Inspection on 10/05/05 for Hall Road

This inspection was carried out on 10th May 2005.

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

The inspector 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

Hall Road 12/06/08

Hall Road 12/06/07

Hall Road 26/06/06

Hall Road 30/11/05

Hall Road 10/02/05

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Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 Hall Road 7 Hall Road Wallington Surrey SM6 0RT Lead Inspector Deborah Yapicioz Announced 10 May 2005 09:30 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 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 Stationary 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. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hall Road Address 7 Hall Road Wallington Surrey SM6 0RT 020 8254 9895 020 8669 1288 mail@independencehomes.co.uk Independence Homes Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Susan Jane Parish Care Home 7 Category(ies) of Learning disability (7) registration, with number of places G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Bedroom 7 is for the use of a service user in a wheel chair only. Date of last inspection 10/02/05 Brief Description of the Service: 7 Hall Road is a large, detached house situated in a residential road in Wallington, fairly close to local shops and local transport links. Hall Road is registered with the Commission for Social Care Inspection to offer care and support to service users between the ages of 18-65 with epilepsy and severe learning disabilities. The home opened in July 2004. The registered provider is Independence Homes limited. Care and accommodation is provided on the ground and first floors with the second floor providing office space and staff facilities. The home also has a garden to the rear of the property. The home has their own transport in the form of one wheel chair accessible vehicle and another “standard” vehicle. The registered providers have installed a lift and other environmental adaptations to ensure the home meets the needs of the service users G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was Announced and started at 9.30 a.m. The home was inspected under the National Minimum Standards Care Homes for Younger Adults. The inspection took place over one day. Methods of inspection included a tour of the premises observation of contact between staff and service users, interviews with two members of staff and discussion with the home manager. A large number of comment cards were returned to the Commission for Social Care Inspection as feedback from service users and relatives. Records examined included service user plans; care manager needs assessments and risk assessments, medication records, complaints, staffing records, staff files, health and safety and fire records. I would like to thank the service users and their relatives for their feedback and the staff and management of the home for their support on the day of the inspection. What the service does well: What has improved since the last inspection? The home has been opened since July 2003 and the home manager has done well in establishing systems and procedures for the efficient running of the home. There have been some “teething” problems with the reporting of incidents although the home manager plans to discus policies and procedures at the staff team meetings, which should increase awareness of issues such as confidentiality. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 6 The home has two requirements from the unannounced inspection on 10th February 2005. The first requirement was to obtain a copy of the local authority Adult Protection Policy and the second was to compile a service users guide. The home has met both these requirements. 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. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,,5 The home provides information in a format that service users can understand, as well as introduction opportunities for prospective service users and their families to assist them to make an informed choice about moving to the home. EVIDENCE: The home has a statement of purpose and a Service users guide in place. This is attractively presented in an easy to read format and provides a comprehensive outline of the services that are offered by the home The service user guide has been put into a widget symbol format, which is suitable for the service users at the home. The home manager has compiled a questionnaire for service users and their families, which she plans to send out in the near future. Service users are only admitted to the home once a full assessment of their needs is completed. The organisation has a pre-assessment format. The service users files looked at during the inspection all contained in depth clinical and medical assessments completed before the service users moved into the home. The introductory assessments include details on the service users background, education, allergies, medical history, and interviews with the service users and details of how the home will meet their needs. For some of the service users, introductory visits to the home were limited due to the building works at the time, although all the service users now living at G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 9 Hall Road had a planned transition to the home from their previous residences. Any service users moving to the home would have the opportunity to visit the home as part of the introduction process. The service users contracts were not available at the time of the inspection as they are held at “Independence Homes” head office. A copy of the service users Contracts should be held on service users files at the home. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 678910 The service users have individual care plans, which are regularly updated and detailed their care needs and personal goals. The home enables the service users to participate in activities in the home and in the community with appropriate support by ensuring that risk assessments are carried out. EVIDENCE: G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 11 of the service users has a “Fundamental Care Plan”, which is regularly updated and detailed their care needs and personal goals. The plans follow on from the initial assessments completed by their care manager. These plans cover all aspects of care, such as the client’s physical skills, their communication ability, self-care skills, health, behavioural issues and community living skills. Information is also available in respect of service users’ preferred likes and dislikes and any dietary needs. A copy of the fundamental plans is also kept on the daily file as well as on the service users individual file. They are reviewed on a monthly basis “in house”. The home manager also meets regularly with the funding authority. Each of the service users has had two formal reviews since moving to the home approximately a year ago. Independence Homes run client forums as a means of encouraging the service users to participate in the decision making process. The home has a key worker system and offers one to one staffing ratios. Part of the role of the key worker is to advocate on behalf of the service user. The home operates a risk management system Service users at the home have individual risk assessments depending on their needs and goals. Copies of individual risk assessments are kept on the service users file and cover a variety of situations including bathing and going into the community. Each staff member must initial risk assessments to show that they are aware of them. The manager also explained that due to the needs of the service users, risk assessments state that a member of staff will always assist service users with bathing. Each member of the staff team has received training on how to respond when a service users has a seizure in the bath or shower. The home has a call bell system in place. Environmental risk assessments were also available. The home has a confidentiality and whistle blowing policy and staff receive training during their induction period. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17 The service users are offered the opportunity to engage in age appropriate activities with an emphasis on using community based facilities. The daily routines and house rules promote residents’ rights and encourage independence. Dietary needs are catered for with meals that are nutritionally well balanced, nicely presented, and clearly based on the service users food and drink preferences, providing them with daily variation and healthy eating options. EVIDENCE: Activities are provided on a one to one basis. The staff team work with the service user group on a rotation basis. There is a strong emphasis on service users using the community and the home has two vehicles. One of the vehicles is wheelchair accessible. The service users also have a bus pass. The activity programmes are initially based on the original assessments completed during the induction process. Once a service user moves into the home activities are developed depending on needs and goals. The home employs ten therapists who work alongside the staff team at the home to devise individual programmes for the service users. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 13 These include a speech and language therapist, occupational therapist, music therapist, reflexologist, complimentary therapist, physiotherapist, nutritional therapist, drama therapist and a psychologist. Each service user has a copy of their timetable in their rooms as well as on their files. The home has planed an annual holiday for each of the service users. The home manager informed the inspector that some of the service users at the home have particular dietary needs such as “gluten free” or “dairy free” meals. To this end the home employs a nutritional therapist who works along side the cook to provide a balanced diet that takes into account the various needs of each individual service users at the home. For example the cook makes her own tomato ketchup and mayonnaise, which takes into account the service user allergies. The nutritional therapist employed by the home “agrees” the menus with the cook. They are very detailed and include preparation details for each meal so that any food intolerances are taken into account. The staff team at the home have had training to improve their knowledge of why some service users have a particular diet. A record is kept of what each service user has eaten. Some of the service users also take food supplements, which are prescribed after detailed background information and relevant information has been gathered. This exceeds standard 17. The staff team at the home encourage service users to remain in contact with family and friends who can visit regularly. The home manager feels that the home has formed good relation ships with the service users families. Family and friends are made aware of the home’s visiting policy and there are few restrictions about when people can visit. Some service users also have regular weekend visits with their parents. The home has a key worker system and it is part of their role to keep parents and carers informed of their progress. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20,21, Personal care is carried out in a way that residents prefer so that dignity and choice are maintained. Residents’ physical and emotional health needs are met by this home. Residents’ medication is well managed to ensure good health. EVIDENCE: The service users at the home all need a high level of support with their personal care. The level of support a service user needs would be detailed at their review meetings and their preferred routines are set out in their files and personal records. The service users at Hall Road are registered with a local General Practitioner. They are able to access community health facilities such as dentists as required. Any seizures are recorded and each service users has access to a neurologist. The home manager informed the inspector that she meets monthly with the Director of Care to discuss patterns of seizures and any concerns. Service users are supported to attend outpatient appointments and other medical appointments as required. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 15 The inspector noted that up to date records of all the healthcare appointments service users attend, including visits to their General Practitioner and dentist are kept by the staff team. Records examined showed that all medicines administered are recorded on Medicine Administration Record Sheets, which were up to date at the time of the announced inspection. The home also uses a medication “prompt” board, which means staff are able to see at a glance that all service users have had their medication. The home has a policy and procedure in place for the receipt, recording, storage, handling, administration and disposal of medication. As part of their induction staff at the home attend a “familiarisation” course, which includes medication training. All staff are also trained in the administration of rectal Diazepam. The home uses a “nomad” system for medication. Medication at the home is held securely in a locked drugs trolley, which is secured to the wall. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 23 The home’s complaints policy and procedure, facilitates good access to the complaints system for the residents, their family or their representatives. The home have policies in place to ensure the protection of vulnerable service users. EVIDENCE: The complaints procedure was clear and contained all of the elements required to meet standard 22 including a minimum response time of less than 28 days. The complaints procedure is also in a symbol format. The home has a copy of the local authority Adult Protection Policy on site, although the home manager has not yet completed the London Borough of Sutton training. The staff team at the home have had training regarding Adult Protection Issues provided by “Independence Homes”. The home manager commented that the company is currently reviewing the content of the training. The home has recently reported an issue to the local authority around an adult protection issue. The matter was reported and is being investigated according to the local authority Adult protection policy. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29,30 The home is homely, bright and clean thus providing the service users with safe, comfortable surroundings that meet their needs. EVIDENCE: G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 18 7 Hall Road is a large, detached house situated in a residential road in Wallington, fairly close to local shops and local transport links. Care and accommodation is provided on the ground and first floors with the second floor providing office space and staff facilities. The home has a sensory room and therapy rooms as well as a communal lounge and dining room. There is a cellar, which is used for storage. The home also has a garden to the rear of the property. The home has their own transport in the form of one wheel chair accessible vehicle and another “standard” vehicle. The home is beginning to show some signs of “wear and tear” and the carpet in the lounge area is stained and should be cleaned or replaced. All seven bedrooms meet the minimum standards with regards to size six bedrooms have ensuites, which consists of toilets and wash hand basins. One bedroom does not have an ensuite. It is a condition of registration that this bedroom is only used by wheelchair user (where a normal sized ensuite would not be suitable). A disabled toilet and bathroom are close to the bedroom just along the corridor. There is also a Parker bath on the first floor and a bath with a bath lift on the ground floor. Each of the service users bedrooms has been individualised according to their interests. The registered providers have installed a lift and other environmental adaptations such as ramp to the front and back doors as well as hoists, to ensure the home meets the needs of the service users. On the day of the inspection, the home was comfortable, bright, well ventilated and free from offensive odours. The home was clean and tidy at the time of the inspection. The home has appropriate laundry facilities separate from the kitchen and the preparation of food. The washing machine is capable of washing clothes at high temperatures, which helps with the control of infections. The laundry has suitable flooring. There is a locked cupboard for the Control of Substances Hazardous to Health products in the laundry room. The home has policies and procedures on the disposal of clinical waste. The house is indistinguishable from any other in the road, and is suitable for purpose. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36 The staff team training ensures that maintain and up date their skills and abilities, which enable them to meet the needs of the service users living at the home. The staff team have all had Criminal Records Check, as a safeguard to offer protection to the homes service users EVIDENCE: The staff job descriptions were comprehensive in there content and linked to achieving service users goals, as set out in their individual care plans. The manager has obtained copies of the General Social Care Council’s (GSCC) code of conduct for her staff team in keeping with recommended good practice. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 20 “Independence Homes” offers a wide range of training opportunities to staff at all levels within the home. Information supplied prior to the inspection indicated that staff had been able to access a number of training courses during the past year, including food hygiene, fire training, first aid training, manual handling, health and Safety and LADAF. Three staff at the home are in the process of completing a national vocational qualification at level two or three. All other members of staff are doing LADAF training, which will then link in to the national vocational qualification framework. As mentioned before staff at the home completes induction training (known as familiarisation) the signed induction sheets are kept on staff files. The staff team also receive training in a wide range of suitable courses relevant to the needs of the service users, including basic food hygiene, moving and handling, health and safety, fire, medication, first aid, understanding and controlling epilepsy. The home has some vacancies, which the manager hopes to fill in the near future. Staff supervisions also include a questionnaire on epilepsy and seizures. Criminal Records Checks are completed before a new member of staff can be placed in a home. Criminal records checks were seen on all staff files looked at during the inspection. The home has also completed Criminal records checks for all the therapists. Staffing is provided on a one to one basis and the staff members are allocated to a service user at the handover meetings. There ate two staff members on duty each night. Staff meetings take place on a regular basis. Staff supervisions and appraisals are up to date. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38, 39, 40, 41,42,43, The management style is open and transparent with clear lines of accountability, which is aimed at ensuring the well being of the service users. EVIDENCE: Ms Susan Parish manages 7 Hall Road. She has been in operational day-to-day control of the home since the home opened and was also involved in the registration process. She has substantial experience in residential and day care settings in different care and management positions Ms Parish is registered with the Commission for Social Care Inspection as the home manager. Ms Parish has completed her National Vocational Qualification level four G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 22 Records required for the safety and well being of service users are in place including accidents, water temperatures, complaints, incidents, food records, fire records, staff and service users case files, medication records and so forth. Administration and record keeping at this home is generally of a good standard. Copies of the homes policies and procedures are kept in the office and the staff members spoken to were aware of where to locate them. In addition to formal meetings the staff spoken to, felt that there were informal opportunities to discuss ideas or matters of concern. The home has an “open door” policy and the staff team are welcome to speak to the manager at any time. The home manager has designed service questionnaires and plans to sent them out in the near future. The home does not currently have a business plan in place. The home should implement a business plan, which will set out the home aims for the year and can tie in to the staff annual appraisals and the homes quality assurance systems at the home. G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 2 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 4 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 2 G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 24 no Are there any outstanding requirements from the last inspection? 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. 3. 4. Standard 43 24 5 23 Regulation 24.-(1) 23(2)(d) 12(5) 13.-(6) Requirement The registered provider and home manager must implement a buisness plan for the home The registered provider must replace the stained carpet in the communal lounge. A copy of the service users contracts must be kept on their file. The home manager must attend the London Borough of Sutton course on its Adult Protection policy and procedures. Timescale for action 31/10/05 31/10/05 31/10/05 31/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor, Grosvenor House 125 High Street, Croydon CR0 9XP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI G53-G53 S60793 HallRoad V211349 100505 Stage 4.doc Version 1.30 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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