Inspection on 06/06/06 for Glengariff Residential Home

This inspection was carried out on 6th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Glengariff Residential Home 04/06/09

Glengariff Residential Home 18/06/08

Glengariff Residential Home 05/06/07

Glengariff Residential Home 02/02/06

Glengariff Residential Home 17/03/05

Glengariff Residential Home 24/11/04

Glengariff Residential Home 10/12/03

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

CARE HOMES FOR OLDER PEOPLE Glengariff Residential Home 45 Freeland Road Clacton On Sea Essex CO15 1LX Lead Inspector Kay Mehrtens Final Unannounced Inspection 6th June 2006 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 Glengariff Residential Home DS0000017831.V300365.R02.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. Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glengariff Residential Home Address 45 Freeland Road Clacton On Sea Essex CO15 1LX 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) 01255 220397 01255 220880 Glengariff Company Limited Manager post vacant Care Home 56 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (56) of places Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 56 persons) Five persons aged 65 years and over, who require care by reason of dementia, whose names were made known to the Commission in July 2004 The total number of service users accommodated in the home must not exceed 56 persons 2nd February 2006 Date of last inspection Brief Description of the Service: Glengariff is a care home for older people accommodating a maximum of 56 service users. The property is a three storey converted hotel close to the town centre and seafront. The upper floors are accessed via a passenger lift. Most bedrooms are single occupancy and all have en-suite facilities. There is a choice of communal areas and a large garden at the rear of the building. The home provides written information about the service to prospective service users. Inspection reports are displayed on notice boards and in the manager’s office. Fees for this home, at the time of the inspection, ranged from £365.00 £460.00 per week. Hairdressing, chiropody, personal items and outings are an additional cost. Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process included discussion with the Manager, carers, fourteen residents and one relative; examination of a sample of staff and residents records, supporting documentation and other records required to be kept in the home; direct and indirect observation, as well as pre inspection records. The inspector was invited to have lunch with the residents and would like to thank them, the cook and staff for their hospitality. In addition to the day spent at the home, the inspector reviewed written material submitted to the Commission since the last inspection in order to reach the conclusions identified in this report. This included one survey returned from a resident, two from relatives and four from health care professionals. All of the Key National Minimum Standards (NMS) for Older People and the intended outcomes were assessed in relation to this service during the inspection. What the service does well: What has improved since the last inspection? All care staff have now received training with regard to the Protection of Vulnerable Adults. The provider has made improvements to several areas of the home and is planning to refurbish the garden room. The manager has introduced a “home’s committee” made up of representatives from residents and staff and led by a member of the staff team. The Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 6 committee will look at different aspects of life in the home and coordinate the quality assurance surveys. 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. Glengariff Residential Home DS0000017831.V300365.R02.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 Glengariff Residential Home DS0000017831.V300365.R02.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 Quality in this outcome area is adequate. Pre admission assessment records, for respite residents, contained information which was too basic to determine a prospective service user’s needs. EVIDENCE: A sample of residents’ files were examined. The assessment document covered all the required areas of residents’ needs. However, some of those sampled had not been completed. For example, the cultural and health background of one service user, on respite stay, was not referred to and so staff were not aware of the language issues or the need to monitor their physical health needs and medication. There was no evidence of a moving and handling assessment of one resident even though their care plan stated that they used a walking frame. The manager informed the inspector that most of the assessment, for respite residents, information is gathered over the phone and added to once the resident is admitted. Permanent residents are assessed at home or in hospital prior to their admission to the home by the manager and her deputy. Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 9 Unplanned admissions were avoided. One resident stated in their survey form returned to the commission, “I am still on a trial period but have every intention of staying”. Glengariff Residential Home DS0000017831.V300365.R02.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 adequate. Residents’ health and personal care needs were met though some care plans did not have sufficient detail or evidence of residents’ input to ensure that all needs were met. EVIDENCE: A sample of resident care plans was examined. The content was varied and inconsistent, depending upon which member of staff had written the plans. For example, one plan did not contain any information about a residents’ history of heart problems or medication review whilst another was very detailed and reflected all the health care needs of the resident concerned. Care plans lacked details about residents’ individual social and emotional needs and preferences. There was little evidence of resident input into their plans and reviews. Residents’ understanding and awareness of their care plans was varied. Some residents told the inspector that they had attended meetings about their care and put their ideas forward. They spoke positively about the care that they received, especially with regard to their health care. Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 11 The home operates a key worker system and the staff were aware of the role of the key worker. Relatives and some residents were aware of the name of their key worker. Monthly reviews of care plans were being done by residents’ key workers. However, monitoring of residents’ weight, medication reviews and moving and handling assessments was not consistently done. Daily recording did not contain sufficient detail to enable clear monitoring of residents’ needs and reviews. The recording tended to be problem focussed, repetitive and lacked reference to the residents’ social and emotional needs and activities. There were some examples of good recording but it was not consistent, it was dependant upon the individual approach of the staff. The commission received three survey returns from doctors that provide health care and support at the home. Their responses were very positive. They stated that “staff were available to support them on their visits; the staff had a good understanding of residents’ needs; they had no complaints about the care provided; they were able to see residents in private