Inspection on 24/05/07 for Faygate House

This inspection was carried out on 24th May 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Faygate House 16/06/08

Faygate House 05/09/06

Faygate House 16/11/05

Faygate House 18/05/05

Faygate House 18/10/04

Faygate House 29/06/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Faygate House 17 Mayfield Road Sutton Surrey SM2 5DU Lead Inspector Janet Pitt Key Unannounced Inspection 24th May 2007 10:15 X10015.doc Version 1.40 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 Faygate House DS0000007147.V337726.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 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. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Faygate House Address 17 Mayfield Road Sutton Surrey SM2 5DU 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) 020 8642 9782/8762 020 8643 3104 Mr Soondressen Cooppen Mrs Maleenee Cooppen Mr Soondressen Cooppen Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That bedroom 14 is registered but with an undertaking that no new residents are admitted and it is de-registered upon the departure of the current resident from that room. 5th September 2006 Date of last inspection Brief Description of the Service: Faygate House is a converted and extended residence situated in a quiet residential road in Sutton. It is currently registered by the Commission for Social Care Inspection to provide personal care for up to twenty-three adults over the age of sixty-five. Accommodation is arranged over three floors; all bedrooms are single occupancy, twelve have en-suite facilities and there is a passenger lift and a stair lift. On the ground floor there are two pleasant lounges overlooking the garden and a dining room. The home is close to local amenities and there is limited off street parking to the front of the property. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this unannounced inspection. Three site visits were made. Two were unannounced and one was planned to view staff files. The site visits lasted a total of seven and a half hours. Eight surveys were received from people who use the service and one from one relative. Some people who live in the home completed their own, but the majority had assistance from relatives. Care documentation, staff files and training records were inspected. Discussions were held with the provider/manager and the staff team. Three people who live in the home were spoken with. What the service does well: What has improved since the last inspection? What they could do better: Comments from surveys included: ‘Wish we had better cakes at tea.’ Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 6 ‘There are times when I would like a quicker response when I need help, however I realise that the staff are sometimes very busy.’ As mentioned in the previous section care documentation must be addressed and there must be involvement of the person who lives in the home or their representative. Attention to detail within the environment would make sure that people live in a safe maintained environment. People who live in the home need to be confident that staff are recruited and trained appropriately. 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. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Admission of new people to the home is process driven, but not personalised, with little consideration of individuals needs. Individuals are provided with a contract, which details service provided. EVIDENCE: People who choose to live in the home receive some information to enable them to make an informed choice. However, because the Statement of Purpose was not available it could not be verified that people are admitted in accordance with what the home states it can provide. This must be sent to CSCI. All survey respondents indicated that they had adequate information on the home prior to moving in, one comment was: ‘It was recommended by a friend of a resident.’ Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 9 All respondents stated that they had received a contract stating terms and conditions. A copy of the current Statement of Purpose was requested from the provider, but this was not forwarded to the CSCI in the agreed timescale. People who chose to live in the home need to be confident that their needs will be identified. It was noted that one person had not been assessed by the manager prior to moving in. Pre assessment information from other agencies was on file. An assessment of individuals needs is undertaken on admission. Risk assessments were present in files. These were seen to contain basic details in a tick box format. There was space on the form to provide further, information but this had not been completed. Assessments were seen on radiator covers and falls. One assessment on the type of language a person used said; ‘very abusive and short temper’, with no further information. This does not protect the dignity of people who live in the home. Detail is needed on how language used is abusive and triggers for change in mood. Care must be taken to make sure people who live in the home are treated as individuals and not ‘labelled’. There was no involvement of residents or their representatives in the assessment process. No detail of individuals’ family background and social history had been documented. Some aspects of the homes admission assessment, such as Patient admission forms, were not completed. Areas to identify particular needs contained bland details e.g. ‘she need assistance when mobilising and also need assistance on her personal hygiene’. Staff must fully identify people’s needs to make sure that care can be planned accordingly. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Each individual has a basic care plan and risk assessment, but the practice of involving people who use the service in the development and review of the plan is variable. Minor issues with the audit trail of medications need to be addressed to make sure that people are protected from harm. EVIDENCE: People who live in the home can be confident that support will be given appropriately. One comment from a survey stated: ‘Fortunately I am still able to look after myself. But if I had need of any help it is always there.’ Other respondents indicated that they considered their needs to usually be met. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 11 Care documentation was examined. Staff need to make sure that care plans detail how care is to be given and issues identified on the assessment have interventions in place. One person was noted to have leg ulcers on admission, but there were no further references to these wounds in the care documentation. Aims of care plans need to be realistic. One plan had a goal to stop a person speaking in a racist manner, this may not be achievable and the plan should indicate how staff could manage this type of behaviour in an appropriate manner. The home needs to make sure that people who live in the home or their representatives are involved in the care planning process. Daily records must detail what care has been given, bland statements such as ‘wet her bed’ and ‘pad wet. Toileted more often’, do not give an indication of whether needs have been met and how often intervention is needed. There were some good entries in daily records; ‘Had a bath. [They] enjoyed it.’ One entry detailed the amount of urine voided. Care needs to be taken to make sure that skin condition is documented accurately and any bruising or injuries are investigated. Risk assessments require expansion to make sure that staff are able to act appropriately. One risk assessment on unstable blood glucose levels required details of the symptoms of high or low blood sugar levels, to make sure that the correct treatment was sought. People who live in the home should be consulted consistently on their end of life wishes. These wishes should be documented and acted upon. Medication records were examined. Allergies of people who live in the home were detailed on the medication administration records. (MAR sheets). Four MAR sheets did not have a photograph of the person who lives in the home. Medications are recorded when they are received, along with the quantity. The doses of variable medications were noted, but this is not always achieved consistently. All medications had been signed for when given. A member of staff reported that the community nurse monitored the blood glucose levels for those persons that are diabetic. Insulin is drawn up in syringes and stored safely in a fridge until the person in the home who uses them, self-administers the injection. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care staff are sensitive to the needs of those individuals who find it difficult to eat and give assistance when needed. Mealtimes are a social occasion and are unhurried. Activities are available for those who wish to participate. The range of activities could be developed further to reflect individual’s interests and hobbies. EVIDENCE: People who live in the home are able to take their meals in pleasant surroundings. Residents invited the inspector to take lunch with them. The meal was unhurried. The menu indicated two choices of main course and a choice of two puddings. The meal of fish and chips was served hot and looked attractive. Comments from the people the inspector was sitting with were: ‘better now the new chef has started’, ‘very tasty’. Portion sizes were good and people were given assistance discreetly. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 13 Individuals were able to eat at their own pace. Suitable cutlery and condiments available. Offering coffee and tea after the meal could enhance mealtimes. People who live in Faygate are able to participate in a range of activities. A record of activities is maintained. Currently activities consist of current affairs, exercise, film, TV, bingo and hairdresser. Making sure that people’s interests are recorded and the activities expanded to reflect preference could enhance this programme. Relatives and friends are able to visit and the home makes sure that any concerns regarding a person’s wellbeing are conveyed to the next of kin. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 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 complaints procedure, which gives a clear indication of the procedure to be followed. Protection of Vulnerable Adults is adequate, but future checks will be made to make sure staff have received appropriate training. EVIDENCE: There have been no concerns or complaints received by the home since the previous inspection. A complaints log is available to record any issues. Letters and cards of appreciation are kept; these were seen to be very complimentary about the care given. There have been no incidents of Protection of Vulnerable Adults investigations. The policy when viewed detailed appropriate information. These Standards will be inspected in more detail during the next inspection, to make sure that staff have received appropriate training and support. Issues with training provision can be found under the Staffing section. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a homely environment, but attention must be paid to making sure minor repairs are undertaken. Residents must be protected from scalding, by adequate control and monitoring of hot water temperatures. Paper towels and liquid soap need to be available to prevent cross infection. EVIDENCE: People live in a home, which is generally clean and tidy. A couple of rooms had unpleasant odours, but otherwise the home smelt fresh. Individuals are able to bring in personal items. These include items such as photographs, ornaments and small pieces of furniture. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 16 Some minor repairs are needed to make sure the environment is safe for those that live in the home. One toilet had peeling wallpaper. The back and underside of one bathroom hoist required deep cleaning, to prevent cross infection. Liquid soap containers were empty and there were no paper towels available in most of the areas where staff need to wash their hands. The hot water temperature was tested in one bathroom and noted to be above 50ºC. All hot water outlets must be monitored and thermostatic valves checked to make sure that people who live in the home are not put at risk of being scalded. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 17 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home are generally satisfied that the care they receive meets their needs, but there are times when they may have to wait a short time for staff support and attention. Recruitment procedures must comply with current legislation and good practice to make sure that people are protected from harm. Training needs to be targeted and carried out, to make sure that staff are suitably skilled to carry out the work they are to perform. EVIDENCE: People who live in the home need to be confident that staff are recruited only after a thorough process, to make sure that they are not placed at risk of harm. Staff files were generally adequate but there are some areas, which required attention. Job descriptions, copies of passports and Criminal Records Bureau checks were in place. Contracts had been updated to include current annual leave entitlements. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 18 To comply with good recruitment practice, personal details of candidates are not required on application forms Separate assessments of staffs health would make sure that equal opportunities are complied with. Cautions as well as convictions must be asked for to make sure people who live in the home are protected from harm. The provider must evidence good recruitment practices and include items such as interview notes; person specifications and how short listing had been carried out. There were no details of ongoing training for staff in their files. A planned staff training matrix was available for inspection. This was noted to include NVQ 2 and 3, food hygiene, fire, risk assessing, 1st aid and manual handling. The provider must evidence that this training has been carried out. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 19 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager/provider is aware of the requirements of this group of Standards. They need to make sure that current practice is improved to meet the Standard needed. EVIDENCE: It is not clear from the duty rota when the manager/provider will be available in the home. He stated he was on call and popped in at different times of the day and weekends. Appropriate systems for health and safety within the kitchen area of in place and there are adequate controls systems in place for handling food. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 20 One requirement regarding the fitting of a fly screen in the kitchen, from a recent Environmental Health visit, had not been achieved. This must be done to make sure that food is prepared in a safe environment. People who live in the home are consulted about its running, but the Quality Assurance audit is basic and needs to be developed. Issues from discussions with some residents had not been recorded as being followed up. A Satisfaction Survey was undertaken in December 2006, no issues were raised. A record of personal allowances is maintained. This currently evidences what has been paid; there must be an indication of how much money an individual has in safe keeping. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 21 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 1 3 1 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 X X 2 Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4 Requirement The registered person must ensure that a copy of the statement of purpose is sent to CSCI, to make sure the home admits people whose needs can be met. The Registered manager must ensure that a copy of the preadmission assessment of residents is available for inspection. This will make sure that a good admission process is followed. Previous timescales not been met. The registered person must ensure that assessments and risk assessments are fully completed and identify all needs. This will make sure residents care is planned appropriately. The registered person must ensure that language used in assessments protects the dignity of residents. This will make sure residents are respected. The registered person must ensure that life history and social interests of residents are recorded. This will make sure DS0000007147.V337726.R01.S.doc Timescale for action 30/09/07 2 OP3 14(1)(a) 30/09/07 3 OP3 12 (1) (a) 30/09/07 4 OP3 12 (4) (a) 30/09/07 5 OP3 16 (2) (m) 30/09/07 Faygate House Version 5.2 Page 23 6 OP3 14 (1) (c) 7 OP7 15 (1) 8 OP7 12 (1) (a) 9 OP7 15 (2) (c) 10 OP7 17 (1) (a) & Sch 3 11 OP8 13 (4) (c) 12 OP8 13 (4) (c) 13 OP9 13 (2) 14 OP9 13 (4) (c) that residents will be able to lead fulfilling lives. The registered person must ensure that residents or their representatives are involved in the assessment process. This will make sure that their views on their needs are recorded. The registered person must ensure that all needs identified on assessments have a plan of care. This will make sure that residents will have their needs met. The registered person must ensure that care plans have realistic and achievable aims. This will make sure that staff are able to meet needs. The registered person must ensure that residents or their representatives are involved in the care planning process. This will make sure that their views are recorded. The registered person must ensure that daily records detail how needs are met. This will make sure that appropriate interventions are used to meet need. The registered person must ensure that residents skin condition is documented accurately. This will protect residents from harm. The registered person must ensure that risk assessments are detailed. This will minimise risk to residents. The registered person must ensure that there is a clear auditable trail of medications. This will evidenced that medications are appropriately handled. The registered person must ensure that there is a way to DS0000007147.V337726.R01.S.doc 30/09/07 30/09/07 30/09/07 30/09/07 30/09/07 30/09/07 30/09/07 30/09/07 30/09/07 Page 24 Faygate House Version 5.2 15 OP19 23 (2) (b) 16 OP19 13 (4) (c) 17 OP26 13 (3) 18 OP26 16 (2) (k) identify residents on MAR sheets. This will minimise the risk of errors. The registered person must ensure that minor repairs are carried out in a timely fashion. This will make sure that residents live in a safe environment. The registered person must ensure that hot water is delivered at a safe temperature. This will minimise the risk of injury. The registered person must ensure that liquid soap and paper towels are available where staff need to wash their hands. This will minimise the risk of cross infection. Steps must be taken to eradicate the odour found in some of the bedrooms. This will make sure that residents live in a clean and hygienic home. Previous timescales has not been met. The registered person must ensure that there is a satisfactory recruitment process in place. This will make sure that residents can be confident that appropriate staff will be employed. The registered person must ensure that planned training is undertaken and implemented. This will make sure that competent members of staff care for residents. The registered person must ensure that there is an appropriate Quality Assurance system in place. This will make sure that residents and other stakeholders are consulted on the running of the home. The registered person must DS0000007147.V337726.R01.S.doc 30/09/07 30/09/07 30/09/07 30/09/07 19 OP29 19 30/09/07 20 OP30 18 (1) (c) 30/09/07 21 OP33 24 30/09/07 22 OP35 17 (2) & 30/09/07 Page 25 Faygate House Version 5.2 Sch 4 (9) 23 OP38 16 (2) (j) ensure that there are detailed records of residents personal monies held in the home. This will make sure residents are protected from financial abuse. The registered person must 30/09/07 ensure that Environmental Health requirements are met in a timely manner. This will make sure that food is prepared in a safe environment. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP12 OP15 Good Practice Recommendations It is recommended that the activities programme reflect residents’ interests. It is recommended that hot beverages are served after meals. Faygate House DS0000007147.V337726.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Faygate House DS0000007147.V337726.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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