Inspection on 24/04/06 for Heathermount

This inspection was carried out on 24th April 2006.

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

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

Other inspections for this house

Heathermount 18/11/05

Heathermount 05/05/05

Heathermount 30/11/04

Heathermount 02/09/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Heathermount Mount Avenue Heswall Wirral CH60 4RH Lead Inspector Inger Moynihan Key Unannounced Inspection 24th April 2006 09:30 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 Heathermount DS0000018893.V287775.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. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Heathermount Address Mount Avenue Heswall Wirral CH60 4RH 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) 0151 342 1102 Abbeyfield Heswall Society Limited Mrs Lorraine Mary Quinn Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th November 2005 Brief Description of the Service: Heathermount is registered to provide accommodation for twelve older people. The home is a detached three storey house set in its own grounds. The gardens are mature with a level footing which provides a safe environment for the service users. Patio furniture is also provided. There is a small car park with parking space for four cars at the front of the building. Accommodation for service users is provided on three floors with a passenger lift to all floors. Service users bedrooms have en-suite facilities which comprise of a toilet and washbasin. Specialised bathing facilities are provided on each floor. The communal facilities comprise of a lounge / dining room which has access to a small patio area and the garden. The standard of decoration throughout the home is very high. Heathermount is within walking distance of Heswall town centre which has a selection of shops, banks and restaurants. The town also has a bus station which gives easy access to Liverpool and other parts of the Wirral. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over five hours and was the statutory unannounced inspection for 2006/2007. Discussions were held with the service users about their experience of living at Heathermount. The views of their family were also obtained. Discussions were was also held with the registered manager and the staff team about the management and daily working practices of the home. Service users case files and supporting documentation was examined and a tour of the home took place. A part of the inspection process includes sending questionnaires out to service users and their relatives or carers in order to obtain their views about the standard of care provided at Heathermount. Comments made in these questionnaires are included in the report and contribute to the basis of any judgments made. What the service does well: Service users are only admitted into the home on the basis of a full assessment which ensures staff can provide the appropriate package of care. One service user stated I feel moving into Heathermount has been a good move for me and I feel very safe living here. Intermediate care is not provided at Heathermount. Service users health, personal and social care needs are set out in an individual plan of care. One service user stated I feel moving into Heathermount has been a good move for me and I feel very safe living here. Efficient systems are in place to ensure service users’ good health. Efficient medication administration procedures are in place to ensure service users good health. Service users feel they are treated with respect and their right to privacy is upheld A range of social activities were provided to ensure service users interest and mental stimulation. One service user commented I am aware social activities are available however I like to keep myself to myself and I am happy the staff respect my privacy. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 6 Service users are helped to exercise choice and control in all aspects of their lives. A varied and nutritious diet is provided to ensure service users interest and good health. One service user commented the food is very good and I always get a choice. Another service user said I love the food and the quality is always very good. Service users are confident their complaints will be listened to, taken seriously and acted upon and systems are in place to ensure service users are protected from abuse. None of the service users or their relatives spoken to during the inspection wished to make a complaint. One service user commented the staff are excellent I cannot fault them in any way. They go out of their way to do anything I ask and I am never kept waiting. The standard of the decor at Heathermount remains very high and provides a comfortable and pleasant environment for service users to live. Service users care needs are met by the number and skill mix of staff who have completed a range of appropriate training to ensure they know how to care for the service users in accordance with good practice. The home has thorough recruitment procedures to the ensure suitably qualified and competent staff are employed at the home. The registered manager is qualified, competent and experienced to mange the home which is run for service users best interests. All of the service users spoken to during the inspection praised Mrs Quinn for her kind and caring approach and said she was always available for support and assistance. The relatives of two service users were spoken to during the inspection. They spoke highly of Mrs Quinn and said she manages the home well and is always friendly and professional in her manner. The registered manager does not handle service users money on a daily basis. The health, safety and welfare of the service users are promoted throughout the home. What has improved since the last inspection? No requirements or recommendations were made at the last inspection and the home continues to provide a high standard of care. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 7 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. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 8 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 Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 9 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): 3 and 6 The quality in this outcome area is good. Service users are only admitted into the home on the basis of a full assessment, which ensures staff can provide the appropriate package of care. Issues of equality and diversity need to be explicitly addressed in the assessment process. Intermediate care is not provided at Heathermount. EVIDENCE: The service user most recently admitted into the home confirmed that an assessment of his particular care needs had been carried out, and that he has opportunity to discuss his needs with the staff team in order to find the best possible way to help him adapt to his new environment. He confirmed the staff are attentive and caring in their manner and his needs are fully met. Other service users spoken to during the inspection confirmed the staff are fully aware of their care needs and they are completely satisfied with the care Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 10 they received. One service user stated I feel moving into Heathermount has been a good move for me and I feel very safe living here. Examination of documentation relating to the assessment process indicated that a range of appropriate issues had been assessed. The staff spoken to during the inspection confirmed they had access to this information to ensure they know how to care for the service users in accordance with their particular needs. The issue of equality and diversity was discussed with the registered manager and it was agreed that while details of service users cultural background was addressed during the initial assessment, this was not explicitly addressed during the full assessment process. The registered manager stated that she was not aware that any service users had specific care requirements in relation to these issues with the exception of disability, gender and age. In the light of this, the registered person is required to ensure the assessment documentation is updated to ensure service user specific care requirements in relation to their race, disability, gender, age, religion and sexuality are thoroughly assessed. Intermediate care is not provided as Heathermount. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 11 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): 7, 8, 9 and 10 The quality in this outcome area is good. Service users health, personal and social care needs are set out in an individual plan of care. Issues of equality and diversity need to be explicitly addressed in the care planning process. Efficient systems are in place to ensure service users good health. Efficient medication administration procedures are in place to ensure service users good health. Service users feel they are treated with respect and their right to privacy is upheld EVIDENCE: A documented plan of the care provided to each service user is in place and provides staff with the information they need on how to meet service users needs. The care plan covers a range of relevant issues and documentation was in place to indicate this information had been reviewed with appropriate changes being made. The documentation did not reflect however, the decision Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 12 making behind the review process nor that all aspects of the care plan had been reviewed, rather a general outcome had been recorded. To ensure the ongoing accuracy of the care plan and to demonstrate the decision making in relation to any changes made, the registered person is required to demonstrate that all aspects of service users care plan has been reviewed. As indicated earlier in the report, the issue of equality and diversity must be explicitly addressed in service users care plans to ensure their specific needs are met in relation to their religion, disability, gender, age, religion and sexuality. This issue was discussed with the registered manager who agreed to ensure this matter was addressed. The service users spoken to during the inspection confirmed they feel well cared for with the staff attending to their changing health care needs appropriately. The relatives of two service users were also spoken to during the inspection and they too confirmed their family members were cared for in they way they wanted to be. One service user stated I feel moving into Heathermount has been a good move for me and I feel very safe living here. Documentation is in place to confirm service users have access to a range of appropriate health care professionals and that their ongoing health care needs are monitored daily. Questionnaires returned to the CSCI indicated service users and relatives were happy with the care provided with one person commenting the staff are always kind and understanding and my sister and I can sleep at night knowing that. Efficient systems are in place for the safekeeping and handling of service users’ medication and only trained staff are allowed to administer medication. A policy and procedure in relation to the administration, safe handling and recording of medication is available for staff reference; staff confirmed they have access to this information. All of the service users spoken to during inspection confirmed they received their medication as prescribed by their GP. The service users spoken to during the inspection confirmed the staff treated them with respect and dignity at all times saying the staff are always polite and friendly. they confirmed saw their GP in their own room and could maintain social contact with relatives and friends. The inspector observed the staff interacting with the service users during inspection and they were always polite and courteous. This aspect of care provision is also addressed during induction training when staff are first employed at the home. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 13 Heathermount DS0000018893.V287775.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): 12, 13, 14 and 15 The quality in this outcome area is excellent. A range of social activities are provided to ensure service users interest and mental stimulation. Service users can maintain contact with their family and friends at any time. Service users are helped to exercise choice and control in all aspects of their lives. A varied and nutritious diet is provided to ensure service users interest and good health. EVIDENCE: The service users confirmed a range of activities are provided within the home which they could participate in if they wished. week which they are free to participate in if they wish. Some of the service users stated they did not wish to become involved in these activities and were happy the staff respected their decision. One service user commented I am aware social activities are available however I like to keep myself to myself and I am happy the staff respect my privacy. A number of service users confirmed they had their own routines and where free to go about their day as they wished. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 15 Service users confirmed they make use of community facilities for their leisure and health care needs. They said the routines in the home are flexible which means they can see their family and friends when they want. Relative spoken to during inspection confirmed this information and said they were always made welcome when they visited the home. Service users manage their own finances or are supported by their family. The registered manager and staff team do not handle service users money. All of the service users spoken to during the inspection confirmed they enjoyed the meals and confirmed an alternative meal was always provided. One service user commented the food is very good and I always get a choice. Another service user said I love the food and the quality is always very good. The menus submitted by the registered manager prior to the inspection indicated a varied and balanced diet is provided Service users medical needs are catered for appropriately. Heathermount DS0000018893.V287775.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): 16 and 18 The quality in this outcome area is excellent. Service users are confident their complaints will be listened to, taken seriously and acted upon. Systems are in place to ensure service users are protected from abuse. EVIDENCE: The service users spoken to during the inspection said that while they had no complaints to make about the standards of care provided as Heathermount, they were confident that if they wish to make a complaint this would be acted upon appropriately. All of the service users spoken to said they were completely satisfied with the standard of care they received and had no complaints to make. They all praised the registered manager and the staff team for their kind and caring manner. One service user commented the staff are excellent I cannot fault them in any way. They go out of their way to do anything I ask and I am never kept waiting. The relatives of a number of service users were also spoken to during inspection. They confirmed they had no complaints to make about the standard of care provided and praised the staff team for their friendly and professional manner. One relative commented I really cannot fault the staff in any way. The complaints procedure is clearly displayed in the home and the staff spoken to during inspection were aware of the action they should take in the event of them receiving a complaint. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 17 All staff have completed training in relation to the protection of vulnerable adults from abuse and further training in relation to this aspect of care provision has been planned for the future. The service users spoken to during inspection confirmed the staff are always kind and friendly and they had never been spoken to or treated badly in any way. A policy and procedure in relation to the investigation of any issues of abuse was in place along with a copy of the Wirral adult protection procedures. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 18 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): 19 and 26 The quality in this outcome area is excellent. The standard of the decor at Heathermount remains very high and provides a comfortable and pleasant environment for service users to live. EVIDENCE: A programme of routine maintenance is in place to ensure the home is well maintained and provides a comfortable and pleasant environment to live. All parts of the home are decorated to high standard. The lounge and dining room is very attractive as are service users bedrooms. Service users are encouraged to bring items other their own furniture into the home in order to make their rooms more homely. A tour of the building confirmed the standard of hygiene remains very high and there are sufficient laundry facilities to cater for the number of service users living at the home. Systems are in place to control the spread of infection along with supporting policies and procedures which staff can refer to when Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 19 necessary. Staff spoken to confirmed they had completed training in relation to hygiene and infection control. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 20 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): 27, 28, 29 and 30 The quality in this outcome area is good. Service users needs are met by the number and skill mix of staff. Staff have completed appropriate training to ensure the service users are cared for properly although issues of equality and diversity need to be explored in more depth to ensure staff understand the complex nature of this issue. The home has thorough recruitment procedures to ensure suitably qualified and competent staff are employed at the home. Staff are provided with a range of appropriate training to ensure they know how to care for the service users in accordance with good practice. EVIDENCE: This staff rota submitted prior to the inspection indicated there are sufficient care and domestic staff on duty to ensure the service users are safe and well cared for. Discussion with the staff confirmed they had sufficient time to carry out their work with the amount of staff on duty at any one time. Service users spoken to during the inspection said the staff are always available for assistance and they respond promptly when the emergency call bell is used. Documentation submitted by the registered manager prior to the inspection indicated that six of the nine care staff employed at the home have completed Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 21 NVQ 2 or above. The remaining staff are in the process of completing this training. Thorough recruitment procedures are carried out to ensure suitably qualified and competent staff are employed to work at the home and that they are appropriate to work with vulnerable people. Documentation examined indicated that appropriate checks had been carried out on all staff prior to them being employed at the home. Documentation submitted by the registered manager prior to the inspection indicated that staff are provided with ongoing training and that further training is planned for the forthcoming year. The Abbeyfield Heswall Society continues to have a positive approach towards staff training which ensures service users are cared for in line with good practice and their individual care requirements are always met. The issue of equality and diversity was addressed with the registered manager and she confirmed that all but three staff had completed training on this issue when completing training to the NVQ standards. It was agreed that the registered manager would ensure all staff have a clear understanding of issues of equality and diversity and how impacts upon the service provision. Also that the current policy would be developed to accurately reflect current legislation in all areas of this issue. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 22 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): 31, 33, 35 and 38 The quality in this outcome area is excellent. The registered manager is qualified, competent and experienced to manage the home which is run for service users best interests. The registered manager does not handle service users money on a daily basis. The health, safety and welfare of the service users are promoted throughout the home. EVIDENCE: There are clear lines of management and accountability within the home which is run for service users best interest. Mrs Lorraine Quinn is qualified to NVQ level 4, which is the recognised qualification for a manager of a residential care services. All of the service users spoken to during the inspection praised Mrs Quinn for her kind and caring approach and said she was always available for Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 23 support and assistance. The relatives of two service users were spoken to during the inspection. They spoke highly of Mrs Quinn and said she manages the home well and is always friendly and professional in her manner. Systems are in place to ensure the high standards of care provided at Heathermount are maintained. This includes obtaining service users views by way of meetings and individual discussions. The manager will also speak with service users family members to obtain their views on the standard of care being provided. The manager also carries out spot checks around the building. The responsible individual carries out regular visits to the home in accordance with the Care Homes Regulations 2001 and the house chairman also visits the home on a regular basis to offer staff support and to ensure the ongoing care of the service users. The registered manager reported that she does not handled service users money on a daily basis, this responsibility is either maintained by the individual service user or their family. The management of service users monthly fees is handled by an administrator within the Society. The health, safety and welfare of the service users and staff are promoted throughout the home. Staff confirmed they are provided with training in this aspect of care provision and have access to policies and procedures to support them within their role. Documentation examined indicated that regular safety checks are made on all equipment used in the home such as the passenger lift, the bath hoist and the fire alarm system. Regular fire safety training is also provided. Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 24 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 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 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 4 X 3 X 3 X X 4 Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 25 Are there any outstanding requirements from the last inspection? Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 26 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 OP3 Regulation 14 Requirement The registered person is required to ensure that issues of equality and diversity are explicitly addressed in the assessment process. The registered person is required to ensure that issues of equality and diversity are explicitly addressed in the assessment process. The registered person is required to ensure suitably qualified and competent staff are employed at the home. in this instance that all staff have clear understanding of issues around equality and diversity. Timescale for action 23/06/06 2 OP7 15 23/06/06 3 OP30 18 22/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Heathermount DS0000018893.V287775.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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