Inspection on 23/07/07 for Dalecroft

This inspection was carried out on 23rd July 2007.

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 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

Dalecroft 18/08/06

Dalecroft 21/02/06

Dalecroft 30/08/05

Dalecroft 03/11/04

Dalecroft 16/06/04

Dalecroft 19/01/04

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Woodlands Respite Care Centre

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

CARE HOME ADULTS 18-65 Dalecroft 94A Keighley Road Illingworth Halifax HX2 8DN Lead Inspector Cheryl Stovin Key Unannounced Inspection 23rd July 2007 11:00 DS0000051646.V342715.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000051646.V342715.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000051646.V342715.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dalecroft Address 94A Keighley Road Illingworth Halifax HX2 8DN 01422 246646 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) Holly Bank Trust Miss Sarah O`Sullivan Care Home 6 Category(ies) of Physical disability (6) registration, with number of places DS0000051646.V342715.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Care for up to six adults with a physical disability who may also have a learning disability or sensory impairment. 18th August 2006 Date of last inspection Brief Description of the Service: Dalecroft is owned and managed by the Holly Bank Trust and is registered to provide accommodation and care for six young adults who have physical and learning disabilities. The accommodation comprises of an adapted bungalow and an adjacent self contained flat which provides accommodation for a person which promotes independence . People are included in decisions about their lives, through person centred approaches in the home. Dalecroft is located in the Illingworth area of Halifax and is within close proximity of the main Keighley Road and public transport links. The home is a detached property, designed over a single floor. Adaptations have been undertaken to promote wheelchair access and meet the mobility and personal care needs of people living there. The accommodation offers spacious communal areas and a private, landscaped and accessible garden, where people are able to spend time in the warmer weather. People living at the home are individually assessed as to the weekly charges, subject to the amount of care needed. DS0000051646.V342715.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Dalecroft. This included an unannounced visit I made to the home on 23 July 2007. The purpose of the inspection was to make sure that the people living at the home are receiving the care and support they want and that they and their families are satisfied with the service. During this visit, a partial tour of the building was undertaken, records were examined and I spoke to management, staff and the people living at the home. In addition to this visit, comment cards were sent out to give people an opportunity to share their views of the service with CSCI. Two people living at the home chose to complete their surveys, two health care professionals and three relatives/friends responded. The last inspection of Dalecroft was on 18 August 2006, no additional visits have been made. An Annual Quality Assurance Assessment (AQAA) completed by the home was returned promptly and gave useful information. I would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: People living at the home enjoy an active and varied lifestyle. People are encouraged to develop and maintain their own interests and to use a wide range of social and recreational activities. People are encouraged and enabled to take holidays and short breaks away from home. The destinations are all very different, depending on people’s interests and abilities. The home has a warm and welcoming atmosphere and feels very homely and relaxed. The property is well maintained throughout and furnished and fitted to a good standard. There is a programme of routine maintenance to make sure that standards remain high. The home is fully equipped with aids and adaptations to promote people’s independence and all areas of the home, both internally and externally, are accessible for wheelchair users. Individual bedrooms are highly personalised reflecting the people’s interests and tastes and fully equipped to meet their needs. DS0000051646.V342715.R01.S.doc Version 5.2 Page 6 People living at the home are actively encouraged to influence the way the home is run and to participate in the drawing up of policies and procedures. The staff team are well trained and were seen to be providing assistance to people in a manner which promotes independence and dignity. People living at the home appeared comfortable with the staff and relationships between them were seen to be relaxed and friendly. The home is well managed and the manager is committed to ensuring that people living at the home, and the staff, contribute to the decision making processes. A good relationship exists with fellow health care professionals. This was confirmed by the positive comments made in their surveys. People living at the home are protected by the recruitment procedures in the home which ensures that all the necessary checks are carried out before staff are employed. All of people who sent in comment cards indicated that they were satisfied with the overall care provided. One relative answered the question ‘What do you feel the care home or agency does well?’, with the comment “virtually everything!!”. 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. DS0000051646.V342715.R01.S.doc Version 5.2 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 DS0000051646.V342715.R01.S.doc Version 5.2 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): 1,2,3,4 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are assessed before moving into the home and they are provided with written information about the services and facilities provided. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide. The document is displayed in the home and is produced in an easy read format with pictures and symbols to make sure all people can understand the contents. All people living at the home had their needs fully assessed before moving in. The process is detailed and the person being assessed is fully involved, along with their family and relevant health professionals. Prior to moving into the home people visited several times and were fully involved in the design and décor of their bedrooms and communal areas. Each person has a contract stating the terms and conditions of the home. DS0000051646.V342715.R01.S.doc Version 5.2 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): 6,7,8,9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s current needs are recorded in their plan of care to ensure that support is given in accordance with their needs and preferences. EVIDENCE: All of the care records of the people living at the home were seen. Each person has an individual personal support plan, which is detailed and holistic and