Inspection on 28/06/05 for Holly Park

This inspection was carried out on 28th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Holly Park 12/11/08

Holly Park 13/11/07

Holly Park 09/01/07

Holly Park 16/05/06

Holly Park 02/11/05

Holly Park 22/02/05

Holly Park 06/01/05

Holly Park 16/12/04

Holly Park 30/09/04

Holly Park 29/06/04

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

CARE HOMES FOR OLDER PEOPLE Holly Park Clayton Lane Clayton Bradford BD14 6BB Lead Inspector Susan Knox Unannounced 28 June 2005 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 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. Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Holly Park Address Clayton Lane, Clayton, Bradford BD14 6BB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01274 883480 01274 816120 Park Homes UK Ltd Care home with nursing 43 Category(ies) of Dementia over 65 (43), Physical Disability over registration, with number 65 (43) of places Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22 February 2005 Brief Description of the Service: Holly Park was converted from a former school property. It is located in the centre of Clayton village and conveniently placed for shops, library, church and local bus route. Accommodation is provided on the ground and first floor predominantly in single bedrooms. The rooms on the first floor and in the reception area have en suite facilities. There is no passenger lift although a stair lift provides access to the first floor. There are three separate communal rooms two lounges and a dining room. Forty-three service users can be accommodated and the home is registered for nursing. (Discussions are on going about the registration) Some of these have varying degrees of mental health needs as well as physical care needs. The care is provided by a mix of registered nurses and care staff. Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two regulation inspectors Susan Knox the lead and Nadia Jejna carried out this unannounced inspection. The inspection started at 10.30 am and finished at 6 pm. The acting manager Janet McDonald was not available for the first and middle part of the inspection due to prior appointments. Most of the day was spent in talking to service users and visitors about the standards of care and support at the home. Some of the building and a number of documents including care plans were inspected. The acting manager has been in post for less than a year and it is acknowledged that much work has been completed. A number of CSCI comment cards were left to be distributed to service users and relatives. Feedback about the findings from the inspection were given in part to the acting manager Janet McDonald, the deputy Heather Fry and to Mr Jason Sykes operations director. What the service does well: What has improved since the last inspection? Some areas of the environment have been renovated. Care documentation is more uniformed and the quality has improved. Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 6 The cleanliness in the building has improved. 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. Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 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 standard(s) 1, 3, 4, 5 Service users and relatives receive written information in order for them to make an informed choice about admission to the home. Prospective service user’s needs are assessed before admission to ensure that they can be met. The design of the home means that the needs of those with dementia is not met both inside and out. EVIDENCE: The statement of purpose is available in the home. A copy of the last inspection report was displayed in the reception area alongside copies of the Service User Guide. These are also given to each service user during the preadmission meetings and visits to the home. Relatives confirmed that this information had been provided and that they had visited the home. The acting manager or senior nurse carries out pre admission assessments and this was reflected in the written documentation carried out at the time. This was also confirmed in discussions with relatives. The document used provides Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 9 sufficient information for a decision to be made as to whether or not the home will be able to meet the resident’s needs. The homes registration categories are for older people with dementia and a number of service users do have this condition. The environment is not designed for people with dementia as they can become easily lost and disorientated. In addition, there are no safe outdoor areas to utilise. Staff have not yet received training around caring for people with dementia although this is planned. Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 10 The detail in care plans had improved and sufficient information was recorded to inform and guide staff in meeting needs. However, some were not person centred and monthly evaluation should always reflect changes in resident’s needs and general condition. Some aspects of personal care provision and respect of service user’s privacy needs improvement. EVIDENCE: Care documentation was reviewed for three service users. These records had improved since the last inspection. New care plan formats had been implemented and these focus on person centred care. One care plan followed on from the initial assessment and addressed individual needs. Risk assessments were in place and documentation was up to date. In the two other care plans reviewed in detail, these addressed most of the service users identified needs but the guidance on how to meet them were not person centred. In some instances more detail was required around how individuals needs were to be met. Examples were provided to the operations director during feedback related to pressure care and nutrition assessments. Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 11 Monthly evaluation was carried out although it did not always reflect changes in service user’s needs and general condition. There was evidence of some relative involvement. The quality of daily records varied, some were clinical and others gave a clear picture of how the resident had been that day. Training around using these plans will be provided to staff. Records of visits by the GP, optician and other healthcare professionals were seen. The manager said that visits by a chiropodist were arranged but this was not reflected in the care plans. Poor personal care was observed such as fingernails and clothing that was not well laundered. A number of bedroom doors were propped open, one of these was for a resident being nursed in bed. These issues affect service user’s rights to privacy and dignity. Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12 Activity provision is good and there are opportunities for service users to socialise and keep up to date with world affairs. Further work to extend social care plans would enhance the quality of life for service users and make staff aware of previous interests, life and hobbies. Service users enjoy the food prepared for them and help at mealtimes was given in a positive way. More attention to detail in the dining room would improve this important part of the daily routine. EVIDENCE: A full time coordinator has been employed since the last inspection working Monday to Friday. Service users and relatives were very happy with the new activities introduced. A structured programme is displayed in the entrance. This includes reading from the daily newspapers. Included is one to one work with service users. An entertainer visits fortnightly and at the time of the visit was leading a sing a long that was enjoyed the residents in that area. Some of the service users were happy with the amount of entertainment provided and others felt that Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 13 they needed more to do and occupy their time. Some service users were enjoying socialising with one another. Social care plans were in place but needed more information around individuals personal interests, likes and preferences as to how they would like to spend their time. Service users and relatives confirmed that the meals provided were good. Those who needed help to eat and drink were assisted in a discreet and appropriate manner. The dining tables were not set properly at lunchtime and the table cloths were not ironed Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 16, 18 Relatives were confident that any concerns raised would be dealt with. There is a good understanding about the need to involve advocates for those with no representatives. There is a good understanding of the homes adult protection policies. EVIDENCE: The complaint procedure is displayed publicly in the home. It is also included in the statement of purpose and service user guide. During discussions with relatives it was stated that any concerns raised have been dealt with to their satisfaction and they felt confident when approaching staff. The record of complaints received in the home was seen and showed that complaints were dealt with in line with procedures. For one a meeting had been arranged. The outcome of this needs to be included in the account of the investigation. A service user recently admitted to the home had no next of kin and the allocated social worker was listed as main point of contact. It was recommended that an independent advocate should be involved. The home has recently involved an advocate in decisions about another service user to very good effect. The senior managers have promoted service users choice and protected their rights. A care worker said that they had attended an in house abuse awarenesstraining course. They were aware of the homes adult protection procedures but Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 15 not those of the local authority. They said that they would have no hesitation in reporting suspected or actual abuse to a senior member of staff within the organisation. It was apparent during the inspection that senior managers would not hesitate to involve other agencies in order to ensure the protection of vulnerable service users. Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19-26 The building is designed for those with dementia. The provision of a passenger lift would ensure that service users need not move bedrooms if they become frailer. Many of the communal areas and some bedrooms have been redecorated to good effect. This is let down by the poor standard and quality of some furniture and a failure to complete work. Cleanliness in the majority of the home was good. Further planning is required in relation to the proposed move of some laundry equipment. Some issues relating to infection control needs to be addressed in order to safeguard service users. EVIDENCE: There is level access into the home from the main door. Access to the staircases is difficult for those with dementia, as entrances are not easily Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 17 identified. There are additional difficulties