Inspection on 18/04/07 for East Park Road (2)

This inspection was carried out on 18th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

East Park Road (2) 02/03/06

East Park Road (2) 29/11/05

East Park Road (2) 02/03/05

East Park Road (2) 12/08/04

East Park Road (2) 09/03/04

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 East Park Road (2) 2 East Park Road Victoria Place Harrogate North Yorkshire HG1 5QT Lead Inspector Mrs Irene Ward Key Unannounced Inspection 18th April 2007 08:30 East Park Road (2) DS0000007888.V333268.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 East Park Road (2) DS0000007888.V333268.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. East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service East Park Road (2) Address 2 East Park Road Victoria Place Harrogate North Yorkshire HG1 5QT 01423 521907 01423 541889 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) Henshaws Society for Blind People Mrs Julie Barker Care Home 6 Category(ies) of Learning disability (6) registration, with number of places East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 6 service users with a Learning Disability all of whom also have an additional Sensory Impairment Date of last inspection 2nd March 2006 Brief Description of the Service: 2 East Park Road is operated by Henshaws Society for Blind People and is registered to provide residential care for 6 younger adults aged 65 years and under who have learning disabilities with an additional visual impairment. The house is situated within walking distance of Harrogate town centre where there is a wide range of shops and leisure facilities. It is a large four storey semidetached house with a paved garden area to the rear. There is on site car parking to the front of the property. All bedrooms are designed for single occupancy. The weekly fees on 18th April 2007 range from £662.32 to £701.23 and do not include costs for leisure hairdressing, chiropody treatment, toiletries magazines and taxis. This information was supplied to the Commission For Social Care Inspection via the pre-inspection questionnaire received on the 12th December 2006. Service users/relatives and other interested parties are able to have access to inspection reports by requesting them from the home. East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • • • • A review of the information held on the homes file since its last inspection. Information submitted by the Registered Provider in the Pre Inspection Questionnaire. Surveys received from six service users, four care managers and five relatives. An unannounced visit by one inspector to the home lasting five hours. This visit included a tour of the premises, examination of records, observation of care practices and talking to two service users, care staff and management. A visit was carried out to Henshaws Arts and Crafts centre to talk to the other service users from the home that was attending the centre and to the support services office to look at staff files. Looking at two service user care files in detail. • • What the service does well: The staff at East Park Road continue providing a clean, warm and comfortable home for service user to live in. The home provides excellent care for service users and supports them to maintain their independence. Members of staff were observed to provide appropriate care when supporting service users in maintaining their independence in daily tasks. One service user said, “Excellent home, brilliant staff, I enjoy living at East Park Road” another service user said, “I would not want to live anywhere else”. Comments received via surveys sent to service users, social care professionals and relatives were all positive. Care managers/social workers made positive comments such as “They provide my client with a sense of purpose and pays attention to clients well being. My client has recently been well settled and happy at East Park Road we are pleased with the service” another commented “give all clients equal opportunities to voice their aims/objectives in the running of the establishment and take these opinions on board”. “Staff and managers are polite and knowledgeable about each client” another care manager said “I have observed excellent interaction and support” “service user East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 6 engages well with workers, sense of autonomy”. “I would describe the service as being transparent and honest”. Positive comments from relatives were received such as “In my experience all staff I have met at East Park appear to have the correct skills and experience. More importantly my son gets on well with all of the staff” another relative said, “They look after each client well, responding to the individual needs and interests. They encourage independence, hold regular meetings to discuss any problems or wishes of the clients”. “I believe they are excellent, dedicated staff who care and understand my brother and he is extremely happy with them”. 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. East Park Road (2) DS0000007888.V333268.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 East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. People who use the service experience excellent quality outcomes in this area. Service users needs are properly assessed prior to admission, this makes sure East Park Road is the right place for them to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager confirmed that a service user guide would be sent to all service users/relatives when making an enquiry about the home if they had a vacancy. However there have been no new admissions into home for sometime. However the manager confirmed that if there was a vacancy the service user would be given the opportunity to visit the home and stay for a meal or overnight or a weekend, whatever they felt comfortable with. The manager said that two years ago there was a reconfiguration of services that was carried out by the registered provider, as two community houses were closing. Therefore this gave all service users within the communityhousing scheme the opportunity to choose another home. All service users were sent a questionnaire as to where they wished to live and whom they wish to share with. All of the service users from East Park Road said they did not wish to move as they all enjoyed living there. This was confirmed in the East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 9 conversation held with one of the service users who also said that the service users in this house “do get on well and choose to live together.” Pre-admission assessments are in place and held on service users individual files. A care needs assessment from local authorities was also in place where necessary. Two service users files were looked at. Both files held initial assessments, care plans or (Individual Service plan) and risk assessments. Each service user had an individual statement of terms and conditions or licence agreement, which had been agreed between the home and the