Inspection on 15/07/05 for Critchill Court

This inspection was carried out on 15th July 2005.

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

Critchill Court 24/07/08

Critchill Court 12/07/06

Critchill Court 24/01/06

Critchill Court 07/02/05

Critchill Court 24/09/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

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 Critchill Court Lynwood Close Frome Somerset BA11 4DP Lead Inspector Sue Burn Announced 15 July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Critchill Court Address Lynwood Close Frome Somerset BA11 4DP 01373 461686 01373 453114 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Somerset Care Ltd Carole Mohide Care home only 49 Category(ies) of Dementia - over 65 (16) registration, with number Old age (33) of places Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 33 persons in category OP and 16 persons in category DE(E). 2. One service user, named elsewhere, under the age of 65. Date of last inspection 7 February 2005 Brief Description of the Service: Critchill Court is a purpose built residential service supporting 49 older people with personal and social care needs. Situated in a quiet residential area of Frome, it is a short walk away from the local shop and approximately threequarters of a mile away from Frome town centre. The home is set in good sized gardens, which includes an enclosed courtyard area. Critchill Court is situated on the ground floor with 33 service users living in the main residential area, in single bedrooms. The other 16 service users, who require support due to dementia, live in a separate self-contained residential area known as Cedar and Oaks (referred to as CedarOaks). This area of the home provides specialist residential care (SRC) for people with dementia and is supported by a nurse from Somerset Mental Health and Social Care Partnership. Although the home provides two residential areas the service users get together for social events and both areas are supervised by the supervisor on duty. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out as part of the planned annual programme of inspections. One inspector carried out this announced inspection over one day. The last inspection was unannounced and took place on 7 February 2005. Mrs Carole Mohide has been registered as manager with CSCI since the last inspection and a new deputy manager has been appointed. Mrs Mohide and her deputy were both available throughout the inspection. 47 people were living in the home and one admission was planned. All service users spoken to, and who were able, told inspectors that they were satisfied with their care, thought the staff were very good and they were ‘always there when needed’. A tour of the premises was made, care in the home observed and a range of records was inspected, including care records. 15 service users, 5 staff and 2 visitors were spoken to. All spoke highly of the home. One visiting professional was spoken to who supports the home with CedarOaks. She confirmed that this service was developing and that the manager has an open and pro-active style which is benefiting the home. What the service does well: Service users benefit from an enthusiastic staff team. The home is calm, relaxed and homely. Service users feel that they have sufficient control over their lives. The home provides a secure area of the home suitable for people with dementia care needs with space to move around freely. The home has robust recruitment and induction procedures that protect service users from the risk of abuse. The home offers a varied menu of home cooked and nutritional meals. Lunch, seen during the inspection, was appetising and plentiful. A varied activity programme is available. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 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. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 5 (standard 6 does not apply). The home’s Statement of Purpose and Service User Guide provide prospective service users with sufficient details about the home. Service user’s rights are protected by a detailed written agreement with the home. The home has thorough pre-admission arrangements that also provide good opportunities for the service user to make a decision about moving in. EVIDENCE: The home has a corporate style Statement of Purpose, adjusted to reflect Critchill Court, which is made available. Fees charged range from £349.00 £421.00, with additional charges for hairdressing, chiropody, transport and personal items. The home provides safe and secure surroundings in CedarOaks, whilst minimising restrictions on service users. Staff receive training in dementia Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 9 care and support from a specialist development nurse. The manager discussed her commitment to a person-centred approach with the inspector. A sample contract of terms and conditions was examined and found to contain all the relevant information including details of the trial period offered following admission. Service users admitted to CedarOaks are assessed by the specialist development team from Somerset Partnership prior to referral to the home. The manager or deputy will then confirm that they are able to meet the person’s needs at Critchill Court. The manager or deputy will assess all service users prior to moving in and a copy of this assessment was examined in the care records. A copy of a health professional assessment is also obtained. Service users are encouraged to visit the home before they make a decision and are able to visit as many times as they wish. The home records all these contacts as part of the assessment process. One newly admitted service user and her family confirmed how efficient and helpful the manager had been in organising a more complicated move to the home. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10. The care planning system is in need of further development to ensure that all service user needs are addressed. The home has good links with health professionals to enable service user’s health needs to be met. Personal support is offered in such a way as to maintain the privacy and dignity of service users. Medication management has improved and requires further improvement to ensure that all potential risk to service users is minimised. EVIDENCE: Four service users’ plans were examined. The manager reported that she was aware that the care plans needed further development and this was to be addressed now she and her deputy had become familiar with the needs of the home, staff and service users. The plans examined confirmed that additional detail was required in the care records to ensure that they became ‘working documents’ to inform staff of the Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 11 care and support required by individuals. A range of assessments are completed and the manager needs to ensure that these are always completed accurately and inform the care plan, for example, a nutritional assessment had been completed, but