as there is a stair lift but no passenger lift. Plans appear to be at a standstill for one to be installed. New carpeting has been laid in the corridor leading to the extension. This was uneven and poorly fitted. The operation director advised that the home is in conflict with the fitters and attempting to resolve the issue. The ceiling in this area has been partly re-plastered and is the next area to be redecorated. Easy access to the garden especially for those with dementia has been an issue. The operations director confirmed that this work is due to start. The use of the staff room, as an office has been resolved with usage returned to the staff. Three communal rooms are available for service user’s use. Decoration and furnishings are satisfactory in the two lounges. The relatively new dining room carpet is beginning to show signs of spillage. The manager advised that the carpet is cleaned daily. Inappropriate laundering of tablecloths spoilt the appearance of the dining room. The cloths were heavily creased. Bathrooms and WC’s have been redecorated to good effect. Some of this redecoration is still on going. Still outstanding in the centrally placed bathroom is the boxing in of exposed pipes, the fitting of handrails around the WC and the painting of the radiator guard. This has been referred to for three inspections. One door lock was missing to the WC located near the side exit. The furniture in bedrooms is of poor quality with many items showing signs of wear and damage. Some headboards were also of poor quality with some missing completely. Two new beds had been delivered and were due to be placed in a shared room. A number of lumpy pillows and very thin bedding were seen in some rooms. The condition of bed linen should be reviewed and new items purchased. Cleanliness was good in the majority of bedrooms and communal areas. Some details that needed attention were discussed. The laundry is inappropriately placed because staff have to leave the home to access the facilities. Ideas to address this problem were discussed. The operations director is planning to move two washing machines into the sluice room while keeping the dryers in the lower ground floor. He had contacted a local environmental health officer for advice. The quality of laundering relating to ironing was not good. The home has two sluice disinfectors but it was clear from the equipment piled on top and around them that they are not used regularly. The present condition of the sluice room is very poor. There is no extractor or ventilation in this centrally placed room. It was acknowledged that the second sluice is not Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 18 used. Due to the size and layout of the building the manager was advised that this equipment be put back into use. Coloured laundry skip bags were being used inappropriately and a red soluble PVC bag of soiled linen was seen on the floor in a communal area. A programme of repair, refurbishment and redecoration needs to be put in place. A number of doors were being propped open. This must be reviewed regarding fire safety and privacy for residents. Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30 Recruitment of staff is taking place and agency staff are being used until there are no vacancies. The recruitment process is good but further improvement is required in order to fully protect from unsuitable staff. Induction training for staff is poor. EVIDENCE: A copy of the rota was available for inspection. Staffing levels were difficult to assess from this record and it was agreed that copies of the rotas would be submitted to the CSCI. The manager was advised that full names of staff are required to be recorded on the rota. The inspectors were advised that staffing levels had recently been increased including night times. The home is in the process of recruiting staff. In order to maintain staffing levels agency staff are used. Carers felt that they were short staffed and unable to fulfil service user social care needs. Recruitment records were checked for the latest four members of staff. One qualified nurse, two care assistants and a domestic. Recruitment practices were on the whole good. Information about CRB (Criminal Record Bureau) clearance is available on individual personnel checklists. The manager was advised to record the disclosure number with this information. Written Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 20 references had been received for the majority apart from telephone references for one. Written references must be obtained before employment starts. All the above files had evidence of an induction being provided into working in the home. However, this is not to NTO (National Training Organisation) standard. The manager advised that new induction booklets are due to be introduced and are to this standard. One new member of night staff was undergoing the old induction at the time of the visit. Information was available relating to staff training. This was in the form of matrix charts. Gaps in some of the staff mandatory training was explained due to long established staff having attended courses some time ago. All staff have not yet received training around the care of people with dementia. The operations manager said that this would be provided in the near future. All managers from the organisation’s homes have recently attended training about Person Centred Care. Three of the staff have also attended and dates are booked for other staff. The training provision for staff currently covers NVQ for some of them, moving and handling and more recently infection control. Training provision must be extended to include all areas of mandatory training and specialist care needs of residents. Where there is no evidence of past attendance then up dates must be arranged. Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36, 38 The implementation of formal staff supervision would ensure that care staff induction and training are put into practice. Improvement regarding health and safety in the home is required in order to safeguard service users and others in the building. EVIDENCE: Staff supervision has not started yet. This needs to be implemented at least six times a year. A care worker confirmed that a staff meeting had been held recently and that these are arranged partly to update staff with information and partly to let them air their views. The acting manager and the operations director confirmed that monthly manager meetings are held for the organisations homes managers. The testing of fire tests and emergency alarms is carried out weekly although there had been a significant gap when this had not happened. This was due to Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 22 a change in personnel. This is a common problem at this home and as discussed with the manager it is her responsibility to ensure these essential tests are carried out. Fire drills include staff names as required. The safety check for wheelchairs and bed rails has not been carried out since the beginning of the year. The manager was advised to deal with this urgently. Wheelchairs were seen to be in a dirty condition with footplates missing and in one case a problem with the brakes. These must be repaired, maintained and serviced by people qualified and competent to do so. Staff were seen using a wheelchair with only one footplate and balancing both of the service user’s feet on that footplate. This is unsafe. Discussions were held about the suitability of a cat litter tray placed in a corridor. Due to the numbers of service users with dementia this was considered a hazard. There were no risk or COSHH assessments regarding this in place. The accident forms seen had not been fully completed. It was not clear if the service user’s relatives had been contacted or what the outcomes of the accidents were. Information as to who saw the resident before the accident occurred and when was not available. The records did not state if head injury observations had been carried out. The manager said that there are policies in place to this effect. Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 2 3 2 3 2 3 2 STAFFING Standard No Score 27 2 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x 1 x 2 Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 24 yes 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 4 Regulation 12 Requirement The environment does not meet the needs of those with dementia therefore a plan of change is required. Care plans should be person centred. Monthly evaluation should reflect changes and general condition.Staff training relating to care plans is required. Pressure area and nutrition care plans require more detail. Staff need training relating to individual personal care and aspects of privacy. Ensure that apporpriate door locks are fitted to WC doors. Complete and continue with the work to refurbish bathrooms and WCs.(Previous timescale not met) Improve the access to the garden and make safe. (Previous timescale not met) Review the condition of furnishings in bedrooms and replace where necessary. Improve facilities for those with dementia i.e signage, colours etc.(Previous timescale not met) Replace missing and poor quality head boards. Timescale for action 31 July 2005 31 July 2005 2. 7 12, 15 3. 4. 8 10 12 12 31 July 2005 30 August 2005 5. 19 19 30 August 2005 30 August 2005 6. 20 19 7. 8. 22 24 23 16 30 August 2005 30 August 2005 Page 25 Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 9. 26 13, 10. 11. 12. 27 29 30 17 19 12 13. 14. 36 38 18 13 Resite laundry facilities.Improve the conditions in the present sluice room. Put back into use the second sluice. Improve the procedures for the movement of dirty laundry i.e bags. Ensure that full names of staff are recorded on staff rotas. Ensure that written references are obtained before new staff start work. The induction process must be to NTO guidelines. Continue with the provision of dementia training for all staff. Ensure that all staff have received manadatory training. All care staff must receive supervision six times a year. Fire testing of alarms and emergency lights must be carried out weekly.Ensure that all wheelchairs are serviced.(Previous timescale not met) Safety checks of wheel chairs and bed rails must be carried out and recorded.(Previous timescale not met) Hazardous substances such as cat litter needs reviewing. The detail in the recording of accidents needs reviewing. Ensure that floorcovering is evenly laid. 30 August 2005 31 July 2005 With immediate effect 30 August 2005 31 July 2005 31 July 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 12 29 Good Practice Recommendations Social care plans need further work. Record the CRB disclosure numbers on personnel check lists. J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 Page 26 Holly Park Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Holly Park J52 S29171 Holly Park V234722 280605 Stage 4.doc Version 1.30 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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