covers activities of daily living as well as social and emotional needs. Each person, or their representative, signs to say they are in agreement with the content of the care plan and the aims and objectives set. All people are routinely assessed by a Physiotherapist and an Occupational Therapist and have detailed manual handling plans and risk assessments. The home uses a person centred planning approach and the personal support plans are reviewed DS0000051646.V342715.R01.S.doc Version 5.2 Page 10 on a regular basis. A daily record is kept which clearly details how people have spent their day. Staff have a good knowledge of the communication needs of people living at the home. They are skilled in using the person’s preferred communication method. Detailed risk assessments are in place which are reviewed on a regular basis, this makes sure that risks are minimised and people are kept safe. People are encouraged and enabled to be fully involved in the day to day running of the home and participate in all activities of daily living. Staff were observed to be offering people choices during the day and people were seen to be exercising choice in when to get up and where and with whom to spend their time. One care manager made the following comment in their survey: “I have felt this placement to be of good quality, the staff have always been very positive and appear to be focused and committed to working in a person centred way, and committed to individuality and independence”. DS0000051646.V342715.R01.S.doc Version 5.2 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): 11,12,13,14,15,16,17 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People enjoy active and varied lifestyles and participate in a wide range of community activities whilst living at the home. EVIDENCE: The atmosphere in the home is warm and welcoming with a homely feeling. People are actively encouraged to develop and maintain their own interests and enabled to participate in a wide range of community social and recreational activities. Recent activities have included going swimming, visiting the local pub, cinema, meals out and rock and pop concerts. Some people attend adult education courses. Staffing levels are sufficiently high to enable impromptu outings to take place. DS0000051646.V342715.R01.S.doc Version 5.2 Page 12 People living at the home are very much part of the local community and make use of a wide range of local facilities Holidays are enjoyed by the people living at the home, this year’s destinations have included London for a theatre break, an activity holiday in Cornwall, the east coast and Portugal. One person is going to do a sailing course during the summer and another person a wildlife course. The people living at the home confirmed, in their comment cards, that they can do what they want to do during the day and the evening. They made the following additional comments: “I like going out with my friends here for meals, walks or even going to the cinema”. “If I would like to go shopping the staff always find some way to get me there”. People are actively encouraged to maintain relationships with family and friends, with key dates of birthdays and special occasions recorded in their individual support plan. The home has internet access which is available for people living at the home. One person regularly keeps in touch with her family by e-mail. Visitors are welcomed into the home and all relatives/friends who returned a survey said that the home helps their friend/relative to keep in touch with them. The following additional comments were also made: “The staff at Dalecroft are always welcoming whether we telephone or make a personal visit. We believe the ‘homely’ atmosphere is as a result of the manager’s leadership”. “My friend is unable to communicate so, in between visits, I am kept informed of any urgent issues or matters that require my attention/action”. “The individual needs of my friend appear to be well met, eg personal care and outside interests, shopping, college courses and weekend breaks”. The staff were observed to be treating people with respect at all times and relationships were observed to be relaxed and friendly with appropriate use of informality and humour. All people who returned a comment card said that the home protects the individuals’ privacy and dignity. Care professionals made the following comments: DS0000051646.V342715.R01.S.doc Version 5.2 Page 13 “Care is taken at reviews to hold meetings in complete privacy, my client is always asked permission for me to be shown her room. Personal care/hygiene issues are discussed with sensitivity”. “The care service provides individually tailored approach to care provision and works positively to promote individuality, independence and choice”. “They give attention to individuals’ needs. Involving/including service users in everything that is going on which is relevant to the individual, even though the individual may not be able to actively participate because of their disability. There is a warm, lively and welcoming atmosphere. High standards of personal care”. Records seen indicated that people receive a varied and healthy diet . The main meal of the day is served in the evening. Mealtimes were observed to be a relaxed and social occasion with people choosing individually what they wanted to eat. On the day of the visit, people living at the home and staff prepared lunch together. All people chose different things and pasta, spaghetti on toast and meatballs were cooked. Anybody requiring assistance to eat was seen to be treated in a dignified and sensitive manner. DS0000051646.V342715.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health care needs are met and personal care is given in accordance with their preferences. EVIDENCE: People’s personal support needs are assessed and form part of their plan of care. People’s physical and psychological health care needs are assessed and detailed in their individual support plans. All personal care is given in private, and people were seen to be treated with dignity at all times. People have access to physiotherapy and occupational therapy services to help them maintain as much independence as possible. DS0000051646.V342715.R01.S.doc Version 5.2 Page 15 People have all the specialist adaptations and equipment they require to make sure they are safe and comfortable at all times. One of the people living at the home has recently been admitted to hospital. A member of staff from the home is with her 24 hours a day to ensure that care given to meet her complex needs is delivered in the way she prefers. The home uses a Monitored Dose System (MDS) for the administration of medication. The medication is securely and appropriately stored. Details of what the medication is and what it is prescribed for are held. Medication Administration Records were generally accurately completed, one small error was identified but it was rectified immediately. One person living at the home, who lives semi independently, handles their own medication. There are suitable systems in place to make sure that this is managed safely. DS0000051646.V342715.