Inspection on 07/02/07 for Edgar Street Residential Care Home

This inspection was carried out on 7th February 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Edgar Street Residential Care... 28/03/06

Edgar Street Residential Care... 05/10/05

Edgar Street Residential Care... 09/03/05

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Edgar Street Residential Care Home 3 Edgar Street Huncoat Accrington Lancashire BB5 6ND Lead Inspector Mrs Julie Playfer Unannounced Inspection 7th February 2007 10:00 Edgar Street Residential Care Home DS0000062212.V326102.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 Edgar Street Residential Care Home DS0000062212.V326102.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. Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Edgar Street Residential Care Home Address 3 Edgar Street Huncoat Accrington Lancashire BB5 6ND 01254 872119 01254 872119 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) Dr Morgiana Muni Nazerali-Sunderji *** Post Vacant *** Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission 28th March 2006 Date of last inspection Brief Description of the Service: 3 Edgar Street is registered with the Commission for Social Care Inspection to provide personal care and accommodation for 6 adults with a learning disability aged 18 to 65 years. The home is semi-detached in a residential cul-de-sac. It is close to local amenities and within walking distance of public transport to the nearest large towns. The accommodation is provided on 2 floors. There is a lounge, conservatory, kitchen with dining area, and laundry facilities. All bedrooms provide single accommodation. The residents have access to and use all areas of the home, with supervision from staff if required. Outdoor space, with seating, is available. The home has a statement of purpose and service users guide, which informs the current and prospective residents about the services and facilities available at the home. According to information submitted by the home the scale of fees was “£62.35 to £75.40 weekly individual charge from the home and £315.04 to £351.39 weekly Social Services charge from the home”. Additional charges were made for hairdressing, toiletries, magazines, personal items, holidays, transport and activities. Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at 3 Edgar Street on 7th February 2007. During the visit the inspector looked at written information including policies, procedures and records, spoke to the residents, manager and staff and conducted a partial tour of the premises. As part of the inspection process the inspector used “case tracking” as a means of gathering information. This process allows to the inspector to focus on a small group of people living at the home. Prior to the inspection comment cards were sent to the home. 6 completed cards were received from the residents and 6 completed cards were received from the residents’ relatives/visitors. The manager also completed a questionnaire about the home, which provided useful information for the inspection. At the time of the visit there were 6 residents accommodated in the home. What the service does well: Appropriate care and support was provided effectively to ensure the residents’ needs were met and there was a consistent approach to the learning of new skills. The residents pursued a wide range of recreational and vocational activities both inside and outside the home. This enabled the residents to participate in the life of the home and gave them the opportunity to meet other people. The residents had access to an effective complaints procedure, which ensured they were listened to and their concerns were acted upon. Policies and procedures were also in place to ensure the residents were protected from harm. The residents were provided with a well-maintained and safe home, which was decorated and furnished to a good standard. The residents were able to personalise their rooms and create an individual space, in line with their choice and interests. Relationships in the home were positive and the atmosphere was open and friendly. The residents got on well with the manager and staff, who they described “approachable”, “supportive” and “very nice”. Systems were in place to consult both the residents and the staff and a means had been established to monitor the quality of the service. Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Edgar Street Residential Care Home DS0000062212.V326102.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 Edgar Street Residential Care Home DS0000062212.V326102.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 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Not all the written documentation provided for residents was complete and up to date. The residents’ needs were properly assessed and reviewed. EVIDENCE: Written information was available for residents in the form of a service users guide and statement of purpose. The residents had contributed to the service users guide to inform any prospective residents about life in the home. However, the paperwork seen was presented as one document, rather than two distinct documents and had not been updated in line with the change of manager. All the residents had lived in the home for sometime and there had been no new admissions since the last inspection. However, it was clear from viewing the personal files, that the residents’ needs had been assessed prior to admission by a social worker and the previous registered person. At the time of the inspection the current manager was in the process of reviewing the Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 9 assessment documentation. All assessments were completed in consultation with the resident and their next of kin, as appropriate. The residents had been supplied with a contract with the previous registered provider, however, new contracts had not been issued by the current registered person. Edgar Street Residential Care Home DS0000062212.V326102.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, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ individual needs were addressed and they were supported to participate in all aspects of life in the home. EVIDENCE: Each resident had a plan of care based on their assessment of needs. The plans set out in detail the action needed to be taken by staff to ensure all needs were met. The care plans were supported by daily records of care and support. Any changes, issues or concerns were recorded along with appointments, events and activities the residents had been involved with. Since the last inspection, the care plans had been given to the residents to store in their bedroom. It was evident the residents were fully consulted about the development of their plans and they were aware of what was written in their plans. During the visit, two residents carefully explained the contents of their plan to the inspector. Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 11 Since the last inspection, a new care planning format had been introduced, which was person centred and clearly identified the responsibilities of the residents and the staff. The care plans were reviewed on a monthly basis with the residents. It was practice of the home to support responsible risk taking and policies and procedures supported this approach. Detailed risk assessments and management strategies covered activities indoors and in the wider community and were incorporated in the residents’ plans. During conversations with the residents, it was evident, they were consulted informally and formally and they were able to fully participate in the life of the home. Residents meetings were held in the home and it was evident a wide variety of topics were discussed. The residents fully contributed to the agenda and discussions. The residents were supported with their financial affairs and detailed written records were maintained of all transactions. A random check of money deposited with the home for safe keeping corresponded accurately to the records. One of the residents explained how she was assisted with budgeting her money and said she was happy with the support she received. Edgar Street Residential Care Home DS0000062212.V326102.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): 12, 13, 14, 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. Residents were able to make choices about their life style and were supported to develop their life skills. EVIDENCE: The individual plans and care records demonstrated that residents had opportunities to maintain and develop practical life skills. Where necessary tasks had been broken down and achievable goals had been set. The residents had good access to a range of recreational and vocational activities. Activities outside the home included, bowling, swimming, shopping and going out to restaurants. The residents also attended the Hyndburn Neighbourhood Project, which was designed for all members of the local community. Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 13 The residents pursued a number of occupational and educational activities. As such, one resident worked part time at a local school, three residents worked in a local charity shop, two people worked in a voluntary capacity in a home for older people and one person attended a college course. The staffing levels were flexible to accommodate the residents’ activities and appointments. The residents were supported to maintain relationships with their families and were able to use the telephone, to speak to their relatives. All the relatives/visitors who completed a comment card indicated they were satisfied with the overall care provided in the home. The residents had unrestricted access to the homes and grounds. The residents were also able to use their room at any time should they wish to spend time in private. All the residents had been issued keys for their bedroom doors and residents were seen using their keys during the visit. The meals were planned on an individual basis. The residents were allocated an amount of money each week, to enable them to purchase food of their choice. Separate storage facilities were available for each resident at the home. The residents spoken to were happy with the arrangements made for meals and felt they received good support from the staff. An individual record of meals served was maintained, which demonstrated the residents were supported and encouraged to have a healthy nutritious diet. Edgar Street Residential Care Home DS0000062212.V326102.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care received by the residents was based on their individual needs. EVIDENCE: The residents’ individual plans set out any personal support each resident required and provided details of how this support was to be delivered. All personal care was provided in the privacy of the residents’ own bedroom or bathroom. The staff told the inspector that the routines were flexible and were primarily designed to meet the needs of the residents and their plans for the day. The residents spoken to said their rights to privacy and dignity were closely respected. The manager and the staff ensured consistency and continuity for the residents by the use of a keyworker system. Healthcare needs were appropriately assessed and were included in the care plan. In addition to the care plan the residents had a health action plan, which Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 15 detailed their medical history and current health. There was evidence to indicate the residents had access to NHS services and the advice of specialist services had been sought as necessary, for example the speech therapist. All the residents were registered with a local General Practitioner. There was a set of policies and procedures in respect of medication and appropriate records were maintained of receipt, administration and disposal of medicines. Two residents were self administering their medication within a risk management framework. All records seen relating to medication were complete and up to date. Written protocols were also in place for the administration of medication prescribed “as necessary”. One person had completed accredited medication training and plans were in place for the other members of the staff team to complete this course. Edgar Street Residential Care Home DS0000062212.V326102.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents were able to express their concerns and had access to an effective complaints procedure. Written procedures and practice protected the residents from abuse and neglect. EVIDENCE: Both informal and formal arrangements were in place for the residents to express their views and concerns by means of the residents’ meetings, satisfaction questionnaires and everyday conversation. The complaints procedure was included in the service users guide and was verbally explained to residents, as necessary. All the residents spoken to were aware of the complaints procedure and felt confident their views would be listened to. The home had received one complaint since the last inspection, this had been investigated by the manager and the outcome fed back to the complainant. Three relatives/visitors who completed comment cards were not aware of the home’s complaints procedure. The manager therefore offered to send a copy of the procedure to all the residents’ relatives. A copy of “No Secrets in Lancashire” (The Joint Strategy for the Protection of Vulnerable Adults) was available, along with a specific procedure setting out the required response in the event of any allegations or suspicion of abuse. Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 17 The staff were aware of the procedure and had received appropriate training. The staff also had access to a whistle blowing procedure. Edgar Street Residential Care Home DS0000062212.V326102.