Inspection on 20/08/07 for Dalewood View

This inspection was carried out on 20th August 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

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Larchfield Manor

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

CARE HOMES FOR OLDER PEOPLE Dalewood View The Dale Woodseats Sheffield South Yorkshire S8 0PS Lead Inspector Mr Ivan Barker Key Unannounced Inspection 10:30 20th August 2007 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 Dalewood View DS0000069697.V346688.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. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dalewood View Address The Dale Woodseats Sheffield South Yorkshire S8 0PS 0114 255 5060 0114 255 5070 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) Southern Cross Healthcare (Focus) Limited Ms Margaret Ann Chatwyn Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places 60 The maximum number of service user who may be accommodated is 60. New Service. 2. Date of last inspection Brief Description of the Service: Dalewood View is a purpose built nursing home situated in the Woodseats area of Sheffield close to shops and public transport. The home is assessed through a one way road system. The home provides 48 single rooms and 6 double rooms on two floors, with bathroom, dining and lounge areas on each floor. There is also a large activities room on the lower ground floor. The home overlooks woodlands to the rear of the property, and there is a patio for residents situated here. To the front of the property there is a small garden area and a car park. As of the 20th August 2007 the fees range from £379.60 to 509.60. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Dalewood View Care Home with nursing became registered in March 2007. The ownership / registered company has changed therefore it is listed as a new service, however the manager, from the previous company remains in post with a stable workforce. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the ‘key standards’), and the previous requirements. The person present at the inspection was: Mrs M Chatwyn, manager. Within this site visit, which occurred over a six hour period, the inspector toured the building, examined requirements relating to the previous inspection, case tracked 6 service users (Case tracked means looking at the care and service provided to specific service users living at the home; checking records relating to their health and welfare, care plans and other records; by talking to the service users themselves; viewing their personal accommodation as well as communal living areas), and spoke with other service users, and relatives and also 4 staff and examined assessments, care plans, risk assessments, menus, complaint files, staff files and quality monitoring documents. The history of the service was examined prior to the site visit. This included the Self-assessment document, telephone contacts, letters, notifications etc. What the service does well: Assessments from the care management teams were in place. The managers of the service provided comprehensive assessments. This ensured that the service have sufficient information to be aware of the service user’s needs prior to admission. Accurate care plans were in place and do contribute to the delivery of care. Service users and relatives were satisfied with the care they received. There comments were: ‘The care is good’. (4 service users) ‘Quite happy here’. ‘They look after us well’. On discussing the activities with the service users, their opinions were that; ‘We do things now and again’. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 6 ‘Yes we go down to the activity room and do all sorts of things, its very nice down there’. Positive comments were received from the service users regarding the food provision. The general comments were that; ‘The food is excellent.’ ‘The meals are good’. ‘I always get a choice and I get what I like’. The environment, monitored at the site visit, had been maintained to a good standard to provide a safe, well-maintained environment for services users. The service had a complaints procedure in place, and it was operating according to the company policy, this would provide confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. The manager provided evidence that all staff had received training, which could reflect on the quality of care being delivered to the service users. The staff recruitment process was monitored and found to be satisfactory. This should provide protection for the service users. An experienced registered manager is in post. This will contributed to the effective organisation and operation of the service. Extensive quality assurance systems were in place that should assist the managers and company to measure the service against expected outcomes. What has improved since the last inspection? The service has complied with the previous requirements, which are areas identified shortfalls in meeting the regulations, of the last inspection. The training of staff to NVQ (National Vocational Qualification) Level 2 has been acted upon and should be completed by September. The requirements relating to the staff records had been addressed. Two references were now obtained and the staff had explained gaps in employment history and the information was recorded. Fire drills had occurred and records showed that all staff had participated. All staff had attended the required training. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 7 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. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 8 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 Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 9 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): Standards 3 and 6. 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 this service. Comprehensive assessments from the care management teams were in place. The managers of the service also provided comprehensive assessments. These two assessments ensured that the service have sufficient information to be aware of the service user’s needs prior to admission. EVIDENCE: On examination of the care management assessments within six care plans, it was established that the assessments observed from the care management assessments were comprehensive. Some care plans did not have care management assessments. It was advised that these assessments had been placed into storage, because the service user had been living at the home for some time. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 10 The manager or deputy manager had undertaken comprehensive assessments of each service user prior to their admission. These assessments detailed the service user’s needs that would assist in the service having sufficient information for them to decide if the service could met the service user’s needs and provided sufficient information for care plans to be drawn up. The manager advised that no intermediate care was provided within the service. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 11 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): Standards 7, 8, 9 and 10. 