Inspection on 16/07/08 for Derwent Cottage

This inspection was carried out on 16th July 2008.

CSCI found this care home to be providing an Excellent service.

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

Derwent Cottage 17/07/07

Derwent Cottage 08/08/06

Derwent Cottage 11/10/05

Derwent Cottage 07/06/05

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Derwent Cottage 27 Eastgate Seamer Scarborough North Yorkshire YO12 4RB Lead Inspector Pauline O’Rourke Key Unannounced Inspection 16th July 2008 09:30 16/07/08 Derwent Cottage DS0000061996.V368767.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 Derwent Cottage DS0000061996.V368767.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. Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Derwent Cottage Address 27 Eastgate Seamer Scarborough North Yorkshire YO12 4RB 01723 866146 01723 866148 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) www.voyagecare.com Voyage Mrs Andrea Whitehall Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (4) of places Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 4 service users in category LD or LD(E), some or all of whom may also have physical disabilities 17th July 2007 Date of last inspection Brief Description of the Service: Derwent Cottage is registered to provide accommodation to 4 younger adults who have a learning disability and/or a physical disability. Andrea Whitehall is the Registered Manager and Voyage owns it. All the accommodation is accessible and it is set in grounds that are available to all the people in the home. All the bedrooms are single occupancy with ensuite facilities. There are two communal areas and one of these is also used as the dining room. It is close to the village centre and local facilities and amenities. There is easy access to public transport to and from neighbouring towns and villages A Statement of Purpose and Service User Guide are available in the home and these are also available to relatives on request. The fee level advised at the time of inspection was around £1880 per week depending on assessed needs and level of care required. Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. More information about the inspection process can be found on our website www.csci.org.uk The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered person on an Annual Quality Assurance Assessment Comment cards returned from people living at Derwent Cottage, health and social care professionals and relatives. A visit to the home by one inspector that lasted for five and a half hours. During the visit to the home one person who lives there, four staff and one care manager were spoken with. Care records relating to four people, four staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at Derwent Cottage for the people living there. The manager was available to assist throughout the day and was available for feedback at the end of the day. What the service does well: The people who live at Derwent Cottage have to tell someone of the help they need. This information is used to make a care plan. The care plans used are detailed and tell the carers everything from how people like to get up, go to bed, what they like to do during the day and how it is best to communicate with them. These care plans are reviewed every two months by a group of staff known as a key workers. One health care professional said ‘Respect and dignity are provided and people are supported to live the life they choose. The staff have the skills needs to support the individuals in their care’ another health professionals said ‘Takes initiative in working with individuals so they Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 6 can interact and communicate. Staff attend courses about communication and try to implement it often with great success.’ Those people who live at Derwent Cottage have a full programme of activities and they enjoy going out shopping, to the East Riding Activity Club, a local disco, use of a sensory room and to the local pubs. Staff also help them to keep in contact with their families or friends. One family said ‘‘It is an exceptionally well run home and my relative is very happy. The care aspects is exceptionally good’ Another one said ‘we are kept up to date and the care home gives my relative the support they need. The staff have the skills and experience to look after people properly’ The staff go through a strict recruitment process to ensure they are safe to work with vulnerable people. The staff also have access to training to improve their skills and they receive support from the manager. During the visit the people living at Derwent Cottage were relaxed and responded well to the carers. 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. The summary of this inspection report can be made available in other formats on request. Derwent Cottage DS0000061996.V368767.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 Derwent Cottage DS0000061996.V368767.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience excellent quality outcomes in this area. People who want to live at Derwent Cottage have a full assessment of the support they need to ensure that staff can provide the help they require. This helps people maintain and develop their independence. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Voyage has a proven admissions policy and this ensures that a multi disciplinary assessment is undertaken prior to any admission. The manager received an assessment and visited the person who requires support and their family prior to any visits made. The process usually involves a series of visits and short stays to determine whether the placement is suitable. A trial period is then planned and the length of this trial is dependent on the needs of the individual. The assessment process takes in to account the wishes of the established people in the home and their reactions are observed on a day-today basis to ensure they can express their opinions. Care staff are provided with extra training if the needs of the new person require them to develop new skills. Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 9 The case files were seen of the established people and they contained comprehensive assessments, detailed daily recording and evidence of regular reviews of the care plans. Staff spoken with said that they are provided with enough information when someone was admitted to the home to provide the support they require. Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use the service experience excellent quality outcomes in this area. People are supported to remain as independent as possible and are encouraged to make decisions on a day-to-day basis. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: All the case files seen contained a detailed care plan outlining the support and guidance required by the individual concerned. They also contained information about how each person communicated and staff were observed using spoken language, Makaton a sign language, pictures and touch to communicate with people. Evidence was available to show that they are reviewed on a regular basis. Staff were knowledgeable about the people they are caring for and each person has several key workers. The key workers meet each month to assess the care plan and to ensure they review it thoroughly. The person the care plan is for is involved in it’s development either verbally or thorough their reactions to how the staff care for them. Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 11 The monthly review helps staff identify patterns in behaviour that informs them to the success of the care provided. A social care professional said ‘Derwent Cottage provides an exceptional service. The staff and manager are good communicators and keep me informed about the person I placed there. They work together for the benefit of the person using the service.’ Another professional said ‘they take the initiative in working with individuals so that they can interact and communicate. Staff attend courses about communication and try to implement it often with great successes. Each person is respected as an individual with their own likes, dislikes, problems etc. People were seen during the visit making their own choices about what they wanted staff to do for them. Staff have developed an understanding of the communication methods used by them and these are clearly identified in the care plans. Occasions where a person may refuse to do something were highlighted and the plans reminded staff that they could refuse to do anything if they wish. A daily diary is maintained for each person that informs the staff and the review process. Everyone had up to date risk assessments in place in relation to their individual needs and their differing daily living abilities. These documents are reviewed regularly incorporating specialist assistance when necessary. Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience excellent quality outcomes in this area. People are encouraged to make decisions about their daily life and staff provide appropriate support and encouragement for them to remain independent. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Each person has an activity folder outlining a personal profile of likes and dislikes. A daily calendar is kept showing what they do each day. The activities available are pertinent to the individual. The activity files show that people access external activities as well as activities in the house. Some of the activities identified are personal shopping, swimming, coffee mornings in the local community, and a drink at the local pub, relaxation time, aromatherapy and use of the sensory room in the house. The key workers know the likes and dislikes of people and activities planned are based on this knowledge. Each Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 13 person has a personal photo album showing where they have been and places they like and this is used to help identify what someone would like to do for an activity. People were seen accessing the community for walks and they do access the local pubs and shops. Transport is available to take people in to town. Evidence was available to show they had visited several local attractions such as, Filey Farm, Cruckley Farm, Railway museum, the Sea Life Centre, Pickering Steam Train, and other activities are planned. Staff assist people to visit families where appropriate, one person is supported to maintain contact with their brother who is resident in another residential home. One person was on holiday at the time of the visit and was due to be away for a week with the assistance of two staff. The care plans showed each person’s personal preferences and choices in terms of retiring and rising, personal care and freedom of movement. These were only compromised by the need to be ready for day care transport or to attend appointments. A variety of food is offered and the staff feel they cater for every need. Staff were observed to assist with lunch and with drinks during the morning and afternoon. Any assistance was given in a quiet, dignified and unobtrusive way. Special crockery and cutlery were readily available. Whilst there is a set menu it is flexible enough to allow for take away meals. The main meal is eaten at lunchtime this gives staff time in the afternoon to take people out and not have to worry about getting back for a cooked meal. One person has been given a push button device that allows them to ask for a cup of tea without waiting for staff to suggest its time for tea. Derwent Cottage DS0000061996.V368767.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service experience excellent quality outcomes in this area. People’s health and personal care needs are met on an individual basis. The staff employ the principles of respect, dignity and privacy in all interactions with the people in the home We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The case files seen contained detailed information about the level of support people required with their personal care. They are detailed and evidence was available to show they are reviewed on a regular basis. Staff were observed treating people with respect and endeavoured to maintain their dignity at all times. One care professional said ‘their health needs are properly monitored and medication is handled correctly. Respect and dignity are provided and people are supported to live the life they choose’ The case files also contained detailed health information and contained evidence that they access specialist health care when necessary. One person has complex health care needs and evidence was available to show that staff Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 15 work hard to ensure that they receive the correct medical attention and have regular reviews of their medication to ensure it is appropriate. Notifications are received from the service when someone needs attention from the hospital this also indicates that proper support is sought with health care issues. Medication is dispensed from the original containers and the storage and administration records seen were satisfactory. A separate storage cupboard has been purchased for one person in the home, as their medication regime is complex and frequently changing. The manager felt it would be safer for their medication to be stored separately to prevent any confusion. All staff that dispense medication have received training in The Safe Handling Of Medicines. This training is followed up with in-house supervision and support. There is a controlled drugs register in place and the records seen were accurate and up to date. The controlled drugs were seen to be stored securely. Derwent Cottage DS0000061996.V368767.