staff meetings are regularly held. The corporate recruitment policy and procedure are extremely thorough, and most staff records are kept on the premises. All staff appointments are subject to a six monthly probationary period. Training opportunities are provided by Plymouth City Council on a variety of subjects, including first aid, food hygiene, health and safety, fire safety and specific training for staff who work with people who have a learning disability. Induction training is given to new staff. The Registered Manager confirmed that all staff receive five paid training days at least per year. Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 21 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42. The home is managed by a very competent manager. There is a clear management structure operating in the home that is clearly effective. EVIDENCE: The Registered Manager has approximately ten years experience of management, and holds an NVQ4 in care, the D32/33 assessors award and completed the Registered Managers award in June 2004. The Manager is to be commended for the work he with the help of the care staff have undertaken to successfully incorporate Highbury day care service into Colwill Lodge during building work at Highbury’s premises, with the minimum impact on the service users of Colwill Lodge. It is clear that the management approach at Colwill Lodge is positive and inclusive and that creativity is encouraged to develop the service provided. Service users, carers relatives and staff are encouraged to voice any ideas or issues informally or through supervision and meetings. Records are well kept and easily accessible, and all policies and procedures were up to date and kept updated. Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 22 A quality assurance system has been introduced into the home and questionnaires have been returned from service users and relatives. The quality assurance system needs to be further developed to ensure a cycle of planning, action and review. Health and safety is a priority in the home, and health and safety practices described and observed were found to be satisfactory. Fire safety tests, checks and staff training were carried out as required. All staff are trained in emergency procedures and first aid and there is usually a first aid trained member of staff on duty. Infection control practices and procedures were found to be satisfactory. Substances hazardous to health were found to be safely stored. Maintenance records for equipment such as hoists were found to be up to date. Gas, heating and portable electrical equipment were regularly tested. A risk assessment for legionella had been carried out. Thermostatic valves fitted to water outlets ensured that water temperatures do not exceed 43c. The home has covered all radiators. Windows are fitted with restrictors. All accidents and incidents had been reported and documented. Detailed risk assessments had been carried out for all safe working practice topics. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 Colwill Lodge Score 3 3 3 Standard No 22 23 Score 3 3 Version 1.20 Page 23 D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc 4 5 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 4 3 2 3 3 3 x Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 24 no Are there any outstanding requirements from the last inspection? 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA7 YA20 Good Practice Recommendations The use of a pooled suspense account to administer personal money belonging to service users should be reconsidered, and an alternative system devised. Procedures for the dispensing of medication should be reviewed by the Registered Manager, to ensure as far as possible that errors when dispensing medication do not occur. The quality assurance system should be developed to include an annual development plan bases on a systematic cycle of planning, action review, and the views of other stakeholders should be sought. 3. YA39 Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Colwill Lodge D52-D04 S31052 Colwill Lodge V214463 050505 Stage 4.doc Version 1.20 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. 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