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, 26 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents were provided with a clean, safe and well-maintained home. EVIDENCE: 3 Edgar Street is situated in residential area in Huncoat. Accommodation is provided in six single bedrooms. Communal space is provided in a lounge, conservatory and kitchen with a dining area. There is a garden at the rear of the property, which the residents said they enjoyed using in fine weather. The furnishings and fittings were domestic in character and of a good quality throughout. Since the last inspection, a new leather suite had been purchased for the living room. At the time of the inspection, the premises were well maintained, comfortable, clean and free from offensive odours. There were established systems in place for maintenance of the property and the renewal of fabric and decoration. Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 19 The bedrooms had been decorated and furnished according to personal taste. Residents were able to bring in and purchase their own belongings, many of which were displayed in their rooms. All the residents spoken to liked their bedrooms, one person said “my room is really good” and another person said “I like having my own things round”. The residents were able to use their rooms at any time, should they wish to spend time pursuing their own activities. Edgar Street Residential Care Home DS0000062212.V326102.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): 31, 32, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment and selection procedures were thorough and ensured the protection of the residents. Staff were well trained and skilled to meet the needs of the residents. EVIDENCE: Since the last inspection, staff had been issued with a revised job description, which set out their roles and responsibilities and a copy of the Code of Conduct set by the General Social Care Council. Staffing levels were in line with the needs of the residents and were regularly reviewed in line with any planned activities. Five members of staff had been recruited to the home since the last inspection. The personal files of three staff were inspected. The recruitment process included completion of an application form, face-to-face interview, obtaining two written references and a POVA first and CRB check. The personal files of three staff were inspected. These demonstrated that the procedures had been Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 21 followed and all relevant details had been obtained. It was noted that the residents had been involved in the recruitment process. The new staff had received in house induction training, which the manager confirmed covered the Skills for Care standards. Each member of staff had a training profile and an overall training and development plan was seen for the staff team as a whole. According to the pre inspection questionnaire four members of staff had achieved NVQ level 2, which equated to 66 of the staff group. Consultation with staff was ongoing and handover arrangements were in place. Staff meetings were held on a regular basis. Records also indicated staff had received an appraisal of their work performance and they had received regular staff supervision. Edgar Street Residential Care Home DS0000062212.V326102.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, 38, 39 40, 41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach promoted positive relationships between the staff and the residents and the overall atmosphere was open and friendly. Systems were in place to monitor and develop the quality of the service and the health and safety of the residents was promoted and protected. EVIDENCE: Since the last inspection the registered manager had resigned and a new manager had been recruited to the home. The new manager had completed the Registered Manager’s Award and had several years experience working in various residential settings. At the time of the visit the manager had not applied for registration with the Commission. Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 23 The overall management approach was consultative and there were established systems in place to consult staff and residents on an ongoing basis. Relationships within the home were positive and staff spoke to and about the residents with respect. The manager had continued to develop the quality assurance process, to ensure there were systems in place to monitor the service. In addition a report was made every month by the registered provider. Whilst satisfaction questionnaires had been distributed to the residents, these had not been distributed to the residents’ relatives. The results of the survey had been collated and feedback had been given to the residents. An annual development plan based on the outcomes of the monitoring processes had been produced in 2006, which identified the planned developments for the service. All regulatory records seen were complete and up to date and the manager had reviewed the policies and procedures. There were plans in place for the new staff to complete the relevant health and safety training. The gas and electrical systems were serviced at regular intervals. To minimise the risk of scalding there was a central valve fitted to the hot water system. The fire log demonstrated staff and residents had participated in regular fire drills and the fire system was tested on a regular basis. Appropriate arrangements were in place to record any accidents or incidents in the home. The manager had formulated risk assessments for all safe working practice topics. Edgar Street Residential Care Home DS0000062212.V326102.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 2 2 3 3 X 4 X 5 2 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 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 4 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 3 2 3 3 3 X Edgar Street Residential Care Home DS0000062212.V326102.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 YA1 Regulation 4 and 5 Requirement The statement of purpose and service users guide must cover all the elements listed under the Regulations and Standard 1. An application must be made to register a manager. Timescale for action 30/03/07 2. YA37 8 (1) 31/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA5 YA20 YA39 Good Practice Recommendations The residents should be issued with a new contract with the current registered provider. Staff should complete the accredited medication training. The views of family and friends and stakeholders in the community are sought on how the home is achieving goals for the residents. Edgar Street Residential Care Home DS0000062212.V326102.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Edgar Street Residential Care Home DS0000062212.V326102.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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