Inspection on 08/05/07 for Fen Road

This inspection was carried out on 8th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Fen Road 25/09/06

Fen Road 31/10/05

Fen Road 21/06/05

Fen Road 07/09/04

Fen Road 19/06/04

Fen Road 17/02/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Fen Road 71 & 73 Fen Road Cambridge Cambridgeshire CB4 1UN Lead Inspector Elaine Boismier Key Unannounced Inspection 8th May 2007 9:25 Fen Road DS0000024285.V332687.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 Fen Road DS0000024285.V332687.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. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fen Road Address 71 & 73 Fen Road Cambridge Cambridgeshire CB4 1UN 01223 425634 01223 515960 FenRoad@grantahousing.org.uk www.grantahousing.org.uk Granta Housing Society Limited 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) Mary Moore Care Home 10 Category(ies) of Dementia (1), Learning disability (9), Physical registration, with number disability (9) of places Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All clients under 65 years of age One named individual under 65 years of age with dementia for the duration of their residency Nine (9) learning disabilities under the age of 65 years and nine physical disabilities under the age of 65 years for the duration of Condition 2 25th September 2006 Date of last inspection Brief Description of the Service: 71 & 73 Fen Road provides accommodation, support and care for up to 10 people below 65 years of age with profound learning and physical disabilities. An application to vary the registration for the home to admit a person under 65 years of age with dementia was approved in January 2007. The home is arranged in to two separate bungalows: number 71 provides accommodation for up to six places and number 73 provides accommodation for up to four places. Each bungalow provides individual communal seating and kitchen areas; laundry facilities are provided in both bungalows. The home, owned by Granta Housing Society Limited, is situated in a quiet residential area, approximately three miles from Cambridge City centre. The bungalows are surrounded by large gardens with a vehicle parking space to the front of the complex. Two minibuses are available to transport service users to day care services, visits and outings. Current fees range from £1252.94 to £2085.57. Additional costs include those for holidays, meals and drinks out and clothing. A copy of the CSCI inspection report is available at the home or via the CSCI website. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the key inspection of 71 & 73 Fen Road. The inspection was unannounced and was carried out between 9:25 and 12:25 and took 3 hours to complete. Before the inspection 10 residents surveys were sent out and 3 of these, completed by relatives on behalf of the people, were returned. Also 10 relatives’/visitors surveys were sent out and 7 of these were returned. We received a letter from a person’s relative and information from the Manager before the inspection. Both of these pieces of information have been referred to in this inspection report. At the time of the inspection there were 10 people living at the home and 3 of these were spoken to. It was difficult for us to find out the views of the people due to their complex communication difficulties associated with their learning disabilities. On the day of the inspection staff, including the Manager, were spoken to, a tour of the premises was made, staff were observed and documentation was examined. 71 & 73 Fen Road provides an excellent standard of care and range of activities for those living at the care home. An excellent standard of management is currently in place for the benefit of the people living and working at the home. For the purpose of this report people who live at 71 & 73 Fen Road are referred to as “person”, “people” or “resident/s”. What the service does well: People who live at the home are provided with an excellent range of leisure opportunities. People who live at the home benefit from an excellent standard of care and have access to a range of specialist care and treatments provided by health care people. People live in a home that is well-maintained, safe and comfortable with bedrooms that are individually decorated. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 6 People who live at the home receive care from a stable team of staff who are kind, caring and who receive excellent training opportunities. People who live and work at the home benefit from a service that has currently an excellent standard of management. 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. Fen Road DS0000024285.V332687.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 Fen Road DS0000024285.V332687.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): 2 Quality in this outcome area is good. People who might move into the home have access to good preadmission assessments and preadmission planning so that the home is sure that it can meet the assessed needs of the person. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In January 2007 an application to vary the registration was approved to allow the home to admit a person with dementia. Information provided to us with the application showed that the home had received information from health and social care professionals about the person so that the home could be sure that it was able to meet the needs of the person, before they moved into the home. Examination of this person’s care records showed that the home had taken steps to ensure that the person’s move into the home was very well planned. All parties that were involved were included in this planning to ensure that the home was able to provide the proper care for this person. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 9 One resident’ survey said that the person’s representative had received enough information about the home whereas two of these surveys said that they had not received enough information about the service. These two people have lived at the home before the Care Standards Act 2000 and Care Homes Regulations 2001 came into force. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is excellent. People who live at the home are cared for and supported by staff who are well-informed and who encourage independence based on risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care records that were seen were of an excellent standard as they provided clear guidance for staff in how to meet the needs of the people. This guidance also included copies of research papers to support the care that the home was providing. Reviews of the care records were monthly and these reviews were of both the person’s health needs and social activities. A copy of a review of a person was submitted with a returned relatives’/visitors’ survey. This review provided evidence that the relative of the person was invited to the review and a copy of this review was sent to them in an inclusive way. This review demonstrated also excellent planning including “Things that are important to me”. