Inspection on 01/03/07 for Curzon Park Residential Home

This inspection was carried out on 1st 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 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

Curzon Park Residential Home 15/01/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Curzon Park Residential Home 13 Curzon Park South Chester Cheshire CH4 8AA Lead Inspector Judith Morton Unannounced Inspection 1st March 2007 10:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Curzon Park Residential Home Address 13 Curzon Park South Chester Cheshire CH4 8AA 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) 01244 677666 Curzon Professional Services Limited Mrs Carol Ann Capner Care Home 25 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (25) of places Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 25 service users to include: * Up to 25 service users in the category of OP (Old age, not falling within any other category) * Up to 4 service users in the category of DE(E) (Dementia over the age of 65) Date of last inspection Brief Description of the Service: Curzon Park is a care home providing personal care for up to 25 older people, four of whom may have dementia. The home is an adapted two-storey house in a residential area within half a mile of Chester city centre. The home has 21 single and two double bedrooms. Seven of the bedrooms have an en-suite toilet and all have washbasins. Bedrooms and bathrooms are on both floors. The main staircase between the ground and first floors has a stair-lift. However, residents who have a bedroom on the first floor need to be able to walk up one small fight of stairs to reach their bedroom. There are three lounges on the ground floor, one of which has a dining area, and a separate dining room. The home is set in mature gardens and there is a pleasant garden and courtyard where residents and their visitors can sit. On the 01/03/07 the manager said that the weekly charge to residents was between £343.00 and £417.00. Three particular newspapers and some brands of toiletries are purchased by the home for the residents but if particular brands are preferred, residents are responsible for purchasing their own. In addition to this residents would have to pay for hairdressing, clothes, private chiropody and private telephone. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit, part of the key inspection for this service, took place on 1 March 2007 and lasted 6hrs. The visit was just one part of the inspection. Before the visit the manager was asked to complete a questionnaire to provide up to date information about services in the home. Questionnaires from CSCI were made available for residents, families and health and social care professionals to find out their views about the home and the care they receive. Other information received since the last inspection was also reviewed. During the visit various records and the premises were looked at. A number of residents were spoken with and they gave their views about the service. What the service does well: What has improved since the last inspection? There has been considerable improvement in the content, organisation and recordings within the residents’ files and care plans so there is clear guidance for all staff to follow to make sure that residents’ needs are met. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 6 There has been great improvement in the organisation of staff files and the recruitment practices being followed so it is clear that all recruitment checks are being done to make sure that staff are suitable to work with the residents of the home. The storage of information relating to the health and safety checks, maintenance of equipment was better organised so that the information could be found more easily when needed. 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. The summary of this inspection report can be made available in other formats on request. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 3 (Standard 6 does not apply as this home does not provide intermediate care) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments of possible residents’ needs are done before they move into the home so they know whether their needs can be met at the home. EVIDENCE: The service user guide available for residents clearly shows the services offered at Curzon Park. The care files checked during the visit showed that the home had a copy of the assessment done by the local authority about the resident’s needs. In addition, a senior member of staff of Curzon Park had visited the possible resident to assess their needs to make sure they could be met at the home. These were done before the resident moved into the home. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 9 One of the files also contained an assessment carried out by the hospital. The manager said that she had assessed the resident herself and her assessment differed considerably from that of the hospital. This highlighted the importance to her of carrying out an assessment before any agreement that the person could move into Curzon Park because the manager said it was unlikely that the resident would have been admitted to Curzon Park based on the assessment of the hospital. The assessments available clearly indicated whether the home would be able to meet the resident’s needs and enabled a care plan to be drawn up from the information received. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Improvements had been made to the care files so they now have the information staff need to make sure that they know the resident’s needs are and how they should be met. EVIDENCE: Two care files were checked and care plans were available on each. The records showed that the care plans had been reviewed monthly and that changes had been made where necessary. Residents and/or their relative/representative had signed their agreement to the content of the care plans. Risk assessments were available on the files and these were also being reviewed. The daily records made by staff about care given to the residents had also improved in their content and showed more clearly how a resident had spent their day and what care had been given to them. