Inspection on 26/02/07 for Harbour House

This inspection was carried out on 26th February 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

Harbour House 26/03/09

Harbour House 22/11/05

Harbour House 18/11/04

Harbour House 17/08/04

Harbour House 02/03/04

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

CARE HOMES FOR OLDER PEOPLE Harbour House George Street West Bay Bridport Dorset DT6 4EY Lead Inspector Chris Gould Key Unannounced Inspection 26th February 2007 09:50 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 DS0000026813.V330491.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000026813.V330491.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harbour House Address George Street West Bay Bridport Dorset DT6 4EY 01308 423277 01308 459497 harbourhouse@btopenworld.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) West Bay Housing Society Limited Mrs Jean Mary Adams Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places DS0000026813.V330491.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: Harbour House is owned by local voluntary organisation West Bay Housing Society Limited. The responsible individual is Mrs Ann Richards on behalf of the West Bay Housing Society Limited. Day to day management of Harbour House is undertaken by registered manager Mrs Jean Adams. The home is situated close to West Bay harbour, local shops, church and other amenities. Bridport town centre is approximately two miles away. The home is registered to accommodate 33 elderly residents in a combination of 28 single apartments, one double apartment in Harbour House, a double apartment known as Harbour Cottage (situated in the rear garden of Harbour House) and a bedroom alternately used for respite and visiting guest use. Apartments are on the ground, first and second floors and level access is achieved by a passenger lift. One flat is at ground floor level and the other is accessed by set of stairs. There is a communal lounge and separate dining room on the ground floor and a ‘quiet lounge’ on the first floor which is regularly used for morning prayers and residents’ meetings. Gardens at the front and side of the home are attractively planted with shrubs and seasonal plants. The fees for the home as provided to CSCI at the time of inspection range from £351.12 to £393.12 per week. Additional charges include hairdressing, chiropody, toiletries and newspapers. See the following website for further guidance on fees and contracts. http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_people_ choos.aspx DS0000026813.V330491.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection by two inspectors took place over six hours on one day in February 2007. Mrs Jean Adams the registered manager and the head of care were present throughout the inspection. A tour of the premises took place and three staff files, three residents care records and relevant documentation and policies and procedures relating to the running of the home were inspected. A number of residents, visitors to the home and the staff on duty were spoken with during the inspection. Survey forms had been sent to residents, relatives/visitors, care manager/placement officers and general practitioners since the previous inspection in November 2005. The information from the completed comment cards has been included in this inspection. What the service does well: Harbour House provides a clean and well-maintained home where residents personal, health and social care needs are met. The residents commented ’this is really a first class place’, ‘I am very comfortable thank you. I have all I need’ and ‘public rooms nicely furnished and well kept’. The dependency of the residents is generally low to medium and a high number are able to go out to visit the shops or friends as they wish. One resident talked of how they catch the bus into Bridport about three times a week. A full programme of activities is available if residents wish to join in. The flexibility of the home enables residents to retain control over their lives where feasible. The staff encourage friends and relatives to visit and to maintain contact with the home. Both residents and relatives say that visitors are made welcome. Meals are nutritious, include alternatives and offer a healthy varied diet for residents. Residents are able to take their meals in the dining room or in their own room if that is their choice. All residents spoken with were very positive about the quality of the meals provided. Comments included ‘every effort is made and I think the meals enjoyable’, ‘the cooks are very helpful if you have a problem with your diet’ and ‘good variety well cooked’. The home has a complaints procedure and all the residents that completed a survey form agreed that if they do have any cause for complaint they know the action that they need to take. DS0000026813.V330491.R01.S.doc Version 5.2 Page 6 The home employs the numbers of staff with the appropriate training to meet the needs of the residents. The management arrangements in the home ensure that the residents live in a home that is well managed and the systems in place for consulting on issues relating to the running of the home are good. 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. DS0000026813.V330491.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000026813.V330491.