Inspection on 21/09/06 for Helmsley Road Short Break Service

This inspection was carried out on 21st September 2006.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Helmsley Road Short Break Service 22/10/08

Helmsley Road Short Break Service 21/06/07

Helmsley Road Short Break Service 31/01/06

Helmsley Road Short Break Service 28/09/05

Helmsley Road Short Break Service 11/11/04

Helmsley Road Short Break Service 13/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Helmsley Road Short Break Service 27-33 Helmsley Road Rainworth Nottingham Nottinghamshire NG21 0DQ Lead Inspector Rob Cooper Key Unannounced Inspection 21st September 2006 10:00 Helmsley Road Short Break Service DS0000036300.V308970.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 Helmsley Road Short Break Service DS0000036300.V308970.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. Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Helmsley Road Short Break Service Address 27-33 Helmsley Road Rainworth Nottingham Nottinghamshire NG21 0DQ 0115 9823 823 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) Nottinghamshire County Council Sarah Robinson Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: Helmsley Road consists of four purpose built bungalows three of which provide accommodation, in single rooms, for up to twelve younger adults who have learning difficulties. One is used as an administration centre and also houses the central kitchen and laundry. The service is part of Nottinghamshire County Council’s short-breaks provision. Located in the village of Rainworth, Helmsley Road is close to shops, pubs, post office and a garden centre – all within a mile distance. The bungalows all have level access, and there is car parking available for 12 cars. Each bungalow has a separate front garden, although the rear gardens had not been separated and service users spoken to prefer this layout. Fees: The fee level is assessed on an individual basis. Helmsley Road Short Break Service DS0000036300.V308970.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 – so that no one at Helmsley Road knew that the inspection was going to take place. The inspection took approximately three hours through the middle of the day with one Inspector present. The method used to carry out the inspection was to send out a questionnaire, which asked questions about the service, to gather statistics, such as how many service users there are, the numbers of staff etc. This was followed with a visit to Helmsley Road, where a method called case tracking was used; this involved identifying three service users and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. This was done by a partial tour of Helmsley Road, looking at the activities on offer, and talking to service users and staff. As a result two service users were spoken with about the service they are receiving. Three members of staff were also spoken with to get their views on how service user’s needs are being met. Sarah Robinson the Registered Manager was present throughout the inspection of Helmsley Road. This was a good inspection, and there were many examples of good practice seen, and examples of good experiences for service users identified. What the service does well: What has improved since the last inspection? At the last inspection one requirement was set with regard to the responsible individual carrying out Regulation 26 visits. These are monthly monitoring visits to Helmsley Road to check that everything is as it should be. Evidence was seen that Regulation 26 visits are now taking place at Helmsley Road on a monthly basis. Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 6 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. Helmsley Road Short Break Service DS0000036300.V308970.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 Helmsley Road Short Break Service DS0000036300.V308970.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 The quality outcome in this area is good. This judgement has been made using the available evidence including a visit to this service, and meeting with service users. Prospective residents at Helmsley Road have the information they need to make an informed choice about where to live. Prospective residents usually have their individual aspirations and needs assessed. EVIDENCE: The Statement of Purpose and Service User Guide were both seen. Together these documents contained a detailed account of all aspects of living at Helmsley Road or coming to stay for a short break. The Service User Guide also contained a sign and date box to be completed by service users or their relatives when they receive the guide. This is very good practice. As part of the case tracking process three service users files were seen. Two contained Standard Community Care Assessments, which identified the service user’s needs. The third did not contain any assessment. This individual had come from a health care setting, and the manager explained that often service users from health care settings do not arrive with a full assessment of need. It is strongly recommended that this issue be addressed with the necessary carers, and service users files are updated accordingly. Helmsley Road Short Break Service DS0000036300.V308970.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 67&9 The quality outcome in this area is good. This judgement has been made using the available evidence including a visit to this service, and meeting with service users. Service users know that their assessed and changing needs and personal goals are reflected in their individual plan of care at Helmsley Road. Service users make decisions about their lives with assistance if needed. Service users at Helmsley Road are supported to take risks as part of an independent lifestyle. EVIDENCE: Three service user files were seen as part of the case tracking process. Each file had a clear plan of care, and this reflected how the individual’s needs would be met. The care plans are well produced; however there is space for service users to sign their agreement to the plan, but in many cases this has not been done. It is very good practice for service users or their relatives to sign the care plans, as this demonstrates consultation, and agreement. It is recommended that service users, their relatives or carers sign care plans as appropriate. Helmsley Road despite being a short breaks service has had longer-term residents. The last of these ‘residents’ is due to move on shortly, and evidence was seen of multi-disciplinary meetings to discuss the move. This provided evidence that decision making (with assistance) was taking Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 10 place. Two service users were spoken with about their plans for the day, and it was quite clear that they had chosen the activities, and were involved in, and were involved in the planning of those activities. The three service user files showed evidence of risk assessment. The risk assessments varied from file to file, and showed evidence of the assessment being tailored to meet the needs of the individual service user. Helmsley Road Short Break Service DS0000036300.V308970.