did not reflect recent weight loss although this had been noted elsewhere in the records. The nutrition plans then need to clearly detail the action to be taken to ensure that all staff can provide this consistently. Moving and handling plans should detail equipment used and care plans need developing to address the psychological needs of those accommodated on CedarOaks and ensure that short-term needs are also addressed. The plans evidenced that service user/representative consultation does take place but can be erratic. The manager should establish a system for consultation with regard to the care plans agreed with service users and staff. The records evidenced that other professionals are involved with the service users as required and GPs, district nurse and CPN support the home regularly. The Continence Nurse had been approached recently to provide advice. Service users are supported with gentle exercise as part of the activity programme. The manager has also implemented the use of red tumblers in CedarOaks to encourage people to help themselves to drinks as identified through research. The manager and staff confirmed that this has been effective. The inspector saw staff assist service users discreetly and promptly and service users confirmed that this is always the case. The manager has introduced monthly medication audits to improve the management of medication, which is a commendable development to address shortfalls in practice. Medication management was inspected and raised the following areas that require action: • Guidance on creams/ointments had not being followed. Creams must only be used for the person for whom they are prescribed and dated when open to ensure that they are not used beyond their expiry date. • The drugs trolley was left unlocked, with medicines on the top, in the corridor whilst the medication round took place. The medicines in the trolley should be secure at all times. • Prescriptions on MAR charts must be unambiguous and consistent with any relevant care plan or monitoring information. • A number of service users had ‘run out’ of medication for a number of days. A system must be put in place to ensure that this is minimised. • One person had not had eye drops administered for 6 days. The manager must ensure that service users receive all prescribed medication. All staff who administer medication have received training and the district nurse has trained and assessed 10 staff to administer insulin to a service user. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15. Service users are supported to lead the lifestyle they wish and have opportunities to participate in leisure activities. Visitors are made welcome at any time. The meals in the home are good offering choice and variety and taking account of personal preference. EVIDENCE: Service users are able to get up and retire as they wish. Service users spoken to confirmed that they are able to spend their time as they wish and a recent survey indicated that all people feel they have sufficient control over their lives. All service users spoken to were very satisfied with their lifestyle. The gardens are accessible and all service users could access all areas of the home. The manager and staff have been working with the local community to develop the courtyard garden and the work was underway. Throughout the inspection there was a relaxed atmosphere as service users, who were able, moved around the home and garden freely and bedrooms seen reflected the individual occupant. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 13 Service users on CedarOaks are offered regular opportunities to participate in activities and staff encourage them to look after their bedrooms and belongings where they are able. The home endeavours to provide regular social opportunities and during the inspection 16 people enjoyed being entertained by a visiting pianist and those on CedarOaks were supported to prepare their own tea. Trips are arranged with the home’s ‘League of Friends’. The home usually has 3 activities organisers, however one has left and one is on long-term sick, which is limiting the provision in the home in the short term. This will be monitored at the next inspection. The remaining organiser demonstrated her enthusiasm and commitment to the role during the inspection. Visitors spoken to confirmed that they are made welcome at any time. Lunch was seen as part of the inspection and was appetising and plentiful. Some service users remarked that they found the portions too big at times but all enjoyed the meals. The menu is varied and offers a choice of 2 main courses and 3-4 sweets at lunchtime. The inspector observed people being offered choices and alternatives to the menu were also made available. Service users were observed being offered the level of support and assistance they required. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 The home has a satisfactory complaints procedure with evidence that concerns are acted upon. The recruitment and training procedures carried out ensure that people are protected from the risk of harm or abuse. EVIDENCE: The home has a corporate complaints procedure that is made available. The home has received one complaint since the last inspection. The manager investigated the complaint and responded to the complaint within 4 hours. Recruitment records examined confirmed that all pre-employment checks are carried out. The home has appropriate policies for the protection of vulnerable adults. Staff spoken to were aware of what action to take should they suspect abuse and abuse awareness is part of the induction programme. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 23, 24, 25, 26. Service users benefit from comfortable, homely surroundings and the use of accessible, safe gardens. Bedrooms are personalised according to service user preferences and in CedarOaks they are clearly identifiable to assist individuals. All areas of the home are kept clean and tidy. Some personal care arrangements are not adequate to minimise the potential risk of cross infection. EVIDENCE: A tour of the premises was made. The home was clean and tidy on the day of inspection with a malodour in one bathroom, which was discussed with the manager. Some furnishings and décor are ageing and the corridor carpet in CedarOaks is taped where it has worn, this is in need of replacement. The dining room carpet in the main part of the home is planned for replacement. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 16 During the inspection service users in CedarOaks were able to use the garden, which was secure and pleasant with seating areas and is accessible with wheelchairs. The courtyard garden is currently being developed to provide an accessible garden with raised beds and sensory areas. Service users are encouraged to bring in personal possessions and in CedarOaks bedrooms are identified so that individuals can find their own room. All service users have the opportunity to hold a key to their room. There are sufficient and suitable toilet and bathing facilities available throughout the home. Staff hand washing facilities were discussed during the inspection. Staff use an alcohol gel hand rub and it is recommended that the manager ensures that all staff understand that use of the gel is not a substitute for hand washing. Staff hand washing facilities are provided in bathrooms and toilets but not in bedrooms, the manager confirmed that these would be made available if a person had an infection. These arrangements may not be adequate in CedarOaks where more assistance with personal care is provided. One bathroom did not have any pump action soap and a toilet had a bar of soap available in the sink. The assisted bathrooms had a large number of unidentified toiletries stored in a cupboard. It is strongly recommended that the manager review the provision of staff hand washing facilities and practices in CedarOaks to minimise the risk of cross infection. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30. The home is adequately staffed by suitably experienced staff. There is good support to ensure that staff achieve NVQ qualifications and access relevant training. Recruitment systems are robust and protect service users (see Complaints and Protection). Staff induction and training are planned and ensure that staff receive the training they require. EVIDENCE: Rotas examined confirmed that the home maintains the required number of care staff on duty at all times. The home employs housekeeping and catering staff and has some vacancies in these areas. The home has good access to NVQ training through the company with 71 of staff qualified to at least NVQ Level 2 in Care. The deputy manager holds NVQ3 in Management. Staff receive an induction programme to TOPSS standards. Recently staff have been recruited from overseas and a 2-week block programme was delivered specifically to this staff group. Supervisors undergo an induction programme whether recruited internally or externally and all staff are encouraged to develop their role. The manager submitted an annual training plan and a Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 18 training matrix to identify the training that staff have received training. All staff have been updated in moving and handling by the in-house trainer. Supervision records were examined and staff confirmed that they received supervision. The supervision received by staff is not consistent throughout the staff team. The manager has not been in post for long and it is anticipated that all staff will receive regular supervision. This will be monitored at the next inspections. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 36, 37, 38. The home is well managed and the manager promotes an accessible and open style of management. Staff supervision arrangements ensure that staff are supported and developed in their roles. Health and safety arrangements ensure that staff and service users are protected in most areas. EVIDENCE: The Registered Manager has many years working in care and has held a senior role in another home within the company. She has been acting manager at Critchill Court and recently completed her registration with CSCI. Mrs Mohide has NVQ4 in Care and the Registered Manager’s Award. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 20 Staff and service users spoken to confirmed that Mrs Mohide is open and approachable and has had a positive impact on the home. Senior staff have designated roles and Mrs Mohide appears well supported by her deputy. Supervision records were examined and staff confirmed that they received supervision. Annual appraisals have been carried out for the majority of staff. The manager has recently conducted a service user survey. The results had not yet been analysed so this standard has not been inspected on this occasion. A number of records were examined during the inspection and found to be well maintained and stored appropriately. A tour of the premises was made and most areas seen were free from hazards. An unguarded radiator in the small lounge and towel rail were identified. These pose a potential scalding risk to service users when the heating is switched on. It is required that they are both protected with cool touch surfaces before the heating is switched back on. All staff have received recent fire training. Fire drills are held regularly, the last was held on 11 July 2005 and included some of the night staff. Accidents are recorded and evaluated both centrally and in the service user’s file as a ‘running record’. A range of records was examined and were well maintained and ordered and demonstrated satisfactory checks are carried out, these included: • Electrical testing • Fire equipment and systems • Staff risk assessments (as necessary) • Hot water temperatures and legionella testing • Hoists • Emergency call systems • Food and fridge temperatures • Regulation 26 (provider) visits Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 3 x 3 3 3 2 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 Standard No 16 17 18 Score 3 x 3 3 3 x x x 3 3 2 Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 22 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. 1. Standard 7 Regulation 15(1)(2) Requirement The manager must ensure that all care plans have been drawn up from comprehensive assessments and detail clear strategies to guide staff in the care and support of all service users in all aspects of their health and welfare. They should include: - Nutrition - Psychological needs - Moving and handling - Short term health problems. Care plans must evidence consultation with service users/representatives and be reviewed as determined in the plan. Safe systems for the management of medication must be implemented and maintained addressing the issues raised in this report. The corridor carpet in CedarOaks must be replaced. The cause of the malodour in the identifed toilet must be identified and rectified. The identified radiator and towel rail must be guarded with a cool touch surface (43C). Timescale for action 30.9.05 2. 9 13(2) 31.8.05 3. 4. 5. 19 26 38 23(2)(b) 13(3) 13(4)(a) (c) 31.12.05 30.9.05 30.10.05 Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 23 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 26 Good Practice Recommendations It is strongly recommended that staff handwashing facilities are provided in the bedrooms in CedarOaks where service users receive assistance with care. All toiletries should be identified for individual service users and bars of soap removed from communal areas. The manager should ensure that all staff understand the indications for using alcohol gel hand rub to minimise any potential risk of cross infection. Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Riverside Chambers Castle Street Taunton TA1 4AL 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 Critchill Court D53 - D02 S16011 Critchill Court V232364 150705 Stage 4.doc Version 1.40 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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