Inspection on 29/06/05 for Coniston Lodge

This inspection was carried out on 29th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Coniston Lodge 07/10/09

Coniston Lodge 10/12/07

Coniston Lodge 14/07/06

Coniston Lodge 07/11/05

Coniston Lodge 11/01/05

Coniston Lodge 14/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Coniston Lodge 43 Beaufort Road Southbourne Bournemouth Dorset BH6 5AS Lead Inspector Debra Jones Unannounced 29 June 2005 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 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. Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Coniston Lodge Address 43 Beaufort Road Southbourne Bournemouth Dorset BH6 5AS 01202 421492 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) Kevin@coniston43.fsnet.co.uk Mrs Daphne Margaret Bailey Mrs Katrina Marlene Stephanie Bailey CRH PC - Care Home Only 11 Category(ies) of OP - Old age (11) registration, with number of places Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 11th January 2005 Brief Description of the Service: Coniston Lodge is registered to provide accommodation for eleven older people in what were two attractive converted houses now linked together at the ground floor. It is set on a corner plot in the residential area of Southbourne. Local bus services provide easy access to Bournemouth and Christchurch. There is plenty of on road car parking in neighbouring side streets. There is a large well maintaned garden to the side and rear. The accommodation for residents in the home is over the ground and 1st floors with a passenger lift between. There are a variety of aids and adaptations around the building to allow residents to move about more independently. There are 11 single rooms 4 of which have en suite facilities. There are additional communal toilets and bathrooms around the home. Situated on the ground floor are the residents lounge and dining room, both of which overlook the garden. Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5 hours and was one of the two anticipated inspections of the year. The requirements and recommendations made at the last inspection were followed up to see the progress made towards meeting them. The Inspector looked around some of the building and a number of records were inspected. Mrs Bailey (registered person) Mrs Bailey and Mr Bailey, 1 member of staff and 1 visitor were spoken to. Half of the inspection was spent talking in depth with 5 residents to get a real feel for what it was like to live at Coniston Lodge. Comments from residents included ‘its lovely here, thoroughly recommend it!’ and ‘very very satisfied, very very happy.’ What the service does well: Coniston Lodge provides a service for the eleven older people living there in a comfortable relaxed atmosphere in a house decorated and furnished in a homely way. The home is well organised and the care and contentment of residents is at the heart of the way the home is run. Mrs Bailey, her family and her staff have developed good relationships with the residents and this results in a supportive and caring environment in which the residents feel secure and comfortable. Staff were described as ‘kind and helpful.’ A good admissions procedure is in place. Prospective residents are properly assessed by people from the home and have opportunities to visit the home to see if they like it before they move in. Care plans and notes are thorough and regularly updated to make sure that staff know how to care for the residents living at the home. Care staff are supported in caring for residents by community health professionals. Residents are able to do as they wish at the home and join in or not with the activities on offer. Visitors are made welcome at the home and can come whenever it suits the residents they are visiting. Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 6 Meals are wholesome and nutritious and planned around the likes and dislikes of residents. The complaints and adult protection policies and procedures reassure residents that their well-being and comfort are important to the home and that any concerns raised will be properly investigated and resolved. The home is homely, well maintained and comfortable for the residents living there and anyone visiting. The home is kept clean and smells pleasant. Sufficient, supervised, qualified care staff are on hand to meet the current needs of residents. Systems are in place and records kept that demonstrate the home’s commitment to keeping residents safe. What has improved since the last inspection? What they could do better: It would be good if the ‘double dispensing’ of medication was discontinued. It will be good when the adult protection policy is expanded that the local procedures are brought to the attention to staff – perhaps in supervision sessions. It would be good if an assessment of the premises was carried out by a qualified person to look at the suitability of the home for the type of older people that the home caters for and to make any suggestions for improvement. It will be good when the programme of covering radiators that pose some risk to residents are all covered. The home must go on to carry out a risk Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 7 assessment of pipe work and take any steps necessary that arise out of this assessment. The roster that the home puts together to show who is to be on duty at the home must have the full names of the staff and the jobs that they do. The home should extend their quality assurance surveys to all parties who might have a view on the home and how it might be made better for the people living there. Such people might include relatives and friends of residents, health professionals and care managers. The home is reminded to display both pages of their certificate of registration. It would be good if more details about fire evacuations were written down. 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. Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 5. 6 is not applicable to this home. A good admissions procedure enables prospective residents to make informed decisions about admission to the home and ensures that only service users whose needs can be met by the home are offered places there. EVIDENCE: Some files of recently admitted residents showed that prior to them moving to the home their needs were fully assessed by the home. Prospective residents are given the opportunity to visit the home, as are their representatives. One resident spoken to on this occasion had visited the home herself a few times before a place became available, whilst another had left this visit to her representatives and confirmed that this had been her choice. Local authority assessments were also on file where these had been made available to the home. Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8 and 10 There is a good care planning system in place to make sure that staff have the information they need to meet the needs of the residents. The health needs of the residents are also well met with evidence of good support from community health professionals. EVIDENCE: Residents and the visitor said the home looked after people well. Care plans seen were of a good standard. They flowed from the assessments made by the home, were easy to read, to the point and informative about the needs of the resident and how the home was to meet their needs. Language used was sensitive and respectful e.g. ‘encourage,’ ‘help,’ ‘monitor’ and ‘assist.’ Information contained in the care plans was relevant and up to date with plans being reviewed regularly. Risk assessments are in place for residents where needed. Accidents are recorded and pertinent information from these feed into the updating of care plans. Daily notes support and evidence the delivery of care to residents. These give a good picture of the daily lives of residents, the care that is delivered to them by staff in the home and by visiting community health professionals such as GPs. Residents are also accessing other community health services such as Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 11 District Nurses and chiropodists. Some go out of the home for these services and some residents are visited at the home. The Inspector discussed with Mrs K Bailey the potential expansion of their hospital admission documentation to include body charts / detailed records about the condition of residents when leaving the home and going to hospital. Residents confirmed that they were treated with dignity and their privacy respected by staff always knocking on doors, being polite and courteous. At the last inspection it was strongly recommended that the ‘double dispensing’ of mediation be discontinued. This recommendation is repeated. The medication standard was not fully inspected on this occasion as the Commission’s Pharmacy Inspector will be visiting the home over the coming months. Her report and any requirements and recommendations will be incorporated in the report of the next general inspection. Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 Residents’ lives are enriched by the social opportunities afforded by their visitors and the high degree of choice they are able to exercise in their daily lives at the home. The meals in this home are wholesome and varied and are served in a pleasant environment. EVIDENCE: Friends and relatives are made welcome at the home, with some residents having visitors most days. Residents can receive their guests in the communal areas, their own rooms and the garden. One very active resident talked of the trips out she makes herself and her continued involvement in the local church. A minister also visits the home. The visitor spoken to enjoyed visiting and talked of always being offered a cup of tea. The visitors’ records confirmed the number and range of visitors to the home. Coniston Lodge is a family run home and is run in a manner that supports residents to live their lives as they choose. There are some structured activities and entertainers visit. References to visits, outings and activities are made in daily notes. Residents talked to the Inspector about their interests and how they like to spend their days e.g. doing puzzles, knitting, watching TV, listening to the radio, keeping up with current affairs and sporting events, Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 13 walking round and sitting in the garden. Two residents talked of the birthday parties that had been held for them. One resident aged 100 showed the Inspector a photo album that included pictures of his birthday celebrations and his message from the Queen. Menus are based both around the known likes and dislikes of the residents and on striving to provide a good wholesome diet. Residents are well able to say what they enjoy and to make their preferences clear. All residents spoken to praised the food saying there was always plenty to eat and confirmed that there was always a selection of fresh vegetables, salad and fruit on offer. One said there is ‘too much to eat!’ The two Mrs Baileys do the ‘good home cooking.’ The meal served on the day of inspection was chicken in a honey and mustard sauce with a range of vegetables. Fruit and custard was for dessert. Residents can have meals where it suits them. The home has a pleasant dining area that residents can eat in if they wish. Some of the residents spoken to said that they preferred having their meals in their rooms. Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 A system is in place to deal with any complaints that might be made by residents. The home’s ongoing development of their adult protection policy and commitment to staff understanding in this area demonstrates the importance the home places protecting their residents. EVIDENCE: The home has a complaints policy / procedure that meets the standard and regulation. No complaints have been received by the home since the last inspection or by the Commission. Residents spoken to said that they had nothing to complain about and if they had any concerns they would be confident in bringing them to the attention of Mrs Bailey. They also said that they felt ‘safe.’ The home has an adult protection policy, which Mr Bailey is currently updating and expanding. Abuse is covered in the NVQ training that staff undergo. One member of staff talked with the Inspector about this unit of their studies. The Inspector talked with the Baileys about raising adult protection at supervisions to keep the subject live and to supplement the more formal training that staff attend. Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25 and 26 The home is well–maintained and a comfortable environment is provided for the residents living there and anyone visiting. Bedrooms are nicely decorated, well furnished and personalised to suit the residents. Adequate facilities are available to meet the number and needs of the people living there. The home is kept clean and smells pleasant thereby making daily life for all in the home more pleasurable. Residents will benefit from the minimisation of risk afforded by the covering of radiators and assessment and, where appropriate, covering of pipe work. EVIDENCE: Coniston Lodge is a family run home with a warm and friendly atmosphere. The home is well decorated throughout. Lounges and dining areas are comfortably furnished. The garden is well maintained, attractive and accessible. Residents sitting in the lounge and dining area have a good view of it and garden furniture is available for those wishing to sit outside. Residents talked of how they Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 16 enjoyed walking round, looking at the birds in the aviary and sitting in the garden. Residents are mostly mobile and can choose where they spend their days. Some need a little assistance to get about. There are a number of communal bathing areas in the home. Four bedrooms have en suite facilities, one of which is just being finished. Aids and adaptations are available throughout the home and some residents with particular needs have their own personal equipment to assist with their