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Inspection on 31/08/05 for Eversley Nursing Home

Also see our care home review for Eversley Nursing Home for more information

This inspection was carried out on 31st August 2005.

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 but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is a small detached town house situated near the sea front of Great Yarmouth. The home was clean and tidy with comfortable furnishings within the three communal rooms. There is a small patio at the rear of the building where residents can sit outside with some residents having their meal while the weather was warm. The manager runs the home with an `open` approach inviting relatives to participate with several organised parties with the residents. The meals offered are wholesome and nutritious taking into account individual preferences. The manager involves residents or their close relatives when devising the care plans to enable the staff to care for the resident`s individual care needs.

What has improved since the last inspection?

The environment had deteriorated in previous months with some areas looking rather grubby; the environment became a high priority for the proprietors to complete. Several rooms have been redecorated, the roof has been retiled, and the exterior has been repainted. Two trees have also been removed increasing the natural light into the two lounges. Five of the six requirements from the previous inspection have been complete with one of the bedroom ceilings still to be finished and this was issued as an outstanding requirement. The manager has completed a maintenance programme to continue with improving the decoration of the home. Residents` preferences for the colour scheme within their individual bedrooms were carried out.

What the care home could do better:

There continue to be environmental issues within the home even though the majority have been complete. The bedroom ceiling in room 3 needs painting; a shower curtain within the shower room is required to maintain privacy for residents who prefer a shower. The staff have requested a second hoist to enable residents who use this equipment to shorten the waiting time when they wish to get up or go to bed. It was recommended that the manager seek advice from the Parkinson`s Society to obtain up to date information to care for a resident with this condition. A visit to investigate an adult protection complaint initiated three additional requirements during the beginning of August. These requirements that included the following, the nurses must update their wound care skills, the wound care policy was to be updated and the manager must increase the days spent undertaking managerial duties. All three requirements have now been completed.

