Inspection on 18/09/07 for Furzehatt Care Centre

This inspection was carried out on 18th September 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

Furzehatt Care Centre 23/08/06

Furzehatt Care Centre 15/02/06

Furzehatt Care Centre 31/08/05

Furzehatt Care Centre 16/12/04

Furzehatt Care Centre 27/07/04

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

CARE HOMES FOR OLDER PEOPLE Furzehatt Care Centre 59 Furzehatt Road Plymstock Plymouth Devon PL9 8QX Lead Inspector Elaine Bruce Unannounced Inspection 18th September 2007 09:30 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 Furzehatt Care Centre DS0000061636.V343486.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. Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Furzehatt Care Centre Address 59 Furzehatt Road Plymstock Plymouth Devon PL9 8QX 01752 484008 01752 484082 cjohnson@sanctuary-housing.co.uk 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) Sanctuary Care Limited Christine Elise Johnson Care Home 62 Category(ies) of Dementia - over 65 years of age (29), Old age, registration, with number not falling within any other category (32), of places Physical disability over 65 years of age (62) Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Maximum of 62 Service Users of either gender over the age of 65 years from the following categories; TI(E) 4, PD(E) 62, OP 32 and DE(E) 29. Maximum of 29 DE(E) (Male and Female) To admit one service user under the age of 65 years, named elsewhere 23rd August 2006 Date of last inspection Brief Description of the Service: Furzehatt is a purpose built care home situated in the suburb of Plymstock, Plymouth, Devon. The accommodation is provided in 2 buildings joined by a glazed walkway the buildings have two floors with a passenger lift providing access to the upper floors. All except three bedrooms have en suite toilet and washing facilities. The care home is registered to provide nursing and /or personal care to a maximum of 62 persons over the age of 65 years of either gender with physical frailty/illness or disability and/or dementia requiring nursing and/or personal care. Sanctuary Care owns this home. Sanctuary Care is a registered charity and was established in 1995 to provide older people with nursing and residential care. Sanctuary Care is a wholly owned subsidiary of Sanctuary Housing Association - one of the UK’s largest social housing providers. Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key unannounced inspection at Furzehatt Care Centre took place on the 18th September 2007 between the hours of 0930 and 1700. The registered manager was on duty during the course of the day and assisted the inspector. Prior to the inspection a well completed Annual Quality Assurance document was received as were three surveys completed by people in the home (some with support from their relatives). In addition one staff survey form was received. Some staff members were spoken to during the course of the day to include the senior nurse on duty. One survey form said: “all the staff are very kind”. Comments from the people in the home were generally very positive on the standard of the care that they are receiving. Good group interaction was noted to be taking place in a number of areas of the home and communal areas were also noted to be pleasant and comfortable. Staff presented well during the course of the day. They looked smart in their uniforms, were friendly and caring to the people in the home. The manager presented as professional and capable during the course of the inspection as did the senior nurse on duty. A partial tour of the home took place when some bedrooms and all communal living/dining areas were inspected. An inspection and case tracking of care plans and associated records took place as did an inspection of the staff files. Medication systems were inspected as were the standard of the meals at the home. The home is a large home that is divided into two distinct areas depending on the dependency levels of the people living there. When there is a bed available a respite bed can be provided. The home was at full occupancy on the day of the inspection. The weekly cost of care is from £274 to £655. What the service does well: The home has good working relationships with health and social care professionals. During the course of the day interactions took place on the telephone with a social care professional and a conversation took place with a health care professional reviewing two people in the home. She commented positively to the inspector on the standard of the care in the home. Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 6 Care planning documentation and systems are good with staff having space and support to write up their records. The daily life in the home was observed to be very comfortable and happy with individual choices and different interests supported. An activities organiser is employed by the home. The home is warm, comfortable and safety measures are in place for the protection of the people living in the home. All sections of the inspection report have been assessed with good outcomes which is a credit to the manager and her team. What has improved since the last inspection? What they could do better: Care planning documentation held at the home is completed to a good standard with a large amount of information included in care planning to ensure that care needs are met at all times. During case tracking it was noted that there were some gaps in the daily delivery of care records. It is recommended that these records be completed at all times to ensure evidence is in place of basic care being delivered. It is recommended that supplies of medication that is no longer required are returned to the pharmacy as soon as is possible to stop surplus supplies building and being held on the premises. Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough and comprehensive procedures prior to admission ensure that the people and their representatives can be confident that their needs will be met. EVIDENCE: The home has in place a statement of purpose and service user guide document that meets the requirements of legislation. Information is provided in these documents on the care and services that are available to the people in the home. As discussed at the time of the inspection it is recommended that a review of the arrangements for smoking in the home are made and added to the documentation. In addition clarification is required on the certificate of registration re the number of beds in the home. Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 10 Prior to admission to the home each person is assessed by the manager to ensure that the home will be able to meet the care needs of that person. The pre admission assessment document is detailed and ensures the home will have obtained all the information that they require before an admission is made. In addition to an assessment by the home assessment documentation is received from social and health care professionals. Where possible people are encouraged to visit the home prior to admission and if this cannot take place the home welcomes visits from family members/representatives on their behalf. One relative survey stated the following: “when we went to the home for the first time and second it was uninvited and we found it was clean, no smells and the staff were very nice. We were impressed”. If there is a bed vacancy the home is able to offer a respite facility which is sometimes used to provide an emergency service. Care is offered in two areas of the home depending on assessed needs Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people in the home can be confident that they will be treated with respect and that their personal and health care needs will be met with privacy and dignity. EVIDENCE: Each person at the home has a plan of care in place that details all their care needs and how their needs are to be met by the home. Care plans are held in two separate areas of the home depending on dependency levels and whether nursing care is being provided. The care planning system is good with information on moving and handling, risk of falls, nutrition and social and psychological needs. The care plans are supported by daily records and evidence is in place of regular reviews taking place. Records are maintained for all visits to the home by social or health care professionals. Each person at the home is registered with a general practitioner and the home appears to Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 12 have good working relationships with health and social care professionals. During the course of the inspection a health care professional was carrying out two reviews. She informed the inspector that the records were completed appropriately and the home were meeting the needs well of the people that she was assessing. It is recommended that at all times records are fully completed for the direct delivery of basic care ie bathing/showering. The storage of the medication was found to be satisfactory as were the medication administration records. The system is generally well organised with the administration of the medication taking place from a purpose built trolley directly to the person. A surplus of returns’ medication was found and the senior nurse agreed that this would be dealt with immediately. The home has a good practice medication policy and procedure in place to guide staff. A random inspection of the controlled medication was found to be completed appropriately. Staff who administer medication have the opportunity to attend training held by an accredited Pharmacist. The home has good working areas for the staff to write up their care records, store medication and dressings and spend time on administration duties where required. The inspector observed when personal care was being delivered this was done behind closed doors, the staff spoke to the people with consideration and respect and the people in the home commented on this positively. One survey from someone in the home stated: “all the staff are very kind”. Furzehatt Care Centre DS0000061636.V343486.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines in the home are relaxed, relatives and friends can be confident that they are welcomed and social activities are arranged. The dietary needs of the people in the home are well catered for with a balanced and varied selection of food that meets peoples’ tastes and choices. EVIDENCE: During the course of the day the inspector noted groups of people socialising in lounge and conservatory areas of the home. Other people chose to spend time in their rooms or watching television. Two groups of people were spoken to and each group were very happy with the area they were sitting in and the company of the other people around them. In the morning in the residential area of the home a group quiz activity was taking place with the staff and in the afternoon an organised singing activity took place. In care planning records evidence activity plans are in place for Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 14 the people in the home and consideration and information has been gathered on past hobbies and interests. Information is also included on spiritual needs and relationships. A monthly newsletter is given to all the people and displayed on notice boards to keep people informed of special events. People in the home spoke with enthusiasm on the recent summer fete that has taken place. Activity records provide evidence that trips to local destinations and places of interest are provided. An activities organiser staff member is employed by the home. Regular “clubs” are provided at the home for example a craft club and a gardening club. The home has a good selection of large print books provided by the Community library. Visiting to the home is “open”, encouraged and welcomed. All visitors to the home are asked to sign into the home and the home appears to have a large number of visitors. A large number of people in the home have been admitted from the local community. Feedback about the meals provided in the home was good and it is noted that there is a good choice at all meals if the main meal is not welcomed. On the day of the inspection the main meal of the day was poached haddock in a cheese sauce with vegetables and potatoes. The tea time meal was to be hogs pudding with tomatoes or soup an sandwiches. Most of the people in the home eat their meal in the dining room and are encouraged to enjoy the social occasion. Some of the people in the home require assistance and this is given discreetly when required. The menu changes over a four week period. Good support is provided to the home from the community dietician. The people in the home are weighed regularly as part of the nutritional screening process and care plans are in place if a risk is identified. Autonomy and choice are promoted through every day activity such as what time to get up, what to wear and how to spend the day for example. Furzehatt Care Centre DS0000061636.V343486.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people in the home can be confident that any concerns or complaints are treated seriously and that they will be protected from abuse EVIDENCE: The home has in place a comprehensive complaints policy and procedure. This information is provided to the people in the home (and their relatives/representatives) in the service user guide and statement of purpose documents. The complaints policy and procedure is also on display in the entrance of the home. The home keeps any records of complaints and all documentation is in place as required to rectify any problems and prevent re-occurrence. Adult protection policies and procedures are in place for the protection of the people in the home. The documentation includes information about agencies that should be contacted if allegations of abuse are made. Staff receive regular adult protection training and a recent update questionnaire/training session has taken place from the manager to the staff. Local policies and procedures from the funding authority are included in reading and are regarded by the management team as working well. Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 16 Furzehatt Care Centre DS0000061636.V343486.