Inspection on 30/11/05 for Girling Street and St Faith`s Villa

This inspection was carried out on 30th November 2005.

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

Girling Street and St Faith`s... 22/08/06

Girling Street and St Faith`s... 14/02/05

Girling Street and St Faith`s... 12/01/05

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Coopers Mill Ltd

Paradise Lodge

Grangewood

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Kings Lane (32)

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

CARE HOME ADULTS 18-65 Girling Street and St Faith`s Villa 34 Girling Street and 90 Queens Road Sudbury Suffolk CO10 1PG Lead Inspector Julie Small Unannounced Inspection 30th November 2005 13:10 DS0000044272.V270725.R01.S.doc Version 5.0 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 DS0000044272.V270725.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000044272.V270725.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Girling Street and St Faith`s Villa Address 34 Girling Street and 90 Queens Road Sudbury Suffolk CO10 1PG 01787 882082 01787 882082 regardmanagersudby@tiscali.com 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) The Regard Partnership Limited Mrs S Snelling Care Home 10 Category(ies) of Learning disability (10) registration, with number of places DS0000044272.V270725.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th July 2005 Brief Description of the Service: 34, Girling Street and St Faiths Villa, Sudbury are two residential care homes for women with learning disabilities, each home accommodates five service users. 34 Girling Street was first registered in 1997 and St Faiths Villa in 1999; the two homes are registered as on ‘core and cluster’ residential care home. The homes are within a short walking distance of each other and of Sudbury town centre. Both services are managed by one full time manager, Mrs Sue Snelling, who divides her time across the two sites. Mrs Snelling is supported by two small teams of staff who are allocated to each home, with some interchangeable shift arrangements. There are additional relief staff employed to cover for any staff vacancies, annual leave or sick leave. The primary role of staff within this service is to encourage and support service users to maximise their skills, abilities and interests. Service users are also provided with opportunities to pursue active lives in the community and to access a range of services and facilities available to them in the community. 34 Girling Street and St Faiths Villa are part of The Regard Partnership, which is responsible for other residential services for people with learning disabilities in other parts of the country. DS0000044272.V270725.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on Wednesday 30th November 2005, at St Faiths Villa from 13.10 to 15.00 and at Girling Street from 15.10 to 17.00. At St Faiths Villa one staff member and two residents were met and spoken to, and at Girling Street five residents and two staff members were met and spoken to. One member of staff stated that service users are referred to as residents; this term will be used throughout the report. Four residents records were viewed. Resident meeting records, staff meeting records, menus and staff rotas were viewed. Two residents showed the inspector their bedrooms, and some parts of the home at Girling Street. Residents and staff met during this inspection were very friendly and welcoming, and provided information requested by the inspector promptly and confidently. What the service does well: What has improved since the last inspection? What they could do better: There were no required improvements identified at this inspection. DS0000044272.V270725.R01.S.doc Version 5.0 Page 6 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. DS0000044272.V270725.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000044272.V270725.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Prospective residents can expect that their individual aspirations and needs are assessed. EVIDENCE: There have been no changes in residents since the last inspection, four existing residents records were viewed. Records viewed evidence that resident’s needs and aspirations were assessed prior to moving into the home. Assessments completed by the service and by the placing authority were present, which include the resident’s daily care, social and health needs. All records viewed have care plans, which reflect the information provided in the assessments. Pre placement agreements were also present in records viewed, which identify what the resident can expect to receive from the service and the expectations the service has of the resident. DS0000044272.V270725.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 8, 9, 10 Residents can expect that their assessed and changing needs and personal goals are reflected in their individual plan and that they are supported to take risks as part of an independent lifestyle. Residents can expect that they are consulted on, and participate in, all aspect of life in the home and that information about them is handled appropriately. EVIDENCE: Four residents records were viewed, which held comprehensive care plans which identify the individual residents needs regarding all aspects of their daily living. Care plans identify the resident’s goals, intervention required for each activity and are evaluated regularly as residents progress and their needs change. Evaluation records for each activity are signed and dated by staff members, clearly identifying how activities were progressing and adapting. One resident record viewed evidenced that the resident has been involved in their care planning, they have