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assured that their needs can be met before they enter the home. EVIDENCE: The files of three residents contained an assessment that had been undertaken prior to the resident’s admission to the home. The assessments were variable in their content but generally provided adequate information to identify the resident’s care needs. A letter is sent to the prospective resident agreeing that the home is able to make their needs before they accept a place at Harbour House. One resident described how they were able to spend a week in the respite room before moving into the home. DS0000026813.V330491.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans do not consistently provide sufficient detail to ensure that the resident’s health and personal needs are being fully and safely met. The systems in place for managing medicines are generally good and ensure residents are protected. Staff treat residents with respect and dignity, promoting residents’ feelings of worth as valued members of the household. EVIDENCE: A new head of care has just been appointed and will undertake the review and development of the care records at the home as part of their role. All residents have a care plan and three residents care files were read during this inspection. DS0000026813.V330491.R01.S.doc Version 5.2 Page 10 The file of one resident that has been recently admitted to Harbour House reflected that like a number of other residents they are self-caring in personal care needs. This was confirmed when talking with the resident. The care plan of another resident had identified their needs but the action plan was very limited in the detail provided of how the needs were to be met. The care plan stated ‘promote continence’ and ‘promote hygiene’ but not how this was to be achieved. One care plan had been continually evaluated and although changes had been identified this had not initiated a change in the action plan. The records included a care plan agreement that had been signed by the resident. One resident commented ‘service good, no qualms they look after me as much as I need’. The home needs to develop and implement manual handling and nutritional assessments. One resident was observed being appropriately assisted to transfer from their wheelchair by a member of staff. One care record viewed included the actions that were taken to prevent the recurrence following a fall. Grab rails are provided on beds when required but a risk assessment has not been undertaken. The registered manager was referred to the recent Department of Health MHRA Device Bulletin entitled Safe Use of Bed Rails as this also includes bed grab rails. The care records now include information about residents’ needs regarding terminal care and arrangements after death. The care files and talking with residents confirmed that if they are unable to visit the doctor’s surgery then a visit is always arranged. One therapist that visits the home commented ‘I have always found the staff at Harbour House to be co-operative and caring’. The system for medication was reviewed. Some tablets come to the home in monitored dosage packaging; others are in boxes and bottles. Any residents’ allergies are noted on the Medication Administration Records (MAR). All medication rounds are undertaken by two members of staff to reduce the risk of an error occurring. Assessments are in place for the residents who are self medicating. It was noted that a resident had been having difficulty self administering from the container dispensed by the pharmacy. Staff had removed the medication from the container and put it into bottles. This is not safe practice and medication should be administered from the container as dispensed from the chemist. The registered manager agreed that the medication needs of the resident would be reviewed and appropriate action taken. On a number of occasions when changes have been made to the Medicines Administration Record (MAR) charts theses have not been signed by the member of staff making the entry or a witness. On other entries only one signature was evidenced. The locked refrigerator used for the storage of medicines including eye drops has a minimum/maximum thermometer and the temperatures are recorded DS0000026813.V330491.R01.S.doc Version 5.2 Page 11 daily. The records identified that the refrigerator has been operating at –1 to 1°C. The recommended range is 2-8°C. Staff induction includes respecting residents privacy and dignity. This was confirmed when speaking with staff. Staff were seen knocking on doors and waiting for an answer before entering residents’ rooms. Residents spoken with said that they were always addressed in the way they had requested and the staff are always polite. DS0000026813.V330491.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a programme of activities, thus providing a stimulating environment for residents. The flexibility of the home enables residents to retain control over their lives where feasible. Residents are able to maintain contact with their family and friends and to go out into the community if they wish and are able. Meals are nutritious, include alternatives and offer a healthy varied diet for residents. EVIDENCE: The dependency of the residents is generally low to medium and a high number are able to go out to visit the shops or friends as they wish. One resident talked of how they catch the bus into Bridport about three times a week. DS0000026813.V330491.R01.S.doc Version 5.2 Page 13 The residents have a committee that meets three times a year. Members of staff are not involved in the committee but may be invited to attend meetings. A written record of all decisions made concerning