Inspection on 22/02/07 for High Hurlands Community Homes

This inspection was carried out on 22nd February 2007.

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

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

Other inspections for this house

High Hurlands Community Homes 20/02/06

High Hurlands Community Homes 22/08/05

High Hurlands Community Homes 10/02/05

High Hurlands Community Homes 17/09/04

High Hurlands Community Homes 09/03/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 High Hurlands Community Homes High Hurlands Estate Gentles Lane Nr Passfield Liphook Hampshire GU30 7RY Lead Inspector John Vaughan Unannounced Inspection 22nd February 2007 09:30 High Hurlands Community Homes DS0000012095.V324760.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 High Hurlands Community Homes DS0000012095.V324760.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. High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service High Hurlands Community Homes Address High Hurlands Estate Gentles Lane Nr Passfield Liphook Hampshire GU30 7RY 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) High Hurlands Partnership Miss Fiona Carter Mrs D Carter Care Home 15 Category(ies) of Learning disability (15), Physical disability (10) registration, with number of places High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th February 2006 Brief Description of the Service: High Hurlands Community Homes are five three-bedroom bungalows providing a service for fifteen younger adults with a Learning Disability some of who may have associated physical disabilities. Three service users are accommodated in each of the small homes. Staffing is provided twenty-four hours a day. Service users are encouraged to maintain their independence and rules are kept to a minimum. Visitors are welcome and service users families are encouraged to play an active part in their relatives life. The home has well-established links with local General Practitioners and nursing team to support and enhance the service provided. The homes were developed and are managed by the High Hurlands partnership and are well established in the local community. The grounds extend to over 70 acres and a day service facility is provided on site. The home is situated in a rural part of the Hampshire country side and transport facilities are provided for service users to access local facilities in the nearest village of Liphook and larger towns in the area. The placement fees for this service is £1200 per week with an addition charge of £160 for day service activities. High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector spent one day at the service and was accompanied by a second inspector. The inspectors met with the manager, staff and service users during the visit. The complexity of service users needs means that it is difficult to speak to service users about their views on the service they receive. The inspector spent time observing service users in their daily activities and the interaction between the service users and staff supporting them. During the visit the inspectors looked at records held in the home and toured four of the five bungalows. In preparation for this inspection the inspector reviewed information held by the commission including the most recent reports on the service, regulation 26 visits and incident reports sent to the commission under regulation 37. What the service does well: Service users benefit from an excellent activity programme that has been put together based on their individual needs and interests which included hydrotherapy, art and crafts, horse-riding, shopping, going to shops, pubs, theatres and local events. Detailed care plans support the service users with their assessed needs and these are reviewed with the individual on a regular basis. The cottages have a very comfortable and relaxed atmosphere and service users and staff talked openly together. The inspector saw positive contact between the staff and service users. A varied an appealing menu is offered to service users reflecting their need and choices and staff were very clear on individual needs and wishes when making choices about meals and drinks. The home is clean and tidy and free from any unpleasant smells. Rooms are light and bright and have been decorated to a good standard. Service users looked comfortable and relaxed in their private rooms. The home provides a good staff level to meet the needs of service users and these staff are supported to develop their skills through a good training and development programme. High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. High Hurlands Community Homes DS0000012095.V324760.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 High Hurlands Community Homes DS0000012095.V324760.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 practice of the home demonstrates that service users needs and wishes are assessed and documented. EVIDENCE: There have been no new admissions to the home for some time. The inspectors examined a sample of five service user’s records during the inspection of the service. These files document service users needs in all areas of daily living including personal care, communication, healthcare, social and emotional needs. The plans were signed and dated frequently confirming that service users needs are continually kept under review. The manager provided a new brochure that has been produced and this included brief information on the admissions process, which includes an assessment of the individual’s needs to establish if the home is suitable for their needs. High Hurlands Community Homes DS0000012095.V324760.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. A well established and comprehensive care planning process demonstrated that the home is identifying and responding to service user’s needs. EVIDENCE: The inspectors examined five service user’s plans across the cottages during the visit. Each of these plans have specific and detailed guidelines for all areas of the service user’s assessed needs. Instructions to staff are clear and the documents are signed by staff to confirm that the plan is kept under regular review. Information on how to support the service users with personal care, health and medical needs, communication, activities, social interaction, sexuality and behaviour are all covered within these plans. Comprehensive guidelines are in place for moving and handling and physiotherapy sessions, which are supported by photographs and drawings High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 10 and these are supervised by a physiotherapist. An additional document provides a picture of the person, their dreams, likes and dislikes and goals, which have been completed by key-workers and family members. The inspectors also looked at the intervention strategies for one service user who has challenged the services provided for them. The home has worked with the community team to develop strategies to support the individual. This was evident by reading the person’s plan and a new approach has been put in place. The inspector spoke to staff about this particular strategy, which highlighted the need for the manager to go over the recent changes in the support plan with staff to ensure they fully understand the change in approach. Staff spoke positively about the individual and how they have settled and are far more at ease over recent months. Risk assessments and strategies to minimise these risks are also in place, which include medication, transportation, community access, moving and handling, pressure care and health concerns. These are all kept under review with the care plan. The inspectors sat with service users and staff and observed the interaction between individuals. The privacy and dignity of service user was maintained by prompt staff intervention. Staff provided sensitive support in activities and personal care. Staff spoke to the inspectors about their roles in supporting service users and confirmed that they regularly refer to care plans and guidelines when providing this support. High Hurlands Community Homes DS0000012095.V324760.