signed evaluation records. Residents records viewed identify where specialist help has been required, such as with health issues, and when this has been accessed. Care plans viewed identify patterns of resident’s behaviour and where incidents have occurred, actions prior to and following the incidents are clearly recorded. The records evidence that they are checked and updated regularly by the homes manager. Two staff members DS0000044272.V270725.R01.S.doc Version 5.0 Page 10 spoken to confirmed that they use the residents care plans on a daily basis, to inform the work they do with each resident. Records evidence that residents are provided with a monthly key worker meeting with their key worker where they have discussed and evaluated the care they receive and their activities programme. Residents attend monthly house meetings, where they can discuss aspects of the home and the care they receive. The resident’s meetings records were viewed, the last meeting took place on 27th November 2005, residents discussed Christmas shopping, and the choice of the home’s Christmas meal. Previous house meetings include discussions about how residents feel about the activities they take part in and the roles residents play in completing chores around the home. Two residents records viewed contained letters from the homes head office asking them to complete a customer questionnaire regarding the care they receive, thank you letters for completing the questionnaires and that findings will be fed back to residents by November. One member of staff spoken to confirmed that they had assisted residents in completing the questionnaires. One resident records viewed contained a record of satisfaction from their parents; this record was positive and expressed the satisfaction that the daughter received good care at the home. Two residents spoken to said that they choose what they want to take part in, both in the home and in activities outside the home. A group of five residents were spoken to and talked about the activities they choose to take part in. Records viewed show that residents are supported in making choices in their day to day living. Care plans and risk assessments show how residents may need support in maintaining their safety, for example when crossing the road or interaction with people when in the community. Records viewed also show care that staff should take with ensuring residents safety, and well being, for example when using the toilet and bathing. Risk assessments were also in place for aspects of the environment residents live in. The previous inspection report identified that risk assessments should be in place for residents who horse ride; these risk assessments are now completed and included in resident’s records. Records viewed include the information staff may require when reporting residents unexplained absences from the home. One staff member was spoken to about actions taken if a resident wished to undertake an activity, the staff member confirmed that the activity would be risk assessed, ensuring the residents safety and support would be provided to the resident in undertaking their chosen activity if it was safe to do so. Resident’s records were observed to be stored securely within each home. When the inspector had viewed records, they were promptly stored away in a locked cabinet by staff members. DS0000044272.V270725.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14, 15, 16, 17 Residents can expect that they will engage in appropriate leisure activities and that they have appropriate personal relationships. Residents can expect that their rights are respected and responsibilities recognised in their daily lives and that they are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: Menus were viewed at St Faiths Villa, these were nutritious, balanced and varied. One resident spoken to said that they like the food at St Faiths Villa and they can help prepare it if they wish to. One resident was observed requesting a drink; a member of staff gave them the drink they had requested. At Girling Street, two residents showed the inspector the fridge, which was well and appropriately stocked; they also showed their ‘chocolate cupboard’ where snacks are stored. The meal rota was viewed, this included tasks for each resident during mealtime. A group of five residents were observed to be discussing what they wanted for dinner, when an agreement was made the resident on the rota to cook and a member of staff put on aprons and began preparing the evening meal. The resident directed the staff member in preparing the meal. Residents and staff sat together at the dining table on DS0000044272.V270725.R01.S.doc Version 5.0 Page 12 their return from their daily routines and shared a pot of tea, one resident was observed to clean up the items from the drinks. Interaction between residents and staff was observed to be very positive and respectful. One resident confirmed that they have various food items, which meet their cultural needs, some are provided by their family. The resident said that they like to cook pasta for their peers for tea. Three residents spoken to talked about the contact they maintain with their family by visits and telephone calls. One resident was observed to receive a telephone call from their parent during the inspection, a staff member gave the portable telephone to the resident, who took the call in the privacy of the lounge, which was not being used at that time. Four resident records and resident meeting records which were viewed evidenced that residents enjoy family and friend contact as they choose. Two residents showed the inspector their bedrooms, and photographs of family and friends, which were