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience excellent quality outcomes in this area. People in the home and their representatives are able to express their concerns through the complaints procedure and are protected from abuse, so their rights are protected We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There is a complaints policy in place and this is available to the people in the home and their families. It is available in a variety of formats depending on the needs of the person it is provided for. A suggestion was made at the inspection that perhaps the manager could look at providing a video version of the complaints procedure to ensure everyone could access and understand it. Feedback received from families indicated that they were happy with the way everything is at the moment but if they were unhappy with anything then they would contact the manager. An Adult Protection protocol is in place and staff were aware of their responsibilities under this procedure. Staff have received training through LDAF (Learning Disability Awards Framework) training. It is also available through a training matrix installed through the computer system and this allows staff to work at their own pace. The manager also reinforces the training in the monthly staff meetings. Staff were aware of the necessary actions they must take if they suspect any form of abuse has occurred. All staff are Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 17 thoroughly vetted before they start work to ensure they are suitable to be working with vulnerable people. Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience excellent quality outcomes in this area. The home is suitable to meet the needs of the people living there We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Derwent Cottage has been adapted and upgraded to offer accommodation to a maximum of four people with learning and associated physical disabilities. The property is located near to the village centre and within easy travelling distance of the town of Scarborough. Public transport passes close to the house. The premises are set in their own secluded and private grounds with no external indication that the property forms a care home. Level access was achieved to each external door. Fixtures, fittings, fabrics and furnishings were all domestic in nature reflecting the registered provider’s wish to create a non-institutional environment. Everyone living in the home had his Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 19 or her own bedroom with ensuite facilities. The bedrooms had been personalised to reflect the personality of the individual and where necessary had specialist equipment provided. One bedroom was in the process of being redecorated whilst the occupant is on holiday. Before going away the occupant of the room had picked the colour they wanted in their room. The rest of the premises were maintained in a good condition internally and externally and were clean and odour free. Throughout the visit people were seen to access all areas of the home no matter what their method of mobilising. Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, and 35 People who use the service experience excellent quality outcomes in this area. People living in the home are supported by well-trained staff in sufficient numbers. People are seen as individuals and the care provided is pertinent to their needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staff files seen contained all the necessary documentation required to ensure that they are suitable to work with vulnerable people. The files also contained evidence of supervision and training completed by the staff. The staffing ratio is 1:1 and this level of cover is always provided during the daytime, sometimes the ratio changes to 2:1 depending on the type of activity being undertaken. Staff felt that the staffing levels were adequate to meet the social and physical needs of the people in the home. All staff have completed their mandatory LDAF ( learning Disability Awards Framework) training and there are currently four members of staff who have been registered on a National Vocational Qualifications level 2 in care. Other Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 21 training available to staff is through El Box; this is a computer programme that allows staff to access different training and to do them at a pace that suits them. A training matrix is provided on an annual basis and this allows for the training to be planned. Staff are expected to identify their own training needs and to develop their leadership skills. The manager then organises training in line with their personal development plan. Interactions observed between staff and people in the home throughout the visit were seen to be friendly, respectful and mindful of a persons’ individuality and the need for privacy. Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42 People who use the service experience excellent quality outcomes in this area. People live in a well managed home where the administration of the home is based on openness and respect. This allows them to retain their individuality and independence. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager operates an open door policy and this was seen during the visit, with people easily coming to the office. She tries to work two days a week with the carers so that she can keep in touch with the people in the home and the staff. She continues to keep her training up to date and is supported by two seniors in her management role. Staff said that the manager was approachable and quickly organises training and will try to resolve any Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 23 difficulties within the staff group quickly. Staff meetings are held each monthly and there is always a training element to the meeting. The manager has a development plan for the year; this includes person centred planning with the key workers expected to maintain and look to develop peoples’ skills and interests. Questionnaires are sent to families and other health and social care professionals annually to get feedback from them. The area manager also visits every month and completes a report and there are staff meeting. These all feed in to an annual meeting to look at what can be developed for the whole service. This in turn leads back in to training for staff and what opportunities can be organised for the people who live in the home. The manager looks after the personal monies for people and the records seen were accurate and up to date. The manager ensures that all the equipment in the home is well maintained and evidence was seen to confirm that this happens. All the people in the home have personal risk assessments relating to their activities in and out of the home. Risk assessments are also in place for health and safety around the environment. All accidents and incidents are recorded and when necessary reported to the Commission of Social Care Inspection. Derwent Cottage DS0000061996.V368767.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 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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X Derwent Cottage DS0000061996.V368767.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 Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Derwent Cottage DS0000061996.V368767.R01.S.doc Version 5.2 Page 27 - 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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