Inspection on 05/06/07 for Greenfield Close Residential Home

This inspection was carried out on 5th June 2007.

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

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

Other inspections for this house

Greenfield Close Residential Home 02/12/08

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Greenfield Close Residential Home Greenfield Close Coddington Newark Nottinghamshire NG24 2QR Lead Inspector Vanessa Gent Unannounced Inspection 5th June 2007 09:30 Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 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 Greenfield Close Residential Home DS0000069229.V338050.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 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. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greenfield Close Residential Home Address Greenfield Close Coddington Newark Nottinghamshire NG24 2QR 01636 677981 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) udayan@clearwatercare.co.uk Greenfield Close Residential Home Limited Stuart Ennals – pending registration Care Home 17 Category(ies) of Learning disability (17) registration, with number of places Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21/06/06 Brief Description of the Service: Greenfields is a purpose built care home. It provides personal care and accommodation for seventeen adults of both sexes who have a learning disability. It was recently sold and Clearwater Care are the new owners. It is situated in the village of Coddington, which is on the outskirts of Newark in Nottinghamshire, about 1½ miles from the centre of town. It is very close to the main A1 and on a main bus route into the town centre. The village has a post office-cum-shop, pubs, a restaurant and a church. Other facilities and amenities are available nearby in Balderton and Newark. The home consists of a two-storey house and two bungalows. The residents are housed in fifteen single and one double rooms, in three separate ‘family’ units. Each unit has its own lounge, dining room, kitchen, toilets, bathroom and shower room. The two-storey unit does not have a lift. The grounds extend to over four acres, each unit having its own area. They are well maintained and provide a tranquil outdoor area for residents to use. They include a sensory garden and play equipment. There is ample car parking at the front of the home. The philosophy of the home is that each individual should be encouraged to play a full part in the running of their unit and the home as a whole whilst receiving the support and attention of a devoted staff team. The provider keeps a printed copy of the latest inspection report as well as the statement of purpose and service user guide at the home, which is available for people using or enquiring about the service. The fees range from £365 to £665 depending on dependency needs. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was made to the home as part of a key inspection. It started at 14.00 and lasted 5¼ hours. Information already held on file was used to plan the visit. The main method of inspection used is called ‘case-tracking’, which involves selecting a proportion of residents, and looking at the care they receive through the checking of records, discussion with them, the care staff and observation of care practices. Three survey forms were received from relatives. Their thoughts on the home are based on their experience of the service provided by the previous owners. All feel the home responds appropriately when they raise concerns; one comments, “never needed to make a complaint.” The site visit focused on how the residents feel about the service provided and how the home meets their needs. Three residents’ assessments and care plans were examined to ensure the health, safety and welfare of the residents is checked and that residents are allowed dignity, autonomy and choice. A partial tour of the home was made and a sample of other records examined. Four staff on duty and all of the fourteen residents, including those being casetracked, spoke with the inspector. The manager was available throughout this inspection. What the service does well: The home is run by a competent, thoughtful, caring manager and team of support workers (care staff) who feel a high sense of satisfaction in their tasks and work at the home. The home provides a happy environment in which the residents feel safe, comfortable and valued. The residents are encouraged to take as active a part in the daily running of the home as they are able. They enjoy taking a very active part in the home and the good feeling that achievement in everyday activities can bring. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 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 Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has measures in place to ensure that anyone who wants to live there knows what to expect and what will be provided when they move in. EVIDENCE: The statement of purpose and service user guide are currently being updated to show the information of the new owners and management. No new residents have joined the home’s family since the new providers have taken over. The care plans show that detailed pre-admission assessments are in place for any prospective resident, for the manager to ensure the home can meet the needs of all who live there. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The care plans comprehensively describe the whole life of the resident to enable staff to care capably for them. Residents live the lives they want, within their limitations, with help and support from staff and the manager. EVIDENCE: Three residents’ care plans were examined in detail. All the care plans have been updated within the past two months and are now excellent documents which describe the person to whom they apply in great detail. They are person-centred, each being written in the first person, created by the residents with help, support and encouragement from their support workers. The support worker discusses the care plans thoroughly with the resident. They are then signed by both the resident and the support worker, where possible. Each Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 10 day’s activities are described in enough detail to clearly show the reader how the resident spends their day and how they feel. The manager audits the care plans with the support worker on a regular basis. Residents say they have choices and can make decisions about all aspects of their lives. This was clearly displayed during the visit to the home. Staff agree that the residents have choices and autonomy. They were seen to discuss with and ask residents what they wanted to do and residents confirm this happens all the time. One resident says, “I’m very lucky living here. I can do exactly what I want and the manager is lovely and I can talk to him any time and the staff are really nice and the people I live with are lovely. We’re a real family.” Comprehensive risk assessments are in place in every resident’s care plans for all aspects of their lives. These enable residents to take reasonable risks and live as freely as possible, with help from staff and other people with whom they are involved. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have full rights, responsibilities and choice in their lives at the home. Residents are offered a healthy diet, contribute to the whole food preparation process and enjoy their meals. EVIDENCE: As seen in the care plans and in discussion with residents, some attend day centres and local community activities. Some have attended college courses and obtained certificates. When the manager or staff go shopping, they always take at least one resident along to help them. Residents say they sometimes go to the pub or restaurant. The manager says that the company is buying a minibus-type vehicle with facility for up to two wheelchairs plus extra people to enable more residents to go out more often. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 12 Residents say their rights are respected. They have responsibilities for helping to maintain their environment. They help to keep their own rooms and their own home units clean and tidy. They can help in the garden. They help to prepare meals, both for their ‘pack-up’ and for meals taken together in the home. Residents and staff say visitors to the home are always welcome. Residents are encouraged to keep in touch with their relatives and friends. Two of the relatives, in their ‘Have Your Say’ survey, say that staff always keep them upto-date with important information at all times. In the home’s own last survey, a relative says that their home’s response to their phone-calls, the friendliness of the staff and the overall impressions of the home are excellent. Staff are aware of residents’ rights and preferences in respect of their need for privacy and dignity if residents wish for relationships with special friends. A nutritional specialist has offered advice on healthy eating which the residents and staff have taken ‘on board’ to provide an attractive and healthy choice at each meal. One staff says, “the manager is doing lots of changes: much more homemade foods like soups, bread, plenty of fresh fruit and veg.” All the meals are now prepared by residents with help from the support workers. Nearly all the bread is now home-baked by the residents, with assistance, using an electric breadmaker. However limited the residents are, they are given tasks to make them feel more part of the home family. The residents feel very proud of the contribution they make and thoroughly enjoy their meals and all other aspects of participation. Relatives of a resident visited and said, “They were making homemade curry and homemade bread and they’ve never had that before.” The manager says the next step is for all meals to be photographed and placed in laminated sheets to make it easier to ensure that residents with limited communication have full choice. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for safely and their needs are met by clear care plan documents, good liaison with other professionals and safe medication practices. EVIDENCE: When asked if the home gives the full support to the residents that the relative expects, one relative said they always do and two said, “Usually”. Residents say the staff are indeed their ‘support workers’; that they encourage residents to take full responsibility wherever possible; that the staff and manager are lovely. Residents who cannot put their feelings into words show, by their smiles and affectionate responses to staff, that they get on well and feel supported by them. The care plans show there is good connection between health and emotional needs, how these are being met and by whom. Liaison with healthcare professionals in the community is well-documented. A district nurse attends a Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 14 resident who has insulin-dependent diabetes. A nutritionalist has been visiting and advising on appropriate and healthy diets, which the residents and staff having been putting into practice with enthusiasm. The medication practices are in order, with staff knowledgeable about giving medicines safely and documents in place that are completed accurately and clearly. The home’s pharmacist visits regularly to audit their practices. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for considerately, safely and as they wish by staff who are concerned about their welfare and adequately trained in safeguarding them. EVIDENCE: No complaints or concerns have been received by the home or the commission since the new owners took over. A copy of the complaints policy is displayed publicly. In the relatives’ survey, one relative said they know how to make a complaint; another said, “never needed to make a complaint.” Much improvement has already been made to some aspects of the home, which were previously deemed as needing attention, and the residents and staff are happy with the results thus far. Residents say they can talk with the staff or the manager any time they are not happy, but they always are happy. Residents say and show they feel safe and secure in the home. One resident comments, “Thy keep us safe here. It’s a lovely place to live.” When asked if they are happy, another says, “Yes; definitely!” They are happy with all aspects of their lives. Several residents told the inspector they are very happy and there were a lot of smiles seen and laughter heard from both residents, staff and manager during the inspection visit. There is a very happy atmosphere in the home. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 16 Staff say they are trained in safeguarding adults. There are certificates in their files to confirm this. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, clean, homely and safe environment to ensure the residents are well cared for and feel ‘at home’. EVIDENCE: In the latest unannounced visit report (called Regulation 26 report) made by the provider to the home, it says a refurbishment plan is in place for all the work that is required. The aspects of the home that require attention in the coming months include re-decoration, new furniture and changing space around to give better facilities for all. The manager described some of the items for urgent attention. Some things already been done include new locks fitted to medicine cupboards; the hoist and fire extinguishers have been serviced; a toilet that has not been working for many years has had its plumbing problem sorted. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 18 The electrician was working on improving the electrical system during the inspection visit. One relative comments in their survey, “Since the new management have taken over, I have been told they are getting new aids for wheelchair residents. Which is excellent.” The Fire officer has visited the home, as has the Environmental Health Officer. The manager is awaiting the reports from both. The manager has chosen a new minibus for the home to enable more residents, particularly those who use wheelchairs, to join in the life of the home more fully. The manager says he has a ‘vision’ of the home becoming a ‘village within a village’, with residents being as self-sufficient as possible whilst maintaining close community links. Staff and residents say they are keen to help this become a reality. All residents were keen for the inspector to visit their rooms and see how they have personalised them and keep them clean and tidy, with help from staff where necessary. All areas of the home are clean and tidy. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are in safe hands with well-trained, supported, supervised and caring staff and management to ensure their comfort and well-being at all times. EVIDENCE: The duty rotas show staff work in sufficient numbers and skill mix to keep the residents safe and provide them with adequate care at all times. Extra staff are used for residents who need closer attention at certain times of the day. This means they can go to day centres or out on trips. Very few agency staff are needed. Comments from relatives in their survey include, “They are kindhearted and mean well.” “All staff always friendly and helpful.” One relative says, “They are wonderful with her now – the improvements she has made recently. We’re happy with the care – we think it’s marvellous.” The home’s policies and procedures, recruitment practices and staff files show that staff are recruited appropriately to safeguard the residents; most of the Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 20 staff have worked at the home for a long time; not many new staff work at the home. Induction is thorough and takes as long as necessary for the staff to feel confident in their practice and care. Staff say that from the time of the previous owners, training has been good: plenty of it and they feel well able to meet the needs of the residents at all times. The present owners and the manager say they will encourage staff to undertake more training as necessary. Certificates in the staff files show that a good level of training has been undertaken by all staff and that they know how to care safely and adequately for the residents. Staff say the manager explains the changes that need to be put in place; he is always listening to them and helps solve problems they may have. Staff say they feel very supported by him. The manager has started regular staff supervision although this has not been done for all staff yet. The manager says a new deputy manager has been recruited to start in July who will take over all the training programme and share some of the supervision of staff. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by an enthusiastic manager in the best interests and according to the wishes of the residents. Residents are safe, happy and enjoy living at the home whilst staff are happy in their jobs, are well-supported and enjoy coming to work. EVIDENCE: The manager is a trained nurse, has achieved the registered managers award and has previously managed another care home, having been in the care service for many years. He is in the process of registering as the home’s manager. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 22 Staff all say the manager is very supportive of them and the residents. The changes that are already been put in place have been done democratically. The manager explains the reasons for the changes he feels need to be made and he asks for and listens to suggestions made by staff and will take them ‘on board’. One staff says that an example is the way the manager explained about involving the residents a lot more, made it easy to understand and is always there to support and encourage staff in this aspect of their care. They say they can see the home is definitely improving dramatically. One staff says the best changes are in the menus, food preparation and the way residents are so involved in everything now. Residents are now included in all decision-making in the home. Regular resident meetings are held in each unit to make sure each resident has an equal say in how the unit is run, such as the menus and outings. Staff meetings are held regularly, both formally and informally. Staff say they can and do have their say at these meetings and at any other time. The providers now visit the home monthly, unannounced, and inspect all aspects of the home and resident care. They write a report, a copy of which is given to the manager and one sent to the commission inspector. Surveys for residents and relatives are also in the process of being developed. After these have been completed, the manager will collate the information and put improvements and residents’ wishes into place where possible. Staff say, “There is nothing I’m not happy about – we can always talk to the manager.” “I enjoy working here. The manager is always available.” The manager says the providers are very supportive and are ‘behind him’ for the improvements that have been identified that need to be made. Staff and the manager say that the health, welfare and safety of residents is paramount. This has been confirmed during the visit to the home. Safety checks on equipment have been undertaken; the manager has liaised with other professionals for advice and maintenance checks; regular maintenance of the home is done by local qualified people as necessary. Residents say they feel well-cared and safe for at all times. Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X X 3 X Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Greenfield Close Residential Home DS0000069229.V338050.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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