and were satisfied with the overall care at the home.” A health visitor completed a survey and informed the commission that they, “always feel welcome… always have the offer of a carer to assist me… find the home a happy one.” The home’s medicine administration system was inspected. This was a monitored dose system (MDS). Based upon the sample of records inspected the receipt, administration, storage and disposal of medication was found to meet National Minimum Standards. However, the storage of the controlled drugs medication was not secure. Staff responsible for the administration of medication had received training from the local pharmacist, which mainly focuses on the delivery system. The manager was advised to monitor and re-asses the competency of staff that administer medication on a regular basis. There was no current information available for staff with regard of the use of the prescribed medication for the individual, including side effects. Staff were generally observed to engage positively with each individual and demonstrated a good relationship with the residents they were supporting, treating them with dignity and respect. However, staff response to the call bell system was poor. The inspector pressed the call bell whilst observing a carer trying to assist a resident who clearly needed the assistance of two carers. The staff had not responded, even to check on the situation, within 10 minutes. They did respond when the call went onto emergency status. Their response to their colleague and the resident was not satisfactory. The senior member of staff was very defensive when challenged, by the inspector, about the staff task allocation and the reason for more than one staff having their tea breaks Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 12 at the same time. The staff cover was depleted during staff breaks and this impacted upon the ability of the staff to meet the needs of residents on each floor of the home. The dignity of the resident was compromised by the lack of staff assistance. The staff should respond to the call bell to make an assessment of need and act accordingly. The inspector received comments from relatives and residents about the failure by some staff to use the hoist for moving and handling purposes and not explaining what was happening to residents when being put into the hoist. They felt that this was unsafe as well as an infringement of residents’ dignity. The inspector observed two staff move a resident, from a chair to their wheelchair, by lifting them under their armpits. This is not safe practice. This was brought to the attention of the manager. She informed the inspector that staff have received training in manual handling and should be following safe practice and respecting residents’ dignity. Residents spoke positively, to the inspector, about the care staff and felt that they were treated with respect. Some said, “staff do their best… can’t complain … try to accommodate you.” Glengariff Residential Home DS0000017831.V300365.R02.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 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 good. Opportunities are provided for residents to participate in activities and their choice is respected in many aspects of their life in the home. EVIDENCE: Several residents told the inspector that they are supported to go out and meet friends in the local area and their friends are always made welcome when they visit the home. Several residents were getting ready to go out on a day trip, in a bus hired by the home, as the inspector arrived. They were looking forward to their day out and staff were ensuring that they had sun protection and telling them about the day. They chatted with the inspector and were pleased with the different opportunities to go out on trips and join in activities in the home. The home is very near to the seafront and residents told the inspector that they could get there on their own or with a member of staff. The home has a lovely garden and patio area that is used by residents, weather permitting. Residents’ bedrooms were full of their personal possessions and they are encouraged to bring in pictures and personal items when they move into the home. Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 14 There was information displayed around the home informing residents about the local advocacy service. The manager has introduced a “home’s committee” made up of representatives from residents and staff and led by a member of the staff team. The committee will look at different aspects of life in the home and coordinate the quality assurance surveys. The work of this committee will be monitored at the next inspection. Residents are supported to control their own finances, medication and maintain their community links. Risk assessments, with residents’ input, are written and held on files, as appropriate. One resident told the inspector that they “could talk to the cook about things they wanted to eat”. All residents, without exception, told the inspector that they really enjoyed their cooked breakfast that is provided every day of the week. One resident did comment that weekend meals are not as good as those in the week and that they would like some more fresh vegetables. There were lots of alternatives offered to residents at meal times. The cook was aware of the individual needs and preferences of residents. The inspector was invited to join some residents for lunch and the choice was good and the meal well presented. The mealtime was a pleasant, social affair, and staff met the needs of residents in a gentle, respectful manner that did not infringe residents’ dignity. The inspection highlighted the need for the cook to undertake a food hygiene refresher course. Glengariff Residential Home DS0000017831.V300365.R02.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality outcome in this area is good. Service users were protected by policies and procedures within the home and concerns and complaints were responded to appropriately. EVIDENCE: CSCI had received no complaints during this inspection year. The home has a complaints procedure that is made available to residents and visitors to the home. All concerns and complaints received by the home were well recorded. Residents were observed to be comfortable and at ease with the staff. Residents spoken with were happy with the care provided by staff in the home and felt able to discuss any concerns openly. They did tell the inspector that they “didn’t like to complain but could talk to the manager about problems.” Staff treated the service users well and were aware of issues related to protecting vulnerable adults (POVA). Those spoken to were very aware of the different forms of abuse and the steps they should take should they witness any incidents. The staff and deputy manager had dealt very well with a recent incident in the home. Their quick actions ensured the protection of residents in the home. Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 16 An adult protection policy and procedure was in place, including Whistle Blowing, providing information and guidance for staff to follow in response to a suspicion, allegation or evidence of abuse. All staff, including catering and domestic staff, had received the appropriate training in recognising and protecting vulnerable adults from abuse. Glengariff Residential Home DS0000017831.V300365.R02.