Inspection on 11/12/07 for Copper Beeches

This inspection was carried out on 11th December 2007.

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

Copper Beeches 31/07/06

Copper Beeches 16/11/05

Copper Beeches 10/05/05

Copper Beeches 16/12/04

Copper Beeches 25/05/04

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 Copper Beeches Copper Beeches 90 Plymstock Road Plymstock Plymouth Devon PL9 7PJ Lead Inspector Elaine Bruce Unannounced Inspection 11th December 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Copper Beeches Address Copper Beeches 90 Plymstock Road Plymstock Plymouth Devon PL9 7PJ 01752 403836 01752 408142 enquiries@copperbeechescare.co.uk www.copperbeechescare.co.uk Steven Paul Shirley Tui Philomena Eliza Shirley ****Post Vacant**** Care Home 20 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) Category(ies) of Dementia (20), Old age, not falling within any registration, with number other category (20) of places Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category- Code OP 2. Dementia- Code DE The maximum number of service users who can be accommodated is 20. 31st July 2006 Date of last inspection Brief Description of the Service: Copper Beeches is located in the Oreston area of Plymouth. It is registered to provide accommodation with personal care for 20 service users over the age of 65 within the categories of old age (OP) and Dementia (DEE). Accommodation is provided over two floors in the detached original building, with a single floor extension to the rear of this building. Most of the bedrooms are on the ground floor. A stair lift is provided. However there are a small number of steps beyond the stair lift to reach the bedrooms on the first floor. All accommodation is in single bedrooms, 6 of which have en-suite toilet facilities. On the ground floor there are 2 lounge rooms, and a dining room. There is a call bell system throughout the home. The home has a large, attractive garden to the front of the building and an enclosed garden to the side of the main house. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key unannounced inspection at Copper Beeches took place on the 11th December 2007 between the hours of 0930 and 1645. One of the registered providers was present for most of the day and the other registered provider attended the home to discuss plans for the future of the home. This includes extending the home by fifteen beds. Prior to the inspection a well completed annual quality assurance assessment document was received. In addition seven staff survey forms were received and four relative forms. These all indicate a high standard of satisfaction with the care at the home. Two suggestions were made for improvements to be made with the staffing levels in the kitchen. The registered provider explained that there are plans in hand for changes to be made with the kitchen arrangements to include two sittings for meals. The staff surveys indicate that the staff all feel that they receive good training and good information to meet the care needs of the people in the home. They all suggest that they work well as a team. During the course of the day the inspector spoke with four people in the home and their care plans and associated records were inspected as part of case tracking. A tour of the building was made with one of the registered providers. Staff files were inspected for correct recruitment evidence and staff training evidence. Staff were spoken to during the course of the day and all the staff presented well during the course of the day. They were observed to be kind and caring in their interactions with the people in the home. Three visitors were spoken to. They all expressed very positive comments about the home and how welcome they are made to feel when they visit. The home is running at full occupancy at this time and the weekly cost of care is £395. What the service does well: Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 6 The home has a well-trained and motivated staff team who presented very well on the day of the inspection. The staff surveys indicate that the staff feel very valued and enjoy their jobs and feel that they are delivering a very good standard of care. All the staff have obtained NVQ qualifications and all new staff are employed on the understanding that they will study to achieve this qualifications. All the senior staff have obtained an NVQ 4 qualification in care. The surveys from the residents indicate that they are happy in the home and discussions with visitors confirmed these conversations. The registered providers are very involved in the running of the home and are committed to delivering a good standard of care. Care planning documentation is excellent for people with a dementia and includes a very large amount of history information on each person. The home is caring for some people with complicated care needs and these needs are being met in a homely environment by kind and caring staff. What has improved since the last inspection? What they could do better: It is appropriate for the registration of a manger to take place which the registered providers are fully aware of and an application is anticipated very soon by the CSCI. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 7 Although care planning is very good, consideration should be given to ensuring that there is no duplication of information. It is also appropriate for all staff members to receive external adult protection training to ensure the well being and safety of the people in the home at all times. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them. The pre admission needs assessment means that people’s diverse needs are identified and planned for before they move to the home EVIDENCE: The home has in place a statement of purpose document and service user guide document that meet the requirements of legislation. A copy of the most recent inspection report is available in the entrance of the home. In addition the home has a website with full information on the services that it is providing. The website has a “news page” to communicate updates with relatives or other visitors to the website. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 10 Prospective people (and their representatives) are encouraged to visit the home prior to admission and spend time at the home meeting the staff and other people in the home before they make the decision to stay. The relatives of one person who had recently been admitted to the home were spoken to during the course of the inspection. They were delighted that their relative had settled in so well as she had previously been in a number of homes where she had not settled. The home is registered to care for people with a dementia and or a mental disorder. Some of the people in the home have complicated care needs. The pre admission assessment that the home undertakes is very important for the home to be sure they can meet all assessed needs. The pre admission assessment involves gathering assessment information from health and social care professionals if appropriate. The pre admission assessment is undertaken by a senior member of staff. The first four weeks of the placement are viewed as a trial period. The home is funning at full occupancy at this time. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of the people in the home are being met by good care planning and delivery of identified care needs. Medication arrangements are safe. EVIDENCE: Each person at the home has a very detailed care plan in place. Recent changes to the care planning system have taken place and are still on going. They new system that has been introduced is excellent for people with a dementia and has been developed by the Alzheimer Society. It encourages the staff to view the individual as a person rather than someone with a dementia. A considerable amount of information is gathered to include a very full life history before the care plan is developed. Considerable discussion took place around the care planning as it is apparent that two systems of care Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 12 planning are presently in place. One is based on the activities of living and one is based on care for people with dementia. The file on each person is therefore very full and some information is duplicated. The home are satisfied that the system is though working for them. The volume of information may be difficult for the person and their representative to be involved in the care planning reviews and it is for this reason that consideration should be given to ensuring that there is no repetition and information held that is not required. The daily records support the care plans and the home has plans to introduce nutritional screening and pressure sore screening using a recognised formal document. A communication book is also held which staff have to read and sign every day. A qualified nurse has been employed to develop all the care plans and oversee and monitor the standard of care delivery at the home. She is hands on to assess what the needs of an individual is but has full responsibility for all the recording except the daily records which all staff complete. Specialist advice is sought when required from community mental health nurses and community nurses when required. Health care professionals such as a dentist, chiropodist and optician are able to provide a service to the people in the home. One survey form completed by a person in the home said: “I appreciate all the help and support I get. I have never been so happy”. All the people spoken to during the course of the day expressed very positive comments with the standard of the care that they are receiving. An example of the typical comments received were: “It is good here, everyone is very kind”. The home has in place a medication policy and procedure and staff who are administering the medication have received training from the Pharmacy supplying the medication to enable them to administer safely. The home has a good working relationship with the pharmacy. Medication administration records were found to be completed correctly as was the storage of the medication. There were no controlled drugs on the premises on the day of the inspection. People who are assessed as low risk are able and supported to take responsibility for their own medication with safe storage being provided. All medication is administered at this time by the staff. Observations of the staff and people interaction during the course of the day was noted to be very positive. Staff treated people with respect and dignity and able to manage any complicated situations with skill. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Opportunities for participation in stimulating and motivating activities are provided to the people in the home. Meals and mealtimes are an enjoyable social occasion EVIDENCE: In each person’s care plan is information on their daily choices for spending time at the home. A very detailed life history evidences the social activities and interests that a person has enjoyed prior to coming to the home. Every effort is made to ensure that people have activities and interests available to them. Additional information is included in care planning on the mental capacity act and ensuring that people are supported to make choices as to how they are spending their time in the home. On the afternoon of the inspection a staff member was able to spend time with a group of people doing jigsaws. There is a pleasant music room which one person said he really enjoyed sitting in and listening to the music. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 14 Visitors are encouraged and welcomed into the home. All visitors are asked to sign the visitors’ book in the main entrance of the home. A total of three visitors were spoken to during the course of the day. Each one of them expressed very positive comments about the home and how welcome they are made to feel. One person is very involved in the care of her relative which she said made her feel valued. All the people spoken to during the course of the day expressed very positive comments about the standard of the meals in the home and one person said: “they are much better here than they used to be because there is a new cook!”. The cook was spoken to when she was ordering her on line twice a week food delivery for the home. This delivery includes free range eggs and chickens. The cook talked about the menu and the choices provided to the people in the home. The menu changes over a two week period. The meal on the day of the inspection was corned beef hash with swede, carrots, runner beans and gravy. The alternative meal was chips and sausage. The main meal was to be followed by bread and butter pudding. For tea the main choice was to be hot dogs in rolls with onions and a side salad or an alternative of sandwiches and or soup. Records are in place of all meals provided as required by legislation. People are encouraged to be involved in meal planning and preparation with meetings held and surveys to discuss the menu. In addition to aid people with making choices about the meals they would like photographs have been brought together in a folder. Regular drinks are provided during the course of the day. An inspection of the kitchen by the District Council Environmental Health Officer identified the home as a “good” service. One survey from a person in the home stated: “that they usually like the meals but would like more of a variety” and one person stated: “another assistant is needed in the kitchen”. One staff survey said that “two full time cooks should be employed”. The registered provider is presently reviewing the kitchen arrangements for the home in line with the plans to extend the home. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people in the home and their representatives feel safe and listened to. Further staff training on safeguarding is recommended to ensure the well being and safety of the people in the home at all times. EVIDENCE: The home has in place a complaints policy and procedure which is on display in the home and provided in writing in the Service User Guide document. This document has been given to the people in the home and their representatives. Survey forms from people in the home indicate that they are aware of how and where to complain if required. The home has received no complaints. The home has in place a safeguarding policy and procedure that has been read by the staff. It is recommended that this is updated to clarify the role of the Local Authority if there is an alert raised. Staff have an awareness of adult protection as part of their training for NVQ. In addition a number of staff have received adult protection training. It is recommended that all staff attend external safeguarding training to ensure the well being and safety of the people in the home at all times. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 16 Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Copper Beeches is a safe, clean and well maintained home externally and internally. EVIDENCE: Copper Beeches is situated in a residential area within a ten minute drive from the centre of Plymouth. A bus stop is immediately available outside the home and good parking is provided at the rear of the home. All the entrances to the home are secure for the safety of the people living there. Bedrooms are provided on the ground and first floor of the home, although there are a number of steps to negotiate to the first floor without the use of Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 18 the stair lift. Bedrooms have been personalised by the people in the home. A walk in shower room is available on the ground floor of the home and an assisted bathing facility on the first floor, although there are stairs to negotiate to this. There are limited en-suite facilities although there are plans where space allows to make these improvements. Communal facilities include a pleasant lounge, music room and dining room. Curtains have just been replaced in the lounge. The home was found to be clean on the day of the inspection with a member of staff on duty to undertake these duties. The laundry is provided with industrial machines. There are plans to replace a number of carpets in the home in communal areas and some important equipment has recently been purchased. The registered provider is aware of good practice environment recommendations for people with a dementia. Names and pictures are on bedroom doors and visual clues are in place for toilets. There is a safe area outside the home for people to sit out of doors in the warmer weather. The owners have plans to extend the home by 15 beds for people with a dementia. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels meet the needs of the people in the home and provide a supportive environment for the people in the home. Training is promoted, highly valued and ongoing to the benefit of the people in the home. EVIDENCE: On the day of the inspection there were three carers on duty, a cook and cleaner. The home does not use any agency staff. A qualified nurse oversees the care delivery as well as being involved with hands on care. Staff presented very well during the course of the inspection and the people in the home all commented very favourably on the kindness of the staff. They present as smart in their uniforms and their names have been embroidered onto the uniform which is helpful to all visitors to the home. The registered provider explained that when recruiting staff she employs staff who are willing to undertake training which includes a commitment to being registered to study for an NVQ in care within four weeks of being employed. Nine out of the ten care staff employed have obtained an NVQ level 2 in care and 1 is studying to obtain this qualification. All senior staff members have Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 20 obtained an NVQ 4 qualification. Statutory training is taking place to include moving and handling, health and safety, first aid and fire safety. Staff are very much encouraged by the registered provider to undertake training which has also recently included mental capacity act training for senior staff. Staff have also undertaken dementia training which is very important as they are caring for a number of people with specific needs related to their dementia. They are also presently watching the Alzheimer’s Society “Featherhead” DVD. Recruitment procedures were found to be satisfactory for the employment of new staff. New staff members receive an induction that is based on Skills for Care good practice. Staff are provided with detailed terms and conditions for their job. Seven staff survey forms were received by the Commission for Social Care Inspection. They all indicate that the staff feel they receive good training and good information about the people in the home to enable them to meet care needs. One staff survey said: “I think this is a really good care home”. Another said: “All the staff work as a team. It is a very friendly and welcoming environment”. The home has been awarded the “Investors in People Award”. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered providers and staff team are providing a good standard of care to the people at Copper Beeches. EVIDENCE: The registered providers are very involved in the running of the home. An application is anticipated to register a manager for the home as this post is vacant at this time. One of the registered providers holds the registered managers award qualification. She has also regularly attended training in a Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 22 number of areas and holds an additional qualification in food hygiene. Training is very valued and encouraged by the registered providers. The registered providers have given serious consideration to involving the people who live in the home a say in how they want things to be done in the home. This includes using a regular quality assurance monitoring survey being sent to the people and their families. (March 07). In addition the people in the home are involved in regular meetings. (July and October 07). A compliments folder is kept where thank you letters and cards are saved. These were noted to be full of very positive comments on the day of the inspection. The home is holding personal money on behalf of a number of people in the home. The money is being held securely and records are in place of all incoming and outgoing expenditure. A satisfactory audit was carried out on the day of the inspection. Health and safety policies and procedures are in place to guide staff on best practice. All staff have received health and safety training and where certificates have expired courses are booked for updated training. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 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. Refer to Standard OP18 Good Practice Recommendations To arrange for all staff to receive external safeguarding training and update the adult protection policy and procedure. Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Copper Beeches DS0000028890.V352787.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!