Inspection on 19/04/07 for Dawson Lodge

This inspection was carried out on 19th April 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

Dawson Lodge 07/01/06

Dawson Lodge 20/01/05

Dawson Lodge 09/09/04

Dawson Lodge 30/01/04

Dawson Lodge 10/02/03

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Dawson Lodge Botley Road West End Southampton Hampshire SO30 3RS Lead Inspector Anita Tengnah Unannounced Inspection 19th April 2007 10:00 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 Dawson Lodge DS0000011591.V332325.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. Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dawson Lodge Address Botley Road West End Southampton Hampshire SO30 3RS 023 8046 5707 02380 471581 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) keri.sherwood@anchor.org.uk Anchor Trust Mrs Ann Saunders Care Home 41 Category(ies) of Dementia - over 65 years of age (41), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (41), Old age, not falling within any other category (41), Physical disability (41), Physical disability over 65 years of age (41) Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users must be at least 50 years of age Date of last inspection 7th January 2006 Brief Description of the Service: Dawson Lodge is a care home providing personal care and accommodation for forty-one older people with an age related mental health problem and/or a physical disability. Anchor Trust owns the service, a charitable organisation, providing services throughout the country. The home is located on the outskirts of the small village of West End near Southampton. The home is situated close to shops; pubs, post office, the Hampshire cricket ground (The Rose Bowl) and a large trading estate, which is home to several well-known retail outlets. The home also looks out on to small fields, which is home to a variety of domestic animals and wildlife such as ponies, deer, rabbits. The accommodation is provided in single rooms, each with a front door with individual locks and letterboxes, the room includes a kitchenette, with a small refrigerator, sink and facilities for making hot drinks, and an en-suite assisted shower room and toilet. There are several large communal areas and communal kitchen. The home has extensive gardens that are well maintained and enable service users to move freely around and seating is provided. The current fee charged is £509-£567 Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit to the service was undertaken as part of the inspection on the 19th of April 2007. The process included a tour of the service where a number of the bedrooms, communal areas, kitchen, and bathrooms were viewed. As part of case tracking 8 staff and 12 service users views were sought and care records were looked at. Information gained from the pre inspection questionnaire was also used and included in this report, as was information gathered by the commission since the last inspection to contribute in assessing judgements in this report. Positive comments were received from the service users regarding the care that they were receiving at the home. The commission received 5 comment cards from the service users and some contained input from their relatives. Care practices observed at the time of the visit showed that the staff and the service users had developed good relationships and care was provided in a respectful manner. What the service does well: What has improved since the last inspection? The four communal bathrooms have been refurbished to a high standard and assisted bathing facilities were available in all of them. Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 6 The flooring in one of the service user’s room has been reviewed following consultation with him. The fire alarm system has been updated. 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. Dawson Lodge DS0000011591.V332325.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 Dawson Lodge DS0000011591.V332325.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): 1,3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre admission assessment process is good and ensures that service users’ needs are assessed and the home can meet them. The home does not provide intermediate care. EVIDENCE: The statement of purpose has recently been reviewed and the manager reported that this is available to all prospective service users. Comments received indicated that the prospective service users have information provided to them as needed. It was noted that the record of the staff qualification regarding NVQ 3 in the statement of purpose was inaccurate and should be amended, as this can be misleading. Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 9 The care records of three recently admitted service users were looked at as part of case tracking. The manager or a senior staff member assessed all the service users. Detailed pre admission assessments of needs were carried out and staff reported that this information is used to formulate their initial plan of care on admission. Assessments of needs included dietary needs, likes and dislikes, manual handling assessments, skin integrity. As part of the assessment a “pen sketch” was also completed that recorded details such as life history, hobbies past and present and sleep patterns. There was evidence that the service users were involved in the assessments, as appropriate in order to ensure that all care needs were identified. The manager reported that the service users are offered the choice of visiting the home prior to admission. Two of the service users spoken with confirmed that they visited the home prior to admission and were able to choose their rooms. The manager confirmed that the service does not provide intermediate care. Dawson Lodge DS0000011591.V332325.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. The care planning seen for two of the service users were inadequate. There was a lack of information about the support that the service users required with their care to ensure their needs are met. The daily records of care given were well maintained and detailed. The health care needs and access to external agencies are well managed. The medication management was good and ensured that the service users were protected. The service users are treated with respect and say that their dignity and their right to privacy is maintained at all times. Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 11 EVIDENCE: The care plans of 3 service users were seen as part of this visit to look at how the home plans to meet the needs of the service users. The care plans for one of the service users seen was detailed and contained good information about the assessed needs of the service user and actions required in order to meet them. This included assessments such as manual handling, dietary needs, continence, medication, psychological needs. It was evident that the staff had spent a lot of time discussing the likes, dislikes, family history, hobbies with the service user in order to formulate his plan of care around his needs. There was evidence that the plan was reviewed at regular intervals to take into account any changes in the needs of the service user. However there was no care plans available for the other two service users. One of the service users had five recent falls and was at risk. Care plans must be in place to demonstrate how the assessed needs of the service users would be met and also to record any changes in their needs as part of the regular review. This was brought to the attention of the manager who reported that the home was in the process of changing their care plans