Inspection on 26/01/07 for Fieldway Residential Home

This inspection was carried out on 26th January 2007.

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

The inspector 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

Fieldway Residential Home 04/09/07

Fieldway Residential Home 02/05/06

Fieldway Residential Home 23/11/05

Fieldway Residential Home 04/05/05

Fieldway Residential Home 10/01/05

Fieldway Residential Home 30/07/04

Fieldway Residential Home 04/12/03

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Inspirations

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

CARE HOMES FOR OLDER PEOPLE Fieldway Residential Home 5 Fieldway Blythe Bridge Stoke On Trent Staffordshire ST11 9HL Lead Inspector Sue Jordan Key Unannounced Inspection 26 January 2007 11:00 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 Fieldway Residential Home DS0000004943.V329308.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. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fieldway Residential Home Address 5 Fieldway Blythe Bridge Stoke On Trent Staffordshire ST11 9HL 01782 395332 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) Mr Thomas Hope Mrs Mavis Hope Mrs Hazel June Malbon Care Home 18 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (18), of places Physical disability over 65 years of age (10) Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 10 PD(E) - 1 may be aged 60 on admission The Registered Manager must Gain the knowledge and receive appropriate training in the local procedures to follow in the event of an allegation of abuse, in particular the role of the Local Authority Adult Protection Team. This should be done by 1 October 2005. Commence the Registered Manager’s Award Date of last inspection 2 May 2006 Brief Description of the Service: Fieldway Residential Care Home is registered with the Commission for Social Care Inspection to provide care to eighteen older people of whom four may have dementia care needs and up to ten a physical disability. The Home is all on the ground floor with 16 single and one shared bedroom, all but one single room have en-suite facilities. There are two lounges and a smoking room/conservatory, as well as a separate dining room. Outside there is a lawn area for the use of the residents. The Home is situated in a quiet residential street with local services within half a mile, as is access to the bus route, with the railway station being about a mile away, close to the health centre. The present weekly fee is £348. Fieldway Residential Care Home is owned by Mr Thomas Hope and is managed by Mrs Hazel Malbon. There were twelve people resident in the Home at the time of this inspection. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five and a half hours. On the day of the inspection a number of residents were spoken to and a relative gave her views of the home. Discussions were held with the manager, the deputy manager, a new member of staff, the cook and the owner. The records for one new member of staff employed since the last inspection were checked. Two residents’ care records were checked. A random selection of the Health and Safety records were seen and a tour of the environment was undertaken. Observation of non personal care practices was made, including interaction between the staff and residents, activities and the administration of medication. A Random Inspection was carried out on 18/12/06 at which it was established that all previous requirements had been met. Three requirements and five recommendations were made as a result of this inspection. What the service does well: The manager ensures that appropriate assessments are undertaken of any prospective resident. This includes assessments by social workers for referrals by the Local Authority and assessments by the management team. Health care needs are monitored closely. All relevant information is recorded in the care records. Visitors are made welcome. Staffing levels are provided dependent on the amount and dependency of the residents. The manager keeps the Commission for Social Care Inspection informed of any significant events or changes in the Home. The residents are able to make choices within their daily lives. They are able to rise and go to bed when they wish and there is a varied menu. Activities are provided throughout the day or there are sufficient spaces in the home to be quiet or have privacy. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 6 The Home is well maintained, clean and hygienic. 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. Fieldway Residential Home DS0000004943.V329308.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 Fieldway Residential Home DS0000004943.V329308.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, 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are robust assessment and admissions procedures for new residents, affording them and their families confidence that the Home can meet their needs. EVIDENCE: At the Random Inspection on 18/12/06, the care records for the resident most recently admitted to Fieldway were checked. Assessments had been obtained prior to admission and care plans and risk assessments developed and regularly reviewed. During this inspection it was clear that potential residents are given a copy of the Home’s Statement of Purpose and Service Users Guide. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 9 A number of referrals have been made to Fieldway in recent weeks and the manager was able to demonstrate a robust assessment procedure. The manager obtains an assessment from the social worker and a member of the Home’s management team also assesses all potential residents. Care plans and risk assessments are developed as soon as possible after admission, affording the staff clear information as to how the residents are to be supported. A member of staff was delegated to help settle a new resident during this inspection. In the absence of the manager, the senior staff have information as to how and when to accept an emergency referral and admission. The Home does not provide intermediate care. Fieldway Residential Home DS0000004943.V329308.