Inspection on 24/02/06 for Hannah Levy House Trust

This inspection was carried out on 24th February 2006.

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

Hannah Levy House Trust 04/09/08

Hannah Levy House Trust 25/06/07

Hannah Levy House Trust 24/11/06

Hannah Levy House Trust 02/11/05

Hannah Levy House Trust 09/03/05

Hannah Levy House Trust 31/08/04

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

CARE HOMES FOR OLDER PEOPLE Hannah Levy House Trust 15 Poole Road Bournemouth Dorset BH2 5QR Lead Inspector Marjorie Richards Unannounced Inspection 24th February 2006 02:00 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 Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 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. Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hannah Levy House Trust Address 15 Poole Road Bournemouth Dorset BH2 5QR 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) 01202 765361 01202 751007 hlhtrust@onetel.com Hannah Levy House Trust Miss Julie Carol Wareham Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd November 2005 Brief Description of the Service: Hannah Levy House Trust has charitable status and has been set up to provide care, including personal care, to those members of the Jewish Faith who need such assistance. The home has a Board of Trustees that has regular contact with the home and there is a registered manager, Miss Julie Wareham in dayto-day charge of the home. The Responsible Individual is Mrs Jessica Blooman OBE, one of the trustees, who has regular contact with the home. Hannah Levy House Trust is situated half a mile from the centre of Westbourne, with its local shops, library and other amenities. The home is on a bus route providing easy access to Bournemouth town centre and the Travel Interchange. There is plenty of on site parking as well as parking on the roads surrounding the home. Hannah Levy House Trust is registered to accommodate a maximum of 35 older people and provides both permanent and respite care as well as day care. All rooms are for single occupancy although some are large enough to be used as doubles should this be requested by residents. Bedrooms are situated on the ground, first and second floors. There is a dining room, large lounge and also a large conservatory all of which are well furnished and equipped. Aids and equipment are available for residents who may have disabilities, to help promote independence. There are passenger and stair lifts to aid access to all floors of the home as well as assisted baths, hoists etc. The home has a small synagogue where services are held on Shabbat and Holy Days. All festivals are also celebrated within the home. The home has good links with the local congregation and has its own minibus to enable residents to make trips out to either local synagogues, visit members of the Jewish community, clubs etc. The home is centrally heated throughout and twenty-four of the thirty-five bedrooms are provided with ensuite facilities. There is an accessible rear garden with garden furniture and a patio area. Hannah Levy House Trust provides twenty-four hour personal care, all meals, laundry and domestic services. Residents are encouraged to participate in a wide range of activities, Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 5 including weekly outings to local places of interest. The home’s brochure states that its aims and objectives are as follows: The aim of the management of Hannah Levy House is to enable Jewish residents of Bristol and Bournemouth and their environs, to enjoy the optimum possible quality of life having regard to the individual’s age and state of health. The objectives through which this aim may be achieved are: To provide a strictly kosher environment in which facilities are available to meet the emotional, religious, spiritual and cultural needs of all residents. To assess the care needs of each individual resident and to provide a high standard of care and support to meet those needs through the employment of well trained staff. To create a safe, secure and pleasant home for residents and a good atmosphere in which to work for staff. To involve relatives and friends, where possible, in all aspects of the residents care, keeping them informed and encouraging them to maintain family life. To facilitate the interaction between residents and the local Jewish community by participation in communal activities and maintaining an open visiting policy. Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 2 hours on the 24th February 2006 and was one of two statutory inspections carried out each year. The main purpose of the inspection was to check that the service users living in the home were safe and properly cared for and two requirements made at the previous inspection had been met. The previous inspection took place during November 2005; since that inspection no complaints about the home have been received or investigated. A tour of the premises took place and the inspector spoke with four service users, three staff and together with the registered manager, Miss J Wareham, considered other evidence relating to the National Minimum Standards, as described in this report. At the last inspection, most of the National Minimum Standards examined were met, so this inspection was brief in duration and focussed on assessment of only the most essential Standards. The majority of Standards assessed and found met during the previous inspection were not reassessed during this inspection; this report should therefore be read in conjunction with the report of the previous inspection of 2nd November 2005. What the service does well: All residents at Hannah Levy House Trust are supplied with terms and conditions of residence at the point of admission to the home. These are clearly laid out and easy to read. A thorough admissions procedure is in place. This ensures that only those who was needs can be met by the home are offered places. All prospective residents are assessed prior to admission. The outcome of this assessment is confirmed in writing so that prospective residents are fully assured their care needs can be met. Satisfactory arrangements are in place for managing medication and records indicate that residents receive their medicines as prescribed. Hannah Levy House Trust provides a kosher diet under strict supervision and all prospective residents are made aware of this prior to admission. The chef says he tries to provide residents with whatever they want. Residents commented, I think that, on the whole, we have very good food here. I think we are very fortunate and I have no complaints about the food. Residents have their legal rights protected and are assisted in exercising these rights, for example by voting in local and national elections. The home has an Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 7 Adult Protection policy in place to ensure residents are protected from possible abuse. Miss Wareham is ensuring that all staff have received training in Adult Protection issues, to ensure a proper response to