Inspection on 13/07/05 for Hornsey Lane (148)

This inspection was carried out on 13th July 2005.

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

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

Other inspections for this house

Hornsey Lane (148) 03/04/07

Hornsey Lane (148) 24/01/06

Hornsey Lane (148) 20/09/04

Hornsey Lane (148) 18/05/04

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

CARE HOME ADULTS 18-65 Hornsey Lane 148 Hornsey Lane Hornsey London N6 5NS Lead Inspector Franki Solomon Unannounced 13 July 2005 10:00am th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hornsey Lane Address 148 Hornsey Lane Hornsey London N6 5NS 020 7272 3036 010 7263 3092 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) New Islington and Hackney Housing Association Mr James Brady Care Home 12 Category(ies) of MD Mental Disorder (12) MD(E) Mental Disorder registration, with number - over 65 (12) of places Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Home for up to 12 adults with mental health needs Date of last inspection 20th September 2005 Brief Description of the Service: Hornsey Lane has been operating for over twelve years. the Care Home is registered to provide personal care and accommodation for up to twelve Adults with enduring mental health needs. The home is a detached house on three floors with a pleasant garden and patio area at the rear. There is a lift to all floors. It is situated in a pleasant residential area and is halfway between Hornsey and Highgate. in North London. The home and its staff are managed by Mosaic Homes, formerly New Islington and Hackney Housing Association. The Home provides 24-hour support to the 12 residents by a staff team who have various relevant skills, experience and training. Hornsey Lane is managed by a Registered Manager. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual inspection for the year 1st April 2005 to 31st March 2006. The inspection was unannounced. The inspection was over one day from 10 in the morning until 5 p.m. Time was spent speaking with the manager, staff and service users. The remainder of the time was spent examining records, touring the premises and observing the interaction between staff and service users. The Commission sent out Comments Cards to service users and anyone involved with service users including G.Ps. and professionals from Healthcare. Two of these were responded to. At the last inspection Requirements had been made of the Registered Manager to attend to, all the Requirements had been undertaken. The residents appeared happy and confident with the staff, and the running of the home. They were joking with each other in the lounge. The inspector found the staff willing, motivated, well informed and attentive to the needs of service users. The manager demonstrated willingness to implement suggestions to raise the standards of the home, for residents, and staff. The manager joined 148 Hornsey Road in April 2001. The Registered Manager and the home have been complimented at previous inspections for the high standards achieved on various aspects. This has not changed. The standards in the home are still high and the manager and staff continue to maintain and improve on that. Conduct and Management of the home is exemplary as is the Record keeping. The inspector has made one requirement and one recommendation. What the service does well: The Registered Manager continues excel in the management of the home. This refers to; • how well records were kept, • how well risk assessments were done, Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 6 • • the home’s complaints procedure and the encouragement for service users to make complaints so that the home could improve their quality of service and the support provided to residents The inspector found the running of the home continued be of a good standard, and provided a caring service. The Registered Manager gave thought constantly as to how life at the home for residents could be improved. One of the initiatives was regarding activities. From the “Activity Review” (May – June 2005) it was seen how the Activities Groups were reviewed and monitored – whether the groups were welcomed by residents, and whether they were fully involved. These Groups were run by residents for residents. It was also noted in the Review that the Role of the Resident Facilitator would be incorporated into their Care Plan. It was clear that this did not mean that residents were left to take all responsibility, but ensured that Key Workers supported the Resident Facilitator. Of the sixteen groups there was; Music Appreciation, Conversation, Men’s Group, Outings, Vegetable Patch and so on. Every effort was made to involve residents in the running of the home. For instance residents took turns to prepare food. It was hot on the day of inspection and the residents had prepared an appetising lunch with various dishes which was nutritious, colourful and included warm dishes as well as salad. What has improved since the last inspection? What they could do better: Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 7 The manager and staff aim to improve the running of the home continuously. When the inspector arrived, the front entrance looked untidy and needed attention. For instance the front needed sweeping, the windows and window sills needed cleaning and the recycling bins needed a wash. The recycling bins had been cleaned by the time the inspection had been completed. It was noted however that the house is close to the road and passing traffic kick up a lot of dust and grime. 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. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 8 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 Standards Statutory Requirements Identified During the Inspection Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 2 Residents’ needs are assessed appropriately prior to admission to the home. Staff work collaboratively with the Community Mental Health Team (CMHT) to achieve best outcomes for service users. EVIDENCE: This standard was inspected at the last inspection, and again at this inspection. Assessments of service users’ need were clear and detailed. The sample of Care Plans inspected continued to contain all the necessary information as required and to enable any staff to follow through where necessary. All service users have their needs assessed by the CMHT priot to admission to the home. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 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 standard(s) 7, 8 & 10 The home was run to a good standard, residents were involved in their assessments, and were kept informed of any changes to their Care Plan. The Registered Manager was congratulated on the diligent way he ensured that Residents were involved in the running of the home. Activities were an important part of their lifestyle. The staff respect Service User’s confidentiality. EVIDENCE: When the inspector spoke with residents, they appeared confident and knowledgeable. They knew of their assessments and what this meant and the reasons for keeping records and for having their needs and Care Plan reviewed. A sample of Care Plans were seen and these demonstrated that Care Plans were reviewed regularly with the Service User. The home had a full Activities programme and was well recorded in the Activities Review. The Inspector saw the Review for May – June 2005. Residents were encouraged to be the Facilitator of each group that involved running of the home. When the inspector spoke with the residents, they all agreed that they were involved. Residents were happy to talk with the inspector. They were aware of Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 11 confidentiality and felt they could trust all staff to observe confidentiality. Residents were well informed. The home had a Confidentiality Policy & Procedure and reviewed on the 22/5/05 and all files were in locked cabinets. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14,15 & 16 & 17. Hornsey Lane’s manager and staff team ensured there were many opportunities for personal development and independence training, for appropriate education and training, meaningful occupation and for integration into community life and leisure activities. Residents were also encouraged to develop and maintain personal and family and other relationships where appropriate and possible. EVIDENCE: The inspector spoke with residents. They were clear about their fulfilling lifestyles. They spoke of the things they did inside and outside the home. One resident worked in a Charity shop, another at a Gardening project. This was confirmed in the residents’ Service Review, which asked such questions as “What do I want from the Service?” This gave residents the opportunity to think through what they wanted. One resident was hoping to attend a Day Centre. Staff assisted in taking the resident to different Day Centres so that the Resident could make their own choice. At the Residents’ meeting they identified their own responsibilities in the running of the home. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 13 Not all residents needed assistance with meals and for breakfast residents came down when they pleased and went to bed when they wished. The home has transport which is used for residents to go shopping, or Day Trips, such as lunch at a country pub. One resident said she was getting old and did not always want to do things. When asked what happened in those circumstances she said: “I just say I’m tired”. They spoke well of the manager and staff at all times, and joked with each other. The Team Members responsible and the Resident co-facilitator produced and discussed residents’ Individual Care Plans, these indicated that they were developed in consultation with residents. An example of consultation was for instance when Residents had Analytical Therapy. Keyworker notes indicated the Festivities attended, and attendance at the Hanley Road Employment Project. The Individual Care Plans also evidenced that the Sexuality Policy was discussed with residents. The sample of Care Plans seen demonstrated that service users did participated in activities and relationships of their choice. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 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 standard(s) 18, 19, 20 & 21. The service users were full participants in their lifestyle, they received personal support in the way they preferred and required. Service users had responsibility and full involvement in their Care Plan. They were supported to administer their own medication where appropriate. Staff dealt sensitively with issues of ageing, illness and death. EVIDENCE: The inspector talked with 7 residents who were at the home on the day of the inspection they talked about getting older. The confirmed that they met with Healthcare professionals. The inspector discussed with the manager a Care Plan of one particular resident and their personal needs. The Care Plan evidenced that the resident’s changing personal needs were being dealt with sensitively. Residents have access to Healthcare, such as a G.P, chiropodist, optician and so on. An example of good practice was after reviewing a resident’s care plan and in consultation with the resident, the home paid for specialist treatment for one of their residents. In discussion with the manager and residents, it was confirmed that in terms of breakfast, residents came down in their own time, and went to bed when they pleased. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 15 The Commission have Comment Cards which asks service users and people involved with the home, for their views on how the home is run. One G.P. and a Health professional returned Comment cards with responses. On the whole the comments were positive. The G.P. indicated some improvements could be made regarding communication with themselves and the staff. The arrangements for the receipt, storage, administration and recording of medication was assessed as satisfactory. The Registered Manager and staff were commended in the manner in which they administered and kept records on Medication, Medical Administration Record (MAR) charts. Medication records were held on the resident’s file as well as on the MAR chart. Medication records were correct and stored in a secure place at the correct temperature. Temperatures of the areas where medication was stored, were checked and recorded. The Home also has a record of signatures of those staff who administered medication, full and abbreviated, to eliminate errors. Two staff members checked the medication every day. Medication was written up in plain English for residents so that residents understood what their medication was for. The inspector enquired after a resident that she had met on a previous inspection. The Manager advised the resident had died. He told the inspector of her unexpected passing and how the manager and staff had responded. The records confirmed and demonstrated sensitivity. The home also considered the impact the loss had had on the residents and made sure bereavement was dealt with appropriately for the residents. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 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 standard(s) 22 & 23 Residents feel listened to and feel safe in the home. The arrangements for handling complaints were assessed as satisfactory. The arrangements Adults Protection were assessed as satisfactory. EVIDENCE: The home has a Complaints Procedure and a Whistle blowing procedure. The inspector spoke with several residents. All said they did not have any complaints and if they did have they would either go to their key worker, the manager, or raise it at team meetings. When asked if they did have a complaint whether it would be dealt with properly, they said yes. At the last inspection the Home was complimented for their Complaints Procedure. The home also has a suggestion box for suggestions so that if anyone wanted to make an anonymous complaint, they could. The Registered Manager said the Suggestion Box worked well and so far all the suggestions made had been acted upon. The home had a policy and procedure for complaints. The home had one Complaint since the last inspection (December 2004) which had been resolved satisfactorily. It was also signed off. The home had their own Protection of Vulnerable Adults (PoVa) policy. The home has the Local Authority’s Guidelines on the Protection of Vulnerable Adults (PoVa). When the inspector asked staff about Whistle Blowing they were able to say what they would do and informed the inspector of their PoVa training. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 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 standard(s) 24, 27, 28, 29 & 30. The home was homely, comfortable and safe, clean and hygienic with some room for improvement. Residents’ privacy and dignity were observed. EVIDENCE: The inspector inspected the home. The rear garden was well maintained. One resident showed the inspector round the garden and was proud of the achievements which residents had contributed to. The front entrance to the house looked untidy, needed sweeping, windows and window cills needed cleaning. There was a communal area on the first floor which, unlike the rest of the home, was bare and sterile looking and could be brightened to look less institutional with some pictures on the wall, some lounge furniture which might include a coffee table and easy chairs. A requirement has been made. Residents were sitting in the communal living room. The Television was not on which enabled the residents to chat and joke with each other. Residents looked comfortable and relaxed. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 18 There were bathroom and toilet facilities on every room easily accessible to all residents. The bathrooms had the necessary equipment for residents’ needs. The home was clean and had no unpleasant odours. The carpets were cleaned weekly and this was recorded. The home had separate utility room where the laundry was done. This was clean and tidy. The inspector checked the home’s Control of Substances Hazardaous to Health (COSHH) policy & procedure and Safety Certificates. All were up to date. The home had a secure cupboard where hazardous substances were stored. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33 & 35. The Registered Manager and staff were accessible and approachable to service users. Service users felt listened to and staff were interested, motivated and competent. EVIDENCE: The inspector spoke with residents who expressed their confidence in their key workers and the manager and said they were comfortable talking to staff and expressing their opinions. They said they thought staff were helpful. The inspector looked at staff files, the training files which held certificates and records of staff who had undertaken training and who were scheduled to have training. The files were well kept. The training files showed that the Home’s staff had met their quota for the required training and evidenced that various staff had undertaken various training such as on Epilepsy, Health & Safety, Mental Health, Fire Safety, Person Centred Planning. It also indicated that the Deputy was doing their NVQ- Level 3 training. All permanent staff have the Skills for Care (previously TOPPS) standards of Induction and Foundation training. The home’s probation period depended upon whether the new staff member had demonstrated their knowledge of the Induction training. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 20 The inspector interviewed a number of staff who answered all questions appropriately and who demonstrated enthusiasm and commitment to service users and their needs. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39 & 42 The conduct and management of the home was exemplary. The manager took his role seriously and enthusiastically, implemented the requirements and standards of the Care Standards Act 2000 and enabled his staff to develop and become competent. Residents benefited from the staff’s competence and commitment and they too developed competence in running their lives and gain confidence. The service users’ health, safety and welfare was one of the areas that the home exceeded in its implementation. EVIDENCE: The manager was keen for the inspector to interview staff individually. He said his style of management was to ensure every staff member was responsible for at least one area of work as this helped the staff member to develop their confidence, become motivated to attend to service users needs appropriately and professionally, and to consider their career progression as they wished. The inspector interviewed various staff individually. They brought along their Task portfolio; for instance the staff member responsible for Health & Safety Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 22 brought along the file and talked the inspector through how he had developed and was implementing Health & Safety. A good idea which was implemented by this staff member was a “Fire Bag”. The bag contained a Fire Log Book, Fire Register and Risk Assessment. The idea was to grab the bag in the event of the Fire alarm being triggered. The 7 emergency lights were checked monthly. The last Fire Drill was undertaken on the 7th June 2005.Internal checks were done unannounced. Evacuation Tests were undertaken. The home had been in touch with the local Fire Department (LFEPA) to do training at the home. The Fire alarm was checked weekly. Water temperatures were checked monthly . The staff member produced all certificates of safety. Another portfolio of work was around Residents’ Care Plans, House Meetings, and Staff meetings. They talked about their practice and that consultation with residents was of utmost importance. The staff said they found the manager’s management very encouraging and confidence building in that he complimented them on their achievements, did not dwell on their mistakes and simply indicated where improvements could be made. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 x x 3 x x Standard No 31 32 33 34 35 36 Score x 4 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hornsey Lane Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x 4 3 x x 3 x G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 24 No. 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 24.6 Regulation 23(2)d Requirement The Registered Person must ensure all parts of the care home are kept clean.This refers to the front entrance, windows and window cills. Timescale for action 31/08/05. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 24 Good Practice Recommendations The Registered Manager should consider making the communal area on the 1st floor more homely, such as the placing of easy chairs, a coffee table and pictures on the wall etc. Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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 Hornsey Lane G58 s20970 Hornsey v213767 130705 Stage 4.doc Version 1.40 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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