independence. Where residents need equipment to aid independence such as zimmers and rollators the equipment was seen to be to hand. Other useful aids and adaptations are around the home for use by all e.g. raised toilet seats and grab rails. The premises have not been assessed by a qualified person(s) including an occupational therapist. Residents are able to personalise their rooms with furniture and general belongings. There is a passenger lift in the home, enabling easy access between the ground and first floor. There are emergency alarm bells throughout the home. Residents confirmed that they knew what the system was for, had used it in the past and that staff had come quickly. Residents are able to have keys to their bedroom doors and lockable storage in their rooms for personal belongings of importance. Since the last inspection some of the radiators that might pose a risk to residents have been attractively covered. Plans are in place for others to be covered. The home is yet to assess the pipe work in the home for risk. The home was clean and there were no unpleasant odours. Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 and 29 Sufficient, qualified care staff are employed and deployed to ensure that the care needs of residents can be met. Robust recruitment procedures are in place to protect residents from the risk of unsuitable staff working at the home. EVIDENCE: Staffing rosters are in place that show who is on duty and when. Rosters must be revised to show all staff on duty, their full names and their designations i.e. what job they do. Evidence of whether the roster was actually worked was seen. A cleaner supports Mrs Bailey, her family and her care staff in running the home. Out of the 7 care staff employed at the home 5 have, or are doing NVQ level 2, 3 or 4. Staff files are kept that demonstrate the recruitment process in action and all documents required that relate to staff are on file. Staff have contracts of employment. Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35,36,37 and 38 The home is well organised and the care and contentment of residents is at the heart of the daily management and running of the home. EVIDENCE: Mrs Bailey is an experienced manager and is in charge of the home on a daily basis. Mrs Bailey has a hands on approach to her job and this has a positive impact on the home in that residents know her well. One resident described Mrs Bailey as ‘amazing’ another said that ‘she was always around.’ Her family, who also work at the home, support Mrs Bailey. Mrs Katrina Bailey carries out many management functions and Mr Bailey deals with maintenance issues and management / administrative tasks. The home carries out quality assurance surveys to find out what people think about the home. In previous years they have depended on feedback from Commission surveys to find out what stakeholders outside the home think of Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 19 Coniston Lodge. It would be good if this year they approached them themselves e.g. health professionals, relatives and care managers. When the survey is done later this year a report should be written based on the analysis of the results of the survey. This report can then be circulated or be available to any interested parties. A compliments book is also kept. The home does not hold any money or valuables belonging to residents. There was evidence of a supervision system being in place, enabling staff and management to meet regularly on a one to one basis to discuss day-to-day work at the home, training and development. All records kept in the home were made available to the inspector as requested and are appropriately stored. An up to date insurance certificate was on display along with Coniston Lodge’s registration certificate (the home is reminded that both pages of this must be displayed). Fire records were in place. An external company carries out quarterly checks of the fire equipment. Internal checks are being carried out and records showed this. Fire training, fire drills and fire evacuations are taking place. It would be good if in future a record was kept of fire evacuations that showed when they took place, how long the evacuation took, what happened and who took part. Residents confirmed hearing the testing of fire equipment and of how they had been involved in fire evacuations. Records are kept of the servicing of equipment and facilities e.g. the passenger lift and the emergency call bell system. The Dorset Fire and Rescue Service will be visiting in July 2005. Accident records were looked at. Some accident records were excellently completed in that they were clear about how staff writing up accident reports knew about accidents e.g. if they came across someone who had fallen or if they are alerted to an accident by a resident ringing their emergency call bell. Ideally all records would contain information such as this so analysis of accident records would provide the home with important information as to the effectiveness of the emergency systems in operation and of any further measures that could be put in place to minimise risks to residents. Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 2 3 3 2 3 STAFFING Standard No Score 27 2 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x 2 x 3 3 2 2 Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 21 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 25 Regulation 13 Requirement Timescale for action 1 9 05 2. 27 17 3. 33 24 4. 37 CSA Where risk has been identified radiators must be guarded or have guaranteed low temperature surfaces. Pipe work must be risk assessed and any risk identified eliminated / minimised. A recorded staff rota must be 1 8 05 kept which shows which staff are on duty at any time (including full names) along with their designations. The views of other stakeholders 1 4 06 should be sought by the home as part of their quality assurance system. A report of the reivew conducted must be made and be available to interested parties. Both pages of the registration 1 8 05 certificate must be displayed. 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 9 Good Practice Recommendations It is strongly recommended that the practice of double D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 22 Coniston Lodge 2. 3. 4. 18 22 38 dispensing be discontinued. It is recommended that when the adult protection policy has been expanded it be discussed with staff - perhaps at supervision - and such discussion be documented. It is recommended that the home be assessed by suitably qualified persons including an Occupational Therapist. It is recommended that a more detailed record be made of fire evacuations. Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Unit 4 New Fields Business Park Stinsford Road Poole Dorset BH17 0NF 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 Coniston Lodge D55 S3932 Coniston Lodge V233481 290605 Stage 4.doc Version 1.40 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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