service user and held on their individual file. East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use the service experience good quality outcomes in this area. The care provided to service users’ was good and encouraged service users’ to make their own decisions about how they wanted to live their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Whilst staff were supporting service users during the morning it was clear that they understood individuals needs. They supported people sensitively and supported people to make choices. Two of the service users who were at home were doing there living skills. This is where service users are supported to do their own shopping and cleaning and develop further skills. It was clear that service users are supported to attend any appointments such as the dentist as one service user was doing on the day of the site visit. Service users’ looked well cared for and made comments about the care they received. One service said, “Excellent home, brilliant staff I enjoy living at East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 11 East Park Road” another said “staff are good and the support they give me is good, I am off on holiday to Portugal in May”. The care plans of two service users’ were looked at. These detailed how needs had been assessed and what actions were needed to meet the identified needs. Care plans also detailed service users likes and dislikes, history and medical appointments and if service users are able to spend time alone in the house, daily and weekly programmes. Individual risk assessments, which were clear and well detailed, had been carried out to promote independence and safety. The care plans contained detailed information about service users, which helped staff to know about the service users’ preferences about how they wished to live their life. Through discussion with the manager and the contents of the care plans it was clear that service users are able to make clear choices. Service users plans are written with service users, reviewed regularly and audited monthly by the homes manager. The organisations scheme manager also audits them regularly. Service users are continually consulted on a regular basis about how the home runs and have the opportunities to voice their views. East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 and 17. People who use the service experience excellent quality outcomes in this area. Service users are supported to lead full and active lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users have the opportunity to attend specialist day centres, college or work placements and have days at home to participate in personal shopping, laundry and household tasks. Service users’ have opportunities to pursue other interests outside of the home. A number of them enjoy visits to the pub, walking, shopping, visiting the gym, and going to discos. One service user said he enjoyed tandem riding with his key worker and was doing a marathon at the weekend. A further service user goes bell ringing weekly. Another service user enjoys flying and recently flew with their key worker to Belfast for the day. East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 13 Two service users have booked their holiday and are going to Portugal for a week. Both service users said they were really looking forward to this. One care manager commented via surveys sent said “the home provides a full and meaningful programme of suitable activities. They encourage my client to be as independent as possible”. There was written information / weekly plans in service users care plans / Individual Service Plan on how service users spend their days. These arrangements are discussed with service users and their representatives and staff. Details about family, friends and significant events are recorded in the plans. Service users confirmed that regular house meetings are held to discuss information regarding the house. The manager said this encourages service users to speak out. House meetings are well established and minutes of these meetings are taken. Comments received from care managers via surveys were positive such as “Any concerns have been raised during house meetings/reviews are dealt with appropriately”. Service users’ confirmed that they planned their own menus, usually on a Sunday in advance and shopping was purchased on a weekly basis. Service users choose where they want to do their food shopping, most prefer one supermarket whilst one service user chooses to shop elsewhere. Service users also do their own cooking with assistance from staff if needed. East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use the service experience good quality outcomes in this area. Service users’ personal and healthcare is provided appropriately and sensitively according to individual needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff aimed to promote the independence of the service users’ and to provide support in a sensitive manner. Service users’ preferences as to how they wished to be supported were recorded within individual care plans. Daily record entries reflected the care that was being provided. Each service user had a GP and access to chiropody, dental and optical services and referrals were made to specialist services as appropriate. A monitored dosage system is now in place. The home had consulted and sought advice with their pharmacist regarding the system that was in place in assisting service users to self medicate. The home has now introduced a new monitored dosage system in agreement with service users, which does not detract from what the homes ethos is in respect of promoting service users East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 15 independence. All service users in the house that require medication are able to self-medicate. Service users who hold their own medication all have locked facilities in their own rooms. Two service users do not require any medication. There is a policy in place for the storage and administration of medication. The Medication Administration Records were up to date and well maintained. All stock medication was securely stored in a locked cabinet. All staff that administers medication has undertaken accredited training. The home does not hold any controlled drugs. Care managers made positive comments via surveys sent to them such as “they are particularly good at providing any necessary rehab/mobility training. They encourage client to practice and retain skills e.g. Braille. They provide my client with a sense of purpose and pays attention to clients well being”. One service user who enjoys watching television said that he receives the radio and TV times in Braille from the RNIB (Royal National Institute for the Blind) weekly. East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience excellent outcome in this area. Service users have access to an effective complaints procedure and are protected from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are provided with a complaints procedure, which is produced in different formats such as Braille, large print or audiotape. The complaints procedure is also summarised within the service user guide and service users knew whom they needed to speak to if they had a complaint and felt confident that any concerns would be addressed properly. Surveys received from care managers were very positive about the home comments such as “Prompt and efficient action has been taken in the past, the home provides compatible key workers, provides excellent feedback to care managers and explain how problems that have arisen have been resolved”. There is a comprehensive policy and procedure with regard to adult protection and staff have a good awareness of this. All staff receives training in adult protection issues during induction and further training organised by the organisation. East Park Road (2) DS0000007888.V333268.