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people in the home live in a pleasant, well maintained home that is comfortable, warm and clean. EVIDENCE: Furzehatt is situated in the suburb area of Plymstock. The accommodation is provided in two buildings joined by a conservatory corridor. Each building has it’s own communal areas and bedrooms. Good parking is available in the grounds of the home and the pleasant gardens have been provided with seating for the people in the home to enjoy. Bedrooms are provided in the home on the ground and first floor level and a lift is available to the first floor of the home. Communal areas are very spacious and comfortable and include Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 18 spacious lounges/dining rooms. A number of people were sitting in a pleasant conservatory which overlooks the gardens. Toilets are available near to the communal areas. A reception area is provided with a staff member to greet all visitors to the home. The home has secure facilities on the entrance doors of the home for the safety of the people in the home. All areas of the home were found to be very clean on the day of the inspection and cleaning staff and housekeeping staff were spoken to during the course of the inspection. The laundry is provided with a number of industrial machines that are fit for purpose to undertake the amount of washing that is generated by the home. Policies and procedures are in place for guidance on infection control and a senior nursing staff member provides training to staff in this area. Furzehatt Care Centre DS0000061636.V343486.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people in the home are cared for by capable and caring staff in sufficient numbers to meet the needs of those currently living in the home. Recruitment procedures protect vulnerable people in the home. EVIDENCE: The staffing rota evidences that appropriate staffing levels are in place to meet the care needs of the people in the home. During the day and night where nursing care is provided there is always a nurse on duty assisted by appropriate numbers of care staff. Care staff take turns to work in both areas of the home. The staff spoken to during the course of the day stated that they like working at the home and have access to training and feel that they are a valued member of the team. It is noted that the company offers a loyalty bonus scheme to the staff after certain periods of time of employment. The staff files evidence that good recruitment procedures are in place for the protection of the people in the home. Application forms are completed well, Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 20 two written references are taken and a criminal records bureau check is in place for all staff members. Prior to the inspection staff surveys were received which indicated that the staff feel very positive about the home. One staff member stated: “I feel my job is worthwhile and is very rewarding”. In addition resident survey comments on the staff included comments such as: “the staff are always friendly, helpful and cheerful”. Staff training is regularly being provided to staff, statutory training is up to date and good practice training is taking place. Nursing staff are also provided with appropriate training to allow them to fulfil their nursing duties and responsibilities One relative survey stated: “the staff are extremely busy, even short staffed on occasions, resulting in what my mother considers a long wait, resulting in her trying to do things herself”. These comments were discussed at the time of the inspection in addition to two comments from people in the home suggesting there are times when they do feel they have to wait for staff to attend to them. The rota evidences that the staffing levels are satisfactory and observations during the course of the day would also indicate that the staffing levels are satisfactory. The manager suggested that she will carry out further investigations through the use of the newsletter. Furzehatt Care Centre DS0000061636.V343486.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people at Furzehatt live in a very well managed home. The management and staff team strive to provide a stimulating, safe environment where people are respected and treated with dignity EVIDENCE: The registered manager is a qualified general nurse who has been in her post for three years. She is regarded positively by the staff and presented well during the course of the inspection. She is supported in her duties by two senior nursing staff. One of the nursing staff was spoken to during the course Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 22 of the inspection. He explained some of his duties and responsibilities and like the manager presented as professional and capable. The registered manager has plans to undertake studies in a recognised management qualification. A full time administrator is employed by the home to assist the manager in some of her duties and responsibilities. An inspection of the results of a recent internal audit took place. Half of the people in the home recently responded to questionnaires on all aspects of life at the home. The organisation has presented the results of the survey which indicate a very low rate of dissatisfaction at the home and generally a good result for the delivery of care. The records and storage of personal money held in the home on behalf of the people was found to be satisfactory. Storage of money was found to be safe and all finances are held individually on behalf of the people in the home and records are in place of all expenditure, receipts are held for future reference if required. A Regional Manager from Sanctuary Homes carries out the statutory monthly visits to the home and provides a written report of his findings. The organisation offers support to managers and staff and the manager was due to attend a National Conference on the next day following the inspection. A senior nurse has health and safety responsibilities for the home to include moving and handling training. Health and safety policies and procedures are in place to guide staff on best practice. All the staff presented well during the course of the day. They looked smart in their uniforms with their name badges. Furzehatt Care Centre DS0000061636.V343486.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 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Furzehatt Care Centre DS0000061636.V343486.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. 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. 1. 2. 3. Refer to Standard OP1 OP7 OP9 Good Practice Recommendations To add to the statement of purpose document the smoking arrangements for the home and clarify the number of beds that there are in the home. To ensure that daily records of personal care are completed at all times. To ensure that supplies of medication no longer used or required are returned to the pharmacy as soon as possible. Furzehatt Care Centre DS0000061636.V343486.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Furzehatt Care Centre DS0000061636.V343486.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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