and these have been missed. The manager stated that training in the process of the new care plans was being organised for all staff and there may have been misunderstanding and that the old care plans should have been in place for the two service users identified. The manager confirmed that this would be addressed. Records showed that the staff maintained detailed records of care given, including falls records for one service user. Comments from the service users included “the staff are very good and am very happy here.” Another service user said that “nothing is too much and I am treated well”. All the service users are registered with the local surgery. The manager reported that the home had good relationship with the local primary care trust and the service users were supported to access health care services as required. One of the service users had been referred to the assessment team following recent falls and a visiting professional was attending the home on the day of the visit. The visiting professional discussed that the service user was receiving support with her mobility and was making good progress. The GP did not undertake regular visits to the home but was available on request. Some of the service users also attended the surgery as able. Advice was sought as required from external healthcare professionals, such as referrals to speech therapist for swallowing assessments and advice on continence management. The district nurses were involved in the management of leg ulcer for a service user whose dressing was renewed on alternate days. The manager reported that carers had been advised to apply dry dressing over the old dressing if needed, and report to the district nurse. Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 12 The home has a medication policy and procedure in place and the manager reported that only the senior carers who have completed medication training dealt with medication at the service. All medication was stored securely and there was no controlled drug at the time of the visit. The home was using the monitored dosage system (MDS) and staff reported that this worked well. A sample of the Medication Administration Records (MAR) showed that the staff maintained a record of all prescribed medication administered. Comment cards received and 9 of the service users spoken with confirmed that the home provided a good service and they had autonomy and choice regarding the activities of daily living. It was evident that the staff had developed good relationship with the service users and good friendly interaction was observed. Comments included ”this is a very good home”. Another service user said, “everyone of the staff is so kind and help me when I need” and two service users said they “always felt safe”. A newly admitted service user said that there was no restriction on visiting and her family visited at different times, as they did not live too far away. Dawson Lodge DS0000011591.V332325.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): 12,13.14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The social and recreational facilities for the service users are very good and well managed. The service users are supported to maintain links with the community and their family and friends. The service users autonomy and choices are respected in their activities of daily living. The meals are excellent and meet with the satisfaction of the service users. EVIDENCE: The home has a planned and varied programme of activities for the service users. A detailed list of activities for the month of April was available at the service. Recent activities included Easter cakes baking, Easter bonnet parade. A number of the service users talked enthusiastically about the musical Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 14 interlude that took place the previous evening and comments included ”it was very good” and “everybody had such a good time”. The vicar was visiting on the afternoon of the visit for a regular service and seven of the service users were attending this. Other entertainments planned included a cheese and wine evening, film and refreshments. The service users commented that they particularly enjoyed the evening entertainments. The mobile library visited the home on a monthly basis and daily newspapers were available. The home has an open visiting policy and it was evident from the record of visitors as kept by the home that there was no restriction on visiting. Comment received and five service users confirmed that they have autonomy to receive their visitors in private. A newly admitted service user said that her daughter lived a couple of streets away and visited at different times “this was no problem”. The service users spoken with said that they have autonomy and choice with their daily living activities. A service user commented that the staff attended to her “whenever I need help”. Another service user said, “nothing is too much for the staff”. A service user who had recently moved into the home said that he had settled in very well and was “very well cared” for. The home has a planned menu that is rotated on a regular basis. Comment cards received and the service users spoken with said that the meals were “very good” and hot and cold drinks were available at all times. Comments included “excellent food” and “good choice “. All the bedrooms are fitted with a small kitchenette that gave service users the choice of making hot drinks as they chose. The lunchtime meal was observed and although the service users did not complete a menu, they were all offered two choices of main meals and desserts. Meals were well presented and appeared appetising and nourishing. Staff were available to offer support with meals and this was at a leisurely pace. The chef undertook 2 monthly surveys of the service users’ views regarding meal choices and suggestions to the menu. These are then incorporated in the menu, and the staff said that this worked very well. Cooked breakfast was available at least three times a week. Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 15 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 excellent. This judgement has been made using available evidence including a visit to this service. The complaint management is excellent and the service users are confident that their complaints would be listened to. Staff demonstrated clear understanding of adult protection and ongoing training ensures that the service users are protected. EVIDENCE: The home has a complaint policy and procedure that staff and the service users spoken with said that they were able to use. Comments included “there is nothing to complain about”. Four of the service users spoken with said that they would speak to the manager or staff if they were unhappy about anything. The complaint log as maintained at the service was looked at. The manager had received 6 concerns/complaints and records showed that there had been a prompt response to all concerns raised. A thorough investigation was carried out and all of them had been resolved. Records were detailed and all concerns were responded to promptly and any action taken was recorded. Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 16 The manager reported that all the staff had completed training in adult protection and three staff had attended courses on the mental capacity act. The home has the Hampshire adult protection procedure and staff spoken with had clear understanding of what constituted abuse and would report to the manager. Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 17 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 excellent. This judgement has been made using available evidence including a visit to this service. The home provides the service users with a high standard of clean and wellmaintained accommodation that meets their needs. The infection control procedures at the home are good and ensure that the service users are protected. EVIDENCE: A tour of the premises was undertaken as part of the visit and a number of bedrooms, communal areas, bathrooms, and kitchen were viewed. It was evident that the home has an ongoing programme of refurbishment. The home Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 18 was warm, bright, clean and homely. Furnishing was of very good standard and appropriate to the needs of the service users. The service users are provided with ample communal areas where a variety of activities are undertaken. Most of the bedrooms seen have views of the garden or the fields. The service users’ bedrooms were highly personalised with pictures, televisions, furniture and family photos. The manager reported that the service users are offered an empty room on admission to allow them to bring in their own furnishing. However if they chose not to bring in their own furniture, the home would provide these. The home kept an inventory of the items in the service users’ files. The manager said that the 4 communal bathrooms had been renovated as part of the ongoing renovation programme. Comments from the service users included ”this is a lovely home” and “it is very clean”. The manager reported that all the service user’s private accommodation is redecorated prior to a new service user moving in. The kitchen flooring was in need of refurbishment. The staff reported that this had been identified as part of the renovation programme for this year and is planned for August 07 to be carried out. The home has a laundry and all the service users’ laundry is undertaken internally. There was information displayed and policies and procedures for infection control. Staff practices observed indicated that they were aware of these and adhered to them. Different coloured aprons for example were used for serving of meals and care tasks. The laundry room was clean and fitted appropriately and staff reported that the system worked well. A hand washing facility was available and the laundry floor was impermeable that allowed for easy cleaning. Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 19 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 staffing numbers are adequate to meet the present needs of the service users. The home has system in place to ensure that staff have the skills to deliver care safely. The recruitment process is very good. All checks are undertaken prior to employment to ensure the safety of the service users. EVIDENCE: The home has a duty roster for carers and a separate roster for the ancillary staff. The home operated a key worker system and two of the service users said that they were aware of who their key worker was. Staff and service users spoken with confirmed that they felt that there were mostly adequate staff to meet their needs. The record of the duty roster showed that on weekdays there are 5 carers on the early shift, 4 carers on the afternoon/ evening shift and two carers on night duty. However at the week ends there were 4 carers on the early shift and 3 on the afternoon/ evening shift. Staff spoken with said “this can be a problem at the weekends” as the number of the service users Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 20 remained the same. The manager must ensure that the staffing numbers reflect the assessed needs of the service users at all times. Another comment was that the staff are “flexible and responsive to the residents’ wishes”. The staff said that they are supported in their work and have developed good relationships with the service users. One new staff member said “this is a very nice home” and there was a good staff team that worked well together. Comments received included “staff are friendly, cheerful and treat the residents with respect and affection”. The home has a recruitment procedure and the manager interviewed all job applicants. A sample of newly recruited staff seen indicated that the home had a good recruitment process that staff followed. Checks were undertaken and references secured prior to employment. The home has a good training programme in place to ensure that all staff have mandatory training in health and safety. Other training included National Vocational Qualification (NVQ) at level 2 and 3. Information received indicated that there is 15 carers who have achieved this qualification and staff reported that ongoing training continued. Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 21 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a manager who is highly regarded and has clear lines of accountability for the service. The financial interests of the service users are safeguarded through good accounting. The process of seeking the service users’ views is well managed and ensures that the home is run in their best interests. There is a satisfactory procedure in place to ensure the health and safety of the service users is promoted. Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 22 EVIDENCE: The home has a registered manager who has completed the Registered Manager’s Award and has years of experience in the care of the elderly. The manager has an open and inclusive management style and demonstrated clear lines of accountability within the home. Service users spoke highly of the manager and said that she “always listened ” to what they had to say and was “very kind”. Staff were also complimentary about the support and open door policy that the manager operated. It was evident from interaction observed that the staff and the service users had developed good relationships with each other. A sample of the personal allowance as managed by the home was looked at. There was a good system in place and all the service users’ monies were kept separately. Receipts and invoices were maintained of transactions. Random checks of three of the service users’ personal accounts were found to be accurate. All transactions undertaken with the service users were recorded accurately including their signatures for money withdrawn maintained. Information received indicated that there are regular reviews of policies and procedures to ensure that they meet current legislation/ guidelines. The fire alarm system was being renewed at the time of the visit and staff instructed. The environmental health officer visited recently and there was no recommendation. There is an ongoing programme for the servicing of fire equipment, hoists, wheelchairs, lift and emergency lighting. Records seen showed that they were all completed in the last 6 months. All substances that are hazardous to health (COSHH) were kept locked away. Dawson Lodge DS0000011591.V332325.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 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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 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 4 X 3 X 3 X X 3 Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15(1) Requirement All the service users must have a plan of care that sets out in detail actions that staff need to take to ensure all aspects of their care needs are met. Timescale for action 30/05/07 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 Dawson Lodge DS0000011591.V332325.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Dawson Lodge DS0000011591.V332325.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. 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