Inspection on 23/11/06 for Greenside Court

This inspection was carried out on 23rd November 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Greenside Court 28/01/09

Greenside Court 23/02/06

Greenside Court 21/09/05

Greenside Court 10/03/05

Greenside Court 28/05/04

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

CARE HOME ADULTS 18-65 Greenside Court Greenside Greasbrough Rotherham South Yorkshire S61 4PT Lead Inspector Janet McBride Key Unannounced Inspection 23rd November 2006 10:05 Greenside Court DS0000042561.V317922.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 Greenside Court DS0000042561.V317922.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. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greenside Court Address Greenside Greasbrough Rotherham South Yorkshire S61 4PT 01709 558465 01709 556277 greensidecourt@exemplarhc.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) Greenside Health Care Ltd Trudy Louise Duke Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20), Physical disability (20) of places Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 20 mental disorder places must be used only for clients with Huntingdon’s Disease. The admission of clients with a diagnosis other than Huntingdon’s Disease must be agreed with the NCSC prior to placement. (This is not intended to be restrictive, rather to support and recognise the specialist services provided at this Home) 23rd February 2006 Date of last inspection Brief Description of the Service: Greenside Court is a care home with nursing which caters for twenty adults, with physical or mental disabilities, including a 10 bedded unit specially designed for service users who suffer from Huntington’s Disease. The home was purpose built in 2003, and is situated in Greasbrough, a residential area of Rotherham, and is near to local shops and facilities. The home is on two floors connected by stairs and a passenger shaft lift. Each floor is similarly designed, with 2 lounges and a dining room, plus other communal facilities, and 10 bedrooms which are all single and en-suite including showers. There is a computer room and visitors’ room available. The bathrooms have bathing facilities suitable for people with physical disabilities. There are gardens around the home including a level patio area with seating and barbeque facilities. Fees range from £1238:43 to £3761:94per week, as at November 2006. Other extras are for hairdressing, chiropody, newspapers and magazines. The Statement of Purpose and the Service User Guide, is available on request, this has information about the services available to residents and their families. The homes last published inspection report was also available for residents and relatives. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this Key Unannounced Inspection, which took place on the 23rd of November 2006 for 6:45 hours. The home is registered for 20 beds and all beds were occupied at the time of inspection. Pre-inspection work was carried out for example, analysis of notifications and any other relevant documentation. During the inspection documentation and records were examined for example, medication, complaints, accident records, staff rotas, staff training files and case tracking of two residents care plans. These were cross-referenced with other relevant documentation relating to those residents. A tour of the premises and direct observation of staff interaction with residents was carried out throughout the inspection. Information was gathered from as many different individuals as possible for example individual interviews with members of staff, including the manager. Discussion with some of the residents and feedback from one visitor on the day. Six comment cards were left at the home for residents to complete, five of which were received back; their comments are included in the report. The inspector would like to thank all the staff and residents for their cooperation in the Inspection process, and any issues or concerns that were raised were discussed with the manager and operations manager at the end of the Inspection. What the service does well: Good atmosphere within the home and daily routines are flexible for all service users; during the inspection service users were observed to follow individual routines in their daily lives. Overall management of the home was good, there was a range of staff with experience and qualifications, with nursing registration in general, psychiatric or learning disability. Staff appeared enthusiastic, and worked positively with service users to improve their whole quality of life. Service users had the opportunity to take part in social activities, there were life skills co-ordinators employed to facilitate this and they work with individuals and groups in a variety of activities. Greenside Court DS0000042561.V317922.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. Greenside Court DS0000042561.V317922.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 Greenside Court DS0000042561.V317922.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&5 Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. Prospective service users have sufficient information about the services; all are individually assessed prior to admission to the service, to ensure that their needs will be met. Potential service users are encouraged to visit the home prior to admission. EVIDENCE: Prospective service users have information about the services provided the home offers a very specialist service; there was a lot of information available for visitors and relatives including the most recent inspection report. Care plans showed that all service users are assessed prior to admission to the home, one recent admission showed a very detailed assessment was completed, which covered the required elements and was also linked to care plans and risk assessments. They showed a very detailed plan of care that reflected any specialist interventions; the home has strong links to the relevant specialists for Huntington’s Disease (HD) such as the specialist HD nurse, and a medical consultant in Sheffield. Evidence of referrals and advice to these sources was seen in care plans. Training for all staff at induction included information about HD and its effects on service users and their families. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 9 The staff had a mix of skills to cover a range of needs for the service users, this was confirmed during discussion with staff and examination of training files and observation of interaction between staff and service users. Staff had the skills to communicate effectively with each individual service user by their preferred method of communication. Each service user has a contract/statement of terms and conditions with the home. Three of these were seen all stated room to be occupied and was signed by the manager and the service users or their representative. Fees were not clear and did not state the full fee charged, what was covered and by whom they are payable. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 10 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 Good. This judgement has been made using available evidence including a visit to this service. The home ensures that service users are assessed, assisted and supported to live an independent life so far as possible within the home, and make decisions about all their daily living needs. EVIDENCE: Two care plans were case tracked; one further care plan was examined re the service user exhibiting a lot of aggressive behaviour. All care plans seen were cross-referenced with medication and accident records. Each file examined contained a service user plan for activities of daily living showing interventions required, methods of communicating, choices and preferences. Linked to these were clear risk assessments, and behavioural triggers. Daily records are linked to plans which are reviewed monthly, evidence of this was seen, one care plan seen had a number of amendments following recent changes, and involvement of specialist services. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 11 Care plans showed that service users were supported in making decisions whenever possible, for those service users that were not capable of making decisions, or if they were to make unsafe decisions that may put them at risk, the home was able to evidence that they involve multi disciplinary team, families and advocacy. There was very detailed documentation in care plans to assess risks for service users, who are supported in taking risks as part of an independent lifestyle. Staff confirmed they completed risk assessments which identify the risk and the action taken to minimise this, agreed strategies were recorded in individual plans and reviewed monthly. Records of incidents show that the home responds promptly to these and ensure that the Commission for Social Care Inspection is informed. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 12 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, and discussion with staff. Service users rights, privacy and dignity were respected, and the home provided and promoted communal and leisure activities for service users, also they spent time outside of the home giving them opportunities to mix with other people. Service users are nutritionally assessed, offered a healthy diet weighed on a regular basis, and have access to a dietician and speech therapist when required. EVIDENCE: Evidence for all these standards assessed was gathered by examination of records, observation and interviewing staff members. Daily routines within the home were flexible for all service users; during the inspection service users were observed to follow individual routines in their daily lives, and service users have unrestricted access to the home and grounds unless risk assessment states otherwise. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 13 Key workers had completed service users life story to the time they were admitted to the home. This included information about their families, likes and dislikes, hobbies and various photos of families and outings. Staff supported service users to maintain family and friends links, and evidence was available to show that service users take part in leisure activities and send time in the community, for example, swimming, shopping and going out for meals to a local pub. Staff spoken to said they promoted independence and choice for service users in daily routines whenever possible and show respect for service users privacy and dignity. Staff were seen to knock on bedroom doors before entering, all service users received their mail unopened. At lunchtime the atmosphere was relaxed and unrushed, food served was of a good quality, and comments made about meals were positive. Service users requested alternatives or additional meals through staff or directly with the cook. Records show that all service users were nutritionally assessed, weighed on a regular basis, dietary intake recorded if required and had access to a dietician and speech and language therapist when required. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 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. 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, and supporting documentation. The promotion of personal and healthcare support to service users was good, medicines were managed and administered by the registered nursing staff. Health care needs were met through appropriate access to health care, and specialist care services and personal support that meets individual service users needs. EVIDENCE: The homes had a good skill mix of general, psychiatric, and learning disability nurses, each unit always had a nurse on duty 24 hours per day overseeing the care of service users; all service users are allocated a key worker. Care plans gave information about preferences regarding personal care, moving and handling, routines, specialist support and equipment required. There was appropriate equipment available for individuals, and tracking systems were installed to aid the moving and handling of service users. Health care is monitored and all the current service users were registered with a local GP practice, which appeared to give good support. Service user records Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 15 show contact information with a variety of health care professionals, and good links to the Huntington’s Disease (HD) specialist in Sheffield. Records confirmed that regular contacts were made with the specialist services; the manager said that a clinic was held at the home every three months to review service users healthcare needs. Service users were also offered annual health checks for example hearing and vision tests. The manager said that the home has all appropriate medication policies and procedures in place. The home uses the MDS system none of the residents administer their own medication and each service users has signed to give consent for staff to administer their medication, this form is stored and kept in their care plan. Recording and storage of medication was well ordered and safe, records were correctly completed. Reference information to explain the use and effects of medication was available. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 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. 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, examination of records and discussion with relatives and service users. Service users and relatives are provided with information to enable them to raise concerns or complaints about the home and their care, staff had knowledge and understanding of adult protection issues, which promoted protection of service users from abuse. EVIDENCE: There was a complaints procedure, which was displayed in the entrance hall and was available to all service users and visitors. Complaints records showed that the home had received two complaints since the last inspection. Records showed that these were investigated by the home and detailed what action was taken including feedback to the complainant. One anonymous complaint received by the C S C I was sent to the provider to investigate, the outcome of their investigation did not find any evidence to uphold this complaint. The issues raised in this anonymous complaint were about meals and menus, also staff attitude. All of which was looked at on this inspection, with no issues found. Discussion with relatives and service users on the inspection confirmed all felt able to discuss issues or areas of concern with members of staff and the manager. The home ensures that service users are safeguarded from any abuse, they have policies and procedures in place for staff to follow, and the training record shows that staff complete abuse training courses. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 17 Physical and verbal aggression by service users is dealt with appropriately; records show very detailed documentation regarding aggression and guidance in care plans. All staff had CRB and POVA checks before they commence employment; the company also repeat CRB checks every three years, which is good practice. Staff interviewed were found to have knowledge and understanding of adult protection issues, and were aware of the whistle blowing policy and who to refer this to. Records showed that any incidents or allegations are recorded, there were no adult protection issues raised during the inspection. The homes policies and practices regarding service users finances were also checked. All service users have personal accounts with records kept of any withdrawals, receipts and balance left. For those service users who do not have the capacity or any family to deal with finances the home use Citizenship First Appointee Accounts, this is a voluntary organisation that specialise in providing support to vulnerable adults, three service users are in receipt of this service. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 28, 29 & 30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Equipment is well maintained and renewal of equipment ensures that service users live in a safe and comfortable environment, with private space that allows them to have their own possessions around them. EVIDENCE: A tour of the premises found them to be in good condition, with a number of areas redecorated since the previous inspection, with some new carpets being fitted in the corridors on the day of inspection. The home was clean, odour free, tidy and warm, creating a pleasant and welcoming environment. Several bedrooms were seen; some residents had chosen décor for their own rooms and had purchased matching accessories, bedrooms were very personalised to reflect the interest of that individual. During the tour of the premises it was evident that the home have a range of comfortable, safe and accessible shared space with a wide range of equipment in use to meet the needs of the current resident group. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 19 The manager commented that specific equipment had been obtained for individuals and that advice had been sought from other professionals prior to purchasing this equipment. The home ensures maintenance checks are completed, and repairs are done when required; a refurbishment programme for the home was in place. The laundry was well organised and contained the required equipment, and meets the relevant standards. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 20 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): 31, 32, 34, 35 & 36 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service, and examination of records. Appropriate staffing and skill mix, to meet residents care needs, and on going development of staff to ensure they have the skills and knowledge to carry out their role. EVIDENCE: Staff members spoken to had sufficient knowledge and skills to care for the specialist needs of the service users and confirmed they had job descriptions and were aware of their roles and responsibilities within the staff team. Recruitment procedures were in place and a number of staff files were checked, records were excellent and very easy to follow, they contained all the relevant information as required by the standard. They confirmed the home operates a thorough recruitment policy, procedures and practices. Management support service users to be involved in the selection of staff. Training and development was discussed with both the manager and staff also examination of the homes staffing records. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 21 The home has a good mix of staff with experience and qualifications, the records showed what training staff had attended and what they required, this indicated that all mandatory training is planned for the year as well as other relevant training, for example customer care. The home has reached the 50 target of care staff who have obtained NVQ level 2 or 3. Supervision was discussed with staff who confirmed they receive formal supervision at regular intervals; staff also stated that they feel the manager is very supportive of any training they wish to undertake. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 22 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, 39, 40 & 42 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service, and inspection of records. Residents live in a home that is managed to ensure their safety and welfare are promoted and protected, and records required by regulation for their protection are maintained. EVIDENCE: The registered manager has overall responsibility for the home, when interviewed she stated that she tries to run the home in the best interest of the service users meeting the stated aims and purpose of the home. She has the relevant experience to manager the home and continues to work towards her RMA. The home has a number of quality monitoring systems in place for example accident analysis and incident reviews, medication and care plan audits. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 23 The operations manager visits the home and completes regulation 26 visit reports; copies of these were available. Satisfaction surveys of both relatives and residents are sent out annually and responses collated. Pre inspection questionnaire stated that the company have reviewed all the homes Policies and procedures in January 2006 this was confirmed when speaking to the manager. Health and safety was discussed with the manager, staff and records checked. All of which was found satisfactory, with staff being aware of health and safety policy and procedures. Fire safety records were all satisfactory, records showed that staff had received appropriate training and accidents and incidents are reported as required, those records seen were accurate and up to date. There is a business and financial plan for the home, which was updated in April 2006. Insurance cover is in place for the home and certificates seen were on display in the reception area along with the Registration certificate and the homes complaint procedure. Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 24 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 2 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 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 4 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 3 X 3 X Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 25 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. 1 2 Standard YA5 YA37 Regulation 5(1)(b) 9 Requirement Timescale for action 31/01/07 Service users must have up to date contract/statement of terms and conditions with the home. The registered manager should 31/03/07 complete NVQ level 4 in management. 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 Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Greenside Court DS0000042561.V317922.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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