fund raising and social events are maintained. A programme of activities is placed on the notice board and in each resident’s room. Activities include carpet bowls in the winter, croquet on the lawn in the summer, entertainers, outings, quizzes and competitions. The home has acquired a set of bar skittles and there is a competition including staff and residents taking place. On the evening of the inspection a number of residents had tickets to go to a theatre production. There is a flower fund to provide fresh flowers in the home that are arranged by a resident. On Monday’s a resident has a Fair Trade shop and there is a general shop on Tuesdays and Wednesdays. The residents are preparing for a balcony in bloom competition in the near future. Residents spoken with all agreed that there was always something to do if you wanted to join in. Completed survey forms were generally very positive about the activities available although there were comments identifying that due to sight or hearing problems it was not always possible to join in the planned activities. The registered manager said that this has been identified and a volunteer has just started and will be talking to the residents to identify their social needs. The home can provide facilities for the overnight accommodation of visitors who live a considerable distance from Harbour House, by use of the respite room as a guest room. Families and friends are encouraged to visit regularly and there are no restrictions unless specified by the residents themselves. A record is maintained of all visitors to the home. Visitors spoken with confirmed that they were always made welcome by the staff. One resident was looking forward to their relative visiting and others talked about their family and friends who visit. Residents spoken with confirmed that they were able to make choices about such matters as what they ate and when they got up in the mornings and went to bed at night. Residents are able to “personalise” their bedroom with additional items of their choice. This was confirmed when visiting residents’ bedrooms. All residents spoken with were very positive about the quality of the meals provided. Comments included ‘every effort is made I think the meals enjoyable’, ‘the cooks are very helpful if you have a problem with your diet’ and ‘good variety well cooked’. The menu is written on the notice board each day for resident’s information and they are requested to inform the cook in the kitchen if they would prefer DS0000026813.V330491.R01.S.doc Version 5.2 Page 14 an alternative. Unless it has been assessed as unsafe hot drink making facilities are available in the resident’s own room. Fresh fruit is always available in the dining area. Meals can be eaten in the dining room or resident’s own room; breakfast is served in the dining room but most residents choose to have breakfast in their own room. DS0000026813.V330491.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems in place provide residents with the confidence that their complaints will be listened to and acted upon and they are protected from abuse. EVIDENCE: The home has a complaints procedure and all the residents that completed a survey form agreed that if they have any cause for complaint they know the action that they need to take. There have been no complaints received by the Commission for Social Care Inspection or the home since the last inspection, The home has an adult protection policy that meets the local multi agency ‘No Secrets’ guidelines. The registered manager was clear on the action she would take if an incident of potential abuse were reported. Staff spoken with agreed that they had received training on the identification and prevention of abuse. DS0000026813.V330491.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment is good providing the residents with a comfortable, clean, safe and well maintained place to live. EVIDENCE: The home is comfortably furnished and well maintained. Maintenance books evidenced that when issues are identified action is promptly taken. Residents spoken with agreed that it was a very homely, friendly place to live where the staff are cheerful and approachable. Residents commented ’this is really a first class place’, ‘I am very comfortable thank you. I have all I need’ and ‘public rooms nicely furnished and well kept’. DS0000026813.V330491.R01.S.doc Version 5.2 Page 17 The outside of the residents’ balconies has been painted as recommended following the last inspection. Private rooms are decorated and the carpet renewed at each change of occupancy. A visit by the Dorset Fire and Rescue Service in July 2006 concluded that although the existing fire safety provisions were being satisfactorily met there were a number of recommendations needed to update the premises to meet current standards. The home is continuing to work with the Dorset Fire and Rescue Service to meet these standards. All areas of Harbour House that were seen during the tour of the home were in a clean condition and free from unpleasant odours. Residents and visitors confirmed that this is always the case. On the ground floor is a well equipped laundry with a range of equipment including a sluice action washing machine and a domestic standard washing machine suitable for use by residents. Residents are able to manage their own personal laundry if they wish or can choose to have a member of staff to do it for them. DS0000026813.V330491.