Inspection on 12/01/06 for Fountain Court

This inspection was carried out on 12th January 2006.

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

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

Other inspections for this house

Fountain Court 19/03/07

Similar services:

Coton Hill House

Doddington Lodge

Far Croft

Churchill House Nursing and Residential Home

Field Farm House

Church Terrace Nursing & Residential Home

The Forbury

Evendine House

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

CARE HOMES FOR OLDER PEOPLE Fountain Court Residential Unit Millpool Way Bearwood Smethwick West Midlands B66 4HW Lead Inspector Maggie Bennett Announced Inspection 12th January 2006 08:30 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 Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 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. Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fountain Court Residential Unit Address Millpool Way Bearwood Smethwick West Midlands B66 4HW 0121 565 2427 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) Sandwell Metropolitan Borough Council Mrs Michaela Wilson Care Home 16 Category(ies) of Dementia - over 65 years of age (16) registration, with number of places Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This is the first inspection of Fountain Court. Brief Description of the Service: Fountain Court is owned and managed by Sandwell Metropolitan Borough Council. It is a newly built single storey property specifically designed to care for older people with dementia. The accommodation is arranged in two units, each having a separate lounge/dining area. All bedrooms are single and have an en suite toilet and shower. There are safe and secure gardens. Staff receive ongoing training in the needs of people with dementia. Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of Fountain Court. It was an announced inspection and took place on a weekday between 8.30 a.m. and 6.30 p.m. Prior to the inspection a Questionnaire had been completed by the home. In addition, feedback forms were received from service users and several relatives. During the course of the day the care plans of several service users were seen. Staff rotas, recruitment records and training records were inspected. The medication system and administration records were seen. Various documents were inspected in order to check compliance with health and safety legislation. A tour was made of the building. What the service does well: Fountain Court opened in 2005 and has quickly established itself as an excellent home for older people with dementia. The home has an experienced and committed manager who is well supported by enthusiastic staff. The building is well designed and offers safe, comfortable and homely accommodation. One service user said: “It’s lovely, I live here.” Another said: “When they (relatives) bring me back, I say ‘I’m going home’”. There are good assessment procedures in place, ensuring that everyone who comes to Fountain Court has their individual needs recognised and met. The home enjoys a good relationship with its visiting health and social care professionals. Service users’ rights to privacy, dignity and autonomy are upheld. There is an excellent range of leisure activities available, providing service users with opportunities for stimulating and enjoyable recreation. One visiting relative said: “staff are always doing activities, it’s lovely to see.” The meals are good, offering choice and variety. There are excellent standards of hygiene within the home. There are good opportunities for staff training, including thorough induction training for new staff. Several of the service users made complimentary remarks about the staff: “They’re very kind”; “there’s nothing wrong here”. Although not fully operational, the home is developing a quality assurance and quality monitoring system. There is evidence that the views of service users and their relatives are listened to and acted upon. Written feedback from relatives was very positive, with no criticisms. A relative, visiting at the time, said of her relative: “She’s 200 better since being here. We looked at other places, but nothing compares with this. We’re thrilled to bits”. Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 6 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. Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 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 Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 is not applicable. There are sound assessment procedures at the home to ensure that service users’ individual needs are recognised and met. EVIDENCE: The care plans for 6 of the service users were seen during the inspection. There was evidence within the plans that these service users had received the benefit of a full assessment prior to their admission to the home. Care plans seen contained a copy of the Single Assessment Process. In addition to a social work assessment, prospective service users were assessed by the Home’s Manager prior to their admission. Following this assessment the service users received written confirmation from the Manager that the home would be able to meet their needs. The service users’ own views about moving to Fountain Court were obtained at assessment. All service users have a plan of care, which is based on assessment information. Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. There is a good care planning system in place, which provides staff with the information they need to meet service users’ needs. The home needs to ensure that these plans are reviewed and updated each month so that any changing needs are met. The health needs of service users are well met, with evidence of good multi disciplinary working. The systems for the administration of medication are good and protect service users. Service users are treated with respect and their rights to dignity and privacy upheld. EVIDENCE: All service users have their own plan of care, which is written in conjunction with themselves, their relatives and social and healthcare professionals. Care plans contain risk assessments, which include attention to the prevention of falls. There is evidence that initial reviews are held after the first month at the home. They must then be reviewed thereafter on a monthly basis. The care plans are Person Centred and very much reflect the individual needs of each service user. There are good descriptions of individual needs and desired outcomes. It is recommended that the plans contain more detail on the Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 10 process of care, i.e. how the care is carried out for each individual. It is further recommended that the use of pictorial illustrations is considered. Healthcare needs and how these are to be met are detailed within the care plans. There are risk assessments in place and control measures to prevent the development of pressure sores. Advice is available from various healthcare professionals, including the Continence Promotion nurse and Community Psychiatric Nurses. Light exercise sessions are provided and the home have recently appointed a member of staff who has taken part in the “Extend” training. Nutritional screening is undertaken on admission and weights are taken each month and recorded. The home gave an example of how