Inspection on 26/10/06 for Evaglades Residential Care Home

This inspection was carried out on 26th October 2006.

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

Other inspections for this house

Evaglades Residential Care Home 10/07/07

Evaglades Residential Care Home 11/11/05

Evaglades Residential Care Home 20/07/05

Evaglades Residential Care Home 11/01/05

Evaglades Residential Care Home 13/07/04

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 Evaglades Residential Care Home 394 Marine Road East Morecambe LA4 5AN Lead Inspector Ms Jenny Hughes Unannounced Inspection 26th October 2006 10:00 Evaglades Residential Care Home DS0000045535.V307131.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 Evaglades Residential Care Home DS0000045535.V307131.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. Evaglades Residential Care Home DS0000045535.V307131.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Evaglades Residential Care Home Address 394 Marine Road East Morecambe LA4 5AN 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) 01524 418151 Mrs Sheila Mavis Mecklenburgh Miss Mandy Rowlands Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Evaglades Residential Care Home DS0000045535.V307131.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home must at all times employ a suitably qualified and experienced manager who is registered with the NCSC. 11th November 2005 Date of last inspection Brief Description of the Service: Evaglades is a three storey building situated on the promenade, and overlooking the bay, in Morecambe. There is no outside space at the back of the home, but there are seats at the front of the home, where residents can sit in the better weather and watch the world go by. Large windows at the front of the home display the views along the coastline. It has been adapted to meet the safety requirements of a care home, and only the lower two floors are for residents. There is no lift in the home, so residents need to have fairly good mobility. All except one of the rooms are single, and they are all ensuite. There is sufficient communal space, with the lounge/dining area at the front of the home. There is easy car parking space in the road outside the home. Staffing is provided over 24 hours, every day of the year. Information about the service the home provides is available as a guide, which tries to cover everything a resident needs to know about daily life in the home. CSCI reports are readily available from the manager to anyone who asks to see them. As at 20th October 2006, the fee scale ranges from £567 to £783 a week, with additional charges for holidays, extra toiletries, magazines, transport and some activities. Evaglades Residential Care Home DS0000045535.V307131.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit to the home, in that the owners were not aware that it was to take place. The site visit was part of the key inspection of the home. A key inspection takes place over a period of time, and involves gathering and analysing written information, as well as visiting the home. The length of the visit was for 2.5 hours. Before the visit took place, the manager was asked to complete a preinspection questionnaire, and a response to surveys was requested from residents, any relatives, and visiting professionals. During the site visit, staff records and resident care records were viewed, alongside the policies and procedures of the home. The manager, residents and care staff were spoken to. Their responses are reflected in the body of this report. A tour of the home was made, viewing lounges, dining room, bedrooms and bathrooms. Everyone was friendly and cooperative during the visit. What the service does well: The home provides a relaxed, homely atmosphere within a small group of residents, with staff who are trained and experienced. The residents said that they could do what they want, and were seen to be given the opportunity to make decisions and act on them. One resident had chosen to wash and dry her hair, and then decided to go for a short walk before she joined everyone else in the main lounge. Another decided to sit in the lounge and give the dog a cuddle on her knee. Daily life is varied, with college courses and activities in the home providing stimulation. Staff work tactfully alongside residents, making it a home from home. Clear and up to date information about the residents makes it easy for staff to give the right care. The manager ensures the residents are happy with any new staff before the decision is made to employ them. Meals are home-cooked, varied, with well-balanced choices. They are well presented, with meal times being pleasant and unrushed. Evaglades Residential Care Home DS0000045535.V307131.R01.S.doc Version 5.2 Page 6 The manager continually updates and revises the systems in the home, to make sure sufficient, clear information is held, and that it fully complies with the standards and regulations. She is aware also of the need to clearly identify the diverse needs of the residents, in order to be able to give them the right care. 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. Evaglades Residential Care Home DS0000045535.V307131.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 Evaglades Residential Care Home DS0000045535.V307131.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): Standard 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good assessment procedure, which is carried out for all residents. This means that the service provided is always tailored to an individual’s needs and preferences. EVIDENCE: There is detailed information available about the home for all residents, or possible residents, which has been developed over time into a very clear and easy to read description of the services provided, and who provides them. Individual records are kept for each resident, and although there have been no new residents for the last three years, the manager was able to discuss the way anyone new would be initially invited to visit the home and meet the residents. A social work assessment would be used to help the manager decide whether the home was the right place for the new person, that the staff were able to give the right care, and that the present residents were compatible with them. Evaglades Residential Care Home DS0000045535.V307131.R01.S.doc Version 5.2 Page 9 Assessments were seen for the long-term residents in this home, and the care planning system was based on the regular reviews of the care each person needed. Staff spoken to were aware of the care needs of all of the people in this small friendly home. “We’ve worked with these residents a long time”, said both of the care staff on duty, “It’s just like a big family – we know them really well”. Evaglades Residential Care Home DS0000045535.V307131.