Inspection on 18/07/07 for Higher Ravenswing

This inspection was carried out on 18th July 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

Higher Ravenswing 10/05/06

Higher Ravenswing 04/01/06

Higher Ravenswing 05/07/05

Higher Ravenswing 21/01/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Higher Ravenswing 251 Revidge Road Blackburn Lancs BB2 6DT Lead Inspector Mr Graham Oldham Unannounced Inspection 18th July 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 Higher Ravenswing DS0000061156.V340715.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 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. Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Higher Ravenswing Address 251 Revidge Road Blackburn Lancs BB2 6DT 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) 01254 670115 care@ravenswinghomes.com Ravenswing Homes Ltd Mrs Valerie Dunning Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Fourteen elderly service users requiring personal care can be accommodated at the home. The home must, at all times, employ a suitably qualified and experienced manager registered with the Commission for Social Care Inspection. 10th May 2006 Date of last inspection Brief Description of the Service: Higher Ravenswing is a detached house situated on the outskirts of Blackburn. The home is located in a semi-rural position with views overlooking a golf course. Higher Ravenswing is a Ltd company with Mr George Daniels nominated as the Responsible Individual. The house has been converted to provide accommodation for up to 14 residents. Car parking facilities are provided at the front of the property. Gardens are accessible to residents. There are separate lounge and dining facilities for residents to choose company or privacy. There are ten single bedrooms and two shared rooms. There is a stair lift. The weekly charges for the home are from £368 - £388. Additional charges are made for hairdressing, incontinence pads and outings. Additional charges would also be made for items of medical equipment if these were needed for specific problems. A statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection, which included a visit to the home, took place on the 18th July 2007. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. People living within the home allowed the inspector to call them residents. Two residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking their plans of care, other documentation and talking to staff about the care they gave each resident case tracked. Residents were then asked if the care they received was what they needed. Two staff members were questioned about the care of the residents case tracked and the training they had undertaken. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted on the day of the inspection. What the service does well: Eight residents returned questionnaire to the Commission for Social Care Inspection (CSCI). • All eight residents had been issued with a contract. • All eight had received enough information to decide to move to the home. One commented the manager gave me lots of information and another resident said my daughter gave me all the information about the home. • Seven always received the care and support they needed and one usually. One resident commented, I only need to press the buzzer and help is there immediately. • All eight thought staff listened to them. One resident said the girls are very good. One resident commented I have never been so well looked after, only by my family and another said the staff are very good. Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 6 • Six thought staff were always available when needed and two usually. One resident commented, I only have to ask day or night and I get immediate attention. • All eight received the medical support they needed. One resident commented – the care staff always take me to hospital. • One always thought there were enough activities, two usually and two sometimes. Comments included – I take part when I am available, I like to stay in my room, it is left to my choice and I prefer not to take part. • Seven always liked the meals and one sometimes. Comments included – I really like the fresh fish and chips and you would not get better in a hotel. • All eight knew how and whom they could complain to. Several commented the boss, one resident commented I have never been unhappy and I have no complaints and another said with my mouth. • Seven thought the home was always fresh and clean and one usually. Two residents said their rooms were cleaned every day. • Comments to - is there anything else you would like to tell us included, I like the dog and enjoy going to the stroke club, this is the best place next to home and I am very happy living at the home. 1 resident was aged between 70 – 79 and 7 residents were aged over 80. 3 residents were male and 5 female. 7 Residents were British and one resident did not answer. 8 residents were Christian. 5 Residents considered themselves disabled. 8 Residents said they were heterosexual. 2 Filled in the forms themselves and 6 with support. No residents wished to speak to the inspector. In general the survey forms returned to the Commission for Social Care Inspection were very positive and demonstrated care was good. The good assessment of residents prior to admission ensured staff could meet the needs of residents. Plans of care contained good detail for staff to deliver effective care. Residents were able to access specialists to ensure their health care needs were met. One resident case tracked said, “I went to another home for a day but did not like it. I came back the day after to here and liked it because they seem to take an interest in you”. Residents indicated enough information is given about the home for them to make an informed choice to live at Higher Ravenswing. Residents case tracked said, “I definitely get the care I need; they are very good with you – especially if you are ill” and “I am still getting the care I need”. Case tracking and information from questionnaires demonstrated residents personal care needs were being met. Residents case tracked said, “The food is good and we get a choice” and “They ask you what you like to eat and will make it. Staff will put something else on Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 7 if you don’t like it. The food is very good – no complaints about the food. Its’ the best place I have been in”. Four other residents said food was good and met with their satisfaction. Resident’s case tracked said, “They make my visitors welcome – offer us a cup of tea” and “There are no problems with visiting”. Visiting was encouraged for the benefit of residents. Resident’s case tracked said, “I know I can complain to anybody” and “I would talk to the manager or a staff member if I have any concerns but no I have complaints at all. I feel very safe here”. Residents felt safe and able to complain if they wished. Resident’s case tracked said, “The staff are lovely. I have nothing wrong to say about them. The responsible person is very nice and comes and talks to us to make sure