displayed in their rooms. Two residents spoken to said that they choose which activities both in and out of the home they take part in. They said that they help with chores in the home and enjoyed the inspector telling them that the home is very tidy. Three residents spoken to said that staff do not come into their bedrooms without knocking and being invited into their room. One resident confirmed that this is also the case when they are using the bathroom. On arrival to St Faiths Villa, there were two residents who were attending a sensory course in a nearby town, one resident had gone shopping, one resident was doing a jigsaw puzzle and one resident was listening to music. During the inspection at Girling Street two residents arrived from their centre and three residents returned from a sensory course in a nearby town. Five residents explained their daily activities and how they enjoy attending them. Four residents records viewed show that residents participate in varied individual and group leisure activities, for example horse riding. One resident confirmed that they had been horse riding since they were younger and had continued to do so when they moved to the home. The resident showed the inspector photographs on them horse riding and rosettes they had won. One resident told the inspector about a holiday they had been on, a staff member spoken to confirmed that this holiday was being planned at the time of the last inspection. Leisure activities include attendance at local clubs, swimming, shopping and meals out. Residents spoken to confirmed that they enjoy the leisure activities they participate in and are happy with the choice and range of activities they are provided with. One resident showed the inspector framed jigsaw puzzles they had completed and various pottery items displayed around the home, which had been made by residents at the home. One resident showed the inspector a chest in the lounge of St Faiths Villa containing various puzzles and games, which they said they like doing. One resident at Girling Street showed the inspector puzzles, compact discs and videos in the home, DS0000044272.V270725.R01.S.doc Version 5.0 Page 13 which residents can use, if they choose to. Residents are provided with a good varied range of leisure activities they can participate in if they wish, one staff member spoken to confirmed that requests for activities from residents would be explored by staff and residents. DS0000044272.V270725.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 Residents can expect that they receive personal support in the way they prefer and require and that their physical and emotional needs are met. EVIDENCE: One resident spoken to said that they choose their own clothing to wear each day when buying. The resident said that they like a particular colour and like wearing that colour. One resident showed the inspector their socks, slippers and trousers, which they said they liked and chose to wear for that day. One resident said that they had their hair done at the hairdressers and they confirm that they choose the style they have their hair. All residents met were dressed and wore their hair differently from each other, each reflecting their own style and choice. Four residents records viewed explain assistance individual residents require with their personal care, and how staff should provide this assistance to the residents which meets their needs and preferences. One resident said they can choose when they go to bed, and get up but they ‘get up on time if they have somewhere to go’. Records show what activities residents participate in, including centres and courses and times they should attend. Four records viewed show residents individual physical, emotional and health care needs. Details are provided of residents doctors, chiropodist, placing DS0000044272.V270725.R01.S.doc Version 5.0 Page 15 authority, optician and any other services or specialist services individual residents use. Records evidence that residents receive regular health check ups such as dental, optical and medical. DS0000044272.V270725.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Residents can expect that they are protected from abuse, neglect and selfharm. EVIDENCE: On arrival to both homes the inspector’s identification was viewed and they were requested to sign the visitors book. The visitors book showed that all guests to the home are requested to sign in and out of the home. Four resident records viewed show support residents require to ensure their safety, risk assessments are in place where residents may be at risk when participating in activities from both themselves and from others. Two staff members spoken to confirmed that they had received ‘prevention from abuse’ training within the last twelve months, one staff member said that this was in their previous job. Staff records were not available to view as the home’s manager was not present, but one staff member confirmed that they are the only new member of staff employed since the last inspection, they confirmed that they had received a criminal records bureau (CRB) check. Two staff members spoken to demonstrated a clear knowledge of action they should take if they have concerns regarding the resident’s safety and protection and cases of suspected abuse they may have. One staff member spoken to showed a knowledge of whistle blowing and knew what to do if they should report any concerns regarding the management of the home or if they were not listened to when reporting concerns. Four records viewed include records of resident’s personal belongings and finances. One resident spoken to explained whom they would speak to if they were worried about their safety or had any worries about people. DS0000044272.V270725.R01.S.doc Version 5.0 Page 17 DS0000044272.V270725.