Inspection on 31/01/06 for Craignish Avenue (4)

This inspection was carried out on 31st January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Craignish Avenue (4) 14/05/07

Craignish Avenue (4) 23/09/05

Craignish Avenue (4) 16/12/04

Craignish Avenue (4) 19/08/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Craignish Avenue (4) 4 Craignish Avenue Norbury London SW16 4RN Lead Inspector Lee Willis Unannounced Inspection 01:30 31 January 2006 st Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 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 Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 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. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Craignish Avenue (4) Address 4 Craignish Avenue Norbury London SW16 4RN 020 8679 8951 020 8679 1096 claire.adam@croydon.gov.uk 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) London Borough of Croydon Ms Claire Louise Adam Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd September 2005 Brief Description of the Service: Craignish Avenue is owned, managed and staffed by the London Borough of Croydon. The Centre is registered with the Commission for Social Care and Inspection to provide short-stay respite care for younger adults with mild to moderate learning disabilities. There are approximately fifty individuals who currently use the Centre on a regular basis, although the duration and frequency of their stays varies considerably. Care managers representing the Local Authority are responsible for assessing individual service users needs and making referrals to the centre. Claire Adam as the recently registered manager of the centre has now been in operational day-to-day control for just over a year, although she has worked at Craignish Avenue in numerous capacities for the past decade. Craignish Avenue is a semi-detached terrace situated in the heart of Norbury, which is well served by a wide variety of local shops, cafes, banks and pubs. The centre is also on a main line bus route and within ten minutes walk of Norbury train station, which has excellent links to Croydon, central London and the surrounding areas. Each service user is always provided with their own single occupancy bedroom, of which there are five located on both the first and second floors of the centre. Communal space is concentrated on the ground floor and consists of a main lounge and an open plan dinning/kitchen area. The ground floor also has an office and laundry room. There are sufficient numbers of toilet and bathing facilities located on various levels of the property. There is ample space for parking vehicles on the front drive and a well-maintained garden at the rear, which has a well-kept lawn, greenhouse and a wide variety of trees, shrubs and plants. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and began at 1.30 on the afternoon of Tuesday the 31st January 2006. It took two and a half hours to complete. Since the centres last inspection, which took place in September 2005, the Commission has not received any more comment cards in respect of this service. The centre was closed to service users for the week and consequently the vast majority of this inspection was spent talking to the centres recently registered manager and the rest of the staff team, who had just finished having a staff meeting. Four members of staff, including the manager, two permanent carers, and an agency worker, were all spoken with at length. The remainder of this inspection was spent examining the centres records and going on a brief tour of the premises. No additional visits or complaints investigations have been carried out by the CSCI in respect of this service in the past twelve months. What the service does well: Overall, Craignish Avenue is an excellent quality service with a substantial number of strengths that continue to provide consistently positive outcomes for the people who regular stay at there. The service has a sustained track record of working closely with service users and their representatives and has excellent arrangements in place for ascertaining the views. Service users continue to be asked for their comments after each stay and are actively encouraged to help plan the menus and activity schedules. The centre also has a very committed and well-trained staff team, which has changed very little in recent years. The service users therefore benefit from being supported by a small group of dedicated individuals who not only have a wealth of experience and knowledge, but also are extremely familiar with each service users unique needs and preferences. It was particularly impressive to note that National Minimum training Standards for care staff have been exceeded by the centre with almost its entire staff team now trained to NVQ Level 4 in care. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 The centre ensures that all prospective new service users and their representatives are supplied with all the up date information they need to make an informed decision about whether or not to use the centre. EVIDENCE: There have been no significant changes made to the centres Statement of purpose in recent months, although the manager was aware that this document must be subject to programmed reviews and where appropriate, up dated to reflect any changes in provision. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 9 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&9 Significant progress has been made by the centre to ensure each service users care plan is far more person centred so it not only sets out in detail what each individuals personal, social and health care needs are, but also what their food preferences and social interests are. EVIDENCE: The manager said that approximately half of the all care plans that have been developed for the 50 or so service users who reside at the centre on a regular basis have now been revised to make them far more person centred. This remains a work in progress, although the manager and her staff team are all confident that this on going task will have been completed within the next six months. Progress on this matter will be assessed at the centres next inspection. Since the centres last inspection there has been one unplanned absence by one of the centre most recent referrals. Following the incident the centre carried out a risk assessment and the individuals care plan now contains a detailed risk management strategy to minimise similar incidents reoccurring in the future. Staff on duty had completed a detailed incident form at the time Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 10 and the Commission notified without delay about its occurrence, in accordance with the Care Homes Regulations (2001). Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 11 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): 13 & 15 The social, leisure and recreational opportunities the service users have to engage activities of their choice while staying at the centre are well managed, ‘age’ appropriate, and provide the service users with daily variety and stimulation. EVIDENCE: The centre was on a closed week at the time of this inspection and consequently no service users were available to talk to. The centre has its own transport by way of a ‘People carrier’ and as previously mentioned the centre is also on a mainline bus route and very close to Norbury train station, with good links to Croydon and central London. The staff spoken with said the activities the service users engage in during their time at the centre, which most help choose and plan, is probably the highlight of most of their stays. The manager was able to produce a list of the activities the service users and staff planned to do in the forth-coming year. The list included regular outings to the cinema, bowling alleys, pubs, markets Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 12 and shopping malls, as well as days trips to all manner of historical sites and places of interests, including: various museums, castles and country parks. The staff all concurred that going out for a pub lunch and bowling remained by far the most popular activities amongst the service users, despite their best efforts to introduce more variety. The manager said the centre has an open visitors policy, although the service users tend not to have to many guests visitor because of the short-stay nature of the service. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 13 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 & 20 The centres procedures for responding to accidents and significant incidents ensures the health and welfare of the service users, is so far as reasonably practicable, protected. Furthermore, the arrangements that are in place for the for handling of medication in the centre are sufficiently robust to ensure the service users are kept safe, although sufficient numbers of staff will need to up date their existing medication training. EVIDENCE: It was positively noted that as discussed at the centres last inspection the manager arranged for a ‘suitably’ qualified occupational therapist to assess the premises. The assessment was carried out in January 2006 and the OT made a number of recommendations that the manager said the Local Authority are very keen to implement as soon as reasonably practicable. Recommendations made, include: installing additional and longer grab rails on the stairs and in bathrooms, including ‘Newel’ rails, which are specially angled to bend around awkward corners and banisters. The OT also suggested the centre purchase some flat or slatted bath/shower boards, as well as non-slip mats for the bathrooms on both the middle and top floors. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 14 The centres accident and incident books revealed that the service users had not been involved in any ‘serious’ accident at the centre since its was last inspected and nor had any been admitted to hospital during that time. The centre uses a well known monitored dosage system. Having examined a number of service users individualised medication administration sheets no recording errors were noted and staff spoken with were very aware of the centres procedures regarding the safe receipt, administration, disposal, recording and storage of medicines they look after on service users behalves. The manager said one service user is prescribed a Controlled drug and two ‘suitably’ trained staff always sign the centres separate controlled drug register, in accordance with the Royal pharmaceutical Society’s guidance on the safe handling of controlled medicines. The manager said that sufficient numbers of her current staff team have received training in the safe handling of medication in a residential care setting, but most needed to attend a refresher course to up date their existing knowledge and skills. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 15 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 & 23 The centres arrangements for dealing with complaints and allegations and/or suspicion of abuse are sufficiently robust to ensure the service users views and concerns are always taken seriously and acted upon. EVIDENCE: The centres formal complaints log revealed that no concerns have been made about the centres operation since it was last inspected. The centre has recently adopted a far more service user ‘friendly’ complaints procedure which is written in a very easy to understand and read large print that has also been illustrated with some simple drawings. A copy of the new version was conspicuously displayed on the notice board in the entrance hall. There have been no disclosures of alleged or suspected abuse made within the centre in the past twelve months. The manager was very clear about which agencies needed to be notified without delay about any such disclosures. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 16 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, 26, 27 & 30 Overall, the size and layout of the centre, which is furnished and decorated to a reasonable standard, ensures the service users have a comfortable, safe and clean environment in which to stay when they visit Craignish Avenue. EVIDENCE: There have been no significant changes made to the centres environment since it was last inspection. The manager said the Local Authority have no plans to refurbish or decorate the premises in the foreseeable future. Having been on a brief tour of the building it was clear that the main lounge area and a few of the bedrooms had been redecorated in the past few years. The interior décor of two of the centres bedrooms are looking a little ‘worn’ and it is recommended Croydon Council consider redecorating them. The stained seat cover on a chair in a first floor bedroom also needs to be either reupholstered or replaced. Having tested the temperature of hot water used in the top floor bath it was found to be a safe 40 degrees Celsius at 15.15. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 17 The centres washing machine, which is located in a small laundry room on the ground floor, is capable of thoroughly cleaning foul laundry at appropriate temperatures. Hand washing facilities are prominently sited and the walls and floor of the laundry room are readily cleanable. The centre has a contract with the Local Authority for disposing of clinical waste and the centre has adequate supplies of yellow bags, latex gloves and plastic aprons for dealing with this type of waste. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 18 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, 33, 34, 35 & 36 The centre ensures that sufficient numbers of suitably experienced, qualified and well supervised staff are on duty at all times to protect the health and welfare of the service users. EVIDENCE: The manager stated that three out of four of the centres permanent staff team have already achieved a National Vocational Qualification in care up to Level 4 and the other one was currently studying for theirs. This far and exceeds National Minimum training targets for care workers, which only requires care establishments to ensure that at least 50 of its care staff are trained to NVQ level 2 or 3. The centres manager and the Local Authority are evidently committed to NVQ training and are commended for their efforts thus far. Staffing levels remain unchanged and the centres flexible approach to arranging them ensures that sufficient numbers of suitably trained staff are always on duty. At least two staff on duty during the day, although this can be increased if more than three service users with ‘higher’ needs are residing at the centre at the same time. Staff said this situation rarely arises because the centre tries very hard to ensure the centres resources are never over stretched to the determinant of both service users and staff. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 19 Having spoken to three members of staff at length, including one agency member, it was immediately clear that they all had an extremely good understanding of the service users unique needs and preferences. This was particularly impressive because of the short stay nature of the service provided and the large numbers of service users that stay over at infrequent intervals. The centre continues to experience extremely low rates of staff turnover, and consequently the manager has not needed to recruit any new members of staff in the past twelve months. The centres staff team have a wide variety of knowledge and experience. The vast majority have attended a number of core training courses to enable them to carry out their duties, including; moving and handling, first aid, fire safety, food hygiene, and vulnerable adult protection. Furthermore, a number of staff met said they had recently received training in person centred care planning, cultural awareness, equal opportunities and health and safety. It was evident from staff files sampled at random that the manager ensures that each member of both her permanent and regular agency/bank staff team receives at least one formal supervision session with her on a bi-monthly basis, in addition to an annual ‘Job review’. Furthermore, although the manager is more than capable of ensuring supervision frequency targets continue to be met arrangements have been made for a senior member of staff to receive some training to enable them to supervise agency members of staff in the future. All three members of staff spoken to at length say they felt their annual job reviews were useful forums for identifying training and career development needs. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 20 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, 38, 39 & 42 The centres health and safety arrangements are sufficiently robust to ensure potential risks to service users, their guests and staffs health are, so far as reasonably practicably, minimised. The arrangements the centre has in place for ascertaining the views of service users and their representatives are extremely effective and a useful self-monitoring tool for assuring quality. EVIDENCE: Claire Adam has been in operational day-to-day control of the centre for the past year, although she has been working at Craignish for the past ten, is extremely familiar with the Local Authorities policies and procedures, service users needs, and her staff team strengths. The manager completed her NVQ Registered manager’s award in December 2005 and has recently successfully undergone a ‘fit’ person interview with the Commission to become the centres registered manager. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 21 A staff meeting had just finished at the time of arrival and one of the topics discussed was how the staff team should deal with one service users diabetic needs. Staff meetings are always minuted and take place on a fortnightly basis. The centre continues to ask each service user for their comments about the quality of service they received at the end of their stay. Furthermore, service users primary carers are also asked for their comments about the centre at regular intervals. These comments, as well as those obtained during service users meetings and care plan reviews, are compiled on an annual basis and the results published in a service user ‘friendly’ format. The document also sets out what the centre plans to do over the course of the next twelve months and specifically asks the service users and their representatives for ideas about things to do or places to visit in the future. As recommended in the centres previous inspection report the manager consulted Annetta Maslen, Croydon Social Services Health & Safety Advisor, who works closely with the London Fire and Emergency Planning Authority (LFEPA), about smoke seals. The LFEPA advised Annetta Maslen that if fire resistant doors continue to close flush into their frames then it is not necessary to fit them with smoke seals. A fire resistant door on the ground floor closed flush into its frame when released during a tour of the building. The centres fire records revealed that staff continue to test the fire alarm system on a weekly basis and since the centres last inspection two fire drills have been carried out, in accordance with fire safety guidance. The agency member of staff on duty at the time said she had recently participated in one of the centres most recent fire drills. Certificates of worthiness were in place to show that a ‘suitably’ qualified engineer had checked the centres gas installations and portable electrical appliances in the past twelve months. Records show that the centres emergency lighting is tested on a monthly basis. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X X X X Standard No 22 23 Score 4 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 2 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 4 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Craignish Avenue (4) Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 3 4 X X 3 X DS0000039500.V270863.R01.S.doc Version 5.0 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation Requirement Timescale for action 01/08/06 2. YA26 13.2&18.1, Sufficient numbers of the Sch2.4 centres staff team must up date their existing knowledge and skills and attend a refresher course in the safe handling of medication in a residential care setting. Documentary evidence of this training must be available for inspection on request. 16(2)(c) The stained seat cover on a 01/05/06 chair in a first floor bedroom must either be reupholstered or replaced. 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 YA26 Good Practice Recommendations The Local Authority should consider drawing up a time specific rolling programme to redecorate the centres two bedrooms, which are most in need. Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Craignish Avenue (4) DS0000039500.V270863.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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