any suspicion or allegation of abuse. The home provides sufficient communal bathrooms and WCs to meet the needs of residents. In addition, 24 of the 35 bedrooms in the home are provided with ensuite facilities. Training is provided to make sure that staff are equipped with the knowledge and skills necessary to carry out their work and meet the needs of residents. Residents are assured that their financial interests are protected and properly managed. The home seeks to provide a safe environment to ensure the protection of residents. Measures are in place to promote the health and safety of residents. For example, equipment is regularly serviced and maintained. All substances that could be potentially hazardous to health are handled and stored safely. Regular maintenance of the fire warning system, emergency lighting and fire fighting equipment is taking place. Staff take part in regular fire training and drills so that they are fully aware of what to do in the event of fire. What has improved since the last inspection? What they could do better: Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 8 Information on the medicines used is available for staff reference from a copy of the BMA Medicines and Drug Guide, but it is recommended that this 2002 edition be updated. It is also recommended that copies of Patient Information Leaflets be obtained from the pharmacist to give further information about each of the medicines in use. Medicines requiring storage at low temperatures (usually 2-8°C) must be kept in a fridge. The actual temperature of the medicines fridge at Hannah Levy House Trust is checked on a weekly basis. Guidance from the Royal Pharmaceutical Society states that in order to effectively monitor the fridge temperature, a maximum/minimum thermometer should be used on a daily basis. 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. Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 9 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 Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 (Standards 1, 2 and 5 were found met at the previous inspection) Service users are issued with a contract describing Terms and Conditions of occupancy at the point of admission to Hannah Levy House Trust. A thorough admissions procedure allows prospective residents to make informed decisions about admission to Hannah Levy House Trust and ensures that only those whose needs can be met by the home are offered places there. EVIDENCE: All residents at Hannah Levy House Trust are issued with terms and conditions of residence. These are clearly laid out and easy to read. The terms and conditions are signed by the resident or their representative and the registered provider. The resident and/or their representative retain a copy and a copy is held on file. At the last inspection the process of updating the terms and conditions was in progress and this has now been satisfactorily completed. Hannah Levy House Trust has a written admissions policy. Individual care records are kept for each resident and care needs are fully assessed by the Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 11 registered manager, Miss Wareham, prior to admission. However, at the last inspection, it was noted that the outcome of such assessments was not confirmed in writing, so prospective residents were not fully assured that their care needs would be met. Documentary evidence was seen during this inspection to demonstrate that this requirement has now been met. Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 (Standards 7, 8, 10 and 11 were found met at the previous inspection) There are satisfactory arrangements in place for managing medication and ensuring that the medication needs of service users are met. Recommendations were made regarding the use of the medicines fridge and obtaining Patient Information Leaflets, to ensure staff have the information they need about the medicines in use. EVIDENCE: Medication is stored securely within the home. There is a separate cupboard available for Controlled Drugs if necessary. Only senior staff administer medication and are responsible for ordering and recording all medicines received and for any unwanted medication sent back to the pharmacy. A monitored dosage system is in use. A sample of Medicine Administration Record (MAR) charts was checked. These demonstrated that staff sign to record that medicines have been given as prescribed or record the reason for non-administration. All staff that administer medicines have received training on medicines, how they are used and how to recognise and deal with problems in use. Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 13 Information on the medicines used is available for staff reference from a copy of the BMA Medicines and Drug Guide, but it is recommended that this 2002 edition be updated. It is also recommended that copies of Patient Information Leaflets be obtained from the pharmacist to give further information about each of the medicines in use. Medicines requiring storage at low temperatures (usually 2-8°C) must be kept in a fridge. The actual temperature of the medicines fridge at Hannah Levy House Trust is checked on a weekly basis and consistently shows 6°C. Guidance from the Royal Pharmaceutical Society states that in order to effectively monitor the fridge temperature, a maximum and minimum thermometer should be used. This will record the maximum, minimum and actual temperatures daily when medicines are stored in the fridge. After taking the readings the thermometer must be reset for the next recording period. Care staff should have a clear understanding of the action to be taken if the temperature is outside the normal range. Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 (Standards 12, 13 14 and 15 were found met at the previous inspection) Kosher food is provided at times and locations convenient to residents. EVIDENCE: Hannah Levy House Trust provides a kosher diet under strict supervision. All prospective residents are made aware of this prior to admission. The chef has considerable experience in kosher catering. Lunch on the day of inspection was a choice of fruit juice, followed by quiche or fish, with chipped potatoes. This was followed by a choice of baked rice pudding, fruit and cream/ice cream or fresh fruit. The evening meal was to be chicken soup or fresh fruit, followed by roast chicken or fish, roast potatoes, cabbage and parsnips, then stewed apricots or fresh fruit. Alternatives are always available to suit individual taste and preference. The chef says his policy is, as far as possible, to provide residents with whatever they want, as long as it is kosher. All meals are usually taken in the dining room or in the residents own bedroom. The lunchtime meal in the dining room took place over two sittings Meal times were relaxed with those residents requiring extra assistance receiving it in an unhurried and caring atmosphere. Mealtimes can be flexible to fit in with care needs, appointments etc. The menu shows that residents Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 15 enjoy a healthy, well-balanced diet, with plenty of fresh fruit and vegetables. Residents commented, I think that, on the whole, we have very good food here. The food is much better than many other places I have been in. I think we are very fortunate and I have no complaints about the food. Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 16 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 and 18 (Standard 16 was met at the previous inspection) Residents have their legal rights protected and are assisted in exercising their rights. The home has an Adult Protection policy in place to ensure residents are protected from possible abuse. EVIDENCE: Ms Wareham confirmed that all service users are on the electoral roll. During local and national elections, opportunities are made available to residents to either vote in person, by proxy or by post. At the last election a number of residents were taken to the local polling station in the home’s minibus. Service users have access to information within the home about various independent advice agencies and advocacy etc. Hannah Levy House Trust Trust has comprehensive policies and procedures in place to protect residents from the risk of abuse. These also include related policies about ‘Whistleblowing’, Gifts and Gratuities for staff, Management of residents finances and other relevant matters. A copy of the Department of Health No Secrets guidance regarding Adult Protection is available in the home. At the last inspection it was noted that not all staff had received Adult Protection training, to ensure a proper response to any suspicion or allegation of abuse. Miss Wareham has now booked such training to take place shortly. Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21 (Standards 19, 20, 22, 24 and 26 were met at the previous inspection) There are sufficient communal bathrooms and toilets available to meet the needs of residents. EVIDENCE: Assisted baths are situated on each of the ground, first and second floors. Each of the bathrooms also has a WC. The ground floor bathroom contains a Hydro bath with Jacuzzi facility. A shower room is also available on the ground floor. There are sufficient additional WCs around the home, including those which are easily accessible from the communal lounge and dining areas. In addition, twenty-four of the thirty-five bedrooms in the home are provided with ensuite facilities. The home has an annual development plan with an ongoing (rolling programme) of internal redecoration and replacement of furnishings and fittings, as and when required. Recent work includes the redecoration of several bedrooms, a new reclining chair for the lounge, carpet renewal in some Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 18 bedrooms, new doors to the kitchen and lounge and the purchase of a new television for one resident. Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 (Standards 27, 28 and 29 were met at the previous inspection) Training is provided to make sure that staff are equipped with the knowledge and skills necessary to meet the assessed needs of residents. EVIDENCE: At the last inspection, it was noted that some staff had undertaken training in moving and handling, basic food hygiene, Adult Protection, medication awareness, dementia awareness, continence, health and safety and first aid. Infection control training was being planned. It was recommended that a training audit be carried out to ensure that all staff had received the training they needed, with particular reference to moving and handling, Adult Protection, first aid and infection control. Miss Wareham evidenced that an audit has been completed. Training courses in first aid, health and safety, Adult Protection, basic food hygiene and moving and handling have been booked to take place shortly. Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 and 38 (Standards 31, 32, 33 and 36 were met at the previous inspection) Residents are assured of sound management of their financial interests. The home seeks to provide a safe environment to ensure the protection of residents. EVIDENCE: Some residents at Hannah Levy House Trust manage their own financial affairs whilst others are assisted by a relative or representative. The home also looks after monies for some residents. A separate account is maintained for each resident and records kept of all incoming and outgoing payments. Each resident has a key worker, a member of care staff with special responsibilities towards a small number of residents. If necessary, the key worker will assist residents with purchasing items of clothing etc. All receipts for such purchases are retained. Balance checks are carried out by two members of the management team to ensure accurate records are maintained. Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 21 Hannah Levy House Trust seeks to provide a safe, well-maintained environment to ensure the protection of residents. A detailed health and safety policy is in place and staff receive training in health and safety matters. A full-time maintenance person is employed to deal with minor repairs. Records confirm that equipment, such as hoists, the passenger lift and portable electrical appliances etc are regularly serviced to ensure resident safety. All substances that could be potentially hazardous to health are handled and stored safely. Radiator surfaces are guarded in bedrooms and communal areas to prevent direct contact with very hot surfaces. The fire records show appropriate checks and maintenance being carried out on the fire warning system, emergency lighting and fire fighting equipment. Staff take part in regular fire training and drills so that they are fully aware of what to do in the event of fire. Risk assessments are in place for all parts of the building, including the car park. Risk assessments are also carried out for any contractors working in the home. Miss Wareham carries out regular checks on water temperatures, window restrictors, wheelchairs, thermostatic mixing valves and showerheads to help ensure resident safety. Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 22 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 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X 3 X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 23 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. 1. Refer to Standard OP9 Good Practice Recommendations It is recommended that the medication reference book used by staff be updated. It is also recommended that copies of Patient Information Leaflets be obtained from the pharmacist to give further information about each of the medicines in use. It is recommended that, in order to effectively monitor the medication fridge temperature, a maximum and minimum thermometer should be used and the temperatures recorded on a daily basis. 2. OP9 Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Hannah Levy House Trust DS0000003944.V284158.R01.S.doc Version 5.1 Page 25 - 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. 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