Inspection on 05/03/07 for Copperbeech

This inspection was carried out on 5th March 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Copperbeech 28/10/08

Copperbeech 27/02/06

Copperbeech 15/09/05

Copperbeech 15/03/05

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Thornton Lodge

Alfred House Residential Care Home

Barkerhouse Road (123)

Fernhaven

Thames House

Creative Support

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

CARE HOME ADULTS 18-65 Copperbeech Copperbeech 75-76 Penkett Road Wallasey Wirral CH45 7QG Lead Inspector Inger Moynihan Unannounced Inspection 5th March 2007 09:30 Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 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 Copperbeech DS0000062442.V323493.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 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. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Copperbeech Address Copperbeech 75-76 Penkett Road Wallasey Wirral CH45 7QG 0151 639 1405 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) Mannacom Ltd Karen Scregg Care Home 25 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (25) of places Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 named service user over 65 years of age (MD/E) within the overall total of 25 27th February 2006 Date of last inspection Brief Description of the Service: Copperbeech is a large three storey detached property that was registered in February 1991 for the care of people with mental health problems. It is situated in an urban location within easy reach of Liscard and New Brighton town centres which both have a selection of shops, banks and community facilities. The area in which the home is situated contains many other residential homes providing care for other vulnerable groups of people. The home is situated in its own grounds with parking space for about six cars. There is a large garden at the back of the home with a patio. Accommodation is provided in 14 single and 3 shared bedrooms all with en-suite facilities. Three flats in the basement provide more independent accommodation. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information about Copperbeech was obtained through a pre-inspection questionnaire and discussion with the Registered Manager and members of the staff team. Supporting documentation was looked at along with a selection of service users case files. Staff and service users views were obtained through discussion and questionnaires. A selection of their comments are included in the report and contribute to the basis of any judgments made. Fees £365.73p per week What the service does well: Service users are only provided with a service after their needs are assessed and they have been assured these needs will be met. Service users are fully involved in the development of their care package and are encouraged to make decisions about their own lives. The service users spoken to said their individual care needs are fully met and confirmed the staff team are very supportive and caring. Service users are supported to be as independent as possible although action is taken to ensure they are not exposed to the risk of harm. Service users are supported and encouraged to participate in the local community in accordance with their particular care requirements. Staff support service users to maintain family links and friendships inside and outside the home. Service users confirmed the routines in the home are flexible and they can come and go as they wish. A procedure is in place to ensure service users and their representatives know what to do if they want to make a complaint. The service users spoken to said the staff are caring and they have never experienced any form of abuse. The staff have the competencies and qualities required to meet service users care needs. The homes recruitment procedures ensure suitably qualified and competent staff are employed. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 6 The home has a training and development plan in place to ensure fully qualified and competent staff are employed to care for the service users. The Manager is competent and experienced to run the home for its stated purpose, aims and objectives. The staff and service users spoke well of the Registered Manager saying she was always available for support and advice. Systems are in place to ensure the ongoing improvement of the service. The health, safety and welfare of the service users is well promoted throughout the home. Five Social Care Professional comment cards were returned to the CSCI. One comment card recorded It is always a pleasure to visit Copperbeech. The staff are professional and friendly. I am always involved where appropriate with the care of the service users I visit. Another comment card recorded During a particular case the manager and staff went above the usual effort to work in a multi-disciplinary care plan for a service user. I feel the manager and staff at Copperbeech are a good example of a canny, motivated care team who have to my knowledge consistently valued their service users. What has improved since the last inspection? What they could do better: More information needs to be recorded in the service users care plans to ensure staff provide the appropriate package of care. Further guidance needs to be provided for staff so they are clear on when medication should be given. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 7 The standard of the decor would benefit from some improvement to ensure a more homely environment is provided. 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. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 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 Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 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. 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 this service. Service users are only provided with a service after their needs are assessed and they have been assured these needs will be met. EVIDENCE: An assessment of service users care needs is carried out to ensure the staff are able to support the service users in accordance with their particular needs. The service users spoken to said their individual care needs are fully met and confirmed the staff team are very supportive and caring. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. More information needs to be recorded in the service users care plans to ensure staff provide the appropriate package of care. Service users are fully involved in the development of their care package and are encouraged to make decisions about their own lives. Service users are supported to be as independent as possible although action is taken to ensure they are not exposed to the risk of harm. EVIDENCE: A documented care plan is in place for each service user. The care plans cover a range of issues relating to service users’ care needs. This information gives staff guidance on how to understand the service users often complex health needs and how to carry out the necessary care. The Registered Manager agreed the care plans need to be developed further to ensure they accurately reflect service users current care needs, and staff have the information they Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 11 need on how best to support service users. More detailed information needs be recorded in the review process to demonstrate why changes have been made to the package of care provided. The Registered Manager must ensure all documentation is signed and dated so the staff know the information they refer to reflects service users current care needs. The service users confirmed they are involved in the care planning process and are encouraged to make decisions about their own development and plans for the future. Most of the service users manage their own finances although the pre inspection questionnaire indicated that a number of service users have help with this area of care provision. The service users reported the routines in the home are flexible and they can come and go as they wish. Service users are encouraged to take responsible risks as part of living an independent lifestyle, although risk assessments are carried out to ensure they are kept safe from harm. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to take part in appropriate training or activities. Service users are supported and encouraged to participate in the local community in accordance with their particular care requirements. Staff support service users to maintain family links and friendships inside and outside the home. The homes daily routines and house rules encourage independence and individual choices. EVIDENCE: Staff support service users to find and keep appropriate jobs or continue with their education and training. At present one service user attends college and another is a volunteer with Merseyside Fire Department. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 13 The service users confirmed they use community facilities for their leisure and health care needs. A range of social activities are provided both inside and outside the home to ensure service users have a stimulating environment to live in and they do not become bored. Staff are available to work with service users on an individual basis or in small groups. An activities organiser is employed on a part time basis. The service users said they enjoyed the social activities provided although they confirmed the staff respect their wishes if they did not want to join in. Service users confirmed the routines in the home are flexible and they can come and go as they wish. This flexibility is an important aspect of the care at Copperbeech and ensures service users independence and rights are respected and service users are not put under unnecessary pressure. Service users friends and relatives are welcome to visit the home at any time. Service users can choose who they see although they cannot always spend time with their visitors in private as a separate visiting room is not provided and not all service users have a bedroom of their own. The staff office is available for private meetings. A varied and nutritious diet is provided to ensure service users interest and health; service users medical needs are included in the menu planning. The service users spoken to said they always had enough to eat and drink and confirmed a choice of meal is always available. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff provide personal care in a sensitive and flexible way to ensure service users privacy is respected. The service users health care needs are well met with evidence of good multidisciplinary working taking place. Additional guidance must be given to staff so they are clear on when service users medication should be given. EVIDENCE: Staff are available to support service users with their personal care. Both male and female staff are available to provide this support and personal care is always provided in private to ensure service users privacy is respected. Service users have access to a range of health care professionals to ensure their good physical and mental well-being. There is evidence of multidisciplinary working to ensure all aspects of service users care needs are Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 15 addressed and met. A record of this information is kept to help staff monitor service users’ general welfare. The systems in place for the administration of medication are good with all the required documentation and storage facilities being in place. All staff have completed training in relation to the administration of service users medication and the testing of blood for service users who have diabetes. This training is supported by relevant nursing health care professionals to ensure staff are upto-date on any changes in practice. The Registered Persons must ensure staff have access to guidance on when medication is administered on the basis of as and when required. This guidance must always be signed and dated. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A procedure is in place to ensure service users and their representatives know what to do if they want to make a complaint. Systems are in place to ensure service users are safeguarded from abuse and harm. EVIDENCE: The CSCI has not received any complaints about the standard of care provided at Copperbeech. The pre inspection questionnaire indicted that no complaints have been made directly to the home. The service users spoken to during the visit said they were happy with the standard of care they received and had no complaints to make. The complaint procedure is displayed in the hallway to ensure service users know whom to contact if they are unhappy about any aspect of the service provided. A copy of the Wirral adult protection procedure and supporting documentation is in place to ensure allegations of abuse are investigated and managed correctly. During discussion the Registered Manager demonstrated knowledge of these procedures and was clear on her responsibilities with regard to this aspect of care provision. All staff have completed training in this area of care and the staff spoken to were aware of the action they should take in the event of them suspecting an incident of abuse had taken place. This aspect of care provision is included in induction training when staff are first employed at the home and in the forthcoming years training plan. The service users spoken to Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 17 said the staff are very caring and they had never experienced any form of abuse. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the decor is satisfactory. The home is clean and hygienic. EVIDENCE: There is a programme of ongoing refurbishment to improve the condition of the building. However, further work still needs to be carried out to ensure a more homely environment is provided. At present the home is maintained to a satisfactory standard. Strip lighting is provided in the bedroom corridors and it would be beneficial for more homely lighting to be provided in these areas. The corridor in the basement appears rather dingy and again would benefit from improved lighting. One of the toilets on the first floor should be replaced and damaged furniture in one of the bedroom should be repaired. The standard of hygiene throughout the building is good. The standard of cleanliness in the kitchen is good although improvements still need to be made to the food storeroom. Policies and procedures relating to this aspect of care Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 19 provision are in place. The Registered Manager reported that plans are in place to improve the garden this summer. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff have the competencies and qualities required to meet service users care needs. Recruitment procedures are in place to ensure suitably qualified and competent staff are employed. Staff are provided with a range of suitable training to ensure they know how to care for the service users properly. EVIDENCE: A training programme is in place for the forthcoming year. The pre inspection questionnaire indicated that staff have completed a range of appropriate training since the last inspection and more training is planned for the future. Staff confirmed they have completed a range of training in relation to the running of the home and the care and support of the service users. This is a Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 21 positive aspect of the home and ensures the service users are being cared for in accordance with good practice. The pre inspection questionnaire indicated that 99 of staff employed are trained to NVQ level 2 or above. This exceeds the National Minimum Standards recommendation of 50 of care staff being trained to these standards. The service users spoke highly of the staff saying they were always available for support. The staff spoken to were aware of their responsibilities with regard to the care and support of the service users. The pre inspection questionnaire indicated that only one member of staff has left the home since the last inspection. This is a positive aspect of the home as this provides consistency in the care provided to service users. Recruitment and selection procedures are in place to ensure suitably qualified and competent staff are employed. Checks are carried out prior to any member of staff being employed and all staff spoken to during the visit confirmed they had completed a Criminal Record Bureau check. Staff records indicated the appropriate information had been obtained prior to staff being employed. Copperbeech is an equal opportunities employer and this issue is explicitly addressed during the interview process to ensure the Registered Manger is aware of an applicants views on issues of equality and diversity. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager is competent and experienced to run the home for its stated purpose, aims and objectives. Systems are in place to ensure the ongoing improvement of the service. The health, safety and welfare of the service users is well promoted throughout the home. EVIDENCE: There are clear lines of management and accountability within the home which is run for service users best interest. Mrs Karen Scregg, Registered Manager is competent and experienced to run the home. She is qualified to NVQ level 4 which is the recognised qualification for a manager of a care service. Mrs Scregg has completed regular training to develop her knowledge and skills in Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 23 relation to the support of the service users and the management of the home. The staff and service users spoke well of Mrs Scregg saying she was always available for support and advice. Systems are in place to ensure the ongoing monitoring and improvement of the service. The quality assurance systems include supervising staff, regular training and reviewing administrative systems. The Registered Manager stated that while she has regular contact with service users on an individual basis, she recognised this time needs to be more structured. She agreed to ensure this issue was addressed. Five Social Care Professional comment cards were returned to the CSCI. They recorded they were satisfied with the overall care provided at the home and they had not received any complaints about the service. They indicated that staff demonstrate a clear understanding of the service users care needs and that their medication is given appropriately. One comment card recorded It is always a pleasure to visit Copperbeech. The staff are professional and friendly. I am always involved where appropriate with the care of the service users I visit. Another comment card recorded During a particular case the manager and staff went above the usual effort to work in a multidisciplinary care plan for a service user. I feel the manager and staff at Copperbeech are a good example of canny, motivated care team who have to my knowledge consistently valued their service users. One comment card recorded that staff usually seek advice on individuals health care needs and that these needs are sometimes met. It indicated that service users privacy and dignity was usually met and noted that the service could improve by providing more active rehabilitation and working with service users on an individual basis. This comment card highlighted the need for improved education around working with people with mental health difficulties and noted some staff had little knowledge of this area. When asked what the care service does well, it was recorded that staff are generally friendly and responsive to professionals and acknowledged the hard work the staff carry out. The contents of this questionnaire was discussed with the Registered Manager who agreed to address the issues raised. The health, safety and welfare of service users and care staff is promoted through the provision of policies and procedures and regular staff training. The pre inspection questionnaire indicated that regular health and safety checks are carried out around the building. Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 24 Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 25 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 2 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 2 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 2 x 3 x 3 x x 3 x Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 26 yes 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 YA6 Regulation 15 Requirement The Registered Persons are required to ensure service users care plans are an accurate reflection of their current care needs. More detailed information must also be recorded during the review process. The previous timescale of 1/4/07 has not been met. The Registered Persons are required to ensure guidance is in place in relation to when medication is given on the basis of as and when required. The previous timescale of 01/04/06 has not been met. The Registered Persons are required to ensure all parts of the building are maintained in a way that provides a more homely environment. Timescale for action 05/05/07 2. YA20 13 05/05/07 3. YA24 23 05/09/07 Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Copperbeech DS0000062442.V323493.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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