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 11 Although it was clear from what was written that the staff had spent time talking with the residents each day, they had not recorded anything that the residents had said about their day. Where possible, daily records for the residents should include the residents’ own views on their care and any other comments they have made about what they have or have not particularly enjoyed that day. Curzon Park keeps two files for each resident. The main file for staff use is held in a lockable cupboard in the dining room and there is another file for each resident, containing financial information etc, held in the office in the lockable filing cabinet. On the second file for one resident there was a hand written, detailed social history. This was a very good piece of work but would not have been available for all staff to see. It is recommended that a detailed social history should be compiled for each resident to enable staff to have an insight into the resident’s earlier life, family and interests before they moved into the home. There was good evidence that the residents’ health care needs were being met. There was a separate form for recording visits from healthcare and other professionals including, GP, district nurses, community psychiatric nurses (CPN), social workers, and chiropodists. The medication administration, storage and recording was checked. The medication was being stored appropriately and all medicine was signed for accurately. Medication training has been provided for staff together with regular updates. No controlled drugs were prescribed. Unused medicines are returned each month to the dispensing pharmacy. Some of the residents spoken with said they felt well treated by staff and they were spoken to politely. One new resident said that they had settled in well and quickly and felt that it was because the staff were really nice and caring. Staff were seen talking with the residents, checking they understood and giving them time to answer. The comments in the Commission for Social Care Inspection questionnaires that were completed were very positive about the staff and the respect shown to the residents. One relative had written, “we visit on different days at different times and have always been very pleased with the atmosphere and the staff interaction with the residents and their sense of humour. We are always made to feel welcome”. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of activities is available for the residents to take part in to keep them active and stimulated. The resident’s meetings increase the level of consultation with the residents and give them an opportunity to have their say or make suggestions to improve their lives at Curzon Park. EVIDENCE: The manager had recently arranged for an organist and singer to visit the home and some relatives had joined the residents for an afternoon of food and entertainment. This had been thoroughly enjoyed by the residents, some of whom were still talking about it on the day of the visit. The manager said she was considering repeating monthly. The manager also said that she was considering employing a part time activities co-ordinator to make sure that regular activities were made available for the residents but needed to discuss this with the new owners of Curzon Park. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 13 The staff occasionally arrange to have sing-along sessions, manicure and hair care sessions, card and board games, dominoes and videos. On the day of the site visit the deputy manager was encouraging some of the residents to join in gentle exercise from a sitting position. Poetry reading had also been introduced and had proven to be successful, with some of the residents reciting poetry to the group. There was an activities book where staff recorded the type of activity and the residents who joined in with the activity on a daily basis. When the weather is good enough, residents can sit outside in the enclosed garden. The home also uses the ‘Pat-a-Pet’ service, which bring well-trained dogs to the home for the residents to meet. The visiting priest called to the home on the day of the site visit. The manager said that one or two residents are able to attend the local church services if their family can support them to do so. Alternatively the priest visits weekly to administer communion. There is also a visitor from the Jehovah Witness’ who visits the home and holds discussion groups for any residents wishing to join in. Residents were able to keep in touch with their family and friends can have visitors at any reasonable time. Visitors were seen calling on the day of the site visit and were able to spend time with their relative in their bedroom or lounge if they wished. Some residents receive and write letters to their family if they live a distance away and there is also a private telephone for residents to use. A small number of residents have a private telephone line in their own room. Residents confirmed that they were able to make choices about their daily lives, such as times of rising and retiring to bed, spending time in their own rooms, joining in activities etc. Some of the residents were seen returning to their room after lunch and other residents were seen spending time in the dining room or one of the two lounges. The residents also have an opportunity for choice and control over some aspects of their care at Curzon Park through the residents’ meetings, which are held regularly. Residents were offered a choice of food; however menus were not available for residents to see. Although a member of staff was seen to go to each of the residents individually to ask them to choose what they wanted for their tea it is likely that some of the residents would not understand or would forget. It was suggested that having photographs of the meals could help residents to choose, especially if they were used as prompts for those with impaired communication or comprehension skills. All of the residents spoken with said that they liked the meals that are provided at Curzon Park. One resident said, “the food here is good, too good”, indicating by patting their stomach to suggest that they had gained weight. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff training on adult abuse awareness, together with the ‘No Secrets’ policy, will enable all staff to recognise and report poor practice EVIDENCE: The home has a written complaints procedure, which contains contact details for the Commission for Social Care Inspection. There was a form available for recording complaints, although no complaints had been recorded since the last inspection. The manager had developed a complaints log book so that outcomes, how the complainant was informed and any patterns could be identified. The home has policies and procedures for dealing with abuse and all staff have now received training in the protection of vulnerable adults. The manager confirmed her understanding of adult protection procedures. The home has a copy of ‘No Secrets’ provided by Cheshire County Council. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements in the layout of the building, together with increased security and knowledge of who is entering the building will provide further protection to the residents. EVIDENCE: Curzon Park is set in mature gardens in a pleasant residential area within halfa-mile of Chester City centre. The home is an adapted two-storey building with a purpose-built extension that was added in 2000. Access to the first floor is via a staircase that has been fitted with a chair lift, which has been upgraded since the last inspection. At the top of the staircase there are another three steps to the left and to the right, which have to be negotiated by residents who have a bedroom on the first floor. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 16 The new owners of Curzon Park have plans to further develop and improve the property, including making the first floor level and possibly installing a passenger lift. This will make it accessible for those residents who have limited or impaired mobility. The décor needs some work on it but the new owners also have plans for the two lounges, hall, stairs and landings to be re-painted, together with the total replacement of all carpets, both upstairs and down. A garden table with six chairs and sun umbrella is to be purchased together with four new chairs and new wall lights for the lounges. During the visit it was clear that people were able to walk freely into the home and some did not sign the visitor’s book. This was discussed with the manager who said that the front door get locked in the early evening. The inspector pointed out that the manager or staff are not always in the front office to see who has entered the building and this could put the residents and staff at risk. The manager should consider methods of providing greater security for the residents and staff. Additionally, the manager should put up a reminder notice for everyone entering the building to sign when they are entering and leaving the home. This will help the manager and staff to know who is in the building at any time should there be an emergency or a need to know who was where when. The home was clean and tidy with no offensive odours anywhere in the home on the day of the site visit. One relative who completed a questionnaire for the Commission for Social care Inspection said, “The first impression that we had was that there was no smell, something too often associated with similar homes”. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The amount and type of training offered to staff, together with the improvements in recruitment practices, ensures that the staff will be competent to do their jobs and residents will be protected and in safe hands. EVIDENCE: The home has a full complement of staff and does not use any agency workers. Most staff have worked at the home for at least two years and live locally. There is a good mix of age and experience among the staff team. There is always a senior carer on duty between 8am and 8:30pm. The staffing rota was checked and showed that consistent levels of staffing are provided to meet the current needs of the residents. Three staff files were checked. It was clear that a lot of hard work had gone into the staff files as there had been considerable improvement in the organisation and content of the files since the last inspection. There was a check list at the front of each file showing what the content was, when references had been sought and received, when a check had been made against the Protection of Vulnerable Adult (POVA) list, when the staff Criminal Record Bureau (CRB) check had been returned, proof of identity and address and photocopies of any certificates of training or qualification. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 18 Two of the files contained all of the information required and showed that a thorough recruitment procedure had been followed. Although one file was missing a reference, this was dealt with and resolved immediately. There is a training chart kept to show which staff have achieved their NVQ and other training. Eleven staff have NVQ Level 2, five have NVQ Level 3 and one senior member of staff is currently doing the Registered manager’s Award. Other staff training included induction training, basic food hygiene, protection of vulnerable adults, moving and handling, continence management, catheter care, anxiety and depression and first aid. Staff had been identified to attend this training and new members of staff were to be included in this. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The introduction of monthly residents and relatives meetings, together with monthly staff and senior meetings ensures Curzon Park is being run effectively and in the best interest of those who use the service. EVIDENCE: The manager has extensive experience of care home management, and holds the professional qualification CSS (Certificate in Social Service). She has completed the NVQ Level4, Registered Managers’ Award. All of the residents in Curzon Park were aware of who the manager was and were seen to approach her freely if they met her around the building. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 20 The residents’ monthly meetings have started again and one of the residents takes the minutes in shorthand to be typed up on the office computer. Additionally relatives’ meetings are also being held monthly and the views of the relatives are recorded in the minutes. There have been questionnaires devised to seek the views of residents, their families and friends. The manager said these are to be sent out twice yearly. Residents are able to deposit small sums of personal spending money in the home’s safe. Records of all transactions are maintained and are double signed. Residents’ money is kept in individual plastic envelopes Staff were receiving regular supervision sessions, which were being recorded. The manager kept a chart to show when staff supervision was to take place throughout the year. Additionally, the manager said that staff meetings, meetings with the senior staff and health and safety meetings now take place each month. Health and safety records were checked. These had been made easier to find since the last site visit as they were now held in clearly identifiable folders and information had been checked to ensure it was current. Certificates were seen and up to date for the fire alarms, fire extinguishers, emergency lighting, nurse call and lift. There was evidence that the home’s maintenance person, who has health and safety training, carried out equipment checks and regular fire drills. Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Where possible, daily records for all of the residents should include their views on how well they feel their care has been delivered. A social history should be added to each of the resident’s care files. Menus should be made available for residents. The use of photographs to do this should be considered A programme of redecoration and upgrading should be completed, particularly for rooms in the original building. The manager should consider methods of providing greater security and knowledge of who is entering the building. All visitors, including professionals should be encouraged to sign in and out of the building. 2 3 OP15 OP19 Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Curzon Park Residential Home DS0000067766.V327804.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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