Inspection on 16/01/08 for Dorothy House

This inspection was carried out on 16th January 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Dorothy House 17/11/08

Dorothy House 11/07/07

Dorothy House 15/01/07

Dorothy House 21/08/06

Dorothy House 19/10/05

Dorothy House 23/06/05

Dorothy House 22/02/05

Dorothy House 18/05/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Dorothy House 186 Dodworth Road Barnsley South Yorkshire S70 6PD Lead Inspector Christine Rolt Key Unannounced Inspection 16th January 2008 09:30 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 Dorothy House DS0000018245.V355709.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. Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dorothy House Address 186 Dodworth Road Barnsley South Yorkshire S70 6PD 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) 01226 249535 F/P 01226 249535 none None Mr Azar Younis Vacant Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2007 Brief Description of the Service: Dorothy House is situated on the main road from the M1 motorway to Barnsley town centre. The home is an extended bungalow that stands well back from the main road at the top of a driveway. The home shares the grounds with its sister home, The Firs. The gardens are landscaped and there is adequate car parking space. There are no stairs or steps either approaching or within the home therefore it is accessible to persons using walking frames or wheelchairs. The home has small bedrooms to the front of the property and larger bedrooms to the rear of the property. There is a communal lounge/dining room and a small quiet lounge. There is a small patio area leading from the lounge/dining room. This has been a ‘no smoking’ home since February 2007. The weekly fee was £341.50. Hairdressing, newspapers, toiletries, chiropody, dry cleaning and taxis were not included in the weekly fee and were charged separately. The acting manager supplied this information during this site visit on 16th January 2008. The statement of purpose, service user guide and CSCI inspection report were available in the home. Dorothy House DS0000018245.V355709.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 1 star. This means the people who use this service experience adequate quality outcomes. This was a key inspection and comprised information already received from or about the home and a site visit. The site visit was from 9.30 am to 16.35 pm. Regulation Manager Mrs. A. Lindley assisted with the inspection during the afternoon. The acting manager completed an Annual Quality Assurance Assessment before the site visit. The document was not received within the given timescale and both the owner and the acting manager needed several reminders before the completed document was returned. This document gave the acting manager the opportunity to say what the home did well, what had improved and what they were working on to improve. Various aspects of the service were then checked during the site visit. Care practices were observed, a sample of records was examined, a partial inspection of the building was carried out and service provision was discussed with the registered owner and the acting manager. The majority of people living at the home were seen throughout the day and chatted to. The care provided for three people was checked against their records to determine if their individual needs were being met. Questionnaires were sent to seven people living in the home, seven relatives and six health care professionals. Completed questionnaires were received from two people living in the home, three relatives and one health professional. Information and comments from the surveys are included in this report. The inspector wishes to thank people living at the home, relatives, the health professional, the staff, the registered owner and the acting manager for their assistance and co-operation. What the service does well: This home is small and domestic in character. offensive odours. It was clean and there were no Comments were, The care was good and staff were caring and friendly. “… the staff are very friendly … and efficient.” “Overall very pleased and … is happy” and “Seems caring home”. Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 6 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. Dorothy House DS0000018245.V355709.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 Dorothy House DS0000018245.V355709.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 and 6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People had the information they needed to make an informed choice and assessments provided the information to ensure that people’s needs could be met. This home does not provide intermediate care. EVIDENCE: People considered that they had sufficient information to make a choice and that the home met their needs. People living at the home had copies of the service user guide in their bedrooms. The statement of purpose, service user guide and latest inspection report were displayed. The acting manager assessed people who wished to come into the home to ensure that the home could meet their needs. Three assessments were checked. The assessments contained detailed information of each person’s Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 9 needs and wishes. People were informed in writing that the home could meet their needs and copies of these letters were available on file. Dorothy House DS0000018245.V355709.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 and 10 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People were treated with respect. Medication recording procedures were generally met but can improve. Care needs were generally met but care plans need more individual detail. EVIDENCE: Opinions were that people living in the home received the care and support they needed. Relatives considered that they were kept informed and that staff heeded what was said to them. Comments were “Friendly staff” and “They are a very friendly, caring staff who do a sometimes thankless job with much affection and good humour” People living in the home looked well cared for, clean and appropriately dressed. They were alert and chatty and said that they were happy living in Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 11 the home. Staff were observed treating people with respect and kindness, and interactions were good. Three care plans were checked in detail. The care plans continued to improve but needed more detail to ensure that all aspects of care were identified and were being met. This was discussed with the acting manager who said that this would be done. Some entries in the daily records were very good whilst others provided no information e.g. “Fine this afternoon” without explaining how staff had met the person’s needs or how the person had spent the afternoon. Person centred planning was discussed with the acting manager. Files contained risk assessments. Advice was given on how these could be improved to demonstrate the level of risk. The acting manager was also advised to obtain the Malnutrition Universal Screening Tool to replace the nutritional risk assessment that was being used. Information on visits by health care professionals e.g. GPs, district nurses and opticians