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 this service. Service users do benefit from the provision of accurate care plans. Service users were satisfied with the care they received. EVIDENCE: On examination of the care plans, from six service users, it was established that all six care plans were up to date. There were daily entries within the care plans. These entries recorded the care delivered on a daily basis, and the plans had been evaluated on a monthly basis. The evaluation was recorded in each care plan. Comprehensive risk assessments were included within the documentation and included moving and handling, nutrition, skin integrity, and other risk factors. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 12 Also charts for recording when service users had their positions changed whilst being cared for in bed (turn charts) were found within some bedrooms. All these charts were found to be up to date. Service users and relatives expressed their views, during the inspection; ‘The care is good’. (4 service users) ‘Quite happy here’. ‘They look after us well’. A health care professional identified in a survey that; ‘Care staff at Dalewood have always made me welcome when I have visited clients. Families have also told me how at ease they have felt when being taken round the home by staff’. Whilst touring the building it was observed that some of the service users were in a frail condition and being cared for whilst in bed. Some other service users were not so frail, but were also being cared for in bed. All the service users who were observed to be in bed appeared to be comfortable and well cared for. On discussing the matter of remaining in bed with some of the less frail service users, it was advised by them that they preferred to remain in bed. The complication of continuous bed rest was discussed with the manager. She was aware of these complications and advised that her staff were also aware and took the necessary action. The storage, ordering, administration and disposal of medication procedures were discussed with the manager. The procedures explained by the manager were satisfactory. There was a signature-checking document, which contained the initials as written on the medication administration document and the member of staff’s signature. This document was found within the care plan documentation. It was discussed that it may be a more useful tool if stored with the medication administration records. On examination of the medication administration records it was found that there were no omissions of signatures. All medication records had been signed when being checked in from the pharmacy. The trolleys within the medication room were secured to the wall by chains. The practice of repeatedly chaining the trolleys to the wall had caused some minor damage to the wall. The door to the room contained a lock that was an ‘anti saw’ type lock. Therefore as the room was secure, it was agreed that the trolleys did not need to be the chained to the wall. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 13 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): Standards 12, 13, 14 and 15. 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 this service. Activities were organised within the service, which provide some stimulation to service users and enhance their quality of life. There was evidence that service users were given the opportunity to exercise their right of choice regarding meals. EVIDENCE: The manager advised that an activities co-ordinator was responsible for the activities, entertainment and outings and employed for 21 hours per week. She explained that the person worked the following hours. Monday Tuesday Weds Thursday Fri Sat or Sun Dalewood View 6 3 3 6 3 hours hours hours hours hours DS0000069697.V346688.R01.S.doc Version 5.2 Page 14 These hours were supplemented by an additional 6 hours by another member of staff. The manager advised that the service was to receive a capital grant from the Government and these monies were being used to enhance the activities provision. There was a programme of generalised planned social events displayed. There was also posters displayed, which detailed when entertainers would be visiting and when outing would be occurring. The manager identified that one or the more popular outings was to the local ‘working man’ club, which was adjacent to the home. Unfortunately both activities co-ordinators were not on duty at the time of the visit. During the visit no activities were observed. On discussing the activities with the service users, their opinions were that; ‘We do things now and again’. ‘Yes we go down to the activity room and do all sorts of things, its very nice down there’. Regarding the meals, the manager advised that a choice of porridge or cereals and full English breakfast was available every morning. On discussing the availability of a choice of meal, the manager advised that a choice was offered at each main mealtime and at teatime, sandwiches or a light meal was available. The obtaining of a choice of meals were exercised by two methods: • At lunchtime the service operated an ‘over catering’ method, and service users were offered the choice of meal from the meal trolley. The trolleys were examined after the meals had been served and there were spare portions of both meals. Prior to tea time staff would ask service users their choice of sandwiches or light meal. The food was prepared in the kitchen to the service users specific orders. • Copies of four weekly menus were seen, displayed within the dining room. The menu stated a choice of two meals. On visiting the kitchen the head chef indicated to a certificate that was displayed. The certificate stated that the service had received a five star rating from the Environmental Health Department. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 15 The manager and head chef were clearly proud of the service that was provided from the kitchen, and the possibility of achieving a score of 4 within the report was raised. It was indicated that the service should refer to the Klora (Key Lines of Regulatory Assessment) document, and exceed the standards. The manager requested an example. A simple example explained was that a choice of meal is needed to meet the standard. However some services had exceed the option of two choices and offered four or fives main meal choices on a menu, had system in place to ensure that these choices were in operation and had evidenced this at the inspection, as well as meeting all the other standards. The head chef expressed confidence in his team of staff and identified that he would want to examine ways of improving the service to the service users and offers a similar service. The manager welcomed his offer. Positive comments were received from the service users regarding the food provision. The general comments were that; ‘The food is excellent.’ ‘The meals are good’. ‘I always get a choice and I get what I like’. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 16 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): Standards 16 and 18. 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 this service. The service had a complaints procedure in place, and it was operating according to the company policy, this provided confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. Safeguarding adults training made aware of their responsibility regarding the protection of vulnerable adults. EVIDENCE: The service had a complaints procedure displayed at the entrance. Service users and relative were aware of its location. Copies were also available in the Service User Guide. The complaints file kept by the manager for her investigations were examined. There were three entries. These were relating to an administration error from an outside agency, a meal and environment. The manager identified that she had investigated the complaints and resolved them within 28days. The documentation within the file supported this comment. No complaints had been received by CSCI. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 17 Regarding safeguarding adults, the safeguarding policies and procedures were available to the staff and were located within the staff office, on each floor. Staff had undertaken Safeguarding Adults training, and the manager was able to evidence this by producing the training records. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 18 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): Standards 19 and 26. 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 this service. Service users live in an environment that had been maintained to a good standard to provide a safe, well-maintained environment. EVIDENCE: On touring the building, the home was found to be clean, tidy, well maintained and decorated and furbished to a good standard. However within several of the service user’s rooms, the wall nearest to the entrance had long black marks. These marks were discussed with the manager who identified that the marks were caused when staff when manoeuvring the wheelchair or hoist. She identified that this was a persistent problem and the maintenance man was continually redecorating the damaged area. These comments were supported Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 19 by the action of the maintenance man, who was undertaking repairs on the day of the visit. The manager commended the maintenance man for his role on maintaining the home to its high standard. The manager identified the company had received a grant from the Government which was available for services which provided elderly care, and this grant was going to improve the furnishings etc within the ‘activity area’ of the home. Positive comments were received from the service users and relatives regarding the home. The general comments were that; ‘The home is always kept clean and tidy’. ‘They keep my room clean’. ‘No complaints I always find it clean and well maintained’. The service users’ rooms had been personalised and many contained photographs, personal belongings and items of furniture, which the individual or the family had provided. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 20 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): Standards 27, 28, 29 and 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 this service. The manager provided evidence that all staff had received training, which did reflect on the quality of care being delivered to the service users. The staff recruitment process should provide protection for the service users. EVIDENCE: On examination of the staff rotas and examination of staff on duty, the following was established: Am shift Pm shift Night shift 4 qualified nurses and 7 care assistants. 3 qualified nurses and 6 care assistants 2 qualified nurses and 4 care assistants. Plus A manager, an administrator, receptionist, activities co-ordinator Ancillary staff included; domestics, catering staff, and a maintenance man. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 21 The deputy manager was included in the qualified nurse numbers, but had 1day supernumerary (not included in the numbers stated above). Caring for a present occupancy of 52 service users. A full assessment of the dependency levels of the service users was not undertaken and compared with the indicated staffing levels. However it was discussed that the staff had the knowledge and ability to care for very dependent service users. The manager identified that she had confidence in her staff and was exploring the option of providing care to service users with palliative care needs. On examination of the four staff files, all contained the required documentation, including Criminal Records Bureau and POVA (Protection of Vulnerable Adults) checks. Two of the staff files monitored were from staff from ‘overseas’. All relevant documentation had been obtained regarding these staff. On examination of the staff training records there were records that indicated the staff had received moving and handling, fire training and other relevant clinical training. There was a previous requirement regarding National Vocational Qualifications (NVQs), the manager identified that since the last inspection 4 staff had attained the NVQ and 10 staff were undertaking the qualification and were expected to complete by September. When these staff complete the percentage of NVQ qualified staff would be 50 . As the inspection took place on the 20th August and the NVQ training was near completion, no requirement was made. The manager identified that the new company, Southern Cross had its own training section, and she then expected that the percentage of staff attaining NVQs would increase. The comments from service users and relatives were; ‘They are kind and caring’. ‘The staff are excellent, kind and caring’. ‘They come when I want them’. ‘I’m satisfied with the care’. The previous requirements relating to the staff records had been addressed. Two references were now obtained and the staff had explained gaps in employment history and the information was recorded. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 22 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): Standards 31, 33, 35 and 38. 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 this service. An experienced registered manager is in post. This will contributed to the effective organisation and operation of the service. Extensive quality assurance systems were in place that should assist the managers and company to measure the service against expected outcomes. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 23 EVIDENCE: There was a registered manager in post. She advised that she had 30 years experience in care and 25 years in management. Regarding service users monies there was a credit and debit system in operation. The service users records were maintained on computerised system. Regarding Quality Assurance, the manager and operations manager undertake the quality monitoring of the service. The system was robust and included analysis of the care and service provision, a scoring system / standard achieved was also included within the documentation. The information from these documents was forwarded to the head office of the company for analysis. Regulation 26 documentations, which are a record of the registered person’s monthly visits, was complied on a monthly basis, evidence of this was seen at the visit. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; have been received by CSCI (Commission for Social Care Inspection). Regarding the previous requirement relating to fire drills, these had occurred and records showed that all staff had participated. Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 24 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 X 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 X X 3 Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations Dalewood View DS0000069697.V346688.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 - 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. 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