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 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 was good. The home was well maintained and provided a welcoming environment. EVIDENCE: The home was clean and well maintained. There was no evidence of any offensive odours. The standard of hygiene was very good. The laundry was well organised and residents were pleased with the laundry service. The health and safety files were well organised. One of the downstairs bathrooms was not being used as it had no hoist and few residents could use it. The manager informed the inspector that the provider was looking at different bathroom equipment. The home does have several other bathrooms and some residents told the inspector that they had a favourite. Plans are in place to address areas for improvement particularly with regard to the garden room and the needs of residents with dementia, in preparation of their intended application. Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 18 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 based on the evidence provided was adequate. Staffing levels and recruitment were satisfactory though some staff require training pertinent to the residents assessed needs. EVIDENCE: There were only 38 residents in the home at the time of the inspection. The staff roster indicated that there were 7 staff on duty for the morning shift reducing to 6 on the afternoon and evening. The staffing levels were sufficient met the needs of the residents accommodated. Additional catering and domestic staff are employed in sufficient numbers. One resident stated in their survey from, “staff listen but are so busy that requests are sometimes forgotten”. This is an example of mixed praise but it does reflect some of the comments and observations of staff during the inspection. Another relative stated that, “all of the staff of the Glengariff have always been caring, kind and helpful”. The staff were observed to be polite and respectful with the residents. However, some of their actions such as delayed response to call bells and poor management of staff breaks does impact on the care provided to residents. Staff recruitment files were sampled and contained all the required information and checks. The manager had undertaken risk assessments, with regard to the employment of some staff, and recorded these decisions. Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 19 The home has recruited several staff from overseas and the file sampled was well organised and contained evidence of the required checks. At the time of inspection, the service had just about achieved the recommended proportion of carers having attained or commenced a National Vocational Qualification (NVQ) level 2, in that 13 of the 27 staff care staff had achieved NVQ level 2. The manager informed the inspector that she is waiting for more spaces on NVQ to become available for the rest of the staff team. The induction record for the newest member of staff, whose file was sampled, was not available for inspection. The inspector informed the manager about the Skills for Care programme, the newly formed occupational training council for the social care sector, which comes into operation from September 2006. The manager provided the inspector with a copy of the staff training programme. Examination of the programme showed that lots of training had been provided for staff especially with regard to Protection of Vulnerable Adults, manual handling, fire training, The inspection did highlight the need for staff training on infection control, falls prevention and diabetes. The manager was aware that this training could be provided by local community nurse services. Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. The manager is well supported by the owner and staff in providing a well managed home that ensures good care for the residents. Systems to monitor and review quality outcomes need to be developed. EVIDENCE: Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 21 The manager is not yet registered but an application for registration had been received, by the commission, at the time of the inspection. During her time as acting manager, she has succeeded in achieving National Vocational Qualification level 3 and has obtained a place on a level 4 and management course. She informed the inspector that she felt well supported by the provider particularly with regard to staff training and premises issues. The home had still not progressed in addressing quality assurance and quality monitoring systems as required in the last inspection report. The elements of quality assurance were discussed with the manager, who agreed she needed to explore this area further, focusing on the quality of life and outcomes for the residents. The home does manage some residents’ finances, though residents are supported and encouraged to maintain their independence by managing their own finances. The records sampled were well managed and organised. The homes policies and procedures support the health and safety of service users and staff supporting them. The certificates relating to equipment and services to the home were in place and updated as required. Staff training related to health and safety issues needs to be monitored more closely to ensure mandatory training is received and updated by all staff employed. This includes manual handling, food hygiene and infection control. The home has been visited by the fire authority and environmental health services in the last year and met the stated recommendations following these visits. Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 22 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 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 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 23 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 OP3 Regulation 14 Requirement The registered person must ensure that pre-admission assessments are in sufficient detail to inform care plans. The registered person must ensure that care plans are detailed, and cover all aspects of residents’ identified care needs. The registered person must ensure that staff respond to residents, particularly in answering call bells and when using the hoists, in a such a manner that respects residents’ dignity and safety. The registered person must ensure that the Garden room is furnished and fitted to ensure the comfort and safety of residents that use it. The registered person must ensure that all staff receive induction and foundation training within the first six months. The registered person must ensure that a quality assurance system is developed for the home, based on seeking the views of service users and other DS0000017831.V300365.R02.S.doc Timescale for action 08/08/06 2. OP7 15 08/08/06 3. OP10 12 08/08/06 4. OP19 23 08/08/06 5. OP30 18 08/08/06 6. OP33 24 08/08/06 Glengariff Residential Home Version 5.2 Page 24 interested parties. This is a repeat requirement. The timescale of 21/04/06 was not met. This will be monitored at the next inspection. 7. OP38 18 The registered person must ensure that staff are trained in moving and handling, infection control and food hygiene. 08/08/06 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 Refer to Standard OP3 Good Practice Recommendations The manager should include a home or hospital visit, to prospective residents, as part of the assessment process. Glengariff Residential Home DS0000017831.V300365.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Glengariff Residential Home DS0000017831.V300365.R02.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!