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 11 Six relatives’/visitors’ surveys returned of which all of them said that the home kept the relatives informed and consulted them about the care provided to the person that they were related to. Examination of a person’s preadmission assessment and comparing this with the person’s current care records indicated that the person had improved since moving into the home. They had become more independent in their personal care that included helping themselves with food and drink. It was noted that staff were supporting this person at breakfast time to be as independent as possible with their meal whilst asking what they would like to do for the day. Risk assessments had been carried out of both the person when receiving personal care and sitting down and a risk assessment was carried out also of the person’s bedroom equipment. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 & 17 Quality in this outcome area is excellent. People who live at the home have access to an excellent range of social activities and are supported in keeping contacts with families, friends and the community. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Currently none of the people living at the home attend college or work due to their complex learning and physical disabilities. Standard 12 is therefore not applicable. Discussion with the Manger and examination of a person’s care records indicated that the person is very well supported by staff in attending church where they used to worship before coming into the home. The Manager said that arrangements have been made for the person to visit the village where they used to live to attend a function. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 13 A copy of a review of person living at the home was submitted with the relatives’/visitors’ survey. This review noted that the person had been to the Cambridge Folk Festival, meals out, holidays, Banham Zoo, Jools Holland concert, shopping and theatre trips (My Fair Lady and Aladdin). According to the copy of this review reflexology, Indian head massage, swimming, aromatherapy and music sessions including playing the key board are enjoyed by the person. At the time of the inspection some of the people were at day services whilst other people were taken out by staff for a walk by the river. Other residents were enjoying a time in the snoozelen. On the day of the inspection a reflexologist was visiting to give people treatments. A returned relatives’/visitors’ survey said that staff help one of the people, living at the care home, to stay with their family, at the family home. The comment made in this survey was,…” we have our son home on a regular basis……we appreciate the effort staff make to bring K home.” 100 of respondents of the relatives’/visitors’ survey said that the home welcomed them at any time (to visit). Staff were seen to include residents in discussions and decision making and the person’s preferred way of how they like to be called was used by staff. Copies of menus provided by the Manager before the inspection show that people are offered a range and variety of menu including “traditional “ English roasts to curries, hummus on toast, sweet and sour pork and rice, pasta and cous cous. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is excellent. People living at the home receive an excellent standard of health and personal care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: 100 of respondents of relatives’/visitors’ surveys said that they were satisfied with the overall care provided. One respondent said,” Always been happy with our daughter’s placing and believe she would consider it her happy home.” We have received a letter from a relative of a person living at the home. Written comments included, “…. I visit … weekly and that I continue to believe that she is treated with great care and kindness by staff who do all in their power to give her a happy life and that they are successful in doing so.” A copy of a review of person submitted with a retuned survey noted that the person was receiving physiotherapy 3 times a week and has contact with a dietician, GP, chiropody and occupational therapy services. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 15 Examination of a person’s care records indicated that the person had contact between January and April 2007 with the GP, dietician, chiropodist , dentist, speech and language therapist, audiologist and physiotherapist. At the time of the inspection it was noted that staff helped a person with a change of clothes in the privacy of their room. People were dressed in clothes that reflected their age range and were of individual fashions. Information provided by the Manager and confirmed by care records indicated that overhead tracking was installed in a person’s bedroom approximately two months following this person’s admission to the home. This length of time for the installation is considered to be a quick response to the person’s needs. Information provided by the Manager before the inspection notes that policies and procedures for medication were reviewed in 2006. Examination of medication records and storage was carried in number 71 bungalow. Temperatures of the room where medication is stored are taken daily and records of these were satisfactory. Medication administration records were of a good standard. Staff said that they had not experienced problems with the storage or stock levels of the medication. Both the storage and stock levels of the medication were satisfactory. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. People are safeguarded from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We have received no complaints about the home and we have received no protection of vulnerable adults (POVA) reports since the last inspection of 25th September 2006. 100 of respondents of the relatives’/visitors’ survey said that they were aware of the home’s complaint procedure. One respondent of this survey said that they had made a complaint “Many years ago”. A relative, completed on behalf a resident survey wrote, “T cannot speak but can indicate unhappiness non-verbally.” Examination of staff training records and discussions with staff indicated that all staff have attended training in POVA. Arrangements are in place for staff who have recently been appointed to work at the home. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. People live in a well-maintained, comfortable and clean home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided by the Manager before the inspection notes that overhead tracking has been put in one of the bedrooms; two bedrooms have had new flooring; the lounge of bungalow number 71 and the kitchen of number 73 have both been repainted; hallways for both bungalows have been redecorated also and corners have had protectors put in place. During the tour of the premises it was noted that the standard of decoration is good and bedrooms are individually decorated. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 18 According to the Manager maintenance work is in progress for one of the bathrooms in number 71 bungalow to repair wall tiles and replace the flooring. The Manager’s refurbishment programme has identified a need for the corridor carpet in bungalow 73 to be replaced as an area outside the medication cupboard has become stained. A new outside shed has been bought for storage purposes. This was seen at the time of the inspection and was found to be located in an unobtrusive way, away from the garden areas that are visited by people and their guests. 100 of residents’ surveys, completed by relatives, on behalf of the person, said that the home was always clean and fresh and on the day of the inspection this was found to be the case. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33, 34 & 35 Quality in this outcome area is excellent. People are cared for by staff who are kind, caring and well-trained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information provided by the Manager before the inspection notes that 66.6 of care staff have NVQ level 2 or above in care. A recommendation was made following the inspection of 25th September 2007 for an audit to be carried out to see if the number of staff was sufficient to provide the appropriate care fro the people at the home. Discussion with the Manager and examination of the minutes of a staff meeting held in October 2006 indicates that this recommendation has been considered. Staff were given the opportunity to consider to discuss ways of reorganising work patterns. A change has been made as a result of this. During the inspection staff were able to provide 1:1 care and support form members of staff and that the care they were giving was in a kind, caring and inclusive way. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 20 According to the Manager the home has a stable team of care staff due to the slow turn over of staff. Information provided by her before the inspection notes that those people who have left, since the inspection in September 2006, was for progression of their careers. 83.3 of respondents of the completed relatives’/visitors’ surveys said that, in their opinion there was always sufficient numbers of staff on duty; 16.7 of respondents of the completed relatives’/visitors’ surveys said that, in their opinion there was not always sufficient numbers of staff on duty. The Manager before the inspection submitted copies of the duty roster. The range of numbers of staff ranged from 3 to 5 staff for each shift. This information also notes that agency staff have been used. According to the Manager agency staff that are supplied have worked at the home before to ensure that the residents’ complex and specialist needs are met by staff who know the people living at the home. Two staff files were seen and all the required information about them was available at the time of the inspection. Staff have excellent opportunities to attend training. Information provided by the Manager before the inspection notes between 1st April 2006 and 31st March 2007 staff have attended a range of training to include topics such as how to care for people with epilepsy, care for people with dementia in a person with Downs syndrome and equality and diversity. According to this information there are arrangements in place for future training of staff. Discussion with staff confirmed that they had attended training in a range of topics as detailed in the information provided by the Manager before the inspection. Staff confirmed also that arrangements are in place for them to attend training at a later date. On the day of the inspection 4 members of staff were attending training in how to care for a person with difficulties in incontinence. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is excellent. People who live and work at the home benefit from an excellent standard of management. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager is a Registered Nurse for people with learning disabilities and has completed her Registered Managers Award. Since qualifying as a registered nurse she has completed a post registration course in Teaching and Assessing, She is also an NVQ assessor and has completed a City and Guilds course in Advanced Management in Care. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 22 Information provided by her before the inspection notes that she has attended training care of the person with dementia in a person with Downs syndrome; legal training, rents and benefits; managing teams; leadership through change and management skills. According to this information she has also attended training in first aid, food hygiene and moving and handling. The standard ratings of this inspection report reflect also the excellent management of the home. We have received copies of reports of monthly visits made by a representative of Granta Housing Limited. These reports contain details of audits to include those of staff records, care records, the health and activities of people living at the care home and audits of the premises. A copy of the 2006 quality assurance report “Quartz” was seen and this contained audits for those such as staffing matters and the environment of the home. The Manager said that the 2007 “Quartz” is currently being implemented to send out surveys to both staff and relatives/representatives of the people living at the home. The Manager reported that internal audits have included those for care plans and medication. She is intending to carry out an audit of the activities that people take part as part of a quality assurance system. Information provided by the Manager before the inspection notes that staff have attended training in moving and handling, fire safety, food hygiene, first aid and resuscitation and this was confirmed by staff at the time of the inspection. Records for checks on fire alarms, emergency lighting, hoists and overhead tracking and hot water checks were examined and these were satisfactory. Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 23 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 x 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 3 34 3 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 3 x LIFESTYLES Standard No Score 11 x 12 N/A 13 4 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 x 4 x x 3 x Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Fen Road DS0000024285.V332687.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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