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 & 17 The quality outcome in this area is excellent. This judgement has been made using the available evidence including a visit to this service, and meeting with service users. Residents are able to take part in age, peer and culturally appropriate activities. Residents at Helmsley Road are part of the local community. Residents at Helmsley Road have appropriate personal, family and sexual relationships. Resident’s rights are respected and responsibilities recognised in their daily lives. Residents are offered a healthy diet, and enjoy their meals and mealtimes. EVIDENCE: There is a weekly plan of activities on display – this is in pictorial form, and for the week of the inspection covered a range of activities from beauty therapy through trips out to the cinema and local attractions, and an in-house ‘X Factor’ evening on Saturday night. The plan showed that there were activities organised every day, and that these were varied and quite imaginative activities. Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 12 There were a number of photographs on display of service users taking part in different activities, to illustrate past events. Two service users were asked about activities at Helmsley Road, and they said they were going into town shopping, and to get something to eat. Both service users were quite excited about the trip, and were obviously looking forward to it very much. Helmsley Road do have the use of a vehicle, which means that service users are able to access the local area, although a staff member also said that they use public transport as well. The activities board reflected the fact that Helmsley Road’s service users do go out and about into the local community. Photographic evidence seen during the inspection showed a variety of service users at local attractions and taking part in community based activities. The short breaks nature of Helmsley Road does mean that service users and their families are ‘having a break’. Therefore contact with families is often via the telephone, rather than in person. Evidence was seen that two service users who do ‘not get on with each other’ no longer have short breaks at Helmsley Road at the same time, so as to avoid ‘confrontation.’ Helmsley Road does not have a lot of rules to restrict its service users – the short breaks service does have a ‘holiday nature’ to it, which means that the routine is quite relaxed, with no expectations on service users that they will participate in the running of the bungalows. Helmsley Road uses a cook/chill method of food preparation. The kitchen was found to be clean, tidy and well organised, and was preparing meals for all of the bungalows. All of the appropriate records – cooking temperatures, food storage, refrigerator temperatures, menus etc were seen, and all found to be in order and complete, which evidenced that food hygiene and food safety are given a high regard. Two service users were asked about the food at Helmsley Road, and both said that they liked it. There is a pictorial menu on display so that service users who are unable to read can find out what is for lunch, this is very good practice. Helmsley Road Short Break Service DS0000036300.V308970.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 & 20 The quality outcome in this area is excellent. This judgement has been made using the available evidence including a visit to this service, and meeting with service users. Residents at Helmsley Road receive personal support in the way that they prefer. Resident’s physical and emotional health needs are met at. Residents are protected by Helmsley Road’s policies and procedures for dealing with medication. EVIDENCE: All three service user plans that were seen had evidence that the means of personal support required by an individual had been identified, together with any important information – for example if a certain activity or event triggers an epileptic seizure. Discussions with staff members showed them to be knowledgeable with regard to service users personal care needs, and aware of key information relating to individuals. The three files also had a good range of care plans to meet the health and emotional needs of the service users, and discussions with staff members showed them to be quite knowledgeable about service users health care needs and emotional support needs. Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 14 The medication records and storage systems were seen, and these were found to be secure, with a clear audit trail showing medication booked in, administered, and any surplus booked out again. Discussions with staff demonstrated that they were aware of the medication procedures, and had been appropriately trained, which was supported by examination of the staff training records. Two service users were asked about their health needs being met at Helmsley Road, but neither fully understood the questions, and their answers while quite positive, did not provide any hard evidence. Helmsley Road Short Break Service DS0000036300.V308970.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The quality outcome in this area is good. This judgement has been made using the available evidence including a visit to this service, and meeting with service users. Residents at Helmsley Road feel their views are listened to and acted upon. Residents are potentially at risk of abuse and self-harm due to the lack of staff training in issues relating to safeguarding adults and abuse. EVIDENCE: The complaints procedure is widely displayed throughout Helmsley Road, both in written form and in a signs and symbols format too, which would be easier to understand for a service user who had difficulty reading written English words. The complaints procedure also forms part of the service user guide, and every service user and their family has a copy, so that they would know who to and how to complain should they feel the need to. Since the last inspection there have been no complaints – the last recorded complaint being on 15th November 2005. Two service users were asked about complaints, but were unable to provide any information due to them being unable to understand the question(s). Feedback is received from relatives and carers after a service users’ stay, and none of the feedback/review information has highlighted any problems. Helmsley Road have a good range of policies relating to abuse and safeguarding adults, with: ‘Smile – No bullying, Best practice’, and the Nottinghamshire multi agency policy on adult protection both available. However staff training records show that not every member of staff has had abuse training, and for some they are ready for an update. Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 16 The staff should have training in abuse to bring them up to date with changes every year so that they know how to protect the people they care for from abuse. Two members of staff were asked about their experiences of abuse training, and one said they had had a one day introduction last year, while the second said they had not had any abuse training at all. Helmsley Road Short Break Service DS0000036300.V308970.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The quality outcome in this area is excellent. This judgement has been made using the available evidence including a visit to this service, and meeting with service users. Residents at Helmsley Road live in a safe, homely and comfortable environment, and it is clean and hygienic throughout. EVIDENCE: A tour of most parts of Helmsley Road showed it to be clean tidy, well maintained, with good quality fixtures and fittings. One bungalow is due to be redecorated shortly; the rest of the accommodation is bright, airy and comfortable, and is a homely environment for service users to live during their stay. A visual inspection of toilets, lounges and other communal areas showed them to be clean and fresh. The nature of Helmsley Road as a short breaks service could lend to it being impersonal, and a little stark, however there is clear evidence of attempts to create a homely environment, and the impression was of an area where people live, as opposed to somewhere where they ‘stay’. The two service users who were spoken with both said that they liked staying at Helmsley Road, and that they liked their bedrooms, and the lounges. Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 & 35 The quality outcome in this area is good. This judgement has been made using the available evidence including a visit to this service, and meeting with service users. Service users at Helmsley Road are supported by competent and qualified staff. Service users’ rights are supported and protected by Helmsley Road’s recruitment policies and procedures, and service users have their individual and joint needs met by appropriately trained staff. EVIDENCE: Two staff files were seen, together with staff training records. These showed that there is an ongoing staff training programme in place to help staff to develop and do their jobs better. Two members of staff were asked about their experiences of working at Helmsley Road, and each one said they had had an Induction, and had undertaken a wide variety of other training – including Learning Disability Award Framework (LDAF) training. The staffing rota was also seen which showed a clear structure through the team, with more senior staff in management roles. Discussions with staff members showed them to be knowledgeable about the needs of service users, and confident about the roles, which they are undertaking. The two staff files that were seen contained evidence that staff had been recruited in a manner, which would protect service users – each member of Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 19 staff had had a formal interview, and two written references and a Criminal Records Bureau (CRB) check had been carried out for each member of staff. Two members of staff were asked about their recruitment and both said they had been through a formal interview process, and not started work until the pre-recruitment checks had been completed. Both service users when asked about the staff said that they liked the staff very much, with one saying “they are very nice, and very kind.” Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 & 43 The quality outcome in this area is good. This judgement has been made using the available evidence including a visit to this service, and meeting with service users. Service users at Helmsley Road benefit from a well run service. Service users cannot be confident that their views underpin all self-monitoring, review and development at the service, due to infrequent service user meetings where they might raise their views. The health, safety and welfare of service users and staff at Helmsley Road is promoted and protected, although record keeping is not good enough. Service users benefit from competent and accountable management of the service. EVIDENCE: Discussions with the manager identified that she was suitably qualified and experienced, and evidence seen at the Commission for Social Care Inspection’s offices at the time of her ‘fit person’s interview’ supported this view. Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 21 Evidence was seen that service user meetings are taking place, although these are quite infrequent (three meetings in the last ten months) which means that it is not possible to demonstrate that service users views underpin the service. A range of health & safety records were seen, which demonstrated that health & safety checks are taking place at Helmsley Road, however the records of fire alarm tests were found to be infrequent, with no test having taken place for three weeks, this potentially leaves service users and staff at risk. Helmsley Road is managed by Social Services, and evidence was seen during the inspection of the external managerial support for Helmsley Road’s staff. At the last inspection a Requirement was set for Regulation 26 visits (monthly monitoring visits by the Registered provider or their representative) to be carried out and records of the visits to be kept. Since the last inspection, these visits have been happening, and records of the visits sent to the Commission for Social Care Inspection, as well as being kept at Helmsley Road, as outlined in the requirement set at the last inspection. Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 2 2 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 4 25 X 26 X 27 X 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 2 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 2 X X 2 3 Helmsley Road Short Break Service DS0000036300.V308970.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 YA2 Regulation Requirement Timescale for action 31/01/07 2 YA23 Regulation The Registered person must 14 ensure that no service user comes to Helmsley Road without having had their needs professionally assessed, and a copy of that assessment is held in the individual’s file. Regulation The Registered person must 18 ensure that all staff undergo training in safeguarding adults procedures, and Protection Of Vulnerable Adults, and have annual updates when required. 31/03/07 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 Refer to Standard YA6 Good Practice Recommendations The Registered person should ensure that service users, their relatives or carers as appropriate sign care plans to show their agreement and/or consultation. The Registered person should ensure that the fire alarm is tested weekly, and a record of that test is kept. YA42 Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Helmsley Road Short Break Service DS0000036300.V308970.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!