they were dealing with the needs of a service user who had a poor appetite. They had involved the local Dietician and provided small meals, including fortified milk. At the time of greatest concern a fluid and food chart had been in use. Service users have access to the full range of healthcare services and where possible are taken to appointments in the community. It is recommended that the home obtain a copy of the National Service Framework for older people. The home use the Sandwell Social Services policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines. This is currently being revised and will include a policy on “homely remedies” (currently not covered). None of the current service users take charge of their own medicines. A monitored dosage system is in use and clear records are maintained of all medicines received, administered and leaving the home. There are systems in place for the appropriate storage and administration of controlled drugs. All medicines requiring refrigeration are kept in a separate refrigerator and the maximum and minimum temperature of the refrigerator is taken on a daily basis. All the staff who administer medication have taken part in accredited medication training. An audit of the medication is carried out by the home’s Pharmacist on a monthly basis. An inspection of a random sample of the medication and accompanying records showed that there were no discrepancies. The home was advised to speak with the G.P. regarding the prescribing of risperidone to two service users with dementia and to ensure that this is reviewed. Service users have access to a telephone and if they wish to make or receive calls in private a portable telephone is available. All clothes are labelled and there are individual baskets in the laundry to minimise any “mix ups”. Service users are encouraged to choose what they would like to wear each day. Service users are asked at their assessment how they would wish to be addressed and this is recorded in their Care Plan. All staff have received induction training and this has included instructions on how to treat service users with respect. All bedrooms are single with en suite toilet and shower facilities and any medical examinations or treatment take place in the service users’ own rooms. Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. A wide variety of appropriate leisure activities are offered, providing service users with opportunities for stimulating and enjoyable recreation. The importance of maintaining contact with family and friends is recognised and encouraged. Service users are encouraged to exercise choice and their wishes respected as far as possible. The meals are good, offering both choice and variety and catering for special dietary needs. EVIDENCE: There are excellent opportunities for service users to take part in social care activities, which are available throughout the day and evening. One relative, who was visiting at the time of the inspection said: “staff are always doing activities, it’s lovely to see.” It was observed during the day that service users were given a choice as to whether or not they wished to join in an activity. In addition to the daily events available in the home, service users have recently enjoyed activities provided by a number of visiting entertainers. The home is proactive in ensuring that the activities are “person centred”. Staff are asked to complete an activity sheet for each individual, setting out whether activities are enjoyed (or not enjoyed) by each person. This information is being collated to inform the home on individual wishes and needs with regard to activities. In addition to indoor activities, the home has a safe and secure garden and a service user has recently been taken to purchase gardening Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 12 equipment and a garden shed. The Registered Manager is hope to arrange for some service users to join an “Active Walking” group and the local Gym. Service users are able to have visitors at any reasonable time and their wishes as to who they choose to see and not see are respected. The home’s policy with regard to maintaining the involvement of friends and relatives is stated in the Service Users’ Guide. Service users are able to use a number of facilities in the local community, including the hairdressing salon next door, the local Church and nearby shops. The home takes charge of some monies on behalf of service users (see Standard 35). Service users are, however, assisted to look after some money (for hairdressing, newspapers, etc.) as long as they are able. The home has details of the local Advocacy service, should this be required. Service users are encouraged to bring pictures and ornaments from home so that their rooms can be individually personalised. All service users and their relatives receive written confirmation that they have access to their personal records. Menus seen and food seen served during the inspection show that service users are provided with a good choice of nutritious foods. There are choices for each meal, including a vegetarian option. The meals are prepared in Penmakers Court and, if they wish, service users from Fountain Court can have a meal with their relatives in the dining room of Penmakers Court. Service users’ dietary needs are recorded at assessment and special diets, such as diabetic food, is provided. The kitchen was seen and was found to be in good order. Fridge and freezer temperatures are taken daily and the temperature of cooked meats is taken. It is recommended that when decanting dried goods, such as flour and cereal, the “best before” date and the date opened is noted on the container. It is further recommended that potatoes are stored off the floor. Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. There is a clear complaints procedure in place and service users and their representatives can be confident that their complaints will be listened to and acted upon. The Adult Protection Policies and Procedures are robust and, as far as possible protect service users from abuse. EVIDENCE: The home uses the Sandwell Social Services Complaints Procedure and there are leaflets explaining this available in the building. Complaints made have been dealt with thoroughly and within the stated timescale. The Registered Persons have clear Adult Protection Policies and Procedures in place and this includes a Whistleblowing Policy. Care staff are helped to familiarise themselves with the home’s policy and are also given a leaflet, “Help us to Protect Adults”. Staff have taken part in Adult Protection training, which will be continued throughout the year. Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Service users live in a purpose-built safe and secure environment, which is homely and comfortable and meets their needs. There are excellent standards of hygiene. EVIDENCE: Fountain Court is a purpose built establishment, specifically designed to meet the needs of older people with dementia. All accommodation is on the ground floor. There are safe and secure gardens and the building complies with the requirements of the local fire service and environmental health department. All service users have their own single room, which is provided with an en suite toilet, wash-hand basin and shower. The rooms are individually decorated, with personal bed linen. The home is divided into two units, each of which has its own lounge and dining area and a kitchenette. There is a conservatory area dividing each unit. Furnishings are all new and meet the needs of this service user group. In addition to the en suite showers, there is an assisted bathroom. All rooms are provided with an emergency call system. The home is centrally heated and radiators are low surface temperature. The Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 15 temperature of the water at outlets accessible to service users is checked on a weekly basis and records maintained. The home is clean, warm and comfortable and free of any offensive odours. There is an excellent laundry, with two washing machines and 1 tumble dryer. The washing machines have a sluice facility and any foul linen is washed in “dissolvo” bags. There are clear policies and procedures in place for the control of infection. Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. The staff at Fountain Court are enthusiastic and committed and staffing levels are appropriate to the needs of the service users. There are robust recruitment procedures in place to protect service users. There are excellent induction procedures for new staff and ongoing training opportunities to ensure that staff are competent. EVIDENCE: Rotas seen during the inspection show that there are 4 carers on morning and afternoon/evening shifts and 2 waking care staff throughout the night. There is always a Senior Manager on call in the event of an emergency. Domestic staff are employed on 7 days a week, as is the cook. At weekends the cook is not available for tea-time meals, but prepares sandwiches in advance which are served by care staff. The home has not yet achieved 50 trained members of staff to NVQ level 2, but given that Fountain Court only opened in 2005, has made good progress. Applications have been made for all those remaining staff who do not have the NVQ2. There are no trainees employed at the home. The Registered Persons have robust recruitment procedures and there is evidence from staff files seen that two written references and satisfactory Criminal Records Bureau and POVA checks are obtained before staff commence their duties. Files seen did not, however, contain all the necessary documentation and the home is required to ensure that all those records required by the Care Homes Regulations are available on the premises Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 17 (including a photograph). All staff have received copies of the General Social Care Council Code of Conduct. There is a staff training and development programme in place and all staff have individual training and development assessments and profiles. There is evidence on staff files that all staff receive induction training to Skills for Care specifications. Staff spoken to during the inspection were committed and enthusiastic. They were observed to have a good understanding of the service users’ needs. One service user said of the staff: “They’re very kind”. A member of staff remarked that staff were very proud to work at Fountain Court. Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. The home is well managed and administered. There are systems in place to encourage service users and their representatives to air their views. Any monies or valuables looked after on behalf of service users are kept securely and appropriate records maintained. The health, safety and welfare of the service users and staff are promoted by the home’s policies and procedures. EVIDENCE: The Registered Manager is very experienced, having been working in the care profession for 21 years. She is qualified to NVQ level 4 and is currently undertaking the Registered Managers’ Award. The manager continues to update her skills by undertaking periodic training. She has particular experience over the last few years of working with people with dementia. There are systems in place for quality assurance and quality monitoring of the home. Questionnaires are to be sent to service users’ representatives and the Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 19 views of visiting social and healthcare professionals are also to be sought. Service users’ meetings are regularly held. Service users’ individual views of the home have been sought, using a system devised following a Working Party Consultation. During the inspection service users were able to express their views of the care they received at the home. Policies, procedures and practices will be regularly reviewed in the light of changing legislation and good practice advice. The home take charge of some monies in safekeeping on behalf of service users. A random sample of these were seen at the inspection and all were in order. Personal allowances are not pooled and appropriate records are kept. The Responsible Persons act as Appointee for one service user. All monies and accompanying records are kept securely. Staff records show that training has been arranged in moving and handling, emergency aid, food hygiene and infection control. The Registered Manager has undertaken the Registered Managers’ Fire Training course and cascades this training to her staff. Fire safety checks take place at the required intervals and a Fire Risk Assessment is in place. Substances hazardous to health and securely stored and analyses of the products used are kept in the home. The water system has been tested for legionella. There is a written statement of the policy for maintaining safe working practices and risk assessments have been carried out. Accidents, injuries and incidents of illness are reported to the CSCI. Staff induction training covers safe working practice topics. Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 20 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 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 4 X 3 X 3 X X 3 Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard OP7 OP29 Regulation 15(2) Sch 2, Sch4.6 Requirement Care plans must be reviewed by care staff at least once a month. The home must ensure that all those records required by the Regulations are available on the premises. Timescale for action 12/01/06 10/02/06 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 3 4 Refer to Standard OP7 OP7 OP8 OP9 Good Practice Recommendations It is recommended that care plans contain more information on the process of care, i.e. how the care is carried out for each individual. It is recommended that the use of pictorial illustrations is considered to aid the service users’ involvement in care planning. It is recommended that the home obtain a copy of the National Service Framework for Older People. The registered manager is advised to speak with the G.P. regarding the prescribing of risperidone to two service users who have dementia and to ensure that this is reviewed. DS0000064672.V268545.R01.S.doc Version 5.1 Page 22 Fountain Court Residential Unit 5 6 OP15 OP15 It is recommended that when decanting dried good, such as flour and cereal, the “best before” It is recommended that potatoes are stored off the floor. Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Fountain Court Residential Unit DS0000064672.V268545.R01.S.doc Version 5.1 Page 24 - 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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