Inspection on 05/02/08 for Drey House

This inspection was carried out on 5th February 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Drey House 17/08/07

Drey House 15/11/06

Drey House 18/04/06

Drey House 10/10/05

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

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

CARE HOME ADULTS 18-65 Drey House Cambridge Road Eynesbury Hardwicke St Neots Cambridgeshire PE19 6SR Lead Inspector Janie Buchanan Unannounced Inspection 5th February 2008 10:00 Drey House DS0000064870.V359160.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 Drey House DS0000064870.V359160.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. Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Drey House Address Cambridge Road Eynesbury Hardwicke St Neots Cambridgeshire PE19 6SR 01480 880022 01480 880805 simon.belfield@psycare.co.uk 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) Psycare Hostels Limited Mr Simon Eric Belfield Care Home 33 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (33), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (33) Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th August 2007 Brief Description of the Service: Drey House is a large Edwardian House set slightly back from the main A428 Cambridge to St Neots road in grounds of over three acres. A detached house and outbuildings (formerly stables) form part of the property. The busy market town of St Neots is within a few minutes drive, the city of Cambridge is within 20 miles and there are good local road and rail links to London. Drey House was extended some years ago and accommodation is offered on two floors. In total there are 32 single bedrooms. There are two large lounges plus a visitors’ lounge and a dining room on each floor, as well as bathrooms and toilets. On the ground floor there is the main kitchen, laundry, and offices. There is a small domestic-style kitchen on the first floor, for the use of residents to prepare their own meals. The expansive gardens at the rear of the house back on to fields and offer a private and peaceful setting. All residents at Drey House are funded by local or health authorities. Fees for accommodation and care at the home range from £948 to £1287 per week. Inspection reports are made available for residents or their representatives in the reception area of the home, and in the residents’ lounges. Drey House DS0000064870.V359160.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. For this inspection we (the Commission for Social Care Inspection) spoke with four residents, five members of staff and the manager. We undertook a tour of the premises and viewed a range of documents including residents’ care plans, staff training records, personnel files, fire records and residents’ cash sheets. Our pharmacist inspector checked medication storage, recording and administration. This inspection was unannounced which meant none of the staff or residents knew we were going to visit beforehand. The home was subject to an additional inspection on 6 December 2007 and details of this report can be obtained by contacting Eastern Region Area Office. Three requirements and three recommendations have been made as a result of this inspection. What the service does well: What has improved since the last inspection? What they could do better: Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 6 Long and uninteresting corridors in the give it a bleak and institutional feel and more could be done to make these areas more homely and attractive for residents. A shower should be installed on the upstairs floor so that residents can choose how they wash, and a hot trolley should be purchased so that food can be kept warm whilst transported around the home. All kitchen areas must be kept clean so that residents receive food that has been prepared in a hygienic and safe environment. Gaps in prospective workers’ employment records must be fully explored so that only the right people are employed to look after vulnerable adults. Front line staff need to receive training in the recent Mental Capacity Act, so that they know how this important piece of legislation could affect their day-today practices with residents. They would also benefit from specific training in psychiatric illnesses so that they have knowledge and understanding of how it affects the people they support. 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. Drey House DS0000064870.V359160.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 Drey House DS0000064870.V359160.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): 1,2,4,5 Quality in this outcome area is good. Residents’ needs are thoroughly assessed before moving into the home, so they can be assured they will be met there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a Service User Guide to give information to people about the service they should expect from the home. Each resident is also issued with a ‘Statement of Terms’, which they sign, giving them details of the terms and conditions of their stay at the home. We checked the files of two recently admitted residents. Each contained evidence of good pre-admission assessments that had been completed and one file contained a huge amount of information about the person from his previous placement and other health care professionals. Prospective residents are given the opportunity to spend time at the home and all but one we spoke to confirmed that they had visited the home to assess its facilities before they moved in. Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 9 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): 6,7,9 Quality in this outcome area is good. Residents’ care plans are detailed giving the staff the information they need to provide consistent care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at the plans for three residents. These were satisfactory, giving clear details of people’s needs and providing guidance to staff in how to meet them. The plans contained detailed daily notes that gave a good picture of residents’ daily life, activities and mental state. We sat with one resident and went through his care plan. This resident confirmed that the information in the plan was correct and accurately reflected his needs and his likes and dislikes. Another resident told us that he felt very involved in planning his care and helped ‘compose’ his plan. There was evidence that meaningful reviews had been carried out. The plans also contained risk assessments, identifying potential risks to residents and ways of minimising them. Residents told us that staff at the home respected their decisions. For example one told us that although staff encouraged him to have a daily walk they did not pressure him to do so if he refused. Another reported that he likes to Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 10 spend a lot of time in his room listening to the radio: staff leave him in peace to do this. Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 11 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): 11,12,14,15,17 Quality in this outcome area is good. Residents have access to activity and opportunities for personal development. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs an Occupational Therapist who spends two days a week there helping staff provide therapeutic activities for residents. On the day we visited she was delivering training to staff on ‘A meaningful day for residents’. She told us that the range and quality of activities were improving with residents having access to a variety of group activities (including quizzes, cooking, current affairs, walks, shopping trips and bingo), in addition to individual ones. A healthy eating group has recently been introduced at the home so that residents can learn about food and nutrition and other groups aimed at increasing residents’ social skills and personal development are also available. On the day we visited a number of residents were walking in the grounds surrounding the home and bingo was planned for the afternoon. One resident told us he visits the gym regularly and enjoys weight training, another that he enjoys listening to music and working on his computer in his bedroom. However one resident told us he would like to go out more often than he does, but is dependent on staff to supervise him to do this, and another told us that Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 12 although walking was part of his weekly activity schedule he didn’t really like it and often refused to go. Residents are helped to maintain contact with people that are important to them and the notes for one person showed he had been supported by staff to visit his mother recently. However one resident told us he would very much like the chance to form an intimate relationship with someone, but had little opportunity to do this whilst living at the home. Residents told us that daily routines were flexible, and one commented he liked to be woken up every morning as this gave him structure to his day that he valued. Residents told us that a choice of menu at lunch had been introduced in the last few days. On the day we visited there was either herb spaghetti or tuna pasta for lunch. Although this is two dishes they are both pasta and don’t really offer much choice to anyone who doesn’t like pasta. The menu on another day offered two different types of pizza. The cook told us that she was making much more fresh food and that there is a cooked breakfast once a week for residents. She has started to attend the community meetings so that residents get involved in menu planning. She also told us that she would like much more kitchen equipment to better prepare a variety of food, and also a hot trolley so that the food can be kept hot whilst being transported to residents on the upstairs unit. Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 13 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): 18,19,20,21 Quality in this outcome area is adequate. The health and personal care needs of residents living at the home are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents told us that the staff supported them well and understood their needs. Comments included: ‘staff are fine’; ‘they understand my illness’ and ‘they always make themselves available when needed’. A practice nurse visits the home 2-3 days a week to provide support to residents and each resident has a physical health file that is used to monitor their health and record interventions. However, the quality of information these files contained was erratic. For example, in one record it stated that the person had attended the dentist, but there was no reason given for the purpose for this appointment, what the outcome of the visit was or if there was to be any follow up action. This was the case in other health files too, concerning residents’ visits to the GP and chiropodists. Staff stated that this information was probably contained in the residents’ care plans, however a system of cross-referencing should be introduced so that this important information is easily accessible. Our pharmacist inspector examined the practices and procedures for the safe handling and recording of medication given to people. Clear guidelines on the use of medicines are available for staff but they are not always followed. Facilities provided for the secure storage of medicines protect residents from Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 14 harm and are satisfactory. We were concerned that the temperature of the refrigerator used to store medicines on the ground floor had been recorded outside the recommended range without any action taken to investigate the performance of the fridge or the quality of the medicines stored there. We expect that this will be managed without the need to make a requirement at this stage. Clear records are kept of medicines received into the home, when they are given to people and when they are disposed of so there is a good audit trail to account for the medicines in use. When hand-written changes or additions are made to medication records it is good practice, and a requirement of the home’s medication policy, to have such entries signed and dated by the person making the entry and for it to be checked by a second person. This doesn’t happen in all cases. Most people had their medicines given to them by trained staff but a few look after and handle their own medicines. Not all of these people had an up to date assessment of the risks of handling their medicines for themselves or other people who use the service even though this is a requirement of the home’s own policy. We expect that this will be managed without the need to make a requirement. The home recently experienced the sudden death of one of its residents. Staff quickly informed all the remaining residents, giving them time and an opportunity to discuss their feelings and express any emotions they had about the loss of this resident. Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 15 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): 22,23 Quality in this outcome area is good. Residents feel able to raise concerns about their care, and feel confident they will be taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A copy of the home’s complaints procedure is available to residents and we viewed a copy of it on a table in the hallway. Residents told us they felt able to complain if they were unhappy with any aspect of the service they received and were confident their concerns would be taken seriously. One commented; ‘I’m more than happy to have a good moan at staff if necessary.’ Residents reported that they often raised issues at the weekly community meetings and more often than not they got sorted. However, one resident told us that he had frequently complained about his laundry not being done until after 4pm each day and it not being returned to him in time to make up his bed. He was not sure how his complaint was being handled and said that staff had told him there were just not enough washing machines in the home. Three residents’ benefits and monies are all paid into a pooled company deposit account in the name of ‘Psycare’. Although not best practice, this does work for residents who do not have their own individual bank accounts and we saw evidence that the money in this account was clearly broken down into separate individual accounts for each resident. Receipts were available to show how residents’ monies had been spent, and now two members of staff sign when taking money out on behalf of residents. The home has recently had to introduce interim accounting procedures for residents’ monies due to a recent burglary where the safe, along with residents’ individual cash recording books and PIN numbers were stolen. Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 16 Training files that we viewed showed us that staff had received training in protecting vulnerable adults so that they are aware of the different types of abuse and reporting procedures. Drey House DS0000064870.V359160.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,30 Quality in this outcome area is adequate. The standard of furnishings decoration and cleanliness is adequate to give people a reasonably comfortable place to live, although some areas of the home are reminiscent of a large institution. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We undertook a brief tour of the home. The home has large lounges with high ceilings, fireplaces and big windows giving lots of light, on both floors. These rooms are pleasantly decorated and comfortably furnished to give a homely feel. Two residents showed us their bedrooms and told us that they liked them, and were happy with their size and quality of furnishings. Residents benefit from large grounds surrounding the home which, although mainly lawn, gives them access to fresh air, sunlight and a small place to grow vegetables. However the following shortfalls were noted: • • • There was a strong smell of urine at one end of the downstairs corridor Corridors in the home were long and uninteresting with bare walls, giving the home a bleak and institutional feel. External woodwork on windows and doorframes needed repainting DS0000064870.V359160.R01.S.doc Version 5.2 Page 18 Drey House • • • • Plaster work around the door frame by the clinical room was badly chipped and cracked One of the bathrooms upstairs was not sufficiently heated and was bare and institutional in design The upstairs smoking room, where many residents spend a lot of time, had bare walls and minimal furnishings. There was nothing interesting for residents to see or do whilst they had a cigarette There was no shower upstairs for residents to use. This was of particular concern for one resident who told us he didn’t like baths Drey House DS0000064870.V359160.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is adequate. Residents receive support from trained staff who’s suitability to work with vulnerable adults has been checked. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Training records showed that staff had completed a full induction at the start of their employment and that they had undergone of training including challenging behaviour, epilepsy, meaningful activity and diabetes in addition to mandatory training. However, there was little evidence that staff had received training specific to the resident group, such as common psychiatric illnesses, their symptoms, types of treatment and management strategies. Front line staff spoken to had not yet received any training in the Mental Capacity Act; an important piece of legislation that could affect their working practices. One staff member told us that her recruitment had been very thorough and that she had undergone psychometric testing as part of her selection procedure to find out which of the home’s units she would be better suited to work in. We checked the personnel files for two recent employees. These showed that appropriate references, POVA and CRB checks had been obtained before the person had started work. However gaps in people’s employment histories had not been explored fully, and interview notes had not been signed or dated. Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 20 Staff reported that they did receive formal supervision of their working practices, however it was not clear from the home’s own records whether or not staff had received it, as some records were missing or incomplete. Drey House DS0000064870.V359160.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. Recent improvements in the service mean that residents live in a better home, where their health and safety is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has appropriate training and qualifications to run a home for people with mental health problems. He is a Registered Nurse (Mental Health), has a Diploma in Higher Education (Nursing) and a BA in health Care Management. He has clearly been working hard since the last inspection to bring about improvements to the service. He is supported by the company’s ‘Responsible Individual’ (a person who represents the company in any contact with CSCI) who visits the home regularly. Staff described their morale as ‘good’ and told us that they felt supported by the management team. One described it as ‘a happy home’; another commented that things were ‘changing for the better’ and that staffing levels had improved. Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 22 Regular feedback from residents about the quality of the service they receive is obtained at weekly community meetings. Residents told us they felt these were useful, and that they could raise all sorts of concerns. Training files showed that staff had received training in first aid, moving and handling, food hygiene and infection control, ensuring they have the knowledge to promote residents’ health and safety. Fire records showed that alarms and emergency lighting were tested regularly and electrical appliance checking had been undertaken. However the last fire drill had taken place in June 2007 and it was not clear if all the current staff had attended this important training. Food kept in the kitchen fridge was stored and dated correctly to ensure its safety for consumption, however some areas of the kitchen did not look very clean. Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 2 3 3 x 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 x 27 2 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 2 33 x 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 3 12 3 13 x 14 2 15 3 16 x 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 3 3 x 3 x x 2 x Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 24 no 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 YA32 Regulation 18(1)(c) Requirement Staff must receive training specific to the needs of the resident group. In particular the Mental Capacity Act and common psychiatric illnesses, so they have the knowledge and understanding of how these affect residents. Gaps in prospective workers’ employment records must be fully explored so that only the right people are employed to look after vulnerable adults. Timescale for action 01/05/08 2 YA34 7,9,19 01/05/08 3 YA42 23(2)(d) Kitchen areas must be kept clean 01/04/08 so that residents receive food that has been prepared in a hygienic and safe environment RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Drey House Refer to Good Practice Recommendations DS0000064870.V359160.R01.S.doc Version 5.2 Page 25 1. 2. 3. Standard YA17 YA24 YA27 A hot trolley should be purchased so that food can be kept warm whilst transported around the home. The home’s long and bleak corridors should be made more homely and interesting for residents. A shower should be should be installed on the upstairs floor so that residents can choose how they wash Drey House DS0000064870.V359160.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Inspection Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Drey House DS0000064870.V359160.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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