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff meets the needs of the residents. Systems for recruitment, and staff training are in place to ensure staff are competent to do their job and residents are protected. EVIDENCE: The occupancy of the home was twenty-eight residents with low to medium dependency needs on the day of the inspection. Talking to residents, staff and viewing staff rotas confirmed that the number of staff on duty meets the needs of the present dependency levels of the residents at the home. There are additional ancillary staff to cover the kitchen, cleaning, maintenance and gardening. The care staff maintain the laundry. The majority of the residents who completed the survey said that there are always staff available when you need them one commenting, ‘I have rarely had to wait more than a few minutes before receiving attention’. The home has over 50 of care staff having achieved an NVQ level 2 or 3 in care or the equivalent. DS0000026813.V330491.R01.S.doc Version 5.2 Page 19 Three staff recruitment files contained an application form, evidence that an interview had taken place, two written references, proof of identity, a health questionnaire, a job description and contract. A satisfactory Criminal Records Bureau check or POVA first check had been received prior to the member of staff commencing employment. Two new members of staff are undergoing the recently introduced the Skills for Care induction programme. An ongoing training programme is in place and discussion with the registered manager and staff evidenced that training has taken place but due to poorly maintained training files there was limited written evidence available. DS0000026813.V330491.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management arrangements in the home ensure that the residents live in a home that is well managed. The systems in place for consulting on issues relating to the running of the home are good. Residents manage their own finances or have a representative acting on their behalf to ensure their financial interests are safeguarded. Arrangements are in place to ensure that the welfare of residents is promoted and protected. DS0000026813.V330491.R01.S.doc Version 5.2 Page 21 EVIDENCE: Mrs Jean Adams the registered manager of Harbour House is supported by a head of care. The post of Head of Care has been vacant until two weeks prior to the inspection. Mrs Adams said that she would now be able to undertake the tasks that she has not had time for including organising the staff training files. Mrs Adams is a registered nurse and attained the Registered Managers Award in April 2004. The home has a five year Business Plan for the period 1st September 2004 to 31st August 2009. Surveys of residents views are periodically sought, the results collated and any identified issues actioned. Feedback is provided to the Management Committee from the Residents Committee. Residents are encouraged to manage their own finances; those unable to do this for themselves have appointed relatives or solicitors to act on their behalf. Personal pocket monies are kept for a number of residents and the two that were checked at random were correct. All gas installations, central heating, electrical wiring and appliances and equipment used to meet service user needs has been checked. Policies and procedures are available relating to health and safety, Control of Substances Hazardous to Health (COSHH), infection control, manual handling and first aid are in place. The home has a fire risk assessment that lacks the detail required to ensure that all possible dangers and risks are identified. When this has been completed an action plan needs to be drawn up and implemented to meet any shortfalls identified. The fire prevention equipment is checked at the appropriate intervals although the emergency lighting checks have not been documented. DS0000026813.V330491.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 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 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000026813.V330491.R01.S.doc Version 5.2 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. 1 Standard OP7 Regulation 15 Requirement The registered person must ensure that the residents care records include an action plan with sufficient detail to provide clear guidance to staff on the actions to be taken to meet all their identified needs. The Registered Person shall eensure that medicines are stored at the correct temperature. Maximum and minimum temperatures of the medicines fridge must be monitored and recorded daily and corrective action taken if they are outside the recommended range (2-8°C). The registered person must update the fire risk assessment for the care home to ensure that all possible dangers and risks have been identified. Timescale for action 30/06/07 2 OP9 13(2) 30/06/07 3 OP38 24(A) 30/06/07 DS0000026813.V330491.R01.S.doc Version 5.2 Page 24 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 The home should follow guidance from the Royal Pharmaceutical Society including: a) When medicines are handwritten on the MAR chart a second competent person should check the details are accurate and countersign. The manager should compile individual staff training files to demonstrate the training they have undertaken and to identify any training needs. 4. OP30 DS0000026813.V330491.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 DS0000026813.V330491.R01.S.doc Version 5.2 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. 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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