Inspection on 24/05/06 for George Potter House

This inspection was carried out on 24th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

George Potter House 27/09/07

George Potter House 08/11/05

George Potter House 01/04/05

George Potter House 09/09/04

George Potter House 15/04/04

George Potter House 20/10/03

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

CARE HOMES FOR OLDER PEOPLE George Potter House 130 Battersea High Street Battersea London SW11 3JR Lead Inspector Jon Fry Unannounced Inspection 24th May 2006 10:45 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 George Potter House DS0000019091.V299788.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. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service George Potter House Address 130 Battersea High Street Battersea London SW11 3JR Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 7223 3224 020 7223 6984 Sovereign (George Potter) Ltd Miss Adri Jane Leonie Skipper Care Home 69 Category(ies) of Dementia (33), Old age, not falling within any registration, with number other category (36) of places George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Exception to age of one service user Agreement is given for the home to continue caring for the service user currently resident in the home who is aged 39. However, an urgent review must take place by the 30/09/03 to look at her needs, as this home is not suitable for this service user long term. The service user has a mental health problem as well as a mild learning difficulty. From the assessment made at the time of placement it is not clear why this home was deemed suitable for her. Staffing Levels No of Service Users 8am – 2pm 2 - 8pm 8pm-8am TN CA TN CA TN CA 51-55 3 8 3 7 2 3 56-60 3 9 3 8 2 4 61-65 3 10 3 9 2 5 66-69 4 10 4 9 2 5 Reviews The organisation must ensure that the above minimum staffing levels remain under review and that at all times suitably qualified, competent and experienced persons are working in the home in such numbers as are appropriate for the health and welfare of service users. Distribution of Staff The number and distribution of nurses care staff and ancillary staff must be reviewed at regular intervals. If at any time the evidence indicates that there is insufficient staff of any categories available to meet the assessed needs of service users, the NCSC will require additional; staffing as appropriate. 8th November 2005 2. 3. 4. Date of last inspection Brief Description of the Service: George Potter House provides accommodation and nursing care for sixty-nine older people. This may include thirty-three individuals with dementia. The home is privately owned by Sovereign (George Potter Ltd) and is situated in Battersea, within easy reach of local shops and Clapham Junction train station. Accommodation is provided over two floors serviced by a lift. The upper floor unit is for residents with dementia. Information about the home is provided to residents in a written guide. The current range of fees are between £700 and £800.00 per week. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The main part of the inspection was unannounced and was carried out by two regulation inspectors on the 24th May 2006. A second announced visit by one inspector took place on the 13th June 2006 to examine paperwork. The inspectors spoke with six residents, two visitors, the manager and five members of staff. A number of records were examined, as well as a tour of the communal areas of the home. Completed survey forms were received from five residents, seven relatives or friends of residents and four health professionals. What the service does well: What has improved since the last inspection? Significant improvements have been made within the service since the last inspection took place in November 2005. The organisation is more effectively supporting the manager and her staff in driving the service forward. New carpets have been fitted in all communal hallways and the main ground floor lounge. These, along with decorative improvements, give the home a brighter feel for the residents living there. The care plans have been made much more individualised and contain good information about support needs. Courses for staff such as abuse awareness and infection control are available as part of an organisational training programme. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 6 Resident meetings are being held. Residents and their representatives have been asked for their opinion through surveys sent out in May 2006. 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. George Potter House DS0000019091.V299788.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 George Potter House DS0000019091.V299788.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of residents are assessed prior to admission to make sure that the home can meet these. Prospective residents and their representatives are able to visit the home to assist them in making a decision about moving in. EVIDENCE: There is an appropriate procedure to make sure that the individual needs of a resident are assessed before they move into the home. The manager or a senior staff member will carry out an assessment of the needs of each individual. These assessments were seen within the care files examined on the day of inspection. Prospective residents are able to visit the home and meet the staff and other residents before making any decision about moving in. Relatives of a George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 9 prospective resident were being given a guided tour of the home at the time of this inspection. George Potter House DS0000019091.V299788.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 at least once during a 12 month period. 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. Staff have made significant improvements to the care plans. These now contain personalised information about individual care needs. Individual health needs are addressed. Care documentation such as wound and pressure sore assessments have been improved. There are satisfactory arrangements to make sure that medication is safely administered to residents. The home must however make sure that items of medication are kept securely at all times. EVIDENCE: Care plans were looked at for five residents. These have been significantly improved since the November 2005 inspection and now give good individual information about the support required by each resident. The care plans are reviewed on a monthly basis and cover areas such as mobility, personal hygiene and confusion. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 11 Written assessments are completed where a resident may be at risk for areas such as falls, use of hot water and pressure sores. The documents in use are now more detailed particularly those completed for the assessment of wounds. Staff generally keep good daily records which provides information on the daily activities and any concerns regarding each resident. The use of generic phrases such as ‘all care given’ and ‘all care rendered’ should however be avoided. The home should look at ways of further individualising the care plans in place. Areas for further consideration could include better life story information and improving the care plans around social and emotional well-being. Key workers may be able to take more responsibility in making sure that this important information is recorded for each resident. Four out of five residents who completed a written survey said that they ‘always’ received the medical support they required. One person responded ‘usually’. Written comments received from two health professionals stated that they felt that the individual health needs of residents were being met. Care plans seen included records of visits by the GP and other health professionals. Individual surveys received from two relatives commented on the over reliance on incontinence pads and that staff were not supporting residents in using the toilet regularly. This was discussed with the manager as observed practice was not consistent at the time of this inspection. Medication administration records are well maintained. Further improvement is required to make sure that all items of medication are securely stored at all times. One instance was found where a medication cabinet stored in a bathroom was open and this contained a number of prescription creams for residents. This issue has been highlighted at previous inspections. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Adequate levels of daily activities are available to residents. This provision could be further improved. Residents are able to keep contact with friends and family. The meals served are generally of a good standard. EVIDENCE: An activities co-ordinator is employed in the home. A programme of activities is on offer and each resident has a social care plan in place. Residents were playing dominoes with staff during the first inspection visit whilst other residents were listening to music. Feedback from residents and their friends or relatives was varied regarding the activities on offer. Comments included ‘not enough activities especially when the co-ordinator is not there, nothing happens’, ‘entertainment is of a varying quality’ and ‘there’s enough going on for me’. One resident said that they ‘played card games’ in the morning but ‘just sit here’ in the afternoon. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 13 During this visit individual practice by care staff was inconsistent. Some individuals were seen to interact very positively with residents whilst others tended to speak to each other or just observe residents with little or no conversation. This was discussed with the management of the home at the time of inspection. All care staff must be made aware of their responsibility in providing social and emotional care to residents. As noted previously the care plans for the social needs and wishes of individual residents could be further improved. Better individual information will help staff to tailor activities to meet the needs of the residents and the key worker for each individual resident could record this information. Residents can have visitors at any time and visitors stated they felt welcome in the home. One resident commented that ‘visitors are made welcome and offered refreshments’. Residents generally made positive comments about the food provided. Comments included ‘good’, ‘some meals better than others’ and ‘the cooking is not good’. The range of views received from relatives and friends of residents included ‘the food at the home is excellent’ and ‘my relative is always complaining about the food’. Staff were seen to help residents with eating as required and this was generally done in an appropriate and unhurried fashion. One issue was highlighted where food was served to residents upstairs on trays without salt and pepper being provided. A resident on this floor also stated that they were always given potato when it was served when they ‘never do eat it’. It is recommended that the dining arrangement on the first floor be reviewed. The available space could be better used to allow for communal eating by some residents if appropriate tables and chairs were provided. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. 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. A satisfactory complaints procedure is supplied to residents on admission to the home. The organisational procedure details the actions to be taken should there be any allegation or suspicion of abuse. Staff are provided with training on the protection of vulnerable adults. EVIDENCE: The home has a clear complaints procedure with timescales for responding to complaints. Information is included on what action to take should a complainant not be satisfied with the response received from the home. The home keeps a record of any complaint along with actions taken and outcomes. No complaints had been recorded since the last inspection of the home. The organisational procedure gives the action to be taken should there be any allegation or suspicion of abuse. The Local Authority policies and procedures for the protection of vulnerable adults (POVA) are additionally available at the home. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There have been significant improvements to the décor and furnishings since the last inspection. This helps to create a more pleasing environment for residents. The home is kept clean and free from offensive odours. EVIDENCE: New carpets have now been fitted in communal hallways and the main ground floor lounge. The paintwork has also been redecorated in many areas and these improvements together give a much brighter feel to the home. The home was kept clean and hygienic at the time of this inspection visit. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 16 Comments received from friends and relatives in surveys included ‘the home is clean and well run’ and ‘satisfactory’. Feedback from care professionals included ‘furniture could be improved’ and ‘lack of investment from owner’. Residents spoken to said that they were satisfied with their bedroom accommodation. The manager reported that an audit was taking place of all the bedrooms to make sure they were all up to standard. The following issues are highlighted for attention by the home: Windows – six windows were identified as being in a particularly poor state and in need of replacement. It is strongly recommended that a timetable is put in place to replace all of the windows at the home. Door protectors - as stated within previous inspection reports, doors to resident bedrooms should be fitted with protective panels to prevent damage from wheelchair scrapes etc. Ground floor lounge – this area would benefit from new curtains. First floor lounges and dining areas – new carpet must now be fitted to these areas as planned. As stated previously, it is recommended that the usage of communal areas on the first floor be reviewed. Lift – engineers were called out at the time of this inspection as the lift was not working properly. A Requirement has been made to make sure this equipment is in good working order at all times. Front door bell – two staff members said that they could not hear this when working on the units and this was a particular problem at weekends. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels must be kept under review to make sure they meet the care needs of residents accommodated. The training provision for care staff has improved since the last inspection. Residents are fully protected by the homes recruitment procedures. EVIDENCE: Feedback from residents and their representatives was generally very positive about the care staff. Comments included ‘the carers are wonderful’, ‘the staff are very helpful’ and ‘the staff are good’. Feedback from care professionals in surveys included ‘nurses and carers are very helpful – excellent communication’. As stated earlier in this report, observation of care varied greatly depending on the carer. Some very good practice was seen whilst other staff tended not to interact so positively with residents. A comment from one relative echoed this as they said ‘the general atmosphere is dependent on staff on duty – our opinions vary from visit to visit’. Another individual said their relative was ‘well looked after’ but ‘it’s the little things’ referring to the lack of water provided to a resident who was holding an empty cup when they had arrived to visit. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 18 Staff members spoken to all voiced concerns about reductions in staffing due to resident vacancies at the home. A Requirement has been made to make sure that there is sufficient staff on duty to meet the assessed needs of residents. Staffing levels must be solely based on need and not according to bed vacancy numbers. The training provision has improved and an organisational training manager is now in post. The training plan includes courses on abuse awareness, Food Hygiene, Health and Safety and First Aid. One newer member of staff confirmed that they had received an induction and basic training in Fire Safety and Manual Handling since they started work at the home. Other training such as dementia is provided by the manager or external trainers. NVQ training is available and the manager reported that five carers were due to start studying for this award this year. Recruitment records seen for two members of staff were well organised and included all required documentation such as Criminal Record Bureau (CRB) checks. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service continues to improve under the leadership of the registered manager. Financial records are well maintained and kept up to date. Systems for quality assurance have improved. Health and Safety records are well maintained. EVIDENCE: Comments received about the manager included ‘very supportive’, ‘since she has been manager things have improved’ and ‘great improvement since new manager took over’. The manager stated that she is due to commence the NVQ level four qualification in the near future. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 20 Residents meetings are now taking place every two months and relatives meetings every quarter. A quality assurance survey has recently been completed that looked at areas such as catering, staff and the environment. The results of this survey should be used to inform a development plan for the service. Financial records for monies held for individual residents were accurate and up to date. Staff spoken to reported that they received regular supervision from their line manager. A system is now in place to ensure this happens at least six times a year. Health and safety records for hot water temperatures, Fire Safety, electrical appliance testing and hoist equipment are all well maintained. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 (2) Requirement The registered Persons must ensure that all items of medication are kept locked away at all times. The Registered Persons must ensure that residents are supported to use the toilet as and when required. Staff must not rely on the use of continence pads. 3. OP12 12 (1) 16 (2) (m) (n) The Registered persons must ensure that that detailed individualised care plans are in place with regard to individual social needs / activities. All care staff must be aware of the social and emotional needs of residents. All care staff must take responsibility for ensuring that social and emotional needs of residents are met. 4. OP15 16 (2) (i) The Registered Persons must ensure that: DS0000019091.V299788.R01.S.doc Timescale for action 01/07/06 2. OP10 12 (1) (4) 01/07/06 01/09/06 01/07/06 George Potter House Version 5.2 Page 23 condiments are provided for residents use with each meal, the meals served are to individual resident preferences. 5. OP19 23 (2) (b) The Registered Persons must ensure that the carpets in the first floor communal lounges and dining areas are replaced. The Registered Persons must ensure that: doors to resident bedrooms must be re-painted and protective panels fitted to prevent further damage, the curtains provided in the ground floor communal lounge are replaced. 7. OP19 23 (2) (c) (n) The Registered Persons must ensure that: the front door entry system is audible to staff in all parts of the building, the lift is in good working order at all times. 8. OP19 23 (2) (b) The Registered Persons must ensure that: The windows in rooms 14, 121, 126 are replaced, The windows in the first floor EMI lounge and dining room are replaced (group 3 side). 9. OP27 18 (1) (a) The Registered Persons must 01/07/06 ensure that suitable numbers of care staff are on duty at all times DS0000019091.V299788.R01.S.doc Version 5.2 Page 24 01/09/06 6. OP19 23 (2) (b) 01/10/06 01/08/06 01/11/06 George Potter House to meet the needs of residents. Staff numbers must be based on the needs of residents not on bed vacancies. 10. OP30 18 (1)(c) The Registered Persons must ensure that the induction training materials for new care staff are to Skills for Care common standards. The Registered Persons must ensure that an annual development plan is produced for the home as part of the system for reviewing and improving the quality of care provided at the home. 01/09/06 11. OP33 24 (1-23) 01/09/06 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. Refer to Standard OP7 OP7 Good Practice Recommendations Care staff should avoid the use of entries in care notes such as ‘all care given’ or ‘all care rendered’. It is recommended that the home considers further ways to make the care plans more person centred. This may be to include better life story information and to make key workers more responsible for gathering individual information. It is recommended that the use of whiteboards in communal areas to display resident’s names or information is reviewed. It is recommended that the home look at the current usage of communal areas on the first floor. This is with a view to making more dining space available for residents. 3. OP10 4. OP15 George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 25 5. OP19 It is recommended that the home look at ways of making the first floor lounges more homely for residents. George Potter House DS0000019091.V299788.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 George Potter House DS0000019091.V299788.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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