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): Standards 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. There is a system in place, carried out together with each individual, which produces up to date care plans showing how each person should be cared for to achieve the personal goals set. Generally, residents can make decisions on what they want to do. EVIDENCE: The care planning system is detailed and structured, with each individual’s plan telling staff how to best look after them, giving information which includes areas covering their physical and mental health needs, dietary needs, and a personal profile. The information creates a clear mental picture of each person, and outlines their goals, and how they can achieve them. Regular reviews and updates of these take place. Evaglades Residential Care Home DS0000045535.V307131.R01.S.doc Version 5.2 Page 11 These plans are signed by the residents who are able to do so. Some residents spoken to were aware that they had their own ‘papers’, but due to the level of understanding, others did not. The manager and staff constantly talk to the residents, who clearly feel free to say or signal if they want something, when staff check straight away if there is anything they can do to help. A resident spoken to said that “We do what we want. I might go for a walk in a bit.” At this comment, care staff reminded the resident to put her coat on. Another resident popped her head around the lounge door to tell staff that she had washed her hair. The manager said that the residents were gently guided to help them make their own decisions. Each individual had daily notes made by staff, where records of decisions made by them were noted. Risk assessments are carried out on residents activities, for example some like to go out on their own for short walks. The manager guides the residents, and discreetly monitors the activity to make sure they are safe. The home itself is regularly checked for any hazards, with staff letting the manager know if there was a problem. Evaglades Residential Care Home DS0000045535.V307131.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): Standards 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. Residents can choose from a variety of activities to help develop their skills. Their decisions are respected and daily routines promote independence. EVIDENCE: Most of the residents go to college a couple of times a week, and said that they enjoyed it. Others have said they are not interested in going. They attend various classes, dependent on their abilities. Music appreciation and cookery classes are firm favourites. “I go to college”, commented a resident, “I play badminton, and sometimes we throw a ball and try and catch it. I do some cooking as well, and we can bring it home. It’s nice”. The manager said that she tries to arrange the classes for different days, so that those left at home benefit from more attention from the staff. She is aware of the diverse and individual needs of the residents, and tries to make sure they are all cared for in the way that suits each individual best. Evaglades Residential Care Home DS0000045535.V307131.R01.S.doc Version 5.2 Page 13 One resident was in the lounge, playing hide and seek and happily laughing with the carer. The residents discussed the music afternoons, when the visiting entertainer brings musical instruments for the residents to play along. Some of the residents like to use their own instruments, with one bringing along a mouth organ and another a recorder. A craft instructor also visits regularly. “Is the craft lady coming today?” asked a resident. “It’s nice here. I like the dog sitting on my knee. It keeps my legs warm as well” Some residents have family contact, and the manager liaises with the social worker to encourage this. The manager has arranged a holiday for the residents in the Lake District. The holiday is during college time, so the manager is taking the individuals to college on the two attendance days, and back home to the resort in the afternoon. Photographs of residents were pinned on the notice board of a day trip to a small animal farm. One resident likes to help with small jobs around the home, and staff asked her if she would like to set the tables for lunch. She set about the task and carefully made sure the tables had the right cutlery for lunch. “I like to help” she said. Residents quietly tucked into their freshly cooked lunchtime snack of ravioli on toast in the dining area, and would have a main meal of pork casserole for tea. “We always get plenty to eat. I just ask if I want a drink”, said a resident. Evaglades Residential Care Home DS0000045535.V307131.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): Standards 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 staff have a good understanding of the resident’s support needs. This is evident from the positive relationships which have been formed between the staff and the residents. EVIDENCE: This small home is run as a family home, with a small staff group for the low numbers of residents. This means that both staff and residents know each other well, and so changing needs are easily noted by staff, and passed on by residents. Residents come and go to their rooms as they wish, some choosing to stay there for a while to watch television or play records. “They do knock before they come in,” said one resident, of the staff. There were records on each of the residents’ files of contact with, for example, GP’s, Community Psychiatric Nurses, and hospital appointments. A ‘Health Records’ booklet was used for each person, which includes all of their health information in an easy to read and understand style, and would be Evaglades Residential Care Home DS0000045535.V307131.R01.S.doc Version 5.2 Page 15 taken by the resident to any appointment with a health professional. This records the visit, and what the result of that visit was. Staff complete these with the residents, and the manager said they like to take time to make sure the resident was sure the information was right. None of the present residents are in charge of their own medication, and any new residents would have a risk assessment before it was decided whether it was safe for them to do so. Staff helping with the administration of medication had attended a medication awareness course. The records were all correct and up to date on a printed medication administration record, listing all of the residents’ medication, produced by the pharmacist. Evaglades Residential Care Home DS0000045535.V307131.