Inspection on 17/11/06 for Conniburrow Boulevard (207)

This inspection was carried out on 17th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Conniburrow Boulevard (207) 22/11/05

Conniburrow Boulevard (207) 28/07/05

Conniburrow Boulevard (207) 12/12/04

Conniburrow Boulevard (207) 21/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Conniburrow Boulevard (207) Conniburrow Milton Keynes Bucks MK14 7AD Lead Inspector Chris Schwarz Unannounced Inspection 17 November & 8 December 2006 07:45 th th Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 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 Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 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. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Conniburrow Boulevard (207) Address Conniburrow Milton Keynes Bucks MK14 7AD 01908 692524 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) admin@fremantletrust.org The Fremantle Trust Mrs Maria Couch Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: 207 Conniburrow Boulevard is a detached property located close to the city centre in Milton Keynes. There are good transport links and leisure, recreation and shopping facilities are nearby. The home is registered to provide accommodation for up to six adults with learning disabilities and is owned and staffed by The Fremantle Trust. The property has six single bedrooms, one of which is on ground floor level. There are sufficient toilets, baths and showers and communal areas are arranged to reflect a large family type environment. There are front and rear garden areas and parking spaces are available. Fees for the home are £529.55 per week according to information supplied by the manager. Personal items such as toiletries, sundries and outings would be at additional cost to the individual. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over the course of two days and covered all of the key standards for younger adults. Prior to the visit, a questionnaire was sent to the manager alongside comment cards for distribution to service users, relatives and visiting professionals. Any replies that were received have helped to form judgements about the service. The first visit was timed to observe the morning routine at the home and see service users before they left for the day. There was also opportunity to speak with staff on duty to gain their views. A tour of the premises and examination of some of the required records was also undertaken. The second day of inspection was then pre-arranged to meet with the manager and clarify any issues that had arisen and to cover remaining standards. A key theme of the inspection was assessment of how the home meets needs arising from equality and diversity. At the end of the inspection, feedback was given to the manager. Staff and service users are thanked for their co-operation and hospitality during the inspection visits. What the service does well: Needs arising from equality and diversity are well met, ensuring that each person’s individual circumstances are taken into account. Care plans have been produced for all service users, ensuring that needs have been identified and can be met. Service users are enabled to make decisions and be as independent as possible, providing them with choice and involvement. Service users are enabled to take responsible risks, ensuring that their independence is promoted. Service users take part in appropriate activities and make use of the local facilities, providing stimulation and variety. Service users are enabled to keep in contact with friends and family, maintaining important social links. The rights of the individual are respected, promoting fulfilment and affording service users respect. Meals are appropriately managed to ensure that service users receive the nutrients they require to keep them healthy. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 6 Personal support needs are recorded in care plans to ensure that service users receive the assistance they require. Physical and emotional health care needs are well managed to ensure that service users keep well. Medication practice is safe and ensures that service users receive the medicines they require. Effective complaints procedures are in place to listen to the views of service users and their representatives. Adult protection is well managed with appropriate policies, procedures and staff training in place to reduce the risk of harm to service users. A clean, comfortable and homely environment has been created for service users, ensuring that they have appropriate surroundings in which to live. Competent and qualified staff work at the home, ensuring that service users are cared for by people with the skills and knowledge necessary to meet their needs. Thorough recruitment practices are undertaken, to ensure that service users are protected from unscrupulous persons working with them. Training is undertaken by staff to ensure they are equipped to meet the needs of service users. The home is managed by a competent and qualified person, ensuring continuity of care and that needs are met. There is effective monitoring by the provider to ensure that standards of care meet the needs of service users. Health and safety is well managed, ensuring that staff, service users and visitors are not placed at risk of harm. What has improved since the last inspection? There were no requirements or recommendations made at the last inspection. However, it has been noted from this inspection that care plans now contain a person centred element which the individual can readily relate to. New flooring and a shower cubicle have been added to the downstairs bathroom to improve the facilities. Systems within the office have improved with staff finding it easier to locate files and information when needed. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 7 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. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 8 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 Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 9 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The needs of prospective service users are assessed prior to admission, to ensure that the service does not offer a placement to someone whose needs it cannot meet. EVIDENCE: There have not been any new admissions to the home. However, the details of the most recently admitted service user were seen and showed that a thorough assessment of needs had been undertaken and a phased admission process had been arranged. The home has a statement of purpose outlining the philosophy and scope of the service. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 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 the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Care plans have been produced for all service users, ensuring that needs have been identified and can be met. Service users are enabled to make decisions and be as independent as possible, providing them with choice and involvement. Service users are enabled to take responsible risks, ensuring that their independence is promoted. EVIDENCE: A care plan was in place for each person living at the home. These were found to be up-to-date with good descriptions of care needs and assistance required with daily living tasks. A new addition since the last inspection was photographic person centred plans which provide a colourful, summarised service user friendly version. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 11 Files contained evidence of working with outside agencies to ensure that needs are adequately met, such as dieticians and the consultant in learning disabilities. Documents were signed and dated with evidence of being reviewed and maintained accurately. Risk assessments were in place to support service users with daily living and these too had been reviewed to ensure that risks were, as far as possible, reduced. The home had a missing person procedure in place in the event of anyone being absent. Regular service user meetings take place at the home which are minuted. These reflect discussion on a broad range of topics and areas of interest to service users, and demonstrate that staff consult with service users. Service users were seen making decisions throughout the morning, such as what to have for breakfast, what to wear, doing some housework whilst waiting for transport to arrive and talking about holidays and outings past and future. The home manages service users’ finances and individual wallets and accompanying records were kept secure. A check of a few of the wallets showed that recorded balances tallied with actual balances and receipts were kept to explain expenditure, alongside transaction sheets completed by staff. All those who responded by comment card expressed satisfaction with overall care at the home. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users take part in appropriate activities and make use of the local facilities, providing stimulation and variety. Service users are enabled to keep in contact with friends and family, maintaining important social links. The rights of the individual are respected, promoting fulfilment and affording service users respect. Meals are appropriately managed to ensure that service users receive the nutrients they require to keep them healthy. EVIDENCE: Service users have day service placements with a few having a day at home in which to relax. Transport from each service collected service users from 8.30 a.m. onwards and each person took a packed lunch with them. Service users Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 13 talked enthusiastically about working at Thrift Farm in particular, which provides people with agricultural and horticultural experience, and one person discussed a wish to undertake some paid employment. Service users talked about seeing their families and friends and keeping in contact either in person or by telephone. One person enjoyed speaking to a friend on the telephone before leaving to go to day services and said she does this regularly. Another talked about plans for Christmas and going to stay with a brother, and several people had already thought about or started their Christmas shopping. One service user said that he regularly goes to church with his family. Holidays to Great Yarmouth, Disneyland Paris and Butlins at Bognor were described as being successful with plenty to do and lots of fun. Service users confirmed they use local and city centre shops and the cinema. The routines within the home were flexible, with service users getting ready at their own pace and enjoying breakfast without needing to rush. Staff knocked on doors before entering and were polite and light-hearted with service users. Service users enjoy a varied diet with occasional takeaways and records of meals showed that they eat well. A service user who has diabetes was receiving a modified diet. Kitchen cupboards were well stocked, as was the freezer, and there was plenty of fresh fruit available. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 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 the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Personal support needs are recorded in care plans to ensure that service users receive the assistance they require. Physical and emotional health care needs are well managed to ensure that service users keep well. Medication practice is safe and ensures that service users receive the medicines they require. EVIDENCE: Service users’ personal care requirements are noted in their care plans. The majority of service users were able to get themselves ready for the day and where assistance from staff was needed, it was carried out behind closed doors. Everyone was dressed appropriately for the weather conditions and took a coat or jacket with them. Records are kept of medical appointments attended by service users and these showed that they go for routine health screening such as Well Man, Well Woman clinics, dentists and opticians as well as visits to the doctor as required Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 15 and specialists such as the consultant in learning disabilities. All of the appointment records looked at were well maintained and provided useful information on how the home responds to health care. Medication was being managed appropriately with the cabinet secure and locked when not in use. The home was using a monitored dose system of medication administration with a photograph of each service user to ensure that the right person received the right medicine. Medication administration records were in good order with signatures alongside each prescribed dose time. One service user’s challenging behaviour seemed under control with staff rarely needing to use “as required” prescribed medication to help calm him. There were detailed written guidelines in place for staff to refer to on managing the behaviour. Staff who administer a service user’s insulin using a pen device had initially been trained by a community nurse to do this. There was no evidence of any subsequent training to ensure that they were still administering correctly. A recommendation is made for update training to be undertaken by those staff who administer medication. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 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 the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Effective complaints procedures are in place to listen to the views of service users and their representatives. Adult protection is well managed with appropriate policies, procedures and staff training in place to reduce the risk of harm to service users. EVIDENCE: The home has a complaints procedure in place and a log is kept of any complaints or compliments received. No complaints had been received at the service, according to the records, although three compliments had been noted. The Commission is not aware of any complaints made by service users or their representatives. Those who completed comment cards were aware of how to make a complaint. There are Protection of Vulnerable Adults and whistle blowing procedures in place. The Commission is not aware of any adult protection concerns regarding this service. The manager has completed a train the trainers course on adult protection and records showed that staff and service users have received training in abuse awareness. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 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 the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A clean, comfortable and homely environment has been created for service users, ensuring that they have appropriate surroundings in which to live. EVIDENCE: 207 Conniburrow Boulevard is close to the city centre in Milton Keynes and there are transport networks nearby. There are a few local shops within easy walking distance of the home. There is car parking outside and opposite the home. The home has closed circuit television overlooking the outside of the building. The home is a detached property with six single bedrooms, one of which is on the ground floor. Downstairs there is an office/sleeping in room, one service user’s bedroom, a large bathroom, the lounge, staff toilet and kitchen/dining room, plus the laundry. Upstairs there are four bedrooms and two bathrooms. The home has been arranged to reflect a large family type of environment and the premises were in a good state of décor and clean. Those bedrooms where the door had been left open looked personalised and reflected personalities of the occupants. The laundry was in good order and there were no unpleasant Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 18 odours around the building. New flooring was noted in the downstairs bathroom plus a new shower cubicle. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 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 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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Competent and qualified staff work at the home, ensuring that service users are cared for by people with the skills and knowledge necessary to meet their needs. Thorough recruitment practices are undertaken, to ensure that service users are protected from unscrupulous persons working with them. Training is undertaken by staff to ensure they are equipped to meet the needs of service users. EVIDENCE: The home was fully staffed and rotas showed that two staff are on duty during the waking day when service users are around. All but one of the permanent staff have achieved National Vocational Qualification level 2 or above and the remaining person is working through the course. Training files showed that a range of courses had been undertaken by staff, with mandatory courses largely up-to-date for the sample of records examined. Records showed that staff meetings take place on a regular basis. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 20 The recruitment file of a new member of the team was looked at and found to contain all required checks and clearances. Those who completed comment cards confirmed that sufficient staff are always on duty at the home and they are kept informed of important matters. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 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 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, 40 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is managed by a competent and qualified person, ensuring continuity of care and that needs are met. There is effective monitoring by the provider to ensure that standards of care meet the needs of service users. Policies and procedures are in place to inform practice and ensure that service users’ best interests are safeguarded. Health and safety is well managed, ensuring that staff, service users and visitors are not placed at risk of harm. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 22 EVIDENCE: The home has a registered manager who has achieved the Registered Managers Award. There is good response to action arising from inspections and the home maintains good standards of care. Regular monitoring is undertaken by the provider, with copies of reports forwarded to the Commission routinely. Annual quality audits are additionally undertaken by the provider. There are policies and procedures available within the office for staff to refer to. Some of those examined as part of the inspection still referred to the National Care Standards Commission being the regulatory body. These should be updated in order that staff have accurate information. A range of health and safety checks is undertaken at the home. Fridge and freezer temperatures have been checked daily to ensure appliances are working within safe temperature ranges. Hot water has been monitored to ensure that it does not present a scalding risk. Core food temperatures have been checked to make sure that food poisoning bacteria would be destroyed. Fire safety checks have been maintained with regular drills, weekly testing of the system, ensuring the means of escape are clear and servicing of the alarm and equipment. A fire based risk assessment was in place, reviewed July this year. Monthly visual hazard checks are made around the building with corrective action taken when necessary. There was recorded evidence that shower heads are descaled. The home had a current gas safety certificate and evidence of satisfactory electrical installation and testing for the presence of Legionella species in water. Portable electrical appliances had been checked in May this year and generic risk assessments and accident records had been appropriately written. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 23 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 Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 3 X 3 x Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 YA20 YA40 Good Practice Recommendations Update training on administration of insulin should be undertaken by all staff who administer medication. Policies and procedures referring to the National Care Standards Commission are to be amended to reflect the change of regulator to the Commission for Social Care Inspection. Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Burgner House 4630 Kingsgate Cascade Way Oxford Business Park South Cowley Oxford, OX4 2SU 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 Conniburrow Boulevard (207) DS0000015051.V292735.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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