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 and 30. People who use the service experience good quality outcomes in this area. Service users live in a clean, comfortable and safe home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a large four storey semi-detached house with a paved garden area to the rear that has patio furniture for service users to sit out on. One service user said they enjoyed sitting out and barbequing when the weather is good. There is on site car parking to the front of the property. In the basement there are laundry facilities. On the ground floor there is lounge and dinning kitchen and ground floor toilet. All service users have single bedrooms, which are on the first and second floors. There is a bathroom for service users on both of these floors. East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 18 The home is decorated and furnished to a very good standard. The décor and furnishings reflect a “young persons” type of household. During the site visit representatives from the organisation visited the home as there had been some underpinning work completed on the extension of the house. This had needed to be done as several cracks had appeared. Now the building work has been finished the extension is to be redecorated. Two service users bedrooms were seen, both rooms had been personalised and were typical of a young persons bedroom with posters and their possessions around them such as CD player, television and items they had made at the Arts and Craft Centre. Bedrooms were decorated and furnished to a good standard. The home has sufficient bathrooms and toilets that were clean and well maintained. A good standard of cleanliness is maintained throughout the home. A range of maintenance checks is completed on a regular basis to make sure that the house is safe and secure. East Park Road (2) DS0000007888.V333268.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 and 35. People who use the service experience good quality outcomes in this area. Sufficient staffing levels, proper recruitment procedures and good staff training meant that service users’ needs were met and their interests were safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing levels were sufficient for meeting the needs of the service users’. The duty roster showed that there were two members of staff on duty throughout the day when service users are at home. This does not include the manager’s hours. At peak times such as evenings and weekends staffing would be increased, as staff rotas are based around what service users are doing. This makes sure that service users social activities are not compromised. At night there is one member of staff on sleeping-in duties. The organisation operates an on-call service in case there is an emergency. The staff files of two members of the staff team were looked at including those of one recently appointed member of staff. These showed that all the necessary pre-employment checks had been carried out prior to the new workers starting in post. All staff files are held centrally at the providers East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 20 support services office, which is now based on the campus of Henshaws College. Staff training records examined showed a good training programme. Staff have undertaken training in health and safety, fire safety, moving and handling, first aid, food health and hygiene, protection of vulnerable adults and equality and diversity. Two staff holds National Vocational Qualification Level 3 and another staff is completing National Vocational Qualification Level 2. The registered manager holds National Vocational Qualification Level 4 Registered Managers Award and holds the Assessors Award. Staff receive regular supervision every 6-8 weeks and annual appraisals are carried out. Staff meetings are held regularly and minutes of meetings are recorded. Records of supervision were seen on both staff files. East Park Road (2) DS0000007888.V333268.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 and 42. People who use the service experience excellent quality outcomes in this area. The residents benefit from a well managed home in which their needs and wishes are put first. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided from the pre-inspection questionnaire and the examination of selected health and safety documents show that regular checks to electricity and gas and fire safety equipment are regularly undertaken. The home has a good and effective management team in place. The ethos of the home is open and positive. Equality and Diversity issues are consistently given priority by the manager who communicates a clear sense of direction, East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 22 and is able to evidence a sound understanding and application of ‘best practice’. Service users, relatives and social care professionals all commented highly about the home. One care manager comments via the survey said, “Give all clients equal opportunities to voice their aims/objectives in the running of the establishment and take these opinions on board”. Service users are able to voice their views through the regular house meetings that are held which are also recorded. One care manager commented, “Any concerns have been raised during house meetings/reviews and dealt with appropriately”. Quality Assurance systems are in place. A manager’s monthly visit is carried out and a report is written. This is completed by one of the managers from another of the community houses. A copy of the report is then sent to the Commission for Social Care Inspection. The schemes manager carries out regular three monthly visits to the home and reports are completed and a copy sent to the Commission. Record keeping is of a consistently high standard. East Park Road (2) DS0000007888.V333268.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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 4 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 4 X 4 X 4 X X 3 X East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 East Park Road (2) DS0000007888.V333268.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!