Inspection on 23/01/07 for Elm House

This inspection was carried out on 23rd January 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Elm House 10/07/08

Elm House 25/01/08

Elm House 14/02/06

Elm House 08/06/05

Elm House 20/01/05

Elm House 21/06/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 192 Wivenhoe Road Alresford Colchester Essex CO7 8AH Lead Inspector Brian Bailey Key Unannounced Inspection 23 January & 13th February 2007 10:00 rd 192 Wivenhoe Road DS0000017727.V328239.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 192 Wivenhoe Road DS0000017727.V328239.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. 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 192 Wivenhoe Road Address Alresford Colchester Essex CO7 8AH 01206 824443 01206 824443 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) Partnerships in Care Limited Manager post vacant Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (1) of places 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The home may accommodate 3 persons of either sex who fall within the category of learning disability The home may accommodate one named person, aged 65 years and over, falling within the category of learning disability The total number of service users accommodated in the home must not exceed 3 persons The home may provide assistance to one additional person during the day in order they may use the rehabilitation kitchen. The staff member assisting this person must be additional to staff provided in the home. 14th February 2006 Date of last inspection Brief Description of the Service: 192, Wivenhoe Road is a registered care home providing accommodation for three people under the age of 65 years who have an acquired brain injury. A variation to the registration has been given for one service user who is now over the age of 65 years. This is one of two homes in the area owned by Partnerships in Care. An acting manager is currently managing both homes following the resignation of the registered manager during 2005. The home runs two programmes of care: one for community rehabilitation and the other being long term supported living assistance for service users requiring maintenance of their rehabilitative state, who may also have behavioural problems, which can be managed within the home. 192 Wivenhoe Road is a detached house situated on the outskirts of the village of Alresford, approximately five miles from the town of Colchester. The home is within walking distance to the village amenities, which include a shop, pub and train station. Single room accommodation is provided, two of which have en suite facilities, one with a bath the other with a shower. The communal bathroom has a shower. The home has a comfortable, safe and fully accessible dining room, lounge and sitting room for shared activities or private use and a large back garden. Car parking for visitors is available at the front of the house. Previous inspection reports are available from the home, Partnerships in Care and our website www.csci.org.uk. As at February 2007, the fees for accommodation were stated as ranging from £295 to £322 per day. 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 23rd January and 13th February 2007. All of the key standards for young adults and the intended outcomes have been assessed in relation to this service. A copy of the previous inspection report dated 14th February 2006 is available from the home and can be seen on our website at www.csci.org.uk Service users accommodated at this home have sustained an Acquired Brain Injury (ABI) and have varying degrees of permanent cognitive disability following the early stages of recovery. This includes changes in concentration, awareness, perception and insight and in some cases long term and/or shortterm memory loss. Discussion with the service users regarding care delivery was limited. This report is based on a range of information that has been accumulated from our inspection records, two site visits to the home by CSCI inspectors, observations and discussions with service users, staff and the acting manager and checking the records kept at the home. What the service does well: What has improved since the last inspection? What they could do better: The home’s Quality Assurance system must be developed to ensure that the views of service users and all other people with an interest in their well-being are obtained. Evidence of all checks made when staff are recruited must be available at the home for inspection. All staff must be provided with formal supervision on a regular basis. 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 6 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. 192 Wivenhoe Road DS0000017727.V328239.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 192 Wivenhoe Road DS0000017727.V328239.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 4. Quality in this outcome area is good. The home operates a thorough pre-admission process, giving care and attention to ensuring the home is admitting individuals whose entire assessed needs could be fully met. The home requires prospective residents to visit the home as an essential part of the admission process. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a Statement of Purpose and a Service User Guide (Residents’ Information and Handbook), which was revised in January 2007. The home has not admitted any new service users since the last inspection. Previous inspections commended the service for its thorough, comprehensive pre-admission process. Care records checked contained detailed and relevant assessment information. Wivenhoe Road operates an admission policy that requires the prospective service user to make a number of visits to the home in progressive duration, covering introduction, compatibility with other service users and the opportunity to meet the staff and see the facilities available. The home does not accept unplanned or emergency admissions. The home’s procedure is for the manager and the multidisciplinary team, together with the service user and/or their relative and/or advocate, to carryout pre-admission assessments, which also included assessments from various specialists. 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 & 10. Quality in this outcome area is good. Care plans were service user focused, developed according to needs, including rehabilitation process and achievable goals, and care and maintenance of health, lifestyle and wellbeing. Staff respect service users confidences and are fully aware of confidentiality issues. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care records of two service users were checked. These were detailed, up to date and provided a wide range of information about the needs of the person and how these were to be addressed. All staff spoken with were knowledgeable about each service user’s needs and of how they were to be supported. Records showed that care plans are reviewed at regular intervals. Care plans were linked to the Care Programme Approach (CPA) and the home worked in partnership with the multidisciplinary team, the service user and/or relative/advocate enabling care to be delivered in an agreed organised way. Comprehensive risk assessments were evident in each service user’s plan with clear risk management strategies to reduce potential risks that individuals with an ABI face on a daily basis, due to impaired memory and concentration. 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 10 Any infringements and limitations to service user’s choice were made through the assessment process and in the service user’s interests to prevent harm to themselves and others. This was recorded in the service user’s plan. Service users’ individual records were appropriately maintained and stored securely to protect confidentiality. 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17. Quality in this outcome area is good. Service users were given the opportunities and support to maintain and develop social, emotional, communication and independent living skills in and outside the home. Family and friends links with the service were strongly encouraged and well developed. The home offered opportunities to establish a structured and purposeful lifestyle, respecting service users’ rights and choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff described the daily routines and their role in supporting service users through planned individualised daily programmes of simple activities in and outside of the home, to maintain and improve functional performances in every day living skills. From care review documentation it was evident service users were facilitated to make decisions with regard to their own life. Freedom of movement within the home was observed and staff were observed giving support to service users to make choices insofar as was practicable to exercise control over their 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 12 life in accordance to their risk management plan. Staff were observed as patient and supportive of service users and to have an excellent understanding of service user needs. It was evident the home viewed community access and inclusion essential to the rehabilitative process and was incorporated in accordance with the service user’s assessed needs and individual plan. Service users were supported on a one to one basis by staff in the community and this was observed during the inspection, for example when one person was accompanied to a local fitness centre and another person to the local shops to buy food. During discussion, the manager indicated that the service strongly encouraged family links and adopted a partnership approach with family members, which was paramount in increasing chances of successful rehabilitation. The home offered support to families in adapting to new circumstances. Important dates were recorded in individual care plans for the staff to support the service users in maintaining links with family and friends on birthdays and anniversaries. Care staff were observed to prepare and cook the meals for service users. The staff worked closely with the service users producing menus, looking at healthier options and fresh produce, incorporating choice, likes and dislikes. Mealtimes were seen to be flexible. Good food stocks were available. 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. The service users were looked after well in respect of their healthcare and personal needs. Staff engaged positively with each individual and demonstrated a good understanding of the service users they were supporting and treated them with dignity and respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users were unable to retain or self-administer medication. The medication policy reflected all areas of safety. All staff had received accredited training in the safe handling and administration of medication. Care plans reflected individual medication prescribed and included information relating to the side effects and adverse reactions of medicines being taken by the service user, which is good practice. Medication continues to be dispensed from the GP surgery into Dossett boxes, a system normally used for self- administration. The system provides medicines for seven days. The previous inspection identified a possible hazard with the system as all medicines for a particular time are placed together within the same compartment, making it difficult for the care staff to identify what medication is being administered or even refused. Staff had looked into adopting a monitored dosage system but felt this was not feasible for three 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 14 people only. In the circumstances the manager had agreed to replace the Dossett boxes with an improved version that provide clearer information to the staff. The manager must monitor the system and ensure that the risk to service users of staff making an error when administering medication is assessed and action taken to minimize the risk. Observation of care records showed that service users were enabled to access health care professionals when required. 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. The home has appropriate arrangements in place to protect residents and to respond to their concerns. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaints policy and procedure was in place and accessible to the service users’ representatives. Senior staffs spoken with were aware of the procedure to take in the event of a complaint being made. Staff indicated that the current service users were not able to make a written complaint but any verbal concerns or complaints would be listened to, taken seriously and acted upon appropriately. The home did not have a formal system for complaints to be recorded along with records of action taken, the outcomes of the investigation and detail of the complainant’s satisfaction. The home and CSCI had not received any complaints since the last inspection. The home had good policies with regard to preventing abuse through good practice and staff and management support systems and how to recognise abuse. Guidance for staff on what to do in the event of a suspicion or allegation of abuse incorporating Local policy and Essex Social Services alert forms and contact numbers were available. The staff had received Protection of Vulnerable Adults (POVA) awareness training and the one staff member who had not been trained was to attend a course on 20/2/07. 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 16 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, 27, 28 and 30. Quality in this outcome area is good. The homes premises are suitable for its stated purpose; accessible, safe and well maintained meeting service users’ individual and collective needs in a comfortable and homely way. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This detached property is situated in a quiet residential area with a large private garden and has adequate parking facilities at the front of the house. Accommodation consists of three single bedrooms, two of which have en-suite facilities, one with a bath the other with a shower. The communal bathroom has a shower. The kitchen had been upgraded. The home has a comfortable, safe and fully accessible dining room, lounge and sitting room for shared activities or private use. All areas are well decorated and furnished. The standard of cleanliness through was good. Service user bedrooms were homely in appearance and had been personalised. From observation on both days of the inspection, it was evident that service users are free to come and go as they please throughout the house. Two offices are 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 17 available that are well equipped and with storage facilities to ensure confidentiality is maintained. 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is adequate. Recruitment practices were thorough and promoted the protection of service users, but evidence of checks made must be kept at the home. The quality and frequency with which care workers are formally supported does not meet with good practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From observation and discussion, staff were confident and knowledgeable about the needs of the service users and worked well as a team. Staff were seen to consult with each other if they had any concerns and to treat other staff and service users with respect. The home had not recently appointed any new staff. The recruitment files of three members of staff were examined. All the files held evidence of the required checks undertaken including two satisfactory references, evidence of identification and satisfactory enhanced CRB disclosures. At the time of the second visit to the home on 13/2/07, the CRB disclosure records for staff employed at Wivenhoe Road and at Lucerne Road had been removed to the headquarters, which meant there was no evidence available to show that these had been obtained. The files did include completed application forms, 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 19 employment history, and a written record of interviews, record of induction and a copy of the Contract of Employment, Statement of Terms and Conditions and a job description. Formal staff supervision sessions have still not been implemented although the manager has now completed a staff appraisal with each member of staff. Plans to introduce staff supervision have been agreed with the seniors who will be responsible and they attended a supervision and leadership course in 2006. As at February 2007, three support staff had obtained a National Vocational Qualification at level 2 and therefore the home meets the current training target of 50 of the care staff to have gained this qualification. Staff have been provided with a good range of training over the past year, which has included induction into the service, health and safety topics, medication, adult abuse and equality and diversity. 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 20 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, 40 and 42. Quality in this outcome area is adequate. Service users can expect to be supported through the ethos of a home that is well run and managed. Service users can expect that the home’s practice will protect and promote their health and safety. A comprehensive Quality Assurance system needs to be introduced to ensure people’s views about the service are obtained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In September 2006, a significant improvement in the running of the home was made when a manager was appointed to manage this home and the organisations sister home in Lucerne Road at Elmstead Market. The homes had been without a registered manager since October 2005 and although arrangements were made to provide support, the lack of a manager was an issue raised at the last inspection. The manager was aware of the need to 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 21 apply to the CSCI for registration as manager and to take an appropriate training course. The manager and staff had made progress in dealing with some of the requirements made at the last inspection. Information provided by the manager confirmed that Health & Safety matters at the home are taken seriously. Services and equipment are serviced at the appropriate intervals and were up to date. Policies and procedures were in place and evidence was available to show that some of these had been revised and updated as part of the organisations Quality Assurance system. There was however no evidence at the home that a survey of service users, relatives and health care professionals had been carried out to obtain their views about the service. 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 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 3 2 X 2 X 2 3 X 3 X 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 23 Yes 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 YA20 Regulation 13 (2) Requirement The system used for the administration of medication must be assessed for the risk it presents to service users and action taken to minimise any identified risk. This is a repeat requirement A record must be kept of all complaints received that include the date received, a brief description of the complaint, the outcome and whether the complainant was satisfied. Evidence that Criminal Records Bureau (CRB) disclosure checks have been obtained for each member of staff must be available at the home to confirm that the necessary recruitment procedures have been taken to protect service users. Regular supervision must be provided to all staff to guide the way staff work, to reflect on their work practices and as a means to support staff to ensure that residents receive care to a consistently high standard. This is a repeat requirement DS0000017727.V328239.R01.S.doc Timescale for action 01/04/07 2. YA22 22 (8) 01/04/07 3 YA34 19 (1) a 01/04/07 4 YA36 18 (2) 01/05/07 192 Wivenhoe Road Version 5.2 Page 24 5 YA39 24 (1)(a) (b) 24 (3) 6 YA40 26 (2) 26 (3) 17 (2) The home must carryout regular quality assurance surveys of residents, relatives, staff and others, as their feedback will help to influence improvements to services and standards. This requirement was not met within the previous given timescale of 31st March 2005. The responsible person must carryout Regulation 26 visits on a monthly basis and ensure reports are available for inspection at the home. These visits provide residents with the confidence that external management are monitoring the home. 01/05/07 01/04/07 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 192 Wivenhoe Road DS0000017727.V328239.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 192 Wivenhoe Road DS0000017727.V328239.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!