provided good information Accidents were recorded and the acting manager said that 72 hour monitoring sheets were used for any persons who had accidents. However, this system was not being used consistently. The acting manager needed to ensure that staff were aware of the procedure and follow it consistently. This was discussed with her. The CSCI was being notified of some issues relating to peoples’ wellbeing as required by Regulation 37 of the Care Homes Regulations. However, during the inspection, it came to light that some incidents had not been reported. The acting manager said that she had not been made aware of the incidents, therefore this brought into question managerial and staff communication and supernumerary hours. The manager said that she carried out weekly random checks of medication as part of her quality assurance system. Medication was stored securely. The medication for three people was checked. Handwritten entries were countersigned and there were no gaps in the Medication Administration Record sheets. All medication tallied with the records. Information on whether people had allergies was not always completed. A medication refrigerator had been purchased for medication that needed to be kept cool. The inspector was informed that they were “looking for another” as it would not fit in the medication storage area. The refrigerator was not currently required and was not being used. The home did not hold any controlled drugs for any people. The controlled drug (CD) register was checked. The most recent entry was last year and there were two signatures for each time medication had been administered, Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 12 however, there was no diminishing total therefore no stock check would have been able to be carried out. The member of staff said that this medication had been returned to the pharmacy but there was no information of this in the CD register. The need for this information to be included was discussed with the member of staff and the acting manager. Dorothy House DS0000018245.V355709.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 and 15 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The lifestyle did not always match people’s expectations and preferences. Meals were varied and available at times convenient to people living in the home. EVIDENCE: People’s files contained information of their interests. Some daily records included information of activities and outings that people had taken part in. Two people chose to spend time in their bedrooms. Another person was attending a weekly function in the community. Information of the day’s activities together with the names of the staff on duty were written on the board and some handmade calendars were displayed. . However, during the inspection, no activities were observed. People considered that activities were only available ‘sometimes’. Comments about activities were “… expected more activities and outings”, Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 14 “There are few activities to stimulate people, most sleep in their chairs all day but will respond if encouraged, but this rarely happens. The more mobile were promised outings and shopping trips on admission, but these never happen” “I did ask for more stimulation to be given and this did happen for a short while, but soon ebbed away” “More activities and outings” Families and friends could visit at any time. There were no visitors during this site visit. People had some choices e.g. getting up and going to bed, use of bedroom, food preferences, bath or shower, daily routines. People’s choices, likes and dislikes were contained in their care plans. Comments about the meals were varied. The main meal of the day was cooked at the sister home The Firs which was within the same grounds. The meals were transported in a hot trolley. Meals on offer were displayed on the menu board and offered an excellent choice. On this particular day, people had a choice of roast pork, chicken or salmon with fresh vegetables. Other options were available and one person had chosen a jacket potato with butter, cheese, coleslaw and salad. Dessert was warm custard tart, Angel Delight or fresh fruit. Breakfast, tea, supper and snacks were prepared and cooked on site by Dorothy House care staff. Hot and cold refreshments were also available at any time. One comment received was that the lunchtime meals should return to being cooked on site “…It is brought in and kept warm. I would feel the quality and freshness would improve the quality of the meals.” Dorothy House DS0000018245.V355709.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 and 18 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home and their visitors considered that their complaints would be listened to and acted upon. People were not fully protected from abuse. EVIDENCE: People said that they knew how to complain and who to speak to if they weren’t happy. The home had a complaints procedure and copies were also included in the service user guides that people had in their bedrooms. There were no complaints. There were no allegations of abuse. Long-term staff had undertaken adult protection training but this training had not been made available for staff employed within the previous twelve months. The need for all staff to undertake this training was discussed with the owner and the acting manager. They were also informed of the new South Yorkshire Safeguarding Policy and Procedures, which superseded Barnsley Adult Protection Policy and Procedures. The owner and the acting manager said that they were not aware that there had been changes. Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 16 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 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home was clean and hygienic. ongoing. EVIDENCE: At the time of this site visit, fencing was being erected around the garden perimeter and the gardens had been landscaped. Corridors had been redecorated. New dining room furniture had been purchased. Good quality carpets were being fitted in corridors and communal rooms. The rolling programme of redecoration to bedrooms was ongoing and people were asked for their colour preferences. The acting manager said that the owner was currently looking at updating the bedroom furniture. Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 17 Maintenance and refurbishment were There were no offensive odours. All parts of the home seen were clean and hygienic. People considered that the home was always fresh and clean. One person considered that “The home is clean and fragrant and very much like a home from home.” Mobility aids and equipment, i.e. wall bars, raised toilet seats, support rails, were fitted throughout the home. Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 18 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 and 30 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People were protected by the home’s recruitment procedures and staff were generally competent but would benefit from additional training. The numbers of staff on duty did not always meet people’s needs. EVIDENCE: There were two members of care staff on each shift. People considered that staff were always or usually available but when asked how the home could improve, one comment was ““Increase number staff to resident ratio.” Since the sister home The Firs had taken responsibility for cooking the main meal for people at Dorothy House, this home no longer employed a cook. The care staff whilst caring for the people living there now also prepared and cooked breakfast, tea and supper. Advice was given on the problems of mixing personal care duties with food handling practices e.g. infection control. This was discussed with the owner who said that he would consider employing someone part time to assist at busy times. National Vocational Training in care was ongoing. The promotion of skills training e.g. dementia care, sensory needs, continence awareness, tissue Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 19 viability and palliative care, to enhance training already undertaken, was again discussed with the acting manager and the owner. Three staff files were checked. All relevant documentation was included. Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 20 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 and 38 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s personal finances were safeguarded. The home did not have a registered manager. Improvements could be made to the quality assurance system and staff training to promote the health, safety and welfare of people living in the home. EVIDENCE: The acting manager said that she was in the process of applying for registration with the Commission for Social Care Inspection. During the site visit, there were some management actions that were being overlooked or missed e.g. some unreported incidents, inconsistent accident Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 21 monitoring (See section Health and Personal Care), and the late arrival of the AQAA and the last improvement plan. It was considered that the limited supernumerary hours available to the acting manager could be a contributing factor. To ensure the smooth running of the home, the acting manager’s supernumerary hours needed reviewing and this was again discussed with the owner, Mr. A. Younis. The home had a Quality Assurance system. could be expanded and improved. Advice was given on how this There were no recent copies of the registered owner’s reports available on site and the CSCI had not received copies as requested. The last available copy was dated June 2007. The need for these to be produced was discussed with the registered owner, Mr. A. Younis. He apologised and gave full assurances that he would complete these every month in the future and send copies to the CSCI. He said that he had been out of the country for two months but had not notified CSCI of this as required. He confirmed that in his absence, his father had provided cover. Money held on behalf of people living in the home was stored safely. The personal allowances held for three people were checked against the records. Cash tallied with the financial records and each transaction was signed and countersigned. Receipts were available and the acting manager was advised to number the receipts and record these on the finance sheets as a sign of good practice. There was evidence on some files that staff had in the past received some mandatory health and safety training. However, this training had not been available to new employees for at least a year. The acting manager said that the owner had provided training videos. The necessity for structured training to demonstrate competency was discussed with the owner. The use of videos to supplement this training was also discussed. A random selection of certificates was checked as evidence that the home serviced and maintained equipment and systems within the home. The servicing of the hoists was overdue but all other certificates were within date. The acting manager said that she would arrange for the hoists to be serviced. Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 22 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 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 12, 15 Requirement Care plans must provide more details to ensure that people’s individual needs are clearly defined and daily records demonstrate how these needs are met. The procedure for monitoring of people who have had accidents must be consistent. This will ensure that injuries, not apparent at the time of the accident, are highlighted quickly. Timescale for action 13/02/08 2 OP8 13 13/02/08 3 OP9 13 4 OP18 13 The correct procedure must be 13/02/08 followed for the recording of controlled drugs in the Controlled Drugs Register, specifically recording a diminishing total as the medication is administered Information in the Controlled Drugs Register must include details of medication returned to the pharmacy, the quantity and the date returned and the signatures of staff. All staff who have not already 12/03/08 done so, must undertake adult safeguarding training Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 24 5 OP27 18 Sufficient numbers of care staff 13/02/08 must be available at all times to ensure that people’s needs can be met, specifically during busy times and when preparing meals. Timescale of 05/09/07 not met. The acting manager must apply to the CSCI for registration. 13/02/08 6 OP31 9 7 OP33 26 8 OP33 37 9 OP38 13 and 23 Timescale of 05/09/07 not met The registered owner must 30/01/08 provide written reports of his visits to the home each month. A copy of each report must be sent to the CSCI. Incidents that affect the health 30/01/08 and welfare of people living in the home must be consistently reported to the CSCI. Staff must undertake mandatory 12/03/08 health and safety training and must demonstrate competence to ensure that peoples are in safe hands at all times. (Previous timescales of 30/10/06 12/03/07 and 05/09/07 not met) Equipment i.e. Hoists, must be serviced within the regulated timescales 30/01/08 10 OP38 13 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 2 Refer to Standard OP8 OP8 Good Practice Recommendations Consider re-wording the information in risk assessments to demonstrate the levels of risk Replace the current nutritional assessment with the Malnutrition Universal Screening Tool to ensure that people’s nutritional needs are met. DS0000018245.V355709.R01.S.doc Version 5.2 Page 25 Dorothy House 3 OP8 4 5 6 7 OP27 OP31 OP33 OP35 It is strongly recommended that people’s allergies are recorded on the MAR sheet and that where this information is unknown, the sheet is marked up ‘None Known’ Staff should be given the opportunity to receive training that will enhance their care skills e.g. tissue viability, continence, sensory awareness, palliative care. Consider increasing manager’s supernumerary hours to ensure that all management issues can be met. Increasing the auditing of systems and records within the home will enhance the home’s quality assurance monitoring system. The recording of receipt numbers in people’s financial records is good practice and would ensure easy reference. Dorothy House DS0000018245.V355709.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Dorothy House DS0000018245.V355709.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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