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26, 28 Residents can expect that their bedrooms promote their independence and that shared spaces complement and supplement their individual rooms. EVIDENCE: Two residents showed the inspector their bedrooms, their rooms held sufficient furnishings, furniture and fittings. Both rooms held the resident’s personal belongings, photographs and memorabilia. Each bedroom reflected the resident’s individuality. One resident confirmed that they chose the colour and decoration of their bedroom. Both St Faiths Villa and Girling Street have a comfortable lounge, dining room and kitchen for the shared use of residents. All shared rooms were clean, tidy, well maintained and furnished having sufficient furniture for residents use. The outside of the homes are large and available for the use of residents when the weather permits. The staff sleeping in room was viewed at St Faiths Villa, the room has an en suite facility and provides sufficient furnishings for the use of staff. DS0000044272.V270725.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34 An effective staff team, who are supported by the homes recruitment policy, supports residents. EVIDENCE: Since the last inspection, one member of staff had left the home and one member of staff has been employed. Staff recruitment records were not available to view because the manager had possession of the key to access the records. The newly appointed staff member was spoken to and confirmed that they had received a CRB check and provided two references prior to commencing work. The staff member confirmed that they met the residents as part of their induction process, and are clearly aware of their role and the expectations of the role. The staffing rotas were viewed at St Faiths Villa; the staffing level was appropriate to meet the needs of the residents at the home. The rota reflected where staff were attending meetings, training or were on holiday. There is one ‘bank staff’ who are available to cover shifts. Two staff members spoken to confirmed that the staff group have been working at the home for a while, and staff do not leave the home often. Two staff members spoken to said that they enjoy working at the homes. Two staff members confirmed that they receive regular monthly supervisions and one staff member said that they receive six monthly staff appraisals. DS0000044272.V270725.R01.S.doc Version 5.0 Page 20 There are staff meetings monthly, the records for staff meetings were viewed, and include discussions around the well being of the residents, plans for training and expectations of the staff group. Two staff members spoken to said that they have achieved their NVQ (National Vocational Qualification) level 2 and are hoping to achieve their NVQ level 3 in the near future. DS0000044272.V270725.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 41, 42 Residents can expect that their views underpin all self monitoring, review and development of the home and that their health, safety and welfare are promoted and protected. Residents can expect that the homes record keeping safeguards their rights. EVIDENCE: The previous inspection report identified that risk assessments should be in place for service users who undertake horse riding activities, these risk assessments are now in place and were viewed in resident’s records. Electrical items such as the fridge and the freezer were observed in Girling Street, they had recently been safety checked, each item held a sticker indicating the date of the safety check and the date the next check is due. One recently appointed member of staff stated that the induction to the home included health and safety aspects of the home, including fire safety. The staff member said that they were show the fire alarm system and were required to use it to demonstrate their understanding of the system. Staff meeting DS0000044272.V270725.R01.S.doc Version 5.0 Page 22 records viewed evidenced discussions about fire safety and a planned fire safety training course. Regular temperature checks of the fridge were present in the kitchen of St Faiths Villa; also present were health and safety procedures such as COSHH (control of substances hazardous to health) on a pin board in the kitchen. The appropriate storage of food was viewed in the fridge at Girling Street. Residents records viewed were in good order, well maintained and securely stored. One residents records viewed had care plans which had been signed by the resident, evidencing that residents have access to their records. Two resident records viewed evidenced that residents had received and completed a resident questionnaire regarding the satisfaction of the service they receive, a staff member spoken to confirmed that feedback from the findings will be given, the head office had advised that this was due in November 2005. One resident record viewed included a document from their parent expressing their happiness with the service their daughter receives. There are regular checks of the home made by senior management of the home; copies of these reports are routinely forwarded to CSCI. DS0000044272.V270725.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X 3 X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 4 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X 3 X 3 3 X DS0000044272.V270725.R01.S.doc Version 5.0 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000044272.V270725.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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. 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