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the procedures and practices in the home, the staff understand and promote Adult Protection Procedures. This makes sure that people living at the home are safe. EVIDENCE: The home has a complaints procedure. The procedure is displayed in the home and is also produced in an easy ready format with pictures and symbols to meet the communication needs of people living at the home. All people who returned surveys said that they were aware of the procedure to follow if they were unhappy about anything in the home. The ‘whistle blowing’ procedure is displayed in the staff room. This details the responsibilities of staff to report any possible incidents of bad practice by their fellow workers. All staff have received training in the Protection of Vulnerable Adults (POVA) and know the process to follow if they suspect that abuse is taking place. DS0000051646.V342715.R01.S.doc Version 5.2 Page 17 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): 24,25,26,28,29,30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Dalecroft is located in the Illingworth area of Halifax and is within close proximity of the main Keighley Road and public transport links. The home is a detached bungalow. Adaptations have been undertaken to provide wheelchair access and meet the mobility and personal care needs of everybody living in the home. The accommodation offers spacious communal areas and a private, landscaped and accessible garden where people are able to spend time in the warmer weather. All bedrooms are for single occupancy and highly personalised to reflect the individuals’ interests and hobbies. The bedrooms have been designed to meet the individually assessed needs of people to promote independence. The DS0000051646.V342715.R01.S.doc Version 5.2 Page 18 bedrooms are very spacious and are fitted with hoists and tracking, specialist beds and bed systems and assisted en-suite facilities. People are obviously proud of their bedrooms and staff respect their wishes in the choice of décor and layout of the rooms. In the grounds of the home, there is a self contained flat occupied by a person with less severe needs. In addition to the en-suite facilities provided, there are assisted bathing facilities provided which are warm and welcoming. This makes sure that all personal care is given safely. There is a routine programme of redecoration and refurbishment in place. It was stated that some of the bedrooms are due for redecoration and refurbishment. The people living at the home will choose their own furniture and décor. The home was seen to be clean and hygienic throughout. All of the surveys received, these confirmed that the home is always clean and fresh. DS0000051646.V342715.R01.S.doc Version 5.2 Page 19 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): 31,32,33,34,35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There are sufficient staff employed to meet the needs of the people living at the home. There is a minimum of four care staff plus the manager on duty during day time hours and one waking night staff plus a senior sleeping in during the night. The staff team work flexibly to meet the social, recreational and special needs of people. Staff providing 24 hour support to the person in hospital is an example of this flexibility. The staff appeared to work together as a team and relationships between everybody was seen to be relaxed and friendly. DS0000051646.V342715.R01.S.doc Version 5.2 Page 20 All people who returned a comment card felt that the staff had the right skills and experience to look after people properly. Some additional comments made included: “The staff at Dalecroft provide a high level of individual and personal care”. “The staff whom I have met in relation to the service user I work with have the right skills and experience”. “The home is small enough for the staff to interact with all of the residents on an individual basis”. There is a commitment to training within the organisation and all new staff receive induction training to Skills for Care Council specification. A wide range of training opportunities are provided for the staff and training courses are well attended. There is a programme of National Vocational Qualification (NVQ ) training in place and over 50 of the staff hold the level 2 or level 3 award. This makes sure that people living at the home are cared for by suitably trained and qualified staff. The staff spoken to during the inspection displayed a thorough understanding of the needs of the people. They appeared motivated and committed to providing a high standard of care and attention, and were observed to be meeting their needs in a sensitive and dignified manner. People living at the home are protected by the robust recruitment procedure. Evidence was seen that all staff are subject to the necessary Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. An application form is completed and two written references are taken up prior to an offer of employment being made. This makes sure that only suitable staff are employed in the home. All staff receive job descriptions and statements of terms and conditions. DS0000051646.V342715.R01.S.doc Version 5.2 Page 21 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The Registered Manager of the home is qualified and experienced to run the home. She has completed her NVQ level 4 care and management award (RMA). She is committed to ensuring that an open and positive atmosphere is prevalent within the home. The manager was seen to be very approachable during the visit and welcoming the opinions of people living at the home and the staff team. Financial procedures are in place to make sure that people’s money is handled safely. DS0000051646.V342715.R01.S.doc Version 5.2 Page 22 There is a commitment to health and safety and safe working practices in the home. All staff receive mandatory health and safety training with regular updates. Fire drills are carried out on a regular basis and all staff receive fire safety training. Detailed risk assessments are in place which are reviewed and updated on a regular basis. Certificates were seen which showed compliance with gas and electrical regulations. A formal quality monitoring system is in place and people living at the home, their relatives and health and social care professionals are to be consulted as to their views on the standard of care and facilities provided by the home. This process is conducted independently of the home. DS0000051646.V342715.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 3 3 3 X X 3 3 DS0000051646.V342715.R01.S.doc Version 5.2 Page 24 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. 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. Refer to Standard Good Practice Recommendations DS0000051646.V342715.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 DS0000051646.V342715.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!