Inspection on 19/07/07 for Hamilton Court

This inspection was carried out on 19th July 2007.

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

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

Other inspections for this house

Hamilton Court 08/05/06

Hamilton Court 12/09/05

Hamilton Court 30/06/05

Hamilton Court 06/10/04

Hamilton Court 18/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Hamilton Court 50 Smith Crescent Coalville Leicestershire LE67 4JE Lead Inspector Linda Clarke Unannounced Inspection 19th July 2007 01:45 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 Hamilton Court DS0000035561.V341256.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. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hamilton Court Address 50 Smith Crescent Coalville Leicestershire LE67 4JE 01530 831767 01530 835046 awilson@leics.gov.uk www.leicestershire.gov.uk Leicestershire County Council Social Services 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) Mrs Avril Wilson Care Home 10 Category(ies) of Learning disability (10), Sensory impairment (1) registration, with number of places Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No one falling within category SI may be admitted into the home when there is 1 person of category SI already accommodated within the home No one falling within category SI may be admitted to the home unless that person also falls within category LD ie dual disability Named Service User To be able to admit the person aged over 65 years of age who falls within category LD(E) named in correspondence from the Leicestershire County Council dated the 2nd July 2003 8th May 2006 Date of last inspection Brief Description of the Service: Hamilton Court is a care home providing personal care and accommodation for 10 adults with a Learning Disability. The home is located on the outskirts of Coalville, where local facilities and amenities can be found. All bedrooms are single and without en-suite facilities. The home has a large rear garden, and includes a conservatory. Accommodation is provided over two floors, access to the first floor is via stairwells, and is made up of two semi-detached houses, which have been linked together on the ground floor. Information is located on site detailing the range of services offered, which includes the Statement of Purpose, in addition to this Hamilton Court has copies of the Commission for Social Care Inspections, Inspection Reports, which are located in the main office and are available upon request. The maximum weekly fee is £770, which was provided on the after the site visit. There are additional costs for individual expenditure such as Optician and hairdressing services and recreational activities the fee will depend on the services received. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, which included viewing the previous Inspection Report, reviewing of the Annual Quality Assurance Assessment (AQAA), and Comment Cards sent to service users by the Commission for Social Care Inspection, six service user and zero relative Comment Cards were returned. The unannounced site visit commenced on the 19th July 2007 and lasted four hours. The focus of the inspection is based upon the outcomes for the service users. The method of inspection was ‘case tracking’. This involved identifying service users with varying levels of care needs and looking at how these are being met by the staff at Hamilton Court. Two service users were selected and discussions were held with both of them, additionally two other service users were spoken with. The method of case tracking included the review of service users’ individual care records, discussions with staff of various delegated responsibilities within the home and reviewing the records, training records and the minutes of service user and team meetings. The questions answered by service users within their comment cards were in the main complimentary and additional comments included: • • I can join in activities or outings. I can stay at home if I want to. I can ask to go out. I go to the day centre most days. What the service does well: Documentation for service users, covering a variety of topics such as Person Centred Plans, Health Care Booklets and the minutes of Service User Meetings are provided in large print, and in colour supported by pictures and symbols to promote service users understanding of their content. Service users are supported and have had their needs re-assessed which recognised that their needs are being met by the staff of Hamilton Court, who have the experience and training both individually and collectively to support service users. Service users benefit from care plans that identify their individual care needs, and the support they require in order to lead an active lifestyle, which supports their choices, aspirations and goals. Service users benefit from a variety of recreational and leisure pursuits both during the day and the evening, which includes contact with relatives and friends, and joining in fund raising events. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 6 Service users health and personal care needs are met, and they access a variety of health care specialists, with service uses having the benefit of Health Action Plan Booklets, providing a record of service users health care checks. Service users are supported by staff that are trained in subjects, which improve the quality of care service users receive. Service users are encouraged to share their views, on a day-to-day basis with staff, at Service User Meetings and through the Home’s Quality Assurance process and are involved in the recruitment process for new staff. 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. Hamilton Court DS0000035561.V341256.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 Hamilton Court DS0000035561.V341256.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, 3 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs have been re-assessed; confirming that the care they receive is appropriate. EVIDENCE: The records of two service users were viewed, both having lived at Hamilton Court for many years. Their initial assessments are therefore of little relevance however both had recently been re-assessed. The assessments identify that their needs are being met and will continue to be met at Hamilton Court. Service user needs are met by a staff group that receive training relevant to the care needs of service users to which it provides a service, the staff group reflect the cultural, age and gender needs of the service users. Service users have lived at Hamilton Court between five to twenty-five years and are settled in the Home and its surroundings. Additionally staff have received training in how to support and manage specific behaviours of individual service users following a recognised technique used for people with a Learning Disability. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 9 Service users whose records were viewed had a Placement Agreement, which details their terms and conditions of occupancy and there financial contribution towards their care, both were dated the year 2004, and therefore it is recommended that these be reviewed annually, to reflect current fees and any other changes. The Placement Agreements are produced in large print supported by symbols to enable service users to have a better understanding of their content. Hamilton Court DS0000035561.V341256.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users independence is promoted and they are supported to make individual decisions in all aspects of their life that have a direct impact on the quality of care and choice of daily lifestyle. EVIDENCE: The care plans of two service users were viewed, the care plan initially provides a brief outline of the service users previous life prior to their moving into Hamilton Court, including information as to their education, family, relationships and working life. The care plan then goes onto to detail the needs of the service user in relation to their physical and mental well-being, and every day living such as the management of personal care, receiving of mail, daily living skills such as shopping and financial matters. In some instances potential risks have been identified, these are managed by the undertaking of a risk assessment, which promotes the welfare and safety of service users whilst supporting service user choice and freedom. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 11 Person Centred Plans support service user care plans, and are written from the service users perspective and are produced in colour and include signs and symbols for ease of reference by the service user. The document provides additional information such as the service users goals and aspirations likes and dislikes and focuses on their social and recreational needs, day and college activities. Care plans and Person Centred Plans are regularly reviewed, the daily records of one service user recorded that the Person Centred Plan and the care plan had been reviewed with the service user. Daily records and care plans of two service users detailed the decisions they make, examples of these were the level of support they require in relation to managing financial matters, there interest in politics and whether they wish to vote, as well as day to day issues such as declining to take their medication or getting up, what trips they wish to participate in and whether they want to go on holiday. Hamilton Court DS0000035561.V341256.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, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy, experience and participate in different activities of interests and are supported to maintain their preferred individual daily routines and choice of lifestyle with the support of the staff. EVIDENCE: Service users in the day in the main go to a day centre or College with transport being provided. Care plans and Person Centred Plans record service users likes and dislikes in accessing leisure and recreational events, information is detailed as to their contact with family and friends and their day time occupations. Information on service users communication style is also incorporated, and includes signs and gestures the service user may use to indicate their feelings. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 13 The leisure interests of the two service users were wide ranging, and daily records detailed that they have an active life with regards to leisure activities these included visiting shops, hairdressers, playing dominoes, going to a party, visits from and to relatives including telephone calls, holiday to Butlins at Skegness, a day trip to Bridlington, watching TV and going to the pub. Care plans and Person Centred Plans outlined service users preferred daily routines, including their preferred time for getting up/going to bed, how they wish to spend their evenings, their view as to voting, having a key to their bedroom and the support required for dealing with their mail. Service users upon returning home were greeted by staff and fellow service uses, all talking as to their day. Service users sat watching television, one lady set making items with wool, others were in their bedroom whilst some sat in the garden or conservatory, one lady going outside for a cigarette. Fund raising events are organised to raise money to benefit service users at Hamilton Court, fund raising events included a Christmas Disco, a quiz night and a bingo evening, these events are held at various locations, to which service users and their relatives are invited. The tea time meal was served, service users ate their meal in a relaxed and unhurried environment, choices are available, the dietary preferences of service users are well known, as they have lived at Hamilton Court for some time. Information in one service users care plan identified specific areas of concern, which put them at risk of choking. The service user was supported during the meal, the service user being aware of their needs, and spoke with staff throughout the meal for reassurance. Following the meal the service user requested that they go for a walk, a member of staff going with them, this routine being part of their care plan. Hamilton Court DS0000035561.V341256.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user health care needs and independence is promoted by receiving timely care and support. EVIDENCE: Care plans detail the support service users require with regards to their personal care, environmental improvements enable service users with a physical disability or conditions associated with older age to be cared for, these include the installation of accessible bathing/shower facilities. Service user needs with regards to their healthcare are detailed within their care plan and access to health care is recorded within their daily notes. Service users access a variety of health care facilities, which include Specialist Consultants, in Psychiatry and Optometry, and visits to the Dentists, Chiropodists and General Practitioners. Staff receive training in the administration of medication, and information as to a service users prescribed medication is detailed in the care plan and is regularly reviewed. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by a complaints procedure and by staff trained in safe guarding adult processes. EVIDENCE: Service users are very relaxed when at Home and openly discuss any issues, which they are concerned about; additionally service users participate in meetings, which are held on a regular basis. The Commission for Social Care Inspection has not received any concerns in the last twelve months with regards to Hamilton Court, and Hamilton Court has not had any concerns raised directly with them. Hamilton Courts own quality assurance process, which incorporates the sending out of surveys to service users and their relatives, has identified that in some instances relatives are uncertain as to the complaints procedure of Hamilton Court. The Registered Manager has identified this shortfall and produced a report, which highlights this is to be addressed. Staff receive training in how to look out for signs of abuse and how they are to respond if they have any suspicions or concerns. Policies and procedures detail the action that staff are to take should that have any concerns with regards to service user welfare. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 16 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: Hamilton Court is currently in the process of having alterations to the property, two of the semi-detached properties are in the process of being converted for the use of ‘Supported Living’. Additionally Hamilton Court is being extended to the rear, which will provide two ground floor bedrooms with en-suite facilities. The work to the property is having some impact on service users in that laundry facilities for service users in Hamilton Court are currently housed in the ‘Supported Living’ accommodation. The Assistant Manager advised that they’re working hard to progress the building work. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 17 Environmental improvements include improvements to bathing/shower facilities, for those with a physical disability and a level access ramp to the front of the property makes access to the front door easier. The recently added conservatory is furnished, however some equipment is stored in this area including the office Personal Computer and desk, whilst improvements are made. Communal areas are decorated and furnished to a high standard, and provide a homely and comfortable Home for service users to live and relax. There is an open plan living and dining room, with the conservatory leading off from the dining area. Bathing and bedroom facilities are on the first floor, with access to the first floor being via stairwells. Hamilton Court benefits from a large rear garden, which is accessible from the lounge and conservatory, the conservatory access being in the way of a ramp. The garden is mainly laid to lawn, with mature trees, plants and shrubs. There are areas for seating including a patio. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of trained staff are recruited through a robust recruitment process ensuring that service user care and social needs are individually, collectively and safely met. EVIDENCE: Information supplied by the Registered Manager prior to the site visit stated that there are two fulltime and twelve part time staff employed at Hamilton Court, of which 46 have attained a National Vocational Qualification in Care at either level 2 or 3, in addition there are three members of staff working towards the Qualification. Newly appointed staff have a detailed induction period, and have a booklet to work through, and competence is ‘signed off’ by their supervisor. Newly recruited staff then undertake LDAF (Learning Disability Award Framework), which is a detailed induction specifically designed for those caring and supporting adults with a Learning Disability. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 19 Hamilton Court, whilst service users are at Home in the main has three members of care staff on duty, however on the day of the site visit there were two care staff and a Cook. Regular staff meetings take place, with minutes of the meeting being in place, recent minutes of meetings were viewed, which demonstrated that staff discuss a wide range of issues affecting service user welfare and care. Service users take part in the recruitment of staff, which includes devising their own questions, service users take it in turn to take part in the staff recruitment process, and a system of recording candidate’s response to questions is in place and is appropriate to the abilities of the service user. A trained facilitator sits with service users during the interview process offering support where necessary. The records of two members of staff were viewed, and both were found to contain appropriate pre-employment documentation and checks, which included a completed application form, written references, verification of their identity and a Criminal Record Bureau (CRB) disclosure. Staff files in addition contained documentation which evidenced that staff receive regular supervisions from a member of the Management Team, which provides an opportunity to discuss service user welfare, day-to-day management and focus and identify and training needs a member of staff has. Staff have access to a variety of training with regards to the promotion of service user and staff’s health and safety. Training into specific areas relevant to the care of service users also takes place, including Epilepsy Awareness and the administration of Diazepam, Understanding Sensory Impairment, SCIP (Strategies Crisis Intervention Prevention) a process to identify and respond to service users who have behaviours that may be verbally or physically challenging. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 20 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 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager offers a clear sense of leadership, ensuring service user health; safety and welfare are promoted. Service users and their relatives are provided with formal opportunities to comment on and affect the service provided. EVIDENCE: The Registered Manager of Hamilton Court, who works part time is Mrs Avril Wilson, Avril Wilson has attained a level 4 National Vocational Qualification and the Registered Managers Award, and has worked in this capacity since June 2003. The Local Authority has recently appointed a Manager to work part time along side Mrs Wilson, who will in the near future be submitting an application Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 21 to the Commission for Social Care Inspection for consideration to be the joint Registered Manager of Hamilton Court. Hamilton Court has developed an annual Quality Assurance system, the focus of which is on the environment and staffing with emphasis on service user and relative views, and leads to the development of an Annual Development Plan. Comment cards received from relative’s incorporated additional comments, which expressed their satisfaction as to the care their relative receives. Information submitted prior to the site visit detailed the regular maintenance of health and safety systems within the home, including fire systems and equipment, environmental health visits, central heating systems and emergency call systems. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 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 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 23 Not applicable 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. 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. 1 Refer to Standard YA5 Good Practice Recommendations It is recommended that the Service Agreements/Contracts of service users be reviewed annually to reflect changes to fees and any other changes. Hamilton Court DS0000035561.V341256.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!