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): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident their concerns will be listened to and acted upon. Staff have an understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: There is a complaints procedure in place, with a complaints book to record any complaints, which may come to the manager’s attention. No complaints have been received and recorded. One resident said, “I tell Mandy (the manager) if I don’t like something.” Another said, “If Alan (the owner) knows it will be alright”. Both residents showed a lot of confidence that they were safe with the people who were looking after them. Staff spoken to knew about the Adult Protection procedure, and what to do if they had any concerns. They said they would always act if they thought a resident was at risk. Also if it was a member of staff causing concern they would inform the manager. All staff attend abuse awareness training. Evaglades Residential Care Home DS0000045535.V307131.R01.S.doc Version 5.2 Page 17 Evaglades Residential Care Home DS0000045535.V307131.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): Standards 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the décor in this home is good, giving the residents a pleasant, clean and comfortable environment to live in. EVIDENCE: The home is well maintained, and the décor is kept to a good standard. The dining area had been recently decorated, and the kitchen was due to be redecorated. The manager confirmed that upkeep of the standard of decoration is the same as in any family home, and all of the rooms viewed were clean, tidy and attractive and comfortable. Double-glazing is gradually being fitted in all of the bedroom windows. One of the residents showed their room, with photographs and pictures they had made proudly displayed on their wall. Personal belongings were evident all over the room, making it very individual and homely. “I like to sit in my room Evaglades Residential Care Home DS0000045535.V307131.R01.S.doc Version 5.2 Page 19 sometimes if I want to be quiet. I can watch my television in here as well,” said the resident. Steps to the front door, and no lift inside the home, means that residents must have fairly good mobility to stay there, and the needs of all of the present residents are met. Local shops and entertainments are within easy walking distance from the home, and some residents enjoy a walk along the promenade the home is situated on, overlooking the lovely view of the coastline. One resident put her coat on for her short walk around the block that she liked to do most days, while being tactfully monitored by staff. On her return she settled in the lounge for a chat and to watch what was going on. Fire and environmental health checks have been carried out. The laundry is away from where food is prepared and eaten, and is kept well in order by the staff, who were aware of how to prevent possible infection. Evaglades Residential Care Home DS0000045535.V307131.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): Standards 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. The home operates a good recruitment policy, which ensures that only people who are suitable for this type of work are offered an appointment. Training is provided and this means that residents are provided with appropriate care and attention EVIDENCE: The staff files showed that the necessary recruitment checks had been carried out to ensure the protection of residents. References and Criminal Records Bureau checks were available, and notes of the interview were made. All staff receive induction training, and the manager uses a training book for staff, which names all of the areas to be addressed during the induction, such as communication, personal care, and continence. The subjects are covered by the new staff and signed when completed. Evaglades Residential Care Home DS0000045535.V307131.R01.S.doc Version 5.2 Page 21 The manager monitors the training of the small numbers of staff. Learning Disability Award Framework (LDAF) courses have been attended. First aid, food hygiene, moving and handling and fire marshal have also been attended. Just under 50 of the care staff hold at least the NVQ Level 2 award. “I’ve done a lot of training, both here and in my other job which is also looking after people with a learning disability”, said one staff member. “It does help keep you up to date with the best ways to look after people with such differing needs “, she commented. Evaglades Residential Care Home DS0000045535.V307131.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): Standards 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 home reviews aspects of its performance through seeking resident’s views, and acting upon them. Systems and practices in the home promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: The residents are long term, and the manager has always encouraged them to tell her whenever they feel unhappy about something, or if they would like something done differently in the home. The residents were all relaxed and choosing to do whatever they wanted, clearly telling or signalling the manager Evaglades Residential Care Home DS0000045535.V307131.R01.S.doc Version 5.2 Page 23 about what they did not want to do. This ongoing feedback is dealt with immediately, and recorded for future reference. The residents are always included in discussions about the running of the home, for example the recruitment of new staff, and they would be involved in the admission of a new resident. “The new staff came to meet us first,” commented a resident. The annual holiday is also a joint decision, “We like going there. It’s good”. The manager knows she needs to monitor the service delivery, and has tried to involve visiting health professionals, as the present residents do not have a lot of family involvement, so it is difficult to set up formal systems. However, the manager has set up a system of daily diaries for each individual, which are a good record of events and choices in the residents’ lives. Any regular patterns can be noted and changes to the service made if necessary. The manager is constantly looking at ways to improve and develop the service, so that it complies as well as it can with the standards and regulations. All accidents are recorded on file. Appropriate fire precautions are taken with a fire alarm system, extinguishers and a fire blanket, all which are checked regularly. The manager and one senior staff have attended a fire marshal course, and all staff are instructed on what to do in case of fire, with a monthly fire drill. Evaglades Residential Care Home DS0000045535.V307131.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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 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 3 X 3 X 3 X X 3 X Evaglades Residential Care Home DS0000045535.V307131.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA36 Good Practice Recommendations Staff 1:1 supervision sessions should be formalised Evaglades Residential Care Home DS0000045535.V307131.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 Evaglades Residential Care Home DS0000045535.V307131.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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