Inspection on 25/04/07 for Hackworth House

This inspection was carried out on 25th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Hackworth House 06/01/06

Hackworth House 08/08/05

Hackworth House 04/03/05

Hackworth House 28/07/04

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

CARE HOMES FOR OLDER PEOPLE Hackworth House Cheapside Shildon Co Durham DL4 2HP Lead Inspector Mr Stephen Ellis Unannounced Inspection 25th April 2007 1:20 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 Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hackworth House Address Cheapside Shildon Co Durham DL4 2HP 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) 01388 773247 P/F lyn.bregazzi@durham.gov.uk www.durham.gov.uk Durham County Council Mrs Lyn Bregazzi Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 2006 Brief Description of the Service: Hackworth House is a long established care home for older people, provided by Durham County Council. Hackworth House is registered with the Commission for Social Care Inspection (since April, 2003) to provide up to 40 beds for older people requiring accommodation and personal care. People are accommodated in single bedrooms on two floors, all with wash hand basins, but none with en suite facilities. Most bedrooms are accessible by wheelchair users and some are fairly spacious. There is a large amount of communal space (such as lounges) throughout the building. All meals and beverages are supplied. The care home is not registered for the provision of continuous nursing care. However, all community nursing and medical services are supplied, just as they would be if residents were living in their own homes. A large health centre is located nearby. A separate, day care centre for older people is attached. The care home is situated close to the town centre and there is good access to it by road. It is set back off the road and consequently is fairly private, having a large front garden. The home was due to close towards the end of 2006, but was given a reprieve and currently there are no plans for its closure. The weekly fee is £432.32. The fee covers all accommodation, meals and personal care. Hairdressing, toiletries, newspapers, plus services from private opticians, dentists and chiropodists are not included in the fee. The actual amount people pay depends on their individual circumstances. Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3 hours. It included a tour of the building, examination of a sample of records and discussions with 14 residents and 6 staff. Feedback about the care home was also received in writing from 6 residents and 4 relatives. The overall quality rating for this care home is: ‘excellent’. This judgment has been made from evidence gathered both during and before the visit to this service. What the service does well: Residents and relatives said they were very satisfied with the care and facilities provided. Typical comments included “There is a genuine friendliness about the home in all levels of staff; the care home provides a caring and homely environment for the residents; everyone has been most helpful, and tried to make Mum at ease, and settle in to a strange environment; from our observations everyone is treated equally and with respect and dignity, whatever their need; they make my Mam feel like a person in the care home not just a number; the home is outstanding…I particularly enjoyed the baths provided by all care assistants, on a regular basis, as I don’t receive this at home and enjoy the one to one care, support and chat; I am very happy here, my family go away knowing I am happy and being looked after very well; staff are always on hand to help you when necessary, I am happy with the care and support that I receive; it’s like living in a top hotel, everyone is friendly and staff do their utmost to provide or help with anything anyone requests; I always receive medical help/advice when I am poorly, the staff would ask the doctor or nurse to visit me; there’s plenty of choice of meals and if you don’t like what’s on offer, they will change things for you. I’m a good eater and enjoy all my meals. Everything is lovely – like a hotel; at times I prefer to be on my own - I crochet a lot, and listen to radio/ watch TV, but I know if I wanted to, I could join with other people for bingo, quizzes, cards, dominoes etc.” They liked their rooms and described them as comfortable and pleasant. All residents spoken with said they enjoyed the meals and felt their preferences were well catered for. Residents and visitors get on well with the staff and would not hesitate to discuss any concerns or complaints with staff or management. They described a cheerful, happy environment. The home has a total of 8 communal rooms (such as lounges) including a smoking lounge on each floor, which allow residents to meet in groups of various sizes for a number of social and recreational activities. The home is generally well maintained. Staffing levels and staff training are very good. At least 90 of care staff members have achieved National Vocational Qualifications (NVQ) at either level 2 or 3. Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 6 There is a friendly, welcoming atmosphere. Management are keen to receive comments from residents and others about the quality of service provided by the home. The service is well run and the information provided to residents and prospective service users is detailed and explicit. 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. Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed and a contract which tells them about the service they will receive. EVIDENCE: Comments received from residents and relatives confirmed that full assessments of needs were carried out prior to admission to the home. They confirmed that there was enough information from which to make a choice about being admitted. A service user’s guide and statement of terms and conditions of residence are supplied routinely. These are helpful documents and the content is detailed and explicit. Large print versions are available. As one resident said: “There was more than enough information.” All residents questioned felt they had received enough information about the home before they moved in so they could decide whether it was the right place for them. Relatives took the same view. A representative comment was: “Any questions we have had have always been answered to our satisfaction.” Care plans revealed comprehensive, detailed assessments of need being carried out both prior to admission and afterwards, as confirmed by members of staff and Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 9 management. These assessments showed that the home only admitted people whose assessed needs it could meet. There are no intermediate care beds provided at this home. Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Residents and relatives said that service users’ health and social care needs were well known by staff and were being fully met. They said that the community nurse or doctor would see the resident whenever required. Residents are encouraged to keep their own GP when they move into the home, wherever possible, to promote continuity of health care. Residents’ personal and social care needs were well known, understood and respected by the staff team. Residents said that they felt they were treated with respect and sensitivity. Typical comments from residents and relatives included: “There is a genuine friendliness about the home in all levels of staff; the care home provides a caring and homely environment for the residents; everyone has been most helpful, and tried to make Mum at ease, and settle in to a strange environment; from our observations everyone is treated equally and with respect and dignity, whatever their need; they make my Mam feel like a person in the care home not just a number; the home is outstanding…I particularly enjoyed the baths provided by all care assistants, on a regular Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 11 basis, as I don’t receive this at home and enjoy the one to one care, support and chat; I am very happy here, my family go away knowing I am happy and being looked after very well; staff are always on hand to help you when necessary, I am happy with the care and support that I receive; it’s like living in a top hotel, everyone is friendly and staff do their utmost to provide or help with anything anyone requests; I always receive medical help/advice when I am poorly, the staff would ask the doctor or nurse to visit me.” These comments were supported by detailed, service user plans of care that were comprehensive and well maintained. Staff training in care (National Vocational Qualifications (NVQ) at levels 2 or 3) has included the important issues of privacy and dignity and more than 90 of care staff have achieved these qualifications. There are good arrangements for the safe administration of medicines. All staff members responsible for medicines have completed Safe Handling of Medicines training. There is good support from a local Pharmacist who supplies most of the medication in monitored dosage blister packs. There are good storage systems and staff thoroughly check all medication when it is received into the home. The home requires medication to be administered only from the container(s) into which the pharmacist dispensed it originally. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication, but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are promptly returned to the pharmacist. The home is careful not to stockpile large quantities. Senior staff confirmed that medicine audits are carried out routinely and that the local pharmacist provides consultation and advice. Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: Residents and relatives said that service users enjoyed living at the home and got on very well with the staff. All described the staff as being kind and helpful. Typical comments included: “There are always activities arranged by the home that I can take part in; they’re good fun; I like to join in anything that is arranged for us, I enjoy the social nights and sing a longs; I enjoy reading my daily newspaper which I have delivered and don’t always want to join in ‘activity’ sessions, I like the quizzes; at times I prefer to be on my own – I crochet a lot, and listen to radio/ watch TV, but I know if I wanted to, I could join in with other people for bingo, quizzes, cards dominoes etc..” Residents and their relatives confirmed that service users could choose how they spent their time in the home and were free not to join in activities and social events if they did not wish to. The home provides a full programme of social and recreational activities. This has included outings to places of interest, quizzes, social evening on Saturdays which might include a film, visiting hairdresser each week, manicure sessions, raffles, tombola, coffee mornings, sweet and shop trolley services, bingo, dominoes, local shopping, visiting entertainer Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 13 (about every 6 weeks), birthday parties, monthly residents’ meetings, visits from ‘Create’ who provide a variety of recreational and reminiscence services, plus religious services. The home also provides a magazine called “The Hackworth Herald” that is written and distributed by the home every 3 months. Residents, relatives and staff confirmed that relatives and friends may visit at any reasonable time and are always made welcome. All residents spoken with said they liked the meals at the home, many describing them as excellent. A typical comment was: “The meals are of a high standard – like you would expect going out to a restaurant. Ample choices are available; if I do not fancy anything on the menu, the Cook will make me something else.” There was a good choice of menu and residents’ preferences were catered for wherever possible. Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a robust, effective complaints procedure and are protected from abuse. EVIDENCE: All residents and relatives said that they were confident about approaching staff and management about any concerns or complaints they might have. They described the staff and management as being very approachable, helpful and friendly. A written complaints procedure is provided in the statement of purpose and service user’s guide. Staff and management are aware of the need to safeguard adults from abuse or neglect and have undergone training in these issues. They are aware of the home’s ‘whistle blowing’ policy, which encourages staff to speak out about any suspected abuse. All staff members have had enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks carried out as required by law. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. Staff confirmed that new staff members go through induction and foundation training so that they have the right knowledge and skills to do their jobs competently. Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, wellmaintained and comfortable environment, which encourages independence. EVIDENCE: There were no unpleasant odours and the home was found to be clean in all the areas inspected. All care staff members have completed training in health and safety, fire safety, food hygiene and infection control. Residents said that they were pleased with the premises, finding them comfortable and homely as well as practical. They also described the home as being clean. The home is generally well maintained, with repairs and servicing being carried out promptly and according to schedule. Since the last inspection, a number of improvements have been made, including: A new waste disposal system that was fitted in January 2007 and a new refrigerator that was purchased in July 2006. One oven and one food hot lock have been replaced. Bearings have been replaced in one kitchen extractor fan. A new dishwasher is being ordered. Ground floor bedrooms and the main lounge on the ground floor have been redecorated and are awaiting new carpets. Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: At the time of inspection, there were 28 residents being accommodated. Typically, during the day (7 am to 10 pm) there are four care assistants on duty plus one residential supervisor on the Early shift and 3 care assistants plus one residential supervisor on the Late shift. In addition, there is one service user who has one to one care input between 8 am and 8 pm. At night, two care assistants are on duty. A full time registered manager works weekdays. There is a part time administrator and a full time maintenance officer. Domestic and catering staff members are deployed in sufficient numbers to meet the needs of the home. Residents said that staff members were available in sufficient numbers to provide timely assistance when required. People did not have to wait very long for help with personal care. The home is routinely employing agency care staff, but these tend to be the same staff each week, which helps provide continuity of care. Residents and staff members did not discriminate between permanent and agency staff. They were all well regarded by service users. A typical comment made by residents was: “I felt at home as soon as I arrived. Nothing’s too much trouble for them”. There are very good staff training arrangements at this home. Over 90 of care staff have achieved National Vocational Qualifications (NVQ) at level 2 or above, which is commendable. An impressive staff training and development programme is operating at the home, including customer care, fire awareness, Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 17 equality and diversity, positive dementia, moving and handling, first aid, safe handling of medicines, safeguarding adults, health and safety, infection control and food hygiene. Staff confirmed that they had undergone extensive induction and foundation training, plus NVQ where appropriate. Records of staff training are well maintained. Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: The registered manager is experienced, well qualified and competent in her role. For example, she has completed the Registered Manager’s Award at NVQ level 4. Residents, relatives and staff spoke well of her leadership skills and commitment to good outcomes for residents. Staff confirmed that they participate in regular supervision sessions, as recorded in individual staff files. The manager has planned a full programme of staff supervision sessions for 2007. Residents and relatives frequently described the management and staff as being approachable and caring. A representative comment received from a relative serves to illustrate the situation very well: “This is our first experience of care homes, but we are really happy with the help our relative is given, and Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 19 the care she receives. We are just happy Hackworth House has been kept open, and helps meet the needs of people in Shildon. The staff are very good. From our observations, everyone does their utmost to make clients at ease, comfortable and wanted.” Good accounting procedures are followed, with receipts and signatures obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives help look after the personal monies of many residents. In those situations where the home assists with residents’ monies, clear individual records are maintained. Each resident has an individual bank account. Comments received from staff and management confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and staff. All staff members do refresher training in Health and Safety, such as moving and handling, fire safety and food hygiene. This helps reinforce the registered provider’s written policies on Health and Safety. Health and Safety issues are also discussed at regular staff meetings and in staff supervision sessions. Residents, relatives and staff expressed satisfaction with the way the home was run and the good standards that were evident in many instances. They felt the home was safe and run in the best interests of residents. The registered provider’s representative visits the home monthly to check on the welfare of residents and the progress of the home and makes a comprehensive, written report. The manager routinely invites comments and suggestions for improvements from both residents and visitors to the home, via regular meetings, surveys and consultations. One resident recently had her poem published in a regional paper in which she said: “Home, Home, Sweet, Sweet Home Hackworth House is splendid Yes, there’s no place like HOME.” Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 20 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 3 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 x 4 x x 4 Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 21 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 Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Hackworth House DS0000031222.V332706.R01.S.doc Version 5.2 Page 23 - 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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