Inspection on 13/10/05 for Dolphin Lane

This inspection was carried out on 13th October 2005.

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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Dolphin Lane 09/02/07

Dolphin Lane 31/01/06

Dolphin Lane 24/11/04

Dolphin Lane 06/07/04

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 08/07/2008.

CARE HOME ADULTS 18-65 Dolphin Lane 1 Dolphin Lane Thorpe Wakefield West Yorkshire WF3 3DN Lead Inspector Karen Westhead Unannounced Inspection 13th October 2005 10:00 Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 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 Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 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. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Dolphin Lane Address 1 Dolphin Lane Thorpe Wakefield West Yorkshire WF3 3DN 01924 872080 01924 872620 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) J C Care Ltd Care Home 13 Category(ies) of Learning disability (13), Physical disability (13) registration, with number of places Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 2005 Brief Description of the Service: Dolphin Lane is owned by J C Care, which is a subsidiary of Craegmoor Health Care. The home is managed by Angela Galloway. Mrs Galloway is in the process of applying for registration with the Commission. If successful she will become the registered manager. Mrs Galloway was appointed earlier this year. The home is situated in its own grounds and parking is available to the front and rear of the property. The care home is on Dolphin Lane and is within easy walking distance of the main road. The area is well served by public transport. There are a number of local facilities and service users make good use of these. The care home is registered to provide accommodation and care services for up to thirteen service users, who have a learning disability. The home is spread over three floors, the basement being used for laundry facilities, maintenance office and a games/recreation room. There is a second laundry (domestic in style) on the ground floor. There is no passenger lift, however some ground floor bedrooms are available. There are five single bedrooms on the first floor, six on the ground floor and one double bedroom. The double room was not occupied on the day of the visit. The manager is to review the occupancy of this room dependent on the referrals received. Staff are provided throughout the day and night. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection year runs from April to March and within that twelve-month period, the Commission for Social Care Inspection (CSCI) is required to undertake a minimum of two inspections of all regulated care homes. This was the first inspection of this home for the 2005/2006 inspection year. One inspector undertook the inspection, which was unannounced. The visit started at 10.00am and finished at 3.45pm. The purpose of the inspection was to ensure the home was operating and being managed for the benefit and well being of the residents and in accordance with requirements. The last inspection of this service was in on 24th November 2004. At that time four requirements were highlighted with no recommendations. Three of the four requirements have now been addressed. One slight amendment is to be made to the statement of purpose to make sure the fourth requirement is met. During the course of the visit, the inspector spent a large proportion of time speaking with residents, staff members and the newly appointed manager. A number of documents were inspected during the visit; some areas of the home were seen, such as bedrooms and communal areas. All staff on duty were spoken to and observed carrying out their work. Individual and group discussions were held with residents. A number of CSCI comment cards and post-paid envelopes were left, to be distributed to residents and their relatives. After completion these are returned to the CSCI. In addition, information leaflets were given to residents with a brief description of the CSCI function and details of how to contact the lead inspector. Feedback about the findings from the inspection were given to the manager at the close of the visit. What the service does well: Dolphin Lane is a resident focused service. Staff put residents first as much as they can. It was clear from the evidence gathered on the day that residents are able to make choices in their lives. Residents with difficulties with communication or capacity are supported. Staff have been able to adapt their working practices to make sure everyone has a voice. Particular emphasis is placed on the work done to enhance the personal development of residents. Activities and training for residents is seen as an important part of their lives and staff support residents in this area. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 6 The standard of the premises is good and is maintained appropriately. The presence of a maintenance worker is seen as a key factor in this area. 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. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 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 Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Residents are given sufficient information to help them make a choice about living at Dolphin Lane. Prospective residents, with interested others, can make an informed decision about whether the home is suitable for them. EVIDENCE: The statement of purpose has been redrafted to include the most recent information about Dolphin Lane. The newly appointed manager is not correctly referred to in the latest version. Therefore a slight amendment is to be made. Other supplementary documents are informative and alternative formats are available for those with different communication skills. None of the current group of residents needs specialist equipment to enable them to maximise their independence. However, specialist services are available and used as required. This includes contact with advocates, educational placements and involvement with age appropriate groups. Information held on file showed that the needs and preferences of a diverse group of people were being met in relation to their individual cultural, social and religious beliefs. Training has been provided over the last twelve months. This has included topics, which must be covered as a base line. From the training records seen, Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 9 nearly half the staff have attained a National Vocational Qualification at level two or above and four have a first aid certificate. Future training is planned which is more client specific. Dolphin Lane does not provide respite care at the current time. A number of the residents meet with advocates and maintain close links with groups, which can offer independent support. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10 Residents are helped with decisions about their lives if they need it. They are given the opportunity to share their views and participate in all aspects of life within Dolphin Lane. Residents are confident that information held about them is kept private and handled appropriately. Information is not shared with others unless the reasons are discussed with them and agreed. Residents understand that information given in confidence may need to be shared if it is serious. EVIDENCE: According to the records seen, and through in-depth discussions with some of the residents at the home, it is clear that residents’ are able to make decisions about their lives. Residents, who were able to share their experiences, said they have had a lot of support from staff when they were facing a difficult decision or life event. One resident said they had had lengthy discussions about an issue affecting their life. Staff and others were able to point out the options and ‘dangers’, but they had gone on to take the option they preferred and safe guards had been put in place to make sure there was a safety net. This linked to a series of risk assessments, which had been put in place. It Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 11 was evident that the resident involved had been adequately informed and been supported to make a decision which felt right for them. Since the last inspection, bank accounts have been opened for all but one resident. One family retains the responsibility for this. The use of money and budgeting is included in the care of residents and forms part of the ‘daily living skills’ theme and residents personal development. A significant number of residents manage their own finances, with minimal guidance from staff. Where money is kept for safeguarding. A record is kept of all transactions and where possible, residents sign this along with a member of staff. Records and personal information is kept in the office, which can be locked. During the course of the inspection some residents referred to ‘their file’ and knew a broad outline of what was kept. Some recalled being asked about their wishes and being involved in the completion of key documents. The policy on confidentiality is referred to in the staff handbook and staff, when signing their contract of employment, sign to acknowledge their compliance. In discussion with staff, they were clear about their roles and responsibilities and that information given to them in confidence may on occasion have to be shared with senior staff and others. The organisation has a statement regarding confidentiality; this is available to outside agencies, residents and other interested parties. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 15 and 17 Educational, social and recreational activities provide a good balance and allow the opportunity for residents to develop their skills and abilities. Residents are offered a healthy diet and enjoy mealtimes. There is a focus on residents improving their cooking, meal planning and preparation skills. EVIDENCE: Information held on file showed that residents have a varied and full activity programme, with time to relax at home if that is what is preferred. The home has a ‘college room’ in the basement, which is used through the week to provide intensive courses and themed activities for residents from Dolphin Lane and other adults from neighbouring care homes within the same organisation. The local college provides the outreach workers who staff the sessions. The courses are run independently and none of the home staff are used. This was seen as a valuable resource by tutors, helpers and people attending. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 13 Other activities seen and confirmed by residents include scheduled attendance at adult training centres in Leeds and Wakefield; various colleges and work placement schemes. On the day of the visit residents at home were popping in and out of the home having been shopping, visiting friends, going out to work or taking a walk. There was a courtesy of residents letting staff know their whereabouts if they were going out independently and their expected time back. Some residents were being escorted. Residents were involved in the tour of the premises and showed the inspector around their accommodation and communal areas. Residents using the first floor kitchen and separate dining room were proud to show the inspector the new cooker and describe the meal provision in that area. They have access to basic food, bread, cereals, tinned and fresh food to allow them to make their breakfast or a snack meal, and had a rota for who was to cook the main meal of the day, which was served usually in the evening. The food for this was organised with the help of staff and kept in the main house freezer. Residents said the system was working well and they were able to work as a team taking into account their different skills and strengths. Residents were frank and honest about how they managed and used flair and imagination, with some help from staff, to ensure healthy food was being served. The menu plans seen included a range of dishes and residents spoken with said it was good because they all liked the menu choices and had helped to write the menu for the coming week. In the rest of the home, meals were planned around residents but involved more input from staff with all aspects of planning, preparation and cooking. Residents said they could welcome visitors and friends and that this was encouraged by the staff. It was clear from the information seen and shared that the home endeavours to maintain links with family and friends and promote opportunities where residents can meet people who do not have a similar disability or illness. It was evident from information seen and heard that residents can develop and keep intimate personal relationships with people of their choice. Guidance has in the past been provided in house and from professional agencies, as required, to make sure residents are making appropriate decisions in this area of their lives. The home staff have in the past worked with residents, and people they are involved with, to provide mediation and support if appropriate. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Overall the records give a good indication of the level of care each person requires and receives. Residents are given the opportunity to self administer medication in a way which promotes their independence. However, staff must remain mindful of the need to maintain records accurately for all medication. Staff have helped residents and their peers to handle the loss of two residents recently in a sensitive and helpful way. EVIDENCE: A daily log of events is maintained for all residents. This shows how they have been guided, supported and assisted throughout each shift. Some residents referred to the records being kept and were aware of the significance of these. During the visit, residents were supported, where necessary to undertake personal care. Staff confirmed that residents could chose if they wished to be supported with their care requirements by a male or female member of staff. The rota was planned to provide a male and female on duty at all times if possible. Residents said they were able to please themselves about getting up and going to bed. The majority of residents spoken to said they stayed up to watch television, or would go out and return after dark. They said there were no hard and fast rules about it, only that staff needed to know what time they would be home. Residents did not see this as restrictive but understood the reason was for safety. Residents seen during the day were appropriately Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 15 dressed. It was clear from their comments and reactions, that they were happy with their appearance and that staff offered them guidance in this area. None of the current resident group require technical aids or equipment for them to maintain independence. However, the manager is proactive in her approaches and would meet this challenge should the situation arise. The home has good links with the local doctors surgeries. The home has recently changed to a new pharmacist for medication supplies and all medication is delivered in pre-dispensed packages. The record of medication showed that one resident had not received medication as prescribed and the entry explaining the reason for this was unacceptable. The training record indicated that all staff have received training for the administration of medication. The incident is to be investigated by the manager and action taken to make sure staff are re-trained where necessary. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed in full during this visit. EVIDENCE: Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28 and 30 The home provides a safe and comfortable place for residents to live. The furniture and fittings are domestic in style. Improvements and redecoration are funded from the annual budget. The home is clean and fresh. Residents and staff take a pride in the home and add their own contribution to its upkeep and maintenance. EVIDENCE: The inspector was shown around the home by the residents. Initially, residents who were at home, let the inspector into their bedrooms. Each resident shared their experiences about how they came to live in the home and what involvement they had had with the choices of furniture and décor. The communal areas were viewed during the course of the day. All the areas seen were clean, tidy and fresh. The range of colours and furniture in bedrooms varied according to the different personalities and preferences of each resident. The home has a rolling programme of redecoration and refurbishment. The home has a permanent maintenance worker on site and has reaped the benefits. Many of the areas had been repainted recently and the choice of colour had made the entrance, office and lounge brighter. Residents said they preferred the new colours. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 18 The premises were inspected, by the fire safety officer, in June 2005. His recommendations have been addressed. However, the office door, which is a fire door, was propped open during the visit. If this door must be kept open for ease of access for residents it must be fitted with an appropriate device to allow it to close automatically should a fire start. There have been some minor structural changes within the home. An interior wall in the first floor lounge has been removed making the area bigger and removing the old ‘smoke room’. Residents said this was done as they did not use the area for smoking and felt the area was wasted. They now had more room in the dining area. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36 The number of staff available on shift is adequate when considering the dependency levels of the current resident group. The training programme, levels of staff supervision and senior management guidance allows staff to develop their skills and knowledge. The organisation has a sound recruitment and selection process. EVIDENCE: The manager confirmed that the overall staffing levels were good. Despite four staff having left since November 2004, new appointments have been made, including a new manager. Whilst speaking to staff it was clear that they felt well supported by the senior team and that they had quickly formed an effective team. Staff have attended a number of courses, some routine and others more client focused. Staff were seen carrying out their respective duties. One situation, which required sensitive handling by the member of staff present, was dealt with competently and professionally. The resident later said to the inspector that they felt they were able to express their view and that they were not disregarded, even when they were wrong. The recent recruitment and selection of new staff included completion of an application form, a satisfactory police check (enhanced), production of two written references and an interview. One of the recently appointed staff met with the inspector. They confirmed they had completed an induction course, attended over seven routine courses both internally and externally, had a job Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 20 description, a handbook and contract of employment. They had also registered to undertake a course, which would result in them getting a national vocational qualification. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38,40,41 and 42 The management structure offers staff the opportunity to develop skills and maintain supportive relationships with residents. The health and safety of residents is safeguarded without there being unnecessary restrictions, apart from the need to comply with fire regulations and make sure residents are provided with medication as prescribed. EVIDENCE: The manager was appointed in June 2005. She had managerial experience and has worked with people with learning disabilities a significant number of years. Comments from staff gave the impression that they were supported in positive way and the new manager had been well received by the residents, who found her approachable and friendly. The fire training records showed that all staff have been involved in a drill and fire instruction. The information was gleamed from a variety of sources. It would be of benefit for the fire register to include the names of all the staff taking part. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 22 Routine risk assessments are carried out on residents and recorded. The management of risk is designed to promote independence rather than impose undue restrictions on peoples’ lifestyles. Staff take a common sense approach to this and will consult other professionals if there are any doubts about the long term care needs of each individual. The requirements highlighted during the visit fall into this section. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X 3 X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 X X 3 X 3 LIFESTYLES Standard No Score 11 4 12 4 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dolphin Lane Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 2 x DS0000001444.V255874.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20YA42Y Regulation 13(2) Requirement Timescale for action 13/10/05 2 YA24YA42 23(4) The registered person must make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. The registered person must take 22/11/05 adequate precautions against the risk of fire, including the provision of suitable fire equipment. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 Good Practice Recommendations The names of all those taking part in the fire drill should be recorded in the fire register. Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 0845 015 0120 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 Dolphin Lane DS0000001444.V255874.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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