Inspection on 19/10/05 for Highbury New Park Care Home

This inspection was carried out on 19th October 2005.

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

Highbury New Park Care Home 14/09/07

Highbury New Park Care Home 10/04/06

Highbury New Park Care Home 14/12/05

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

CARE HOMES FOR OLDER PEOPLE Highbury New Park Care Home 127 Highbury New Park London N5 2DS Lead Inspector Ms Franki Solomon Unannounced Inspection 19th October 2005 10:00 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 Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 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. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Highbury New Park Care Home Address 127 Highbury New Park London N5 2DS 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) 08452010822 02077049926 manager.highburynewpark@careuk.com Care UK Community Partnerships Ltd Donald John Macleod Care Home 53 Category(ies) of Dementia - over 65 years of age (53) registration, with number of places Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1st Floor - Dementia - Over 65 DE(E), Personal Care Only (18Service Users) 2nd Floor - Dementia - Over 65 DE (E), Nursing Care (17- Service Users) 3rd Floor - Dementia - Over 65 DE (E), Nursing Care (18 - Service Users) New Registration on 23rd June 2005. Date of last inspection Brief Description of the Service: 127 Highbury New Park is a modern purpose-built care home providing care and support for older people with a form of dementia. The home was built and registered in June 2005 and is owned by the company Care UK Community Partnerships Ltd. The service provision is in partnership with Islington Council and Islington Primary Care Trust (PCT). The home is built over four floors. Offices and a day centre are on the ground floor – the day centre is not subject to regulation under the Care Standards Act. Accommodation for service users is as follows: 1st Floor for 18 people needing personal care (residential care unit) 2nd Floor for 17 people needing nursing care 3rd Floor for 18 people needing higher nursing care At the time of the inspection 47 service users were accommodated at the home and there were 6 vacancies. The home is fully wheelchair accessible with a lift to the upper floors and has up to date equipment and facilities. There are 53 spacious single bedrooms each with en-suite shower, toilet and washbasin. Each floor has a wellappointed dining room and a choice of relaxing sitting areas and quiet room. In addition the home has a fully equipped hairdressing salon, activities centre and garden room. There are landscaped gardens and patio areas. The home deploys a staff team comprising administrative staff, domestic staff, laundry staff, maintenance staff, care staff, nurses, team leaders and the Registered Manager. The home is situated in a residential area in North London, between Arsenal Underground and Highbury & Islington, British Rail and London Underground. A number 393 bus stops right outside the home and runs between Highbury and Islington & Stoke Newington. There is limited parking. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of the home since it was registered on 23rd June 2005. The emphasis of the this inspection was to check how the home is establishing and how service users’ needs are being met which involved the assessment of most of the key standards. All policies and procedures and documentation in relation to the environment were assessed as part of the registration process, so have not been checked during this inspection. Hannah Hanley, Regulation Manager accompanied Franki Solomon the Lead Inspector during this inspection. Don McLeod, the Home Manager was present during the inspection and Anne Edwards, Regional Operations Support Manager, was also present for part of the inspection. The inspection involved a tour of the premises, discussions with service users, a relative and staff; checking care planning; and staff recruitment documentation. What the service does well: What has improved since the last inspection? Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 6 This was the first inspection since the home was registered. The home is establishing well following the transfer of service users and staff there. Service users and staff have benefited from a comprehensive induction programme. 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. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 7 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 Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 is n/a as the home does not provide intermediate care. The assessment process is sufficiently comprehensive to ensure service users’ needs are identified and met at the home. Staff demonstrated a good level of knowledge about service users needs. EVIDENCE: A total of 5 care plans were checked across the 3 floors. These demonstrated that service users had their individual needs assessed prior to and again on admission to the home. Assessments consisted of activities of daily living including; • • • • Personal care and hygiene Nutritional screening- nutritional status Assistance with mobility Health care and psychological needs DS0000063987.V260767.R02.S.doc Version 5.0 Page 9 Highbury New Park Care Home • • • • Risk of pressure sores –use of Waterlow scoring system Continence assessment Lifestyle, social care and cultural needs Moving and handling arrangements Staff spoken with, on the whole demonstrated detailed knowledge of service users’, needs and aspirations. Pain control arrangements for a service user, who had a pressure sore, was discussed and the Inspectors recommended that service users needs in this respect be reviewed. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7. 8 & 9. There is a consistent care planning system in place on the whole, to adequately provide staff with the information they need to meet service users’ needs. The health needs of service users are well met with evidence of good multi-disciplinary working taking place on a regular basis. This would indicate that the partnership arrangements between the provider, Care UK, Islington Local Authority and Primary Care Trust are establishing well. The system in place for management and administration of medications is good and should ensure service users’ medication needs are met. A recommendation has been made in relation to carrying out a review of one service user’s pain control needs. EVIDENCE: The care plans checked had comprehensive assessments of service users’ individual needs. This included a clear plan of action to meet each identified need. These included: • Personal Care & hygiene • Continence management Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 11 • • • • Nutrition food and any special diets, such as for service users with diabetes. One service user, who has difficulty in swallowing was having a pureéd diet. Moving and handling and mobility Care of and prevention of pressure sores Dressings for leg ulcers The care of service users with dementia was discussed and the manager confirmed that training in this respect was given. This was done as part of a