Inspection on 19/02/07 for Henleigh Hall Care Home

This inspection was carried out on 19th February 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

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

CARE HOMES FOR OLDER PEOPLE Henleigh Hall Care Home 20 Abbey Lane Dell Beauchief Sheffield South Yorkshire S8 0BZ Lead Inspector Mrs Janis Robinson Key Unannounced Inspection 19th February 2007 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 X10015.doc Version 1.40 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. X10015.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Henleigh Hall Care Home Address 20 Abbey Lane Dell Beauchief Sheffield South Yorkshire S8 0BZ 0114 235 0472 0114 235 2608 henleigh.hall@fshc.co.uk 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) Four Seasons (No 7) Limited Mrs Lindsey Ann Deignan Care Home 62 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (22) of places X10015.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11th October 2005 Brief Description of the Service: Henleigh Hall is a two storey purpose built nursing home. It provides nursing and personal care for up to 62 people including 22 people with physical disabilities. All rooms are single with ensuite facilities. The home is located in the Beauchief area of Sheffield, close to Millhouses park. Shops and local transport are nearby. There is a large patio area surrounding the home, and a large car park at the rear of the home. Written information about the home is available to current and prospective residents. Fees range from £575 to £610 per week. X10015.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors, Janis Robinson and Rob Curr, undertook a site visit over 5.5 hours on the 19th of February 2007. The inspectors spoke with the registered manager, deputy manager and administrator to gather information about the home. A proportion of the staff on duty were spoken with about aspects of their job. Some residents and their relatives were spoken with about their experiences of the home. Interactions between staff and residents were observed. A proportion of communal and individual living space was inspected. A selection of records was examined, including; pre-admission assessments, care plans, accident records, complaints and adult protection policy and procedures, staff training and recruitment, fire records and quality assurance. In addition to the site visit a pre-inspection questionnaire was undertaken by the manager. Surveys were sent to a proportion of residents, their relatives, and health professionals. Five residents, five relatives and one general practitioner completed and returned their questionnaires. Their views are reflected throughout this report. The inspectors would like to thank the manager, residents and staff for their welcome and cooperation with the inspection process. What the service does well: All of the comments made by residents and their relatives were positive. Residents said that ‘staff were kind and helpful’. Relatives said that they were always made to feel welcome, and were happy with the care provided to their loved one. Residents said that staff respected their privacy. Comments about the food provided were positive, all of the residents spoken with said that choices were provided. Each resident had a plan of care that detailed individual needs. Health care was monitored and access to health care professionals was provided. The policies and procedures in place protected residents and staff. The premises were well decorated and maintained. Sufficient staff were provided to meet residents needs. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 6 A staff-training programme was in place to maintain staff skills. All of the residents and staff spoken with said the managers were approachable and supportive. A quality assurance system was in place to obtain and respond to residents’ views. Health and safety procedures were undertaken to maintain a safe environment. What has improved since the last inspection? What they could do better: Care plans did not consistently record in sufficient detail the staff action required to meet identified need. Medication Administration Records (MAR) did not clearly record the details of administration. Some medication was insecurely stored. This was made safe during the inspection. Some residents said that they wanted further trips out of the home. Some kitchen equipment and bathing facilities required cleaning. One bathroom was out of use, several bathrooms were being used to store equipment and furniture. Parts of the grounds required clearing of debris. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 7 One recruitment file inspected did not contain all of the required information. Staff supervision did not take place at the recommended frequency to maintain staff support and skills. Some staff were out of date with aspects of mandatory training. 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. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 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 Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Standard 6 does not apply to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A statement of purpose and service user guide was provided to prospective and current residents and their relatives, to give them information about the home. Assessments prior to admission took place to ensure identified needs could be met. EVIDENCE: A copy of the homes statement of purpose and service user guide was on display. Each resident had been provided with a service user guide, which were seen in residents bedrooms. These contained written information on all aspects of the home. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 10 The manager confirmed that assessments prior to admission took place in the resident’s own home, or hospital. Three care plans were checked in detail. Each had a copy of the homes pre-admission assessment document, which identified needs and was reflected throughout the care plan. The plans also contained copies of care management assessments. The manager confirmed that copies of care management assessments were obtained from social workers prior to admission, where possible. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident had a written care plan that set out his or her individual needs. Further information on the staff action required to meet identified needs was required to ensure staff were appropriately informed. Health care was monitored and access to health care professionals was available to maintain good health. Medication systems required improvement to ensure safe procedures were routinely followed. Residents’ privacy and dignity was respected. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 12 EVIDENCE: Three care plans were checked in detail. They contained a range of information and had been reviewed on a monthly basis. All of the care plans seen were fully completed. Whilst two of the plans checked contained appropriate and specific information, one plan contained general statements regarding personal care needs, for example ‘assistance from one staff’, and ‘ascertain preferences regarding baths and showers’. The plan did not detail the specific actions required of staff to ensure personal care was met in a way that respected the individual residents feelings and wishes. Care plans contained information relating to all aspects of health care. Visits from health professionals were recorded, and plans evidenced that staff monitored health. The residents spoken with confirmed that they could see health professionals in private. A policy and procedure on medication was in place. Qualified nurses administered medication, and all had been provided with external medication administration training. Medication administration records were examined, these corresponded with the drugs held. However, one medication record did not indicate that the drug was to be administered on a PRN (as and when required) basis. Staff were not consistently recording when this medication had not been administered. The majority of other medication records had been fully completed. One storeroom was found unlocked, containing medication. This was secured during the inspection. The interactions observed between residents and staff appeared patient and caring. The residents spoken with said that staff were respectful. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A variety of leisure activities were provided to residents to maintain their interests. Further trips out of the home would improve the quality of leisure time for some residents. Resident’s relatives and friends were encouraged to visit the home, to maintain contact. A varied diet was provided to give residents choice and maintain their health. The residents said that the food was good. Some kitchen areas and equipment required cleaning. EVIDENCE: The home had employed a new activities co-ordinator a few weeks prior to this inspection. A programme of leisure activities, including quiz nights, exercises, theatre trips, and evening entertainers was available. Two residents asked said Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 14 that enough activities were provided; two residents said that they would love further trips out to the local community. Residents were encouraged to maintain contact with their relatives and friends and with the local community. Visitors were welcomed to the home and residents could see their visitors in private. Some residents attended church, and others went out with their relatives. Residents went out shopping or out for lunch, and the home had a minibus to facilitate this. The home was visited regularly by outside groups such as the Lost Chord, and by the local clergy. Residents said that the food was good and they were asked their choices on a daily basis. Menus showed a wide range of food offered. Residents could have meals in their rooms if they wished. Three meals a day and snacks were served. Meals were attractively served and nutritious, and residents were asked their preference of portion size. The cook was aware of special diets and liquidised and soft diets were appetising in presentation. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints policy was in place that ensured any concerns were listened to and taken seriously. Policies, procedures and staff training promoted the protection of residents. EVIDENCE: There was a complaints procedure in place, which was available to residents and their relatives within the service users guide. This contained appropriate detail and informed the reader of the national contact details of the Commission for Social Care Inspection (CSCI), should they wish to make a complaint to them. It might be beneficial to resident to include details of local CSCI address and telephone number. Residents and a relative said they had no complaints and were happy that they could talk to the manager if they had any worries. They felt they would be listened to and any issues ‘sorted out’. The home had policies and procedures on adult protection. Staff members were trained in adult protection, and were confident that they would report any potential abuse to the manager. Management were aware that any incidents of abuse should be reported to Social Services Adult Protection procedures. Residents spoken to said they felt safe at the home. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The majority of the home was well maintained, providing a safe environment for residents. Individual and communal space was well decorated and furnished to provide comfortable living. Some areas of the home required cleaning. EVIDENCE: Since the last inspection communal areas of the home had been refurbished to a high standard. Furniture and fittings were in very good condition and provided a very pleasant environment. Communal sitting and dining areas, and bedrooms, appeared clean. However, one identified bathroom and one shower room required cleaning, as the bath and the sink in the shower room were dirty. A jug used to wash hair was dirty and in need of replacement. Two Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 17 bathrooms were used to store furniture and equipment. The kitchen was in need of deep cleaning. Dirty marks were present on door handles and light switches. Food debris was present in the storeroom, on the shelves and floor. Equipment required cleaning, the cooker and deep fat fryer were dirty. One bathroom was out of order, awaiting repair. The laundry appeared ill organised and cluttered, the door to the laundry did not lock. The grounds of the home were, on the whole, well maintained, and provided a pleasant space and view for residents. However, one area was littered with cigarette ends, and debris from the laundry dryer was covering a pathway, posing a potential hazard. Systems for the control of infection were in place. Staff were provided with appropriate equipment, such as gloves and aprons. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were sufficient staff to meet the needs of the residents. Staff were provided with appropriate training to develop and maintain their skills. Recruitment procedures, policy and practices were thorough, promoting the safety of residents. The head office had not forwarded all of the required information in one file to evidence that these had been obtained. EVIDENCE: The staffing rotas checked showed that there was sufficient staff on duty at the home to meet the needs of the residents. Additional care staff were in the process of being recruited to ensure sufficient care staff were available should the number of residents increase. Domestic staff were employed at the home. Residents said there was enough staff employed at the home to meet their needs, and they felt well cared for. Staff said that morale was high, and this helped them to provide a good service to residents. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 19 Staffing recruitment procedures were thorough and protected residents. The manager confirmed that all staff members had undertaken CRB and POVA checks. Three staff recruitment files were examined in detail, all contained proof of identification, CRB and POVA checks, references and proof of identity. Two application forms were examined and full employment history had been obtained. Whilst one file evidenced that an application form had been completed, this was not present in the file and therefore unavailable for inspection. The manager stated that this would have been forwarded to the homes head office and not returned to the home. The home had not yet met the target of 50 of staff trained to NVQ level 2. However, there were sufficient numbers of staff registered to undertake this award that (when completed) will meet this target. All members of staff received induction training to NTO (National Training Organisation) specification within six weeks of appointment. Training needs of staff were identified through supervision and a staff-training programme was in place at the home. All staff members spoken to said that their training was very good and wide ranging, including all mandatory training and other areas such as POVA, palliative care, and medical conditions such as diabetes and arthritis. This enabled them to respond appropriately to residents needs. However, it would reflect the homes registration categories, and be beneficial to both residents and staff if consideration was given to broadening the training provided to cover issues related to younger adults as well as older people. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager’s leadership style benefited residents and staff. A quality assurance system was in place that enabled residents and relatives to express their views on the home, and ensured a safe environment through audits undertaken. Procedures were in place to ensure residents’ monies were safely managed. A programme of staff supervision, for development and support, was in place. This did not consistently take place at the required frequency. Health and safety systems were maintained to protect residents. Some staff required refresher training to keep their skills up to date. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manager had over six years experience in management and had completed her NVQ4 training in management. She applied her knowledge and skills appropriately. Staff and residents expressed their confidence in the way she supported them. The home had a quality assurance system, which sought the views of service users and their relatives/representatives. Questionnaires were sent to residents and relatives, to ensure that all those involved with the service had the opportunity to express their views. Action plans were in place in response to these questionnaires. There was a monthly newsletter in place, to promote the sharing of information and service users/relatives meeting took place at the home. An extensive programme of auditing was in place. There was an annual development plan. The responsible individual regularly visited the home. The staff spoken with said that they received supervision at the required level, however, the three staff files examined evidenced that supervision did not consistently take place at the required frequency. Supervision included training and development issues and practice and policy at the home. Health and safety and other risk assessments were in place. No fire exits were blocked. The manager confirmed that servicing of central heating systems; lifts, hoists and other equipment took place. Window restraints were in place to prevent falls. These measures confirmed the provider’s commitment to health and safety at the home. A programme of mandatory training was in place. The system to monitor training was being updated to ensure refresher training took place within timescales. The staff training records inspected indicated that some staff were out of date with aspects of mandatory training. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 2 Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement Care plans must detail the specific actions required of staff to meet personal care needs. Residents’ preferences must be obtained and recorded in their plan. Medication must be securely stored at all times. Medication records must clearly state the up to date administration details of each drug. Where a medication is not required, this must be recorded. Medication administration records must be fully completed at the time of administration. Residents must be consulted regarding trips out of the home, and appropriate activities provided, in line with identified preferences. The kitchen must be thoroughly cleaned. The storeroom must be cleaned of food debris. The cooker and deep fat fryer must be thoroughly cleaned. (Previous timescale of 30/11/05 DS0000068394.V320832.R01.S.doc Timescale for action 31/05/07 2 3 OP9 OP9 13 13 19/02/07 30/04/07 4 OP12 16 31/05/07 5 6 OP19 OP26 OP19 OP26 16 16 30/04/07 30/04/07 Henleigh Hall Care Home Version 5.2 Page 24 7 OP19 OP26 16 not met) All areas of the home must be kept clean and free from hazards at all times; The identified bathroom and shower room must be cleaned. Old and marked jugs provided in bathrooms must be replaced. The grounds must be cleared of debris from the laundry dryer and cigarette ends. The lock to the laundry door must be repaired. Bathrooms must not be used to store equipment. Repair to the bathroom out of use must be completed and the bathroom made available to residents. 50 of care staff must be trained to NVQ level 2 in care. All records relating to staff recruitment must be available for inspection, including application forms. Appropriate levels of supervision must be provided to staff. (Previous timescale of 30/11/05 not met) An audit of staff mandatory training must be undertaken, where gaps are identified, appropriate training must be undertaken. 01/04/07 8 9 OP19 OP19 16 16 01/04/07 01/04/07 10 11 OP28 OP29 18 19 30/06/07 31/05/07 12 OP36 18 30/04/07 13 OP38 18 30/04/07 Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 25 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 OP16 OP30 Good Practice Recommendations The complaints procedure provided to residents should include contact details of the local office of the CSCI, in addition to national details. Consideration should be given to broadening the training provided to cover issues related to younger adults as well as older people. Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Henleigh Hall Care Home DS0000068394.V320832.R01.S.doc Version 5.2 Page 27 - 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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