Inspection on 15/01/07 for Helena Road (2c-2d)

This inspection was carried out on 15th January 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Helena Road (2c-2d) 02/03/06

Helena Road (2c-2d) 06/06/05

Helena Road (2c-2d) 04/10/04

Helena Road (2c-2d) 07/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Helena Road (2c-2d) 2c-2d Helena Road Plaistow London E13 0DU Lead Inspector Anne Chamberlain Unannounced Inspection 15th January 2007 10:15 Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 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 Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Helena Road (2c-2d) Address 2c-2d Helena Road Plaistow London E13 0DU 0208 470 1382 0208 586 9118 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) East Living Limited Mr Ronnie Tallon Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can accommodate Five (5) named service users over the age of 65 years. 2nd March 2006 Date of last inspection Brief Description of the Service: This home was first registered in May 1992, aiming to support and care for 10 people with learning disabilities. Since then a number of the residents have passed their sixty fifth birthdays and the registration has been varied to reflect this. The accommodation is purpose built and is situated in a residential area of Plaistow. It comprises two units joined by a courtyard. One unit houses six people and the other four. Residents have their own bedrooms and share communal facilities. All accommodation is ground floor and wheel chair accessible. The manager has an office on the first floor, in an unregistered part of the building, and there is another office on the ground floor where most of the records are kept. There are two small gardens and a car park. The home is owned and managed by a not-for-profit organisation, East Living, formerly known as East Thames Care (Housing Group). East living is a subsidiary of East Thames, which is a registered social landlord. Home weekly fees are in the region of £1054. Its mission is to make a positive and lasting contribution to the neighbourhoods. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of key standards. It lasted for 5 hours. The inspector case tracked three residents, viewing their files, medication arrangements and the protection of their cash. She spoke specifically to a resident and a support worker, and generally to other residents, as well as observing them around the home. The inspector toured the premises including, with their permission the bedrooms of some residents. The home is functioning very well and caring sensitively for the residents who live there. The inspector would like to thank the residents, staff and manager for their co-operation and assistance with the inspection. What the service does well: What has improved since the last inspection? More progress has been made in the setting up of bank account for residents. Only one person now lacks a bank account. The décor of the premises is of a reasonable standard, but it is good to hear that the community areas are to be redecorated soon. This will freshen the premises considerably. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 6 The organisation is looking at ways that they can better utilise the space in the units. This may involve bringing the managers office downstairs. This could be beneficial giving a more hands on feel to the management. 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. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for assessing prospective residents are sound. EVIDENCE: The home has not admitted any new residents for two years. The manager stated that the procedure for admitting a new resident would be as follows:a preliminary assessment completed on a visit to the resident, consideration of compatibility issues with other residents, an initial and further visits from the resident culminating in a weekend stay, a general assessment including collection of background information and cultural needs of the proposed resident, risk assessments. The inspector felt the cultural assessment supported diversity well, giving many helpful headings regarding religious observances, dietary needs etc. The inspector saw evidence of some of these assessment tools on the files of residents and was satisfied that the home has a sound procedure for the assessment of prospective residents, and would follow this should the need arise. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are informative, but could be living documents if they were updated more often. Residents are encouraged to take decisions and risk assessment is undertaken to support independence. EVIDENCE: The manager stated that residents’ plans have been developed with a more person centred approach. The format remains unchanged but there is more use of multimedia images. The plans are quite user friendly. The inspector viewed a random selection of three residents files. They contained examples of personal lifestyle plans. In one case this was supplemented by a person centred plan. The inspector felt that the plans were quite user friendly but provided clear information regarding the support needs and preferences of residents. The inspector did note that a significant change had occurred with one resident who has retired from work. This had been Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 10 noted in review paperwork but the inspector would recommend that the personal lifestyle plan as a living document should be updated to reflect important changed (see recommendations). Residents have monthly meetings and the inspector viewed evidence of these in the form of minutes. The home undertakes a residents survey each year but unfortunately the responses had been sent to head office and were not available for inspection. However the inspector did view related information on computer. All residents have a keyworking day when they sort out their rooms but also have time to go out shopping or to some recreational activity of their choice. The manager stated that nine out of the ten residents now have bank accounts and they are still working to achieve this for the tenth resident. The inspector viewed on files evidence of risk assessment. The home undertakes generic risk assessments related to the home environment and person centred risk assessments related to individuals. The manager said that now with five residents over the age of sixty five workers are looking at the complex risks related to ageing, health and physical abilities. The manager stated that one resident has had a deterioration in her living skills over the last nine months. Failing eyesight is a factor in this but professionals are trying to understand exactly what the causes are. The inspector was satisfied that the home uses risk assessment to support and develop independence. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to enjoy a good quality of life, but reduction of staff numbers has had an impact on how much they are able to do. EVIDENCE: 6 of the 10 residents attend day centres for at least 1 day per week. 1 resident attends on five days. On the day of the inspection some residents were out at a music class. 1 is supported to attend a Friday social club and 1 attends a Bubble club. Some of the residents go to church regularly and attend church activities occasionally. The manager stated that due to the deletion of posts of one deputy manager and one support worker, there is now one less worker on shift every afternoon until ten p.m. This has had an impact on the support residents can be offered to attend outside events, and people are not going out as much now. This was Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 12 confirmed by a staff member interviewed who said that people go out a lot in the daytime but not so much in the evenings. The inspector noted craft materials which the home keeps for a session which is held in the home. Unfortunately there is not currently outside input into this and it is led by staff. There is a computer in the lounge for the use of residents. Not all residents have families in contact but those who do are supported to see them and attend family get togethers. The inspector felt that the personal lifestyle plans she had viewed indicated that residents are treated with respect. There was much detail of views and preferences. She viewed the logs of residents to learn of their daily routines. The logs recorded residents taking responsibility for domestic tasks in the home. There were charts in the staff office indicating which days residents needed support to do their laundry. One resident undertakes some gardening at the home and keeps the car park swept, for which he receives therapeutic earnings. The manager said residents eat breakfast in small groups or alone and may sit down together in a similar way for lunch depending on who is in. Generally everyone sits down together for dinner in the evenings. There is a menu rota which the inspector viewed, and residents discuss changes at their meeting. Healthy eating is encouraged and alternatives are always available. The inspector noted that the daily logs recorded what people had eaten. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal, physical and emotional needs are met and the arrangements for the administration of medication are sound. EVIDENCE: The inspector felt that personal lifestyle plans provided a good structure for residents to receive personal support in a way which suits them. In conversation with a staff member the inspector was told that residents go to bed when they choose to. The manager stated that the plans are reviewed every six months. This is usually in-house as social workers attached to the residents are not undertaking annual reviews. As previously stated the inspector recommends that rather than simply recording changes on a review form, the plan itself should be updated so that it is a stand alone living document. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 14 The manager stated that the general practitioner the residents were with has recently retired and the new practice doctors are reluctant to visit. If a resident needs to see a doctor the home usually has to escort them in a cab to the surgery as it is too far to walk. The manager stated that the residents are under a variety of consultants, and they see dentists and opticians. Chiropody is available free at a local drop in clinic or a private chiropodist will call at the home. The home has a good link with the multi-disciplinary learning disabilities team and referrals to the team are passed to the appropriate professional for their specialised input. The manager stated that the residents are generally fit and keep well. The inspector viewed the arrangements for the administration of medication. She examined the administration charts for two of the three residents being case-tracked and balanced their mediations. The third resident does not take any medication. The charts were clear and fully completed. There were no discrepancies in the medications. The medications were appropriately stored. The inspector recommended to the manager that he place a list of staff administering medication along with a specimen of their initials (as used on the charts), in the front of the medications folder (see recommendations). Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The views of residents are sought and considered. They are protected from abuse although one requirement has been made to improve procedure. EVIDENCE: The inspector viewed the complaints policy and leaflet. Both required minor alterations which the manager undertook to make that day. She viewed the complaints folder which also held the incident/accident forms. The folder was sectioned into residents names, and had a log at the front which cross referenced with the forms in the sections. The inspector felt that the records regarding, complaints, incidents, and accidents were well kept, and that complaints would be well handled. The home works with the corporate adult protection policy. This policy makes it clear that the home must allow local social services to take the lead initially. However the home does not have a copy of the local authority policy and procedure. They should have a copy of the procedure to inform them. The manager must attempt to obtain a copy (see requirements). The inspector has had some experience of the homes handling of an adult protection issue which arose since the last inspection. She was satisfied that the home had handled the matter appropriately. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 16 The inspector discussed referral to the Protection Of Vulnerable Adults (POVA) register. The manager understood that it is the employers responsibility to make these referrals and said that his line manager would undertake the task. The home has made further progress in ensuring that each resident has their own bank account. This is yet to be achieved for one last person. The inspector viewed the arrangements for the protection of the cash of residents. She balanced the monies of three residents against their account books. The records were clear and there were no discrepancies. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean safe and homely environment, with adequate toilets and bathrooms. EVIDENCE: The inspector made a tour of the premises including with their permission, some residents rooms. The home is warm and comfortable. Some of the communal areas need redecorating but this will be done soon, under the corporate cyclical decoration programme. Residents rooms were pleasant and personalised, bathroom and shower rooms were clean. A resident told the inspector he liked his room and had everything he needed. The home has two small gardens behind the two units. These are well kept and one has a bench and swing seats. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 18 The home is clean and hygienic. There were no offensive odours and laundry facilities were good. The inspector and manager discussed recent guidance from the Medicines and Healthcare Products Regulatory Agency (MHRA) on the use of lancing devices. They also discussed the need to avoid crosscontamination of blood-borne infections by using granular disinfectant, to deal with blood spills. The manager confirmed that he had seen the alert and lancing devices are not used on more than one person in the home. He further stated that the home does not have occasion to deal with spillages of blood. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Recruitment is sound and staff are competent and qualified. However staffing levels are low over the afternoon and evening periods. EVIDENCE: The home has 15.1 whole time equivalent posts, filled by 16 staff, not including the part time cleaner. There is a manager, deputy manager and 14 support workers. There are no administrative staff. The home has two waking night staff on duty, one in each unit and there is an on-call system. As previously mentioned the staff establishment has been reduced and there has been an impact in the home. However the home benefits from the work patterns of the manager and his deputy as one or other are present from approximately 7a.m. until. 5p.m. The manager stated that 13 out of the 16 workers have NVQ 2 and the others are working towards it and in the meantime doing LDAF. The manager has NVQ 4 and the registered managers award and the deputy manager and some of the support workers have NVQ 3. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 20 Personnel information is not kept in the home but the manager was able to confirm that the process includes application form, role profile, 2 professional references including one from the most recent employer, Criminal Records Bureau (CRB) check, proof of eligibility to work. The manager was able to show the inspector on screen the CRB numbers for the staff who work at the home. He said that the he has not recruited for some time but when he does he looks for individuals with relevant experience and a person centred approach to the work. He said that East Living ask residents to sit on recruitment panels sometimes. The inspector viewed the East Living training calendar. The manager stated that the learning and development department has been undertaking a survey of staff training. He agreed that First Aid (1 day course), Food Hygiene, Control of Substances Hazardous to Health (COSHH) and Fire training all need to be renewed every year and stated that staff training at the home was up to date. The inspector saw evidence in the form of certificates and a computer database recording training. A staff member interviewed by the inspector said that she had had quite a lot of training and she has supervision once a month or one hour or longer. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and residents views are taken into account. Health, safety and welfare are promoted. EVIDENCE: As previously stated the manager is suitably qualified for his role. He also has significant relevant experience. As previously mentioned East Living undertakes residents surveys. They work with People First advocacy group, and there are person in control visits to ensure quality. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 22 The inspector viewed various records to monitor the working practices of the home for safety. The home has a fire risk assessment which has been checked by the Health and Safety advisor and which was viewed by the inspector. It was dated 2002 and the manager agreed needs updating. There should also be an up to date emergency plan (see recommendations). On the day of the inspection an outside contractor was working in the home on the fire protection system. The manager stated that the fire equipment test by the outside contractor is due this month, and the inspector noted that a fire extinguisher was checked on 01/06. The Fire wallet contained inspection certificates dated 7/10/06. The manager stated that drills are three monthly and are led by different members of staff each time. The last was on 19/12/06 The staff test the fire alarm system themselves every week, and rotate the active point. The inspector viewed the arrangements for Control of Substances Hazardous to Health (COSHH). The home uses the products of one company and keeps them securely stored. They have a folder of product information relating to the substances. Water temperatures are taken on a weekly basis, and the inspector viewed the record. The temperature of fridges and freezers are recorded. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 3 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 24 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 3. Standard YA23 Regulation 13 (6) Requirement The registered manager must ensure that the home has a copy of the local authority adult protection policy and procedure. Timescale for action 01/03/07 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. 2. 3. Refer to Standard YA6 YA20 YA42 Good Practice Recommendations The manager should ensure that personal lifestyle plans are updated to reflect significant changes. The manager should place a list of staff administering medication along with a specimen of their initials (as used on the charts),in the front of the medications folder. The fire risk assessment for the home was undertaken is 2002 and should be updated. An up to date emergency plan should be produced alongside. Helena Road (2c-2d) DS0000022837.V326141.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Helena Road (2c-2d) DS0000022837.V326141.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. 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