Inspection on 11/10/07 for Easter Field Court

This inspection was carried out on 11th October 2007.

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

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

Other inspections for this house

Easter Field Court 06/09/06

Easter Field Court 14/12/05

Easter Field Court 03/08/05

Easter Field Court 21/02/05

Easter Field Court 24/06/04

Easter Field Court 22/02/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 Easter Field Court 1 - 5 Easter Field Court Morpeth Northumberland NE61 1JY Lead Inspector Anne Brown Key Unannounced Inspection 11 and 12th October 2007 10:00 th Easter Field Court DS0000000515.V343971.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 Easter Field Court DS0000000515.V343971.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. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Easter Field Court Address 1 - 5 Easter Field Court Morpeth Northumberland NE61 1JY 01670 - 395820 01670 395874 anne.joseph@nmht.nhs.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) Newcastle, North Tyneside & Northumberland Mental Health NHS Trust Mrs A Joseph Care Home 17 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (17) of places Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 15 beds to be used flexibly for service users aged 54 and over. 1 bed currently approved for the use of a specified service user aged 44. CSCI must be notified in the event of this service user’s discharge. 1 bed specifically to be used for planned respite care. Date of last inspection 6th September 2006 Brief Description of the Service: Easter Field Court is located on the outskirts of Morpeth and comprises five purpose built bungalows set in attractive grounds, all of which are maintained by a Housing Association. There are places for 17 adults who have mental health problems. One bed is available for people requiring respite care. There are five bungalows in which people are able to live more independent lives, and the core bungalow that also houses the administrative office and assisted bathing facilities. All the bungalows have their own kitchens, but main meals are provided from the core bungalow kitchen. People are able to move freely between the bungalows and can travel into Morpeth independently or with the assistance of staff. The home has its own car. The basic weekly fees for this home are £567.65p. Inspection reports and information about the home are readily available. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on 6th September 2006. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives. The visit • • An unannounced visit was made on 11th October 2007. A further visit was made on 12th October 2007. During the visit we: • • • • • • • • Talked with staff. Talked to the people using the service. Observed the interaction between the staff and the people using the service. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the buildings to make sure they were clean, safe and comfortable. Checked what improvements had been made since the last inspection. We told the carer in charge of the home what we found. What the service does well: The service continues to provide good support and care to the people using the service. The staff are aware of the individual needs of the people who live here and how their conditions affect them. Excellent outcomes are being consistently achieved. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 6 This service is well managed and the health and welfare of each person is well considered. The bungalows are homely, comfortable and well maintained. There are good relationships between the manager, the staff and the people using the service. The people living in the homes said they were able to decide how to spend their time and enjoyed a wide range of activities. They are able to take holidays with support from the staff. The people using the service said they are regularly consulted with regard to the menus and choice is always available. A satisfactory complaints procedure is in place to ensure complaints are dealt with effectively. Comments from the people using the service include: “My day is catered for using a care plan which has been planned by myself and the staff” “I could go to Morpeth any time I want and come back when I want”. “I plan what I’m going to do each day”. “The staff do not tell me what to do. I work out myself what I want to do”. “All the staff are relatively approachable”. “If I have difficulties I ask the staff for help”. “There is a good choice of food”. “I like all the food”. “I’ve got my freedom – this is my home”. What has improved since the last inspection? Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 7 New sofas have been provided in the lounge in bungalow 3 and some rooms have been redecorated. 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. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 8 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 Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 9 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 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Needs are assessed prior to people moving into the home, to help ensure their needs can be met. People are able to visit and spend time in the home to decide whether they want to move in. EVIDENCE: The service continues to carry out a thorough assessment before people are admitted. These are completed by a variety of professionals. The staff at Easter Field Court carry out their own assessments that lead to detailed care and support plans for the people who live there. These are also discussed when the prospective resident visits the home on a trial basis. Copies of these assessments were available on the case files. No emergency admissions are made to the home. People are able to visit the home and spend time there before they make a decision to move in. This helps to ensure that the service can meet their Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 10 needs. A gentleman was currently staying in the home for a 12-week assessment period to help ensure the service can meet his needs. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 11 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans give a good level of information to the staff to help ensure individual needs are met. Care is planned with the people using the service in a way that they prefer and in a sensitive manner. EVIDENCE: The care plans contain detailed information to help ensure needs are met and look at all areas of the person’s life. The plans are reviewed and revised on a regular basis. People’s likes and dislikes are recorded and the staff were aware of these. Comprehensive guidelines, completed by relevant professionals, are in place to deal with the individual needs of the people who live in the home. