Inspection on 30/08/06 for Homeleigh

This inspection was carried out on 30th August 2006.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Homeleigh 23/07/08

Homeleigh 10/08/07

Homeleigh 04/10/05

Homeleigh 07/06/05

Homeleigh 04/11/04

Homeleigh 24/06/04

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

CARE HOME ADULTS 18-65 Homeleigh Sondes Road Deal Kent CT14 7BW Lead Inspector Joseph Harris Unannounced Inspection 30th August 2006 09:30 Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homeleigh Address Sondes Road Deal Kent CT14 7BW 01304 380040 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) Homeleigh Care Ltd Mr Dhunputh Seewooruttun Care Home 16 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (16) of places Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 4 residents with learning disabilities must also have mental health difficulty 4th October 2005 Date of last inspection Brief Description of the Service: Homeleigh is a residential home for people with enduring mental health problems situated in the seaside town of Deal. The home is registered for up to 16 people between the ages of 18-65. The service is set out over two floors, with a small number of bedrooms on the ground floor and the remainder on the first floor. The home benefits from a good level of communal space with a large lounge and an ample dining room. There is also a designated smoking room. A secure courtyard garden is located to the rear of the building. There are adequate kitchen and laundry facilities. The service has a relatively small, but stable staff team, many of whom have worked in the home for a number of years. The house is located very close to Deal town centre and within view of the sea. There are relatively good public transport links nearby and the town is well equipped with public facilities such as a library, cafes, sport centre, cinema and theatre. The current fees for the service at the time of the visit range from £335.00 to £475.00. Information on the Home services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. Homeleigh DS0000023280.V305398.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 took place on 30th August 2006 and lasted for around 6 hours. During this time a tour of the premises was undertaken, discussions were held with service users, staff, the deputy manager and registered manager. A range of documentation and records was also examined including those relating to service users, staff and the running of the service. 1 requirement and 4 recommendations were made as a result of this inspection. What the service does well: What has improved since the last inspection? The home has continued to improve over the past number of inspections. This process remains on going and more notable improvements have been acknowledged during this inspection process. Amongst those developments are progress in respect of training for staff. All staff are now have up to date mandatory training and other courses including adult protection and mental health awareness. Staff have also continued to work towards NVQ training with two staff members having completed their level 2 qualifications and now have enrolled on level 3 training. Activities within the home have continued to be developed and a holiday for a number of residents has been organised supported by staff. Improvements have continued in respect of quality assurance processes including service user satisfaction questionnaires, although further progress is still to be made in this area. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 6 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. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Prospective residents are provided with information about the home. The home assesses individual needs and aspirations. The home ensures it can meet individual needs, although the majority of service users are now over the age of 65. Referred individuals have the opportunity to visit and spend time in the home. All service users are provided with a statement of terms and conditions. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is an updated statement of purpose and service users guide available in the home. Both of these documents contain all relevant and sufficient information in adequate detail. A copy of the service users guide is kept in each bedroom and the statement of purpose is readily available on request. All prospective service users are provided with a copy of the service users guide on referral. A number of service user files were viewed demonstrating that adequate information is provided regarding prospective service users at the point of referral to the home. Evidence was available showing that recent referrals had only been admitted following adequate assessment processes. Copies of Care Programme Approach care plans and assessments are provided by care managers at the request of the service as well as other relevant background history. The home has developed a satisfactory assessment tool covering the Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 9 key areas of need, which is routinely completed for all new and prospective residents. There is an experienced staff team many of whom have worked in the home in excess of 10 years. The home has made good progress with regards to staff training and developing competency levels through NVQ training. Good links have been established with local community mental health teams and other community healthcare services. Information is also available regarding advocacy services. The majority of the service users have now lived in the home for many years and have now exceeded the age of 65 years old. This is a situation that needs to be addressed by the responsible individual and a variation to the registration is required. It was reported by the registered manager that most referrals now received to the service are also for people who are over the age of 65. Refer to requirement 1. Prospective service users have the opportunity to visit the home on a trial basis before deciding whether to move in. It was reported that this is a flexible arrangement with day visits and overnight stays organised as required to suit the needs of the individual. A statement of terms and conditions of residence is provided on admission covering all key areas. A copy of this is given to the service user and/or their representative. A signed copy is kept with the home records. The contract is reviewed annually by the organisation. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. A service user plan is developed for all individuals, which would benefit from a greater emphasis on actions to meet needs. Service users are able to make decisions affecting their daily lives. Service users are enabled to take responsible risks and risk assessments developed, which could be developed in more detail. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has completed some positive work in improving, redeveloping and reviewing service user plans. A clear plan based on assessed needs has been developed for all service users. A number of these plans were viewed at random, all of which addressed care and support needs relevant to the individual. However, it was discussed with the deputy manager that the actions to enable staff to meet service user’s needs could be developed further to ensure that clear guidance is in place. Refer to recommendation 1. Similarly, risk assessments have also been improved over a period of time, but in the same regard further attention needs to be given to the actions to minimise Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 11 perceived risks. Refer to recommendation 2. All service user plans and risk assessments are reviewed every 6 months or in response to changing needs. Discussions were held with a number of the service users who confirmed that they feel they have over their day-to-day lives. One resident said that “I enjoy living here and I can come and go when I want”. Some restrictions are in place for health and safety reasons, such as no smoking in bedrooms. There is a clear rationale for theses restrictions, which are addressed through appropriate documentation and discussion. Residents have input into the activities that they choose to do such as the upcoming annual holiday and the planning of menus for amongst other things. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Service users can take part in meaningful activities as they wish to do so. There are opportunities to maintain involvement in the local community. Visitors are welcomed into the home. Service user’s rights and responsibilities are respected. Residents are offered a healthy and balanced diet. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff work with service users to assist with daily living skills such as budgeting, community access and personal hygiene. There are also opportunities for individuals to attend external resources such as community mental health centres, adult education and the resource house should individuals choose to do so. There are a number of activities arranged within the home such as Bingo, trips out, games and other recreational pastimes. A record is kept of all activities service users have participated in and additional trips have been arranged over the summer months. A holiday has also been organised with service users and staff. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 13 The home is ideally situated very close to the town and seafront of Deal. Staff are available to support residents in the community, but the majority of service users prefer going out alone and are encouraged to do so. All staff live locally and have an excellent knowledge of the area and resources available. There are good transport links out of the town with a bus and train station nearby. The home enables residents to establish new relationships and maintain existing ones. Relatives and visitors are welcomed into the home at any reasonable times. The staff are welcoming and friendly and residents confirmed that their visitors are always made to feel welcome. Service users commented that they feel respected by the staff. “I’m treated well” and “we all get on in the home” were amongst the positive comments made. Staff respect individual’s privacy and knock before entering bedrooms. Service users are able to come in and out of the home as they please. Staff were observed to interact well with service users. Some service users assist with household chores, although these duties are mainly undertaken by staff. There are clear rules on smoking and drinking alcohol. Menus demonstrate that a healthy, balanced diet is provided with a range of choices available. Mealtimes are relaxed and unhurried. Positive comments were made about the quality of the food. Staff showed a good awareness of special dietary needs. The food stores were well stocked. Service users have an input into choosing menus, which are discussed regularly at resident meetings. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Service users receive personal support in a manner that they prefer. Healthcare needs are addressed and monitored. Medication systems and records are well maintained. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most of the service users require only encouragement and minimal levels of support in assisting with personal care. Individuals who require more assistance are supported by staff in a dignified manner ensuring privacy. Guidelines and preferences relating to personal support are documented and regularly reviewed. Aspects of daily life such as choosing when to get up and go to bed are left to personal choice unless an assessed need is identified. Any specialist support required is provided in conjunction with the relevant healthcare professionals including support from the local community mental health services. The home has improved the standard of recording around healthcare needs, documenting input received and demonstrating outcomes. Service users are supported to attend appointments as required with their GP, healthcare professionals and other services such as the dentist, chiropodist and optician. The medication is managed well within the home. There are adequate policies and procedures and storage facilities in place. The home’s administration Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 15 records are clear, well maintained and up to date. None of the service users are assessed as able to self-medicate, although this remains an area of development for the service in the future. There is adequate provision for the use and storage of controlled drugs. Staff who administer medication are provided with adequate training in this respect. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Service users are able to make complaints and air their views appropriately. The home has adequate processes in place to protect service users from forms of abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a clear complaints procedure in place. A copy of the procedure is on show and is accessible to all. The home aims to deal with any concerns or complaints on an informal basis in the first instance, but formal processes would be instigated should this prove unsatisfactory. There are regular resident meetings, which now take place on a monthly basis enabling service users to air their views/concerns. Minutes are taken at these meetings and issues and action revisited at subsequent meetings. Staff and management are approachable and demonstrated good interpersonal skills when talking to residents. The home has now introduced improved policies and procedures regarding the protection of service users from abuse and staff have completed adult protection training. In discussion staff were able to state appropriately what actions they should take if they suspected any form of abuse and other aspects of underpinning knowledge were evident in this regard. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. The service users live in a comfortable and safe environment. The home is clean and hygienic. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is adequate for it’s stated purpose. There is sufficient living and communal space for the service users. The house is well situated close to local amenities and is accessible to all the residents. Furnishing and fittings are of reasonably good quality and the home is bright and well ventilated. The premises meet the requirements of the local fire and environmental health departments. The premises have been assessed by an occupational therapist in the recent past with the report stating that the environment is safe and suitable for the service user’s requirements. There is evidence of on going renewal and redecoration. There are three double rooms and the home needs to ensure that residents sharing rooms make a positive choice to do so. There is a courtyard garden to the rear of the property, which is being made more functional and attractive. The home has had quotes for the resurfacing of the courtyard, however due to the changing needs of the service users this work is no longer a necessity and the remedial work discussed with the registered manager should prove satisfactory. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 18 During the visit the home was seen to be clean and hygienic throughout. Laundry facilities are suitable for the needs of the home and meet all relevant specifications. Hazardous substances (COSHH) were safely and securely stored. There are adequate policies and procedures in place to ensure the control of infection and universal precautions. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Service users are supported by a competent staff team. The recruitment policies and practices are adequate. Staff are provided with adequate training to meet the individual and collective needs of the service users. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service continues to make good progress with regards to NVQ training for staff. Over 50 of the staff team have achieved or are working towards NVQ level 2 or above. 2 staff members have now enrolled on NVQ level 3 and the deputy manager has achieved his NVQ level 4/RMA. In discussion with staff members good awareness of individual and collective needs were demonstrated. The management team have also improved delegation of duties to enable staff to take on more responsibilities within the home. A number of staff personnel files were viewed all of which contained the required information including evidence of CRB and Pova checks, completed application forms, two written references and proof of identity. All staff receive a job description and a statement of terms and conditions of employment and are subject to a three-month probationary period. Progress has continued with regard to staff training and all mandatory training is now up to date for all staff. In addition to this other courses have been provided including adult protection and updated mental health awareness. All Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 20 new staff work through a programme of induction. A discussion was held with senior staff regarding the induction process and it was suggested that the service introduces practices in line with the skills for care common induction standards. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. The registered manager is experienced and is working towards his NVQ level 4. There are improved quality assurance processes, although these still require some further development. The health, safety and welfare of service users is protected. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has been in post for many years and is experienced in the field of psychiatry both in the care home and the hospital setting. He is RMN qualified, although his qualification is not currently held, having been allowed to lapse. He is now actively working towards completing his NVQ level 4/ Registered Manager’s Award. Refer to recommendation 3. There is a good management team in place and the registered manager is ably supported by his deputy manager who has already gained his NVQ 4/RMA. The manager also continues to update his own knowledge and skills with periodic training and refreshers. The service and owners have continued to improve quality monitoring processes and the responsible individual still regularly visits the service talking Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 22 to the staff and service users. There is also evidence of on-going improvement in a number of areas including the environment, training, employment practices and record keeping. In addition to this service user satisfaction questionnaires have recently been completed. It is important following this exercise to ensure that all the feedback is collated and any action points addressed. Also monthly monitoring visits need to be completed by the responsible individual or nominated representative and a record of issues covered retained on site and sent to the commission in the form of a monitoring report. It was discussed that there are plans to appoint a quality assurance manager to address these issues. Refer to recommendation 4. All health and safety records and documentation were up to date and well maintained. Accident and fire logs were in place and all other service and maintenance checks were within date and completed. Environmental risk assessments have been updated and safe working practices are ensured including all necessary training for the staff team. It was reported that service complies with relevant health and safety legislation. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 2 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 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 YA21 Regulation 4, 25, 37. Requirement The Responsible Individual to apply for a variation of registration to include all service users over the age of 65. (Previous requirement with timescale for action 01/12/05) Timescale for action 01/12/06 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. 4. Refer to Standard YA6 YA9 YA37 YA39 Good Practice Recommendations To continue to develop service user plans with an emphasis on actions to meet needs. To continue develop risk assessments with an emphasis on actions to minimise risks. The registered manager to continue to work towards his NVQ 4/RMA. To continue to develop quality assurance processes including providing a monthly monitoring report. Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Homeleigh DS0000023280.V305398.R01.S.doc Version 5.2 Page 26 - 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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