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, 14, 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. Service users benefit from the provision of a well organised and varied activity programme enhanced by contact from families and friends. The home provides service users with a well balanced, healthy and varied diet reflecting their likes, dislikes and dietary needs. EVIDENCE: The home provides an excellent day service for service users. Evidence of regular activities was documented within service users plans and a very detailed activity plan was provided to show the range of activities service users take part in. Service users engage in group and individual activity including hydrotherapy, pottery, craft, cookery, horse riding, music and gardening. This is currently closed for half term break however activities continue for all service users. High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 12 The inspector was told that most service users had been on holiday last year and plans are being put in place for this year’s holidays. The community homes manager told the inspectors that new venues have been found that can cater for the needs of service users and successful trips took place last year. The home is located in an isolated rural area however the use of community resources and integration into the wider community is encouraged within the homes and service users visit local shops, clubs and leisure centres. Shopping trips, meals out and swimming trips are recorded. Service users have recently gone to musicals and theatre trips. Other recent trips included horse racing, dog racing and a trip to see Swan Lake. The home provides transportation to access activities and the local community. Staff members were able to discuss the interests of service users and demonstrated insight into individual service users wishes. From examining the records and talking to staff the inspectors confirmed that service users have regular contact from their families. Contact details are on file and care plans provide guidance on how to maintain contact and encourage interaction from service users. Observation of staff interaction during the visit confirmed that staff members treat service users with respect, talking to them individually, involving them in conversations and asking for permission to enter their bedrooms. A staff member stopped explained that they needed the service user to make a decision about where they wanted to go and gave them time and support to make a decision. This was handled very well by the staff member and demonstrated a sensitive and positive approach when working with service users. The inspector spoke to staff and read food diaries to confirm that a varied and balanced diet is offered to service users in each of the bungalows. The community homes manager reported that they keep these diaries under review to ensure meals are varied and healthy. The meals provided to service users were seen by the inspectors and they were well presented and appealing. Staff discussed how they have supported service users to eat well and have varied menus to maintain the interest of the individual. Fresh fruit and healthy foodstuffs were prepared and served to service users at breakfast and lunch. Staff were very knowledgeable of service users likes and dislikes and each service user file had details of the person’s likes and dislikes. The manager said that a new health and safety food management system was soon to be introduced and these are to be discussed and key worker meeting before they are put in place. High Hurlands Community Homes DS0000012095.V324760.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. The home provides support for service users to access health Care professionals to meet their needs. Personal support is given in a way that respects the privacy and dignity of the individual. EVIDENCE: The inspector saw evidence on file that each person’s medical and health needs are responded to appropriately. Each person is registered with a general practitioner and the staff maintain contact with the surgery to ensure service users health needs are kept under regular review. Physiotherapy support is also provided to the home. The home has clear statements on the rights of service users including privacy and dignity. Service users are supported receive treatments and to meet visitors in private. High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 14 The inspectors examined the homes arrangements for the administration of medication and found them to be satisfactory. Records are in place for the administration and disposal of medication. Medication errors were recorded and reported to the commission since the last inspection. The provider responded to these incidents promptly and the manager arranged for the staff involved to undergo retraining. The inspectors saw further documentary evidence of meeting with staff to review these incidents. Staff members working on each bungalow confirmed that they have had medication training and supervision of their administration practice. The service users plans also contain instructions on using ‘when required’ medication. High Hurlands Community Homes DS0000012095.V324760.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. Procedures are in place demonstrating that the views and concerns of service users, their families and representatives are recorded and responded to. Service users are protected by policies and procedures to report and respond to allegations and suspicions of abuse. EVIDENCE: The home has a complaints procedure. The inspectors were able to confirm that there have been no complaints since the last inspection by examining records and talking to the manager and staff. The complexity of the needs of service users living in these homes mean that it would be difficult to communicate concerns. Communication plans are in place with the service users plan to indicate how each person would communicate when unhappy of distressed and what staff should do when this happens. The home has a policy on the protection of vulnerable adults and a copy of the Hampshire Protection of Vulnerable Adults Policy is also in place. Staff members have training on protecting service users as part of their induction into the home. High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 16 