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident has a comprehensive plan of care, which is regularly reviewed and informs staff of how individual health and personal care needs are to be met. EVIDENCE: At the Random Inspection on 18/12/06 the care records for the resident most recently admitted to Fieldway were checked. Assessments had been obtained prior to admission and care plans and risk assessments developed and regularly reviewed. An action plan has recently been put into place to assist in the management of the resident’s health needs. Behavioural management had now been included in the care plans, if applicable. An example of this was the resident involved in a Vulnerable Adults Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 11 referral. The manager had gathered information for the staff regarding diabetes. During the Key Inspection on 26/01/07 the care records of two residents were checked. They continue to provide clear and comprehensive information as to the residents’ needs and how they are to be met. Health care needs are clearly identified and monitored and this includes risk assessments regarding the likelihood of pressure sores, mobility needs and dietary requirements. There is evidence in the records of input from district nurses, chiropodists, general practitioners, opticians and dentists. All Health Professional appointments are recorded, including the required action to be taken. One of the visiting relatives said that the staff had really cared for her Mother well during a recent illness and that they had “been brilliant”. The residents are weighed regularly and if necessary food and fluid intake is monitored. The care records are regularly reviewed. The medication systems were checked, including the observation of medication administration. The Home’s procedures are satisfactory, including the receipt, recording, storage, administration and disposal of drugs. Staff have been trained by the local pharmacist and are also assessed when undertaking National Vocational Qualification 3 in care. They are also booked to attend a ‘management of medication’ course. The manager was advised that ‘As directed’ or ‘As required’ is not an appropriate direction for staff and that she must obtain further instructions from the prescriber. It is recommended that protocols be developed for all drugs of this nature and that the general practitioner be asked to sign them. This information should be available to staff. It is recommended that all bottles, liquids and creams are dated on opening. The deputy manager reported that she and the manager have discussed putting together some information regarding the medication administered so that staff have a better understanding of the reasons for the medication and any contra-indications and adverse reactions. It was agreed that this would be a good idea. Personal care needs are clearly recorded in the care plans. Each of the residents has their own bedroom and all but one have en-suite facilities. The staff were observed treating the residents with respect and dignity. A visiting relative said that she had “every confidence in the staff”. A new admission to the Home said that the staff were very kind. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 12 Where possible the manager has ascertained the wishes of the residents and/or their families with regard to death and dying. This information is recorded in the care records. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents are able to chose their preferred routine and families are welcomed into the Home at all times. However the manager should seek advice from a dietician regarding the nutritional needs of older people to ensure that what is being provided is adequate. EVIDENCE: Activities continue to be arranged on a daily basis. During this inspection some of the residents were playing cards with the staff. At a recent residents’ meeting, some asked for more community based activities and the manager is hoping to arrange this. One of the residents attends a local day centre. The routines in the Home are flexible and preferences are recorded in the care records. During this inspection the cook was asking a new admission about her taste in food. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 14 There are three communal areas for the residents to choose from and a pleasant dining room. During this visit, one of the residents chose to eat her tea in the lounge and this was respected. There is a choice of two hot meals every lunchtime and staff offered two alternatives at teatime. Dietary needs are recorded in the care plans and the manager has obtained additional information for diabetic diets. There is fresh fruit and vegetables available and the local abattoir delivers meat. Food is appropriately stored and the fridge and freezer temperatures taken daily. Due to a shortage of fridge space, the Home has being using ‘long-life’ milk. However the manager should seek advice from a dietician regarding the nutritional needs of older people to ensure that what is being provided is suitable. It is strongly recommended that this be replaced with fresh milk. The manager and the cook agreed to take immediate action. It is also recommended that fresh fruit juice be provided. All of the staff have undertaken food and hygiene training. The management have responded positively to the requirements made at a recent environmental health officer visit. Families are welcomed into the Home. A visiting relative that she or members of her family visited at various times of the day or evening and are always welcomed. If required, religious needs are catered for. Clergy members of various faiths visit the Home. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an open culture in the Home, one which encourages and enables residents and/or their families to express their concerns. EVIDENCE: During the Random Inspection on 18/12/06, it was identified that behavioural management are now included in the care plans, if applicable. An example of this is the resident recently involved in a Vulnerable Adults referral. There have been no complaints made to the Home or to the Commission for Social Care Inspection. The manager encourages an open culture. Residents’ meetings are held and families are welcomed into the Home at any time. A visiting relative said that she felt able to express any concerns to the staff or the manager. She said that any concerns expressed in the past had been resolved. The complaints procedure in the hallway was an old copy and did not contain any timescales or the fact that the Commission for Social Care Inspection can be contacted at any time. The manager agreed to replace the procedure with a more up to date copy. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 16 The staff have first hand knowledge of Protection of Vulnerable Adults procedures. Two appropriate Vulnerable Adults referrals have been made by the Home in the last twelve months and robust measures put in place to safeguard the residents involved. The staff are also attending Protection of Vulnerable Adults training. The staff are also booked to attend training in the management of challenging behaviour. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 17 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, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Fieldway provides a homely environment. There is a rolling programme of maintenance to improve the decoration, fixtures and fittings. EVIDENCE: At the Random Inspection on 18/12/06 bathing procedures had been introduced, as required, including the taking and recording of temperatures before each bath. A tour of the Home was undertaken during this visit. The Home is well maintained, clean and there is no evidence of malodours. Improvements continue to be made to the environment. Some of the Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 18 bedrooms have been ‘freshened up’ and there are imminent plans to re-decorate and re-carpet the lounge and dining room. The lobby and smaller lounge are also to be re-decorated. The proprietor said that the empty bedrooms would be decorated once occupied so that the new residents can choose their colour scheme. The manager has developed ‘zoned’ fire evacuation procedures. Staff had fire training in 2006 and are included in regular fire drills. The manager was informed of the changes to fire safety legislation and the need to undertake individual fire evacuation procedures for each resident. It is recommended that she seek advice from the fire safety officer. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 19 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, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents are supported by appropriate numbers of well-trained and supervised staff. To further ensure this the recruitment procedures must be strengthened and the manager obtain all the required pre-employment information. EVIDENCE: Staffing levels are maintained according to the occupancy levels in the Home. At the time of this visit there were 12 residents in the Home. In the morning there are three care workers, a cleaner, cook and the manager. In the afternoon there are two care workers and the manager and in the evening there are two care workers. There are two care workers throughout the night. There are presently sixteen care workers at Fieldway. Six have achieved a National Vocational Qualification 2 in care or above, two are presently completing the award and three are due to commence. The manager has completed the Registered Managers Award and is currently undertaking National Vocational Qualification 4 in management. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 20 The manager completed a training action plan for each staff member in 2006, which identified training needs. The training records indicate that mandatory training is provided at the appropriate frequencies. The manager is trained to deliver manual handling training and numerous courses have been organised through the Staffordshire Social Care Workforce Partnership. These include dementia, challenging behaviour and medication. The staff are attending Protection of Vulnerable Adults training as part of a rolling programme. A new member of staff has completed an ‘in-house’ induction, mentored by the deputy manager and she is booked to attend an external induction course. This includes basic background knowledge in ‘Principals of Care’, ‘Safety at Work’, ‘Effective Communication’, ‘Your Organisation and your Role’, ‘How to Recognise and Respond to Abuse and Neglect’ and ‘Development as a Care Worker’. The recruitment files for the most recent staff member were checked. Protection of Vulnerable Adults and Criminal Records Bureau checks have been undertaken and the manager has obtained most of the required documentation. She is however still awaiting written references. Telephone calls were made to the referees, although the manager had no written evidence of this. Generally however major improvements have been made regarding staff recruitment since the employment of the present manager. When she was first employed none of the staff had Criminal Records Bureau disclosures and applications had to be submitted for all staff. All but two have been received, for which there has been a lengthy delay. Although the staff members themselves have contacted the Criminal Records Bureau, the manager is recommended to urgently chase these up. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 21 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, 35, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager works to continuously improve services and provide an increased quality of life for residents. EVIDENCE: The manager, Hazel Malbon has completed the Registered Managers Award and is presently completing National Vocational Qualification 4 in management. She is also trained to deliver manual handling training and attends the mandatory training courses with the staff team. She is supported by a deputy manager and senior care workers. Each has Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 22 their own delegated duties, overseen and monitored by the manager. Quality Assurance processes are in place, monitored and reviewed by the manager. Residents’ meetings are held regularly, the last one being 10/01/07. The manager reported that she intends to send satisfaction questionnaires to general practitioners, district nurses and other people involved in the lives of the residents. This was agreed as meeting the Care Homes Regulations. The Home holds small amounts of monies for most of the residents. The records and money held for two were checked. Receipts are obtained and all transactions appropriately recorded. There is evidence of regular staff supervision, both one to one with the manager and in team meetings. A training appraisal was undertaken for all staff in 2006. The Health and Safety of the Home is monitored and risks identified and assessed. Staff attend the necessary Health and Safety training, including manual handling, food and hygiene, infection control, fire safety and first aid. A random selection of the maintenance and Health and Safety records were checked and seen to be satisfactory. The proprietor and his family are responsible for maintaining the Home’s environment. Fieldway Residential Home DS0000004943.V329308.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 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13 (2) Requirement A written criterion for the administration of prescribed “as required” medication in respect of individual residents must be available and based on documented medical advice. The manager must ensure that the food, (and in this case drink), is suitable to meet the nutritional needs of older people. The manager must obtain 2 written references for the new staff member as well as obtaining a telephone reference. Timescale for action 01/03/07 2 OP15 16 (2i) 15/02/07 3 OP29 Schedule 2, (5) 19 (1b, c) 01/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations It is recommended that all bottles, liquids and creams regarding medication are dated on opening. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 25 2 3 4 5 OP15 OP19 OP29 OP29 It is strongly recommended that long life milk be replaced with fresh milk. It is also recommended that fresh fruit juice be provided. It is recommended that the manager seek advice from the fire safety officer to ensure that the Home’s fire risk assessments meet current legislation. The manager is recommended to contact the Criminal Records Bureau with regard to the awaited disclosures. The manager is recommended to record all telephone calls to referees. Fieldway Residential Home DS0000004943.V329308.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Fieldway Residential Home DS0000004943.V329308.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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