CARE HOMES FOR OLDER PEOPLE Eversley Nursing Home 95/96 North Denes Road Great Yarmouth Norfolk NR30 4LW Lead Inspector Hilda Stephenson Announced 31 August 2005 9.30am 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 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 Older People. 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. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Eversley Nursing Home Address 95/96 North Denes Road Great Yarmouth Norfolk NR30 4LW 01493 854086 01493 857007 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Country Retirement and Nursing Homes Limited Mrs Deborah Lee Fouche Care Home 18 Category(ies) of Old age (18) registration, with number Physical disability (1) of places Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. To accommodate one (1) service user with Physical Disabiities under 65 years fo age, who is named with the Commission for regular respite care in the category Physical Disability. 2. To accommodate up to eighteen (18) Older People. 3. The total number of service users not to exceed eighteen (18). Date of last inspection 13 April 2005 Brief Description of the Service: Eversley Nursing Home is situated in the town of Great Yarmouth within reach of local shops. It is a three-storey building with access to the 16 single and 1 shared room by a shaft lift. The communal areas consist of two lounges and one connecting small dining room with a separate quiet relatives room. The home has a patio area with shrubs and flower beds and has small space for parking. Eversley is a registered care home that provides nursing care for 18 older people and is owned by Country Retirement and Nursing Homes Limited. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit to Eversley Nursing Home took place as an announced inspection during the day of 31st August 2005. The evidence gathered to publish this report was obtained by speaking to seven of the seventeen residents, four of the five staff on duty, the manager and one of the directors of the company. Further evidence was obtained by examining care records, policies and procedures and observation throughout the day. Several comment cards were received prior to the inspection from other professionals, relatives and residents. What the service does well: The home is a small detached town house situated near the sea front of Great Yarmouth. The home was clean and tidy with comfortable furnishings within the three communal rooms. There is a small patio at the rear of the building where residents can sit outside with some residents having their meal while the weather was warm. The manager runs the home with an ‘open’ approach inviting relatives to participate with several organised parties with the residents. The meals offered are wholesome and nutritious taking into account individual preferences. The manager involves residents or their close relatives when devising the care plans to enable the staff to care for the resident’s individual care needs. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: There continue to be environmental issues within the home even though the majority have been complete. The bedroom ceiling in room 3 needs painting; a shower curtain within the shower room is required to maintain privacy for residents who prefer a shower. The staff have requested a second hoist to enable residents who use this equipment to shorten the waiting time when they wish to get up or go to bed. It was recommended that the manager seek advice from the Parkinson’s Society to obtain up to date information to care for a resident with this condition. A visit to investigate an adult protection complaint initiated three additional requirements during the beginning of August. These requirements that included the following, the nurses must update their wound care skills, the wound care policy was to be updated and the manager must increase the days spent undertaking managerial duties. All three requirements have now been completed. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 7 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. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5 Written information is given to prospective residents to explain the facilities offered at the home during the admission process. An assessment of care and nursing needs is undertaken and recorded prior to admission. EVIDENCE: The statement of purpose and service user guide contains relevant information and is available for all new residents or their relatives. The manager visits all prospective residents to ascertain that the home can meet their needs by following the assessment procedure, and can offer a place for a trial period of six weeks, when a review of the resident’s care needs are re-assessed to ensure the resident has settled within the care environment. The assessment records recorded by the manager are contained within the care plan of each resident, which follow the activities of daily living needs including personal, social and nursing care. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 10 The proprietor encourages the resident or their relative to visit the home prior to admission so they can see their room beforehand. One new resident who spoke to the Inspector stated ‘my daughter arranged for me to come into here, although I knew of the home, I wasn’t able to visit because I was poorly’. The manager was advised to contact the Parkinson’s Society to obtain up to date information for caring for a resident with Parkinson’s disease. The terms and conditions for each resident is discussed prior to admission and during the initial trial period and finalised with either the resident or their relative. A sample of contracts and assessments documents were seen of some recently admitted residents and found to be satisfactory. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10,11 Care plans and health needs of residents are identified, reviewed and are met, with knowledgeable staff having a good understanding of the residents’ needs. Safe procedures are in place for the administration of medicines. EVIDENCE: The manager devises the care plans after admission with help from the resident or a close relative to ensure that all details are recorded. The care plans were detailed containing personal, health, nursing, and social needs, with risk assessments written to ensure that residents overall lifestyle had been reviewed and continued to be regularly monitored. A random sample of care plans were seen and found to be satisfactory. The care plans are reviewed each month to measure the quality of care given. When speaking to some residents they confirmed that they are regularly asked if they wish for any changes in their care, confirming that the manager involves them with the reviews. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 12 One resident stated ‘I am asked by the Matron if I want anything new, and whether I am happy with the care and attention I receive, but the staff are always helpful so I can never think of anything to add’. When residents are admitted to the home they are encouraged to register with a local GP surgery, who visits when requested rather than on a regular basis. The home admits some residents who fall under the category of residential care and if any nursing care is required the District Nurse will visit to cater for their needs, otherwise the homes own nursing staff care for those residents who are admitted for the nursing care. The home has had a recent complaint regarding care of a resident with a pressure sore and this was found to be partially substantiated, with the manager updating the nursing staff’s knowledge on wound care and obtaining pressure relieving equipment to prevent a similar problem arising. The home has a safe procedure in place for the storage and administration of medicines. The trained nurse demonstrated the medication procedure and explained the policy. There is a safe procedure in place for residents who wish to self-administer with lockable facilities for storing medicines, taking into account any risks, although their were no residents who were self administering. The medication including controlled drugs are administered by trained nurses who also oversees the ordering and returning of medicines, some records were seen and found to be satisfactory. The home returns there medication via their clinical waste collector with relevant records in place, adapting to this new procedure satisfactorily. The home cares for residents nearing the end of their life. The policies for caring for those who are dying were read, the home can accommodate residents with different religious or spiritualist needs. Several letters and cards were seen from past visitors with one stating ‘I cannot thank the staff enough for the care and support they gave me when my mother died’. As far as it was able to tell taking comments from several relatives the home cares and supports those who are dying very well, taking into account their final wishes. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,15 Social activities are well managed with several group and individual interests for residents living in the home, with lunch and teatime included as a sociable event. Residents are offered a varied and wholesome menu. EVIDENCE: Social activities are organised by one member the care staff team that has a particular interest in activities. This time is organised as part of the social life of the residents. Obviously not all the residents like or participate with group activities and this is taken into account, where individual hobbies and interests are also encouraged and supported. One resident stated ‘that she was happy to sit and watch’. During this inspection several residents had suggested making some home made Christmas cards and this was arranged within the dining room. Some residents were observed entertaining their relatives within there own rooms or in the lounge, with care staff arranging cups of tea. One visitor stated ‘I came along to the barbecue and had a lovely time sitting outside with my mother, the staff made it a lovely day, and she still talks about it’. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 14 Comments received from residents indicated that they choose when they want to go to bed or what they would like for their meal, and this individual information is included within the care plans. Residents confirmed that they are offered a choice of meals from the menu. The cook confirmed that she catered for several types of specialised diets, with residents being assisted by providing them with an assortment of adapted cutlery and crockery. The menu is altered over a four-week period combining seasonal changes and includes resident’s suggestions from time to time. Staff were observed assisting residents with their lunch in a dignified and unhurried manner. Several residents preferred to sit outside and took their lunch on the patio. The dining room is small and can become quite crowded, although several residents stated that they preferred to have their meals at their own individual tables within the lounge. Hot and cold drinks were offered frequently throughout the day, especially as it was a hot day. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 The home has a clear complaints system in place with written evidence that residents’ views are taken seriously and acted upon. EVIDENCE: The home has had one complaint that was referred to the adult protection team to investigate, resulting in three requirements being issued. These have been complete with lessons being learnt to reduce the same issues being repeated. The home has their own complaints procedure to follow stating that they take all complaints seriously and record any issues that may arise. The complaints policy is contained within the service user’s guide and is left in each bedroom. The manager highlights the complaints procedure to both residents and relatives and meets with them on a regular basis to discuss any issues before they become a major concern. When speaking to residents there were no complaints highlighted during this visit, with the majority confirming that they would prefer to speak to the Matron. A procedure is in place for responding to allegations of abuse. All staff has attended the adult protection workshops that were organised within the local area, with the exception of the newly employed staff. Adult protection issues are discussed within the induction programme for new staff with the policies and procedures in place for them to read and understand. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,24,25,26 Residents are offered facilities within an old town house, with the majority of maintenance having been recently completed. The home was clean and tidy, although some major maintenance work was ongoing. EVIDENCE: Eversley Nursing Home is an aged detached town house within a residential area of Great Yarmouth. Over the past year the standard of maintence has been reduced with several areas requiring attention. This maintenance work is now being carried out with the roof being retiled, the exterior being repainted, and two of the trees removed to increase the natural light in both lounges. Several bedrooms have been redecorated, and the carpets have been deep cleaned improving the environment for residents. Room 3 ceiling still requires repainting, a shower curtain must be added within the shower room to increase privacy for residents who prefer a shower and have been issued as requirements. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 17 The cleanliness has improved and the ongoing maintenance must continue to the standard that residents expect from a nursing home. The home is cleaned on a daily basis by dedicated domestic staff, when the domestic is on holiday the cleaning is carried out by staff from the company’s sister home. The home carries out all of the laundry requirements of residents. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 Sufficient numbers of staff are on duty to meet residents’ needs with extra staff brought in to cover busy periods. Good recruitment procedures are in place. EVIDENCE: Copies of the rota were provided prior to this inspection, confirming that there is usually one trained nurse and three care staff during the morning when the home is fully occupied reducing to one care staff and one trained nurse overnight. The manager tends to work from Monday to Friday although covers at weekends occasionally when a member of staff is off, this has happened on several occasions in recent months due to the home being short of nursing staff, leaving the home short of management hours. At the time of inspection this situation had been resolved and the home was fully staffed with nurses allowing the manager to undertake three office days to maintain her managerial duties. The manager follows a good recruitment programme for employing new staff ensuring the required checks are complete, ensuring the safety of the residents. The oversees nurses are employed through the companies head office and photocopies of their required checks were held at the home. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 19 A sample of the training records of both care staff and trained nurses was seen. After the recent complaint, all staff have attended wound care and pressure area updates. There is an adequate induction programme in place for newly employed staff to ensure they follow the policies and procedures of the home, with ongoing foundation and mandatory training being kept up to date. The home has a very good record for encouraging the care staff to undertake the recommended NVQ training with several staff commencing the level 3 in care, and the home should be commended for this. The trained nurses keep up to date with current trends with several of the nurses specialising in separate topics such as diabetes, stroke care and nutritional needs. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35,38 The management of the home has not been satisfactory in previous months due to staff shortages, although this has vastly improved. Residents’ best interests are now safeguarded. EVIDENCE: There has been a problem in previous months due to the home having two nurse vacancies, the manager has been working as part of the rota and not having time allocated for management duties. This has now been resolved and the manager has three allocated office days to maintain the managerial role. One of the directors of the company visits the home each week to support the manager and her staff and continues to monitor the service. There is a quality assurance system in place where residents and relatives views have been received with the action for improvements that have taken place during the past year. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 21 The home has a fire procedure to follow with records in place to confirm this. The accident procedure was seen and complies with the accident reduction procedure; the manager audits the amount and risk of accidents. Each resident has individual risk assessments within their care plan, including moving and handling, mobility, risk of falls, nutritional needs, pressure care, and personal bathing. The regulatory records were also checked with no requirements from both the fire and EHO outstanding. The water, central heating and radiators, fire equipment and specialist equipment and the upstairs windows were also satisfactory. The registration and insurance certificate was valid and displayed in the entrance hall. Overall, the home is managed in a safe and satisfactory manner putting residents and staff’s health and safety first. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 2 x x 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 3 x 3 x 3 x x 3 Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 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 8 Regulation 23 Timescale for action The home must acquire a second By hoist to ensure that residents are 30.10.05 not kept waiting when they wish to get up and go to bed. A shower curtain must be added By 30.9.05 to ensure the privacy of residents when taking a shower. The ceiling in room 3 must be By 30.9.05 repainted. Requirement 2. 3. 21 24 23 23 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 8 Good Practice Recommendations The manager should contact the Parkinsons Society to obtain up to date information to enable the staff to care for a resident with this diagnosis. Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 3rd Floor, Cavell House St Crispins Road Norwich NR3 1YF National Enquiry Line: 0845 015 0120 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 Eversley Nursing Home I55 S15636 Eversley V241603 310805 Stage 4.doc Version 1.40 Page 25 - 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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