recent induction programme. Care Plans to address each need were reviewed regularly. The GP visits the home routinely on Mondays and Thursdays and as necessary. Out of hours on-call arrangements are in place. There is also input from District Nurses and a Tissue Viability Nurse and this was evidenced from their records on service users’ files. The care of a service user who was reported as having a grade 4 pressure sore was discussed. Their Care Plan and documentation indicated the service user’s position was being changed two-hourly and wound re-dressed twice weekly as advised by the Tissue Viability Nurse. Staff reported the service user was admitted with the pressure sore. The service user was being nursed on a special pressure-relieving mattress. Medication had been prescribed for pain but staff reported the service user had refused it, saying she did not have pain. The inspectors advised that pain control for this service user be reviewed to ensure appropriate pain relief as necessary, particularly prior to changing their dressing. A wound assessment chart had been completed and there was a record of when dressings had been changed. The inspectors advised that the Care Plan should specify the two days of the week on which the dressing needs to be changed to ensure it was not overlooked. The care of a service user who had leg ulcers was discussed. The dressing of their ulcers was carried out by District Nurses and records of such were seen. The service user indicated they were happy with the care being provided. Input from other health care professionals included Occupational Therapist, Chiropodist, Optician and Dentist The arrangements for management of medication were assessed. The policies and procedures for medications management were checked as part of the registration process and deemed satisfactory. Arrangements were in place with Boots for the supply of medicines and advice is provided as part of that service. A sample of service users’ drug Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 12 administration charts were checked and were found to be in order, with all medications administered being recorded. The storage of medications was in order. A controlled drug, Temazepam was stored on the second floor. The balance was checked against the controlled drug register and found to be correct. The drug fridges on each floor were checked. These were at the correct temperature ratios with records of such being recorded daily. None of the service users were self-medicating. Staff demonstrated a good awareness of medications management including drug uses. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Being newly registered, and the home is getting established, the arrangements to enable service users to participate in leisure and community activities to suit service user needs are still in progress. Visitors are encouraged at the home. Service users and their relatives are involved in the planning of their care. The menus and meals are varied and enjoyable. EVIDENCE: Communication with service users is somewhat limited because of their cognitive impairment due to dementia. However staff were able to demonstrate their awareness of service users likes and dislikes in relation to a broad range of activities. This was evident from discussion with staff and the relaxed communication observed between staff and service users. One service user said “Staff are marvellous. I am very well looked after. I cannot fault the care.” Inspectors spoke with a relative whose husband had been transferred from another home. She said she preferred the other home but that her husband was settling in. • • • Activities organiser in post Programme of activities Service users use the day centre on site for some activities DS0000063987.V260767.R02.S.doc Version 5.0 Page 14 Highbury New Park Care Home • • • There is transport available for outings Staff indicated one group of staff like to attend the cinema and this was being arranged Food: Service users indicated the food was good; Inspectors sampled this and found the meal offered quite tasty. One service user spoken with said they would like West Indian food. Staff did say they had arranged for the service user to have Plantain. A relatives’ meeting had been arranged to take place on the day following the inspection. The manager confirmed links had been made with a local church and service arranged at the home on a weekly basis. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. The arrangements in place for handling complaints have been assessed as satisfactory. To date only one complaint had been received and it appears this was handled appropriately. This standard will need to be reviewed as the home becomes more established. The arrangements in place for adult protection need to be improved. The manager needs to ensure that all staff have a better understanding of adult protection issues. Failure to ensure such may place service users at risk. EVIDENCE: There is a complaints procedure in place and written information was displayed within the home on how and who to complain to. Such information also included the contact details of the Commission. Complaint forms were available on each floor to be completed in the event a service user or relative wished to make a complaint. Staff spoken with were aware of the complaints procedure and what to do if a service user or relative wished to make a complaint. One complaint had been received since the home opened and records of such appeared adequate and the complaint had been resolved. An adult protection policy and procedures were available on each floor and a copy of the Islington Policy and Procedures was also available in the manager’s office. All staff confirmed that they received training as part of their induction training and there were records of this. However, not all staff interviewed knew what Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 16 appropriate action to take if an allegation of abuse was reported to them. One member of staff said he would investigate the matter himself. Another member of staff was very clear on what action to take. This was discussed with the manager and demonstrated a need to review the outcome of adult protection training in addition to having a clear, concise, step-by-step, and set of written instructions on action to be taken in the event of an allegation of abuse. The manager confirmed that further adult protection training had been arranged for 27th October 2005. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. The standard of the environment within the home is good, providing service users with an attractive and safe place. Some service users and their relatives should be encouraged to make their bedrooms more homely by arranging more personalised items to be put in place. EVIDENCE: This home has recently been purpose built to a high standard and assessed as having met all National Minimum standards in this respect prior to registration in June 2005. All bedrooms have en-suite facilities. There are a number of communal areas on each floor. There is also a smoking room on each floor. In addition to the en-suite facilities. There are assisted bathrooms and toilets on each floor. The environment looked very pleasant throughout. The security arrangements appeared satisfactory. Visitors to the main entrance to the home were checked before entering. There were signing in books for visitors and Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 18 staff. There was a key-pad entry to all floors. The rear of the premises was secure. The manager reported that it is planned to have an electrically operated gate at the entrance. The home looked clean throughout. Some service users rooms looked quite bare, whilst others’ looked very personalised and homely. This was discussed with the manager and the Inspectors advised that service users and their relatives should be encouraged to have personal items in their rooms such a photographs of services users themselves and their loved ones and items which they may have treasured in the past. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. The staffing arrangements, evident during the inspection, should ensure service users needs are met. The recruitment and vetting of staff was carried out appropriately and should ensure the safety of services users. The comprehensive induction programme, which took place prior to the opening of the home, should benefit service users and staff. There is a need to ensure that all staff have sufficient knowledge on how to respond to an allegation of abuse in addition to ensuring there is a system in place for recording all training undertaken by each named member of staff. As the home is getting established progress with training will be checked again at the next inspection. EVIDENCE: At the time of the inspection the staffing arrangement for the provision of direct care was as follows: 1st Floor – Day - : 1 team Leader and 3 support Workers. 2nd Floor - Day -: 2 Registered Nurses (1 Unit Manager) & 3 Support Workers. 3rd Floor – Day - : 2 Registered Nurses (1 Unit Manager) & 3 Support Workers. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 20 The above staffing levels were in keeping with the staffing agreement made prior to registration. A recruitment procedure is in place. A sample of staff personal files was checked. These demonstrated two references and a CRB certificate for each member of staff in addition to identification documents and evidence of registration with the Nursing & Midwifery Council (NMC) in respect of Registered Nurses. Staff training was discussed with the manager and staff. The home had recently been opened and there was evidence that staff had received induction training. There was a record of what the induction training covered in the form of a programme and a list of staff names that attended. However, the inspectors advised of the need to have a separate record of all training undertaken in respect of each named member of staff and the Manager advised that a system was being set up to enable this. The need for all members of staff to have sufficient knowledge on responding to allegations of abuse has been highlighted under standard 17. The manager was advised of the need for key members of staff on each floor to undertake a recognised training course on caring for people with dementia, in addition to the training given locally. A number of staff have undertaken, currently 60 , NVQ Level II training. One member of staff reported he had undertaken MRSA training. This is in relation to infection control. As the home is still getting established this standard will be assessed again at the second inspection later in the year. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 & 38. The home is establishing well under the clear leadership of the manager, who is supported by senior staff. Arrangements in place should ensure the safe and effective running of the home for the benefit of service users and staff. EVIDENCE: The home manager was assessed as ‘fit ‘ to be registered with the Commission. He is qualified as both a Registered General Nurse and Registered Mental Nurse and has achieved the Registered Manager Award, equivalent to NVQ Level 4. Evidence gathered during the inspection process demonstrated that the home is well managed and that the manager has support from his line manager, external to the home. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 22 A quality monitoring system is being put in place to obtain the views of service users. Monthly Regulation 26 reports demonstrate service users and staff views are listened to and acted upon. All systems in place, including comprehensive care planning documentation, should ensure the effective and safe running of the home. There were appropriate risk assessments in place in respect of health and safety. There was an infection control policy in place. Arrangements in place for hand washing were satisfactory. Each sluice area had a colour code chart for clean, soiled and infected linen. The need to have a colour code chart for ordinary waste and clinical waste was highlighted. Appropriate documentation was in place for recording accidents and such was being completed appropriately. The manager confirmed he does a monthly analysis of any accidents, including falls. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 2 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 24 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. 1 Standard OP30OP17 Regulation 13(6) Requirement The Registered Person must ensure all staff have sufficient knowledge to demonstrate they can respond appropriately to allegations of abuse. In addition, to ensure the outcome of adult protection training is reviewed and to have clear concise step-by-step written instructions in place on action to be taken in the event an allegation of abuse is made. Timescale for action 31/12/05 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 Refer to Standard 7 and 8 Good Practice Recommendations The Registered Person should ensure that the service user, whose care was discussed during the inspection, has the management of their pressure sore reviewed in conjunction with the Tissue Viability Adviser. This should include their pain control needs. It is further recommended that the two days of the week on which this DS0000063987.V260767.R02.S.doc Version 5.0 Page 25 Highbury New Park Care Home 2 19 3 4 30 38 service user’s pressure sore is to be re-dressed, be clearly identified on their care plan. The Registered Person should ensure that service users whose rooms appeared bare during the inspection be encouraged, in conjunction with their relatives, to have personal items such as photographs and so on in their bedrooms. The Registered Person should arrange for key members of staff from each floor to undertake a recongnised training course on caring for people with dementia. The Registered Person should ensure that there is a colour code chart displayed in the sluice area on each floor for ordinary and clinical waste. Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU 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 Highbury New Park Care Home DS0000063987.V260767.R02.S.doc Version 5.0 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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