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, 25, 26 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a comfortable, well maintained, safe and accessible home, which is enhanced by the programme of increasing the communal space in for each cottage. EVIDENCE: The inspectors visited four out of the five bungalows during this visit. The homes are set within extensive grounds providing a great variety of outdoor spaces for service users. The homes have access to a day service facility with rooms for activities such as pottery and physiotherapy. There is also a hydrotherapy pool. High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 17 Each of the cottages was clean and tidy and free from any unpleasant smells. The homes are accessible and appear suitable for the needs of the service users. The inspector observed service users within their own home and they looked comfortable and relaxed. The home has suitable range of furniture, which is of good quality and in sufficient quantity to meet the needs of service users. Furniture has been replaced and rooms redecorated since the last visit by the inspector. While touring the homes the inspectors had the opportunity to see some of the bedrooms and these were all different in décor and layout reflecting the interests and needs of the individual. Personal items, photographs and belongings help to make these rooms personal and comfortable for each person. The programme of installing overhead tracking hoists throughout the cottages has greatly improved the moving and handling arrangements for service users. At the last visit the manager spoke of plans to increase the communal space on each of the cottages. This work started last year with the addition of a conservatory to Bramley Bungalow. The inspectors found this new addition to be in use as a dinning area and access is through the kitchen. The space is heated making it useable throughout the year. Staff said that this had been a very positive improvement to the home. The manager said that they have obtained planning permission for the addition of a conservatory to three more cottages, Coxes Cottage, Lambourne Lodge and Gentles Cottage. High Hurlands Community Homes DS0000012095.V324760.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by a well-trained and supervised team of staff who have been recruited through a thorough recruitment process that protects service users. EVIDENCE: The inspectors spoke to staff during his visit. Each person confirmed that they have had a full induction to the home. This included training in Moving and handling, health and safety, administration of medication, food hygiene and abuse. Other training has included using vehicles and equipment, epilepsy and understanding service user’s needs, the role of the carer, death and dying, principles of care and MAKATON. During a previous inspection the inspector has spent time with one of the senior staff responsible for training and seen a well-organised programme of induction and ongoing training for staff. Staff confirmed that this is still the High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 19 case and they feel very well supported through the induction, training and supervision programme in the service. Induction booklets are completed with each member of staff and the inspectors examined a sample of these booklets that have been signed by staff and the person completing the training and assessment. Staff said that they worked with more experienced staff to get to know the service users and the expectations of their roles. Induction records were seen and regular updates are arranged to maintain staff skills. One new staff has started since the last inspection of the service. The inspector examined this person’s records to confirm that all information required is in place. This included an application form, two written references, proof of identity and a Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) check. The inspector confirmed that an ongoing programme is in place for staff to obtain a National Vocational Award (NVQ). The information provided by the partners indicated that community home staff are undertaking this award at present. High Hurlands Community Homes DS0000012095.V324760.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. 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. Service users are supported by a well-managed service with an established system in place to develop the service with views from service users and their families included in this process. The home can demonstrate that the health and safety of service users is protected. EVIDENCE: The registered manager Miss F Carter has completed the Registered Manager’s Award (RMA). Miss Carter is also one of the partners. The inspectors met with Miss Carter during the visit and from examining information held in the service, High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 21 talking to staff and observing service users they confirmed that the home is well managed. A day-to-day manager is also employed to oversee all of the cottages and they undertake the supervision and support of staff. This person is also responsible for the review of care planning systems. The inspectors met with this manager and were told that they have started their NVQ RMA and are supported by the registered manager to carry out their role. The inspectors spent time talking to staff about their experiences of working in the service and the response was positive. Staff members feel well trained and supported in their roles and communication is very good with regular meetings and training sessions to keep them well informed. The registered manager provided information on a new quality audit system introduced since the last inspection of the service. This has detailed actions related to outcomes for service users based on national minimum standards. An annual survey is sent to families and care managers and the partners review the responses to these questionnaires and anything raised is responded to individually. The responses were very positive and included comments on the high levels of care and support. The records provided by the home confirmed that regular monitoring and servicing of the homes heating, electrical and fire safety systems are undertaken. The manager has ensured staff have regular updates on fire safety, health and safety is covered in staff induction and ongoing training and specific moving and handling strategies are in place for service users including using equipment and correct use of wheelchair clamping systems when using the home’s transportation. High Hurlands Community Homes DS0000012095.V324760.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 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 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 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 High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 23 N/A 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations High Hurlands Community Homes DS0000012095.V324760.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 High Hurlands Community Homes DS0000012095.V324760.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. 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