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 12 The people living in the home confirmed that they are involved in their care plans and the staff consult them about their care. The staff on duty were able to describe the individual needs of the people using the service and were observed consulting and communicating with them. Risk assessments are available on the case files. These assist the people using the service to lead fulfilling lives and they are well supported by staff to take calculated risks as necessary. The staff have knowledge of equality and diversity issues and these are carefully considered and promoted throughout the service. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are encouraged to mix with people in the local community and are well supported to participate in activities of their choice. EVIDENCE: At the time of this inspection a number of people were taking part in activities both within and outside of the home. Some people attend a local day centre while others were in supported employment. Another person is paid to carry out jobs around the site. Some people choose to relax and watch television or listen to music. One person was sitting in the garden enjoying the sunshine. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 14 The people living in the home are given the opportunity to have an annual holiday accompanied by the staff. Two people have recently spent a week in a cottage near Longtown. Two other have spent a week in the Whitby area. The people who were spoken to confirmed that they enjoyed various activities both inside and outside the home. They also said they could spend time on their own if they preferred not to join in activities. One person said ‘the staff are always happy to take me to the shops’. Others said they were able to go out when they wanted to and were able to plan what they wanted to do each day. Outings are arranged on a regular basis to local places of interest. Some people had recently enjoyed a trip to Rothbury and Woodhorn Colliery Museum. The staff are currently organising parties for Halloween and Bonfire Night. The people living in the home can invite family and friends and they are able to stay for a meal. The staff support people to keep in touch with those who are important to them and to maintain personal relationships. The staff respect privacy and dignity and only enter bedrooms with the person’s permission. The people living in the home all have a key to their own bedroom and the front door. Menus are displayed in the main house and staff cook the main meals. The menus were varied and nutritious and are discussed and reviewed on a regular basis. The home employs a cook who has achieved a National Vocational Qualification (NVQ), Level 2. She was well aware of the likes and dislikes of the people living in the home and special diets that are required. The staff encourage people to assist with shopping and cooking. There are cooking facilities available in each bungalow so people can enjoy snacks when they want, or cook their meals independently. The kitchen is well stocked with good quality provisions. All the people who were spoken said they enjoyed the food and alternatives were always available. Three people said they liked to have their meals cooked for them and did not want to cook their own. Another person said they enjoyed cooking a meal and invited people to their home. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 15 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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Personal and health care needs are well met, and where possible, in a way which the people living in the home prefer. EVIDENCE: All personal support is provided in private. The people living in the home said there were no restrictions regarding times for going to bed and getting up other than for scheduled activities and routines. They also said they were able to choose their own clothes and to take care of their appearance. The service works closely with a range of professionals to ensure that any specialist needs are met. Records showed that health and well being are discussed with the people living in the home. Any signs that people may not be well are identified and staff have clear instructions on how to act in such situations. Details of health Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 16 checks, visits to their GP and hospital appointments are recorded in each individual’s file. The staff on duty were able to describe how people are provided with personal support when they need it. This is fully recorded and the records showed that staff have had training in how to care for people with specific needs. The questionnaires from the people using the service confirmed they were treated well by the staff. One said ‘if I have any difficulties I ask the staff for help’. During the inspection some people confirmed that the staff are always available to assist them if they are feeling unwell. Each person has chosen not to take care of their own medication, and depend on staff to administer medication in line with the home’s medication policy and procedure. A sample of records were examined and were in accordance with the pharmacy guidelines. There was evidence that staff had received the right training in order to deal with medication. All medications were stored appropriately. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 17 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are properly dealt with and training in adult protection has been provided for the staff, which helps to protect the service users from abuse. EVIDENCE: A satisfactory complaints procedure is in place and is clearly displayed. All residents have a copy of the procedure. Complaints are recorded along with the outcome of the investigation. This ensures complaints are dealt with effectively and to the satisfaction of the person making the complaint. No complaints have been received since the last inspection. The questionnaires returned by the people using the service confirmed that they knew how to complain and would speak to the manager or staff member if they were unhappy. Comments included ‘the staff respond straight away’, ‘I would have to be very, very unhappy to make a serious complaint, but all in all it is usually just petty grumbles which seem to occur’, ‘I don’t like complaining, everything is okay as we are’. All staff have received training on safeguarding adults from abuse. They were aware of the correct procedures to follow if abuse or bad practice was suspected. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes are safe, comfortable and have all the necessary aids and adaptations to support residents’ independence. EVIDENCE: The manager and staff work hard to ensure the buildings are comfortable and pleasant to live in. There is a constant programme of repairs and decoration. Any urgent repairs that affect health and safety are carried within 24 hours. A tour of the premises was carried out and all five bungalows were visited. The sofas in the lounge next to the office have been renewed since the last inspection and several rooms have been redecorated. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 19 The bath panel in bungalow 3 was cracked and the cover was missing from the paper towel holder. One person who lives in bungalow 5 has difficulty opening the doors between the hall and dining room and kitchen and dining room. Therefore they often chock them open. This could place people at risk in the event of a fire. The people who use the service have their own bedrooms that are decorated and personalised according to their wishes and tastes. Bedrooms are equipped to ensure the comfort and safety of the individuals and specialist equipment is provided to promote independence. Gardens are well maintained and provided with garden furniture. All areas were clean, hygienic and free from offensive smells. A member of staff acts as the liaison person with the infection control nurse and cascades information to the staff team. Infection control training is also part of the staff training programme. Comments from people living in the homes included:‘The domestics do a good job weekdays and weekends’. ‘That little lass that cleans takes the muck off everything – she cleans everything’. ‘The home can sometimes get untidy but never dirty, but this can depend on the clients and how our mental health is at that time’. One person said they would like to have a separate tumble dryer so they could dry clothes while the washing machine was being used. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough staff, who have been properly recruited, trained and supported, to meet the needs of the people living in the home. EVIDENCE: Most of the staff at Easter Field Court have worked there since the home opened and continue to demonstrate that they have good knowledge of each person’s individual needs and how they should be met. Those staff observed on duty displayed respect for people living in the home and demonstrated good values and attitudes. There is a good staff training programme that includes all statutory training, as well as training in subjects that relate directly to the needs of individuals. There are also opportunities for staff to continue professional development. The staff on duty confirmed that they felt their training needs were well met and discussed on a regular basis. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 21 During the day there is a minimum of two care workers, two domestic assistants and housekeeper on duty. Overnight there is one waking care worker and one sleep in care worker on duty. The staff felt staffing levels were adequate to meet the needs of the people using the service. Six care workers have achieved National Vocational Qualification (NVQ), Level 2 or above and one member of staff is working towards achieving this. An appropriate recruitment and selection process is in place. No new staff have been employed since the last inspection. A programme is in place to ensure all staff receive formal supervision. The staff on duty confirmed they are supervised on a regular basis. The people living in the homes confirmed that they were treated well by the staff and they were always there to help. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The culture and systems in the home help to ensure that the service is led by the needs and wishes of the residents, and protects them from harm. EVIDENCE: The manager’s skills, knowledge and experience have ensured that Easter Field Court is well run and systems are in place to ensure good practice is carried out. The staff members who were spoken to said the manager was approachable and supportive. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 23 The people living in the home confirmed that regular meetings are held to discuss any issues that arise and to ensure the home is run in the best interests of the people who live there. Minutes of the meetings were available for inspection. Surveys are issued to the people living in the home to find out their opinions of the service they receive. There are comprehensive policies and procedures in place to safeguard the rights and best interests of the people living there. The staff member in charge stated that monitoring visits are made by a senior manager on a monthly basis. This is to check that the people who live there get the care they need and their health, safety and welfare is promoted. However the last written report available in the home was dated 23rd May 2007. Charts are maintained to record water and fridge/freezer temperatures. The staff on duty confirmed that they receive up to date health and safety training to help protect the safety of themselves and the people living in the home. The staff on duty confirmed that up to date tests had been carried out to check the safety of the electrical appliances in the home but the certificate could not be found. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 X 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 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 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 2 X X 2 X Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 25 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 YA24 Regulation 16(2)(c) Requirement The cracked bath panel and the cover on the paper towel holder must be replaced in bungalow 3 to provide residents with adequate facilities. The registered person must make sure that all copies of the reports from the monitoring visits are held at the home so any issues can be addressed. The registered person must forward a copy of the test certificate for electrical appliances to confirm their safety. A fire risk assessment must be carried out for chocking open the doors in bungalow 5 to help ensure residents’ safety. Timescale for action 31/12/07 2. YA39 26 31/12/07 3. YA42 13(4) 30/11/07 4. YA42 23(4)(a) 30/11/07 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 Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 26 1. YA42 The registered person should consider providing selfclosing door devices, wired to the fire alarm, in bungalow 5 to meet the needs of the residents and help ensure their safety. Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Easter Field Court DS0000000515.V343971.R01.S.doc Version 5.2 Page 28 - 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!