everything is all right” and “The girls are very good they are looking after me”. The good attitude of staff helped residents enjoy living at Higher Ravenswing. What has improved since the last inspection? The statement of purpose, service user guide and contract had been updated to ensure residents and their families were informed of the rights, facilities and services they could expect at Higher Ravenswing. A contract for all residents (Long or short term) has been introduced so all residents are aware of their rights if accommodated at Higher Ravenswing. Following assessment residents are informed in writing their needs can be met at the home to demonstrate the home can meet their needs. Medication policies and procedures helped protect residents from possible harm. Leisure activities and a choice within the daily routine helped residents retain some independent living. Each resident is assessed for falls to help maintain their safety. Quality assurance systems now take the views of all concerned with the home and allow management to react to the changing needs of residents. All members of staff had attended an accredited medication course to help protect residents from possible harm. Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 8 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. Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 9 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 Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 10 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): OP1, OP2, OP3 and OP4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The statement of purpose and service user guide informed residents and their families of the services and facilities provided. The assessment process enabled staff to plan and deliver effective care to residents. Each resident was issued with a terms and conditions document and received confirmation their needs could be met at the care home. EVIDENCE: The statement of purpose and service user guide had been updated to include items residents had to pay for. The comprehensive guides provided ensured residents received enough information to make an informed choice to enter the home. Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 11 Resident’s questionnaires returned to the commission showed all residents had received a copy of the terms and conditions of residency. The contract had been amended to include short terms residents. Within the contract residents were informed in writing their needs could be met. Residents were aware of their rights of occupancy and satisfied their needs could be met. Two residents were case tracked. Plans of care contained assessment documentation. A qualified staff member had assessed each resident prior to admission. Social Services had assessed residents as suitable to be placed at the home. The excellent assessment ensured the service could meet the diverse needs of residents. Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 12 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): OP7, OP8, OP9 and OP10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Plans of care and healthcare assessments contained sufficient information about each individual to inform staff of each residents needs. Medication policies, procedures and staff training protected the health and welfare of residents. The attitude of staff protected the privacy and dignity of residents. EVIDENCE: Two plans of care were examined during the case tracking process. Plans of care had been developed with the assistance of family members or residents. Plans of care had been reviewed on a regular basis. Residents case tracked were satisfied with the levels of care. Staff questioned during the inspection were aware of the care each resident needed and the information contained within the plans of care. Plans of care contained sufficient information for staff to read and deliver effective care. Resident’s case tracked had been risk assessed for falling, nutritional and pressure area needs. Evidence was obtained from residents case tracked and within the plans of care that residents had access to specialists and Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 13 professionals. Residents had access to specialists to ensure their changing health care needs were met. Trained care staff administered medication. Policies and procedures for the administration of medication had been reviewed using the Royal Pharmaceutical Societies Guidelines. There was a controlled drug cupboard and register. There was a dedicated fridge to keep medication cool. The medication administration charts had been maintained accurately. An up to date British National Formulary was needed for staff to use for reference to medication issues. Medication policies, procedures and staff training helped reduce the risk of any medication errors. Staff were observed carrying out personal care to residents. Staff were pleasant to residents and ensured their privacy was maintained when delivering care. Resident’s case tracked said care was given privately. The good attitude of staff ensured residents were comfortable with the personal care they received. Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 14 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): OP12, OP13, OP14 and OP15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Leisure activities provided were suitable to resident’s tastes and helped provide a fulfilling life. Visiting was open, unrestrictive and encouraged socialising with family and friends. Residents were able to exercise choice to retain some independent living. Food served at the home met residents nutritional needs. EVIDENCE: Residents were quite clear during the case tracking process that they wanted to ‘do their own thing’ rather than join in activities. Residents said staff asked them to join in activities on a daily basis. The responsible person said they were exploring other activities such as the purchase of an organ. Leisure activities had been discussed at meetings to try to encourage participation. Leisure activities were offered to provide interests for residents. Residents case tracked were satisfied with the choices they were able to make. Two members of staff talked about the care given to residents and were aware the choices they gave residents promoted independent living. Four residents case tracked said food was good. Both residents case tracked said food was good. The kitchen was clean and tidy. The cook had been trained in food hygiene and carried out necessary environmental health checks. A Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 15 record of the food served was retained in the kitchen. One resident was observed to be fed in a discreet and individual manner. Staff members were observed sitting with and encouraging residents to eat. The food served at the home was satisfactory to resident’s tastes. Two residents case tracked said visiting was unrestricted and they got to see whom they wished. Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 16 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): OP16 and OP18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and staff training help protect residents from harm and abuse. Residents and their families were able to voice their concerns. EVIDENCE: There was a complaints procedure, which met current timescales and satisfied the requirements of the CSCI. No complaints had been made to the service or the CSCI during the year since last key inspection. A good response to concerns was evidenced in survey forms. Blackburn with Darwen had some concerns, which appeared to be a misunderstanding and also partly down to not having a manager. Both residents case tracked were satisfied they could complain and complaints would be addressed to their satisfaction. There was a whistle blowing policy and a copy of the ‘No Secrets’ document. The Blackburn with Darwen adult abuse procedures was used to follow a local initiative. There were also copies of abuse procedures provided to inform staff. No allegations of abuse have been made since the last key inspection. Most staff members had attended a protection of vulnerable adults course. Resident’s case tracked said they felt safe at the home. Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP19 to OP26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents lived in a clean, tidy and safe environment. The good facilities provided a comfortable setting and met resident’s environmental needs. EVIDENCE: A tour of building was conducted on the day of the inspection with several bedrooms and all communal areas visited. The home was warm, clean and tidy with no offensive odours. Good cleanliness was also how residents responded in the returned questionnaires. Many improvements had been made since the last key inspection including a new call bell system which records the length of time it takes a member of staff to respond and how long they attend each resident. There was a new fire detection system, which was much safer for residents. Doors now close automatically if the alarm sounds. The responsible person said there had been a complete refurbishment of ten bedrooms – Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 18 including carpets. There was new artwork throughout the home. Four fire doors and several windows had been replaced. Three new electrically operated beds had been purchased for residents with mobility problems. A new bath was planned and would be more beneficial for residents with mobility problems. Part of the planned maintenance program was to replace existing easy chairs. The decoration was very good. Bedrooms visited had been personalised to resident’s tastes. Residents case tracked were satisfied with their rooms. Communal space was homely and contained good levels of equipment, which was in good order. Radiators were guarded, hot water was restricted and windows had a safety device fitted to help protect residents from harm. The environment continued to improve for the benefit of residents. There were infection control policies and procedures to promote good practice. The laundry contained good levels of equipment with floors and walls easy to clean. Staff had undertaken training in infection control and a refresher was planned for all staff in August. Infection control policies, procedures and staff training helped protect the health and welfare of residents. Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP27, OP28, OP29 and OP30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were sufficient numbers of qualified and experienced staff to meet the needs of residents. The recruitment procedures protected residents from possible abuse. EVIDENCE: The staffing rota showed there were sufficient numbers of staff on duty on the day of the inspection. Resident’s case tracked said staff were very good. Questionnaires were positive about the way staff responded and listened to them. Staff received recognised induction training. Two staff files demonstrated training was ongoing. Both staff members involved in the inspection process confirmed sufficient training was offered and they were encouraged to improve. Two staff files examined during the inspection demonstrated the recruitment procedures were robust and ensured staff were fit to be employed at the care service. Higher Ravenswing DS0000061156.V340715.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): OP31, OP33, OP35 and OP38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The views of residents, staff and stakeholders had been obtained to assist the manager to react to the changing needs of residents. There was a safe system to protect residents from possible financial abuse. Health and safety policies, procedures, staff training and the regular maintenance of equipment helped protect the health and welfare of residents and staff. EVIDENCE: The responsible person had spent a lot of time and money trying to recruit a manager but without success. However, it is necessary the home is managed by a suitably qualified and experienced manager to meet the requirements of the CSCI. The systems used to handle any residents finances were safe and protected residents from possible financial abuse. Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 21 There was a business plan. The manager held recorded meetings with residents and staff. There was a business plan. Two quality assurance questionnaires had been issued to residents. One was for general information. One was specifically for food. Quality assurance questionnaires had been completed by some of the people involved at the home, including some health care professionals and demonstrated the service responded to the changing needs of those connected with the home. There was a health and safety policy. Staff spoken to said they had undertaken health and safety related training. Electrical and gas appliances and installation had been maintained to a good level. Fire alarms and other safety related equipment had been maintained. The responsible person was aware of health and safety related issues. Health and safety policies, procedures and staff training helped protect the health and welfare of residents. Higher Ravenswing DS0000061156.V340715.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 3 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Higher Ravenswing DS0000061156.V340715.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. 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. 1. 2. 3. Refer to Standard OP7 OP9 OP31 Good Practice Recommendations The responsible person should ensure plans of care detail the number of care staff required to assist residents with all aspects of personal care. The responsible person should ensure the home has an up to date copy of the British National Formulary for staff to refer to. The responsible individual should employ a suitably qualified and experienced person to manage the home. (Carried forward from 31/10/05) Higher Ravenswing DS0000061156.V340715.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Higher Ravenswing DS0000061156.V340715.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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