Inspection on 14/09/05 for Hourigan House

This inspection was carried out on 14th September 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

Hourigan House 23/02/09

Hourigan House 28/02/07

Hourigan House 15/02/06

Hourigan House 17/01/05

Hourigan House 17/08/04

Hourigan House 21/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE HOURIGAN HOUSE Myrtle Avenue Leigh WN7 5QU Lead Inspector Kath Smethurst Unannounced 14 September 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. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hourigan House Address Mrytle Ave Leigh WN7 5QU 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) 01942 672922 01942 672104 CLS Care Services Limited Mrs Elaine Wilson CRH Care Home only 40 Category(ies) of OP Old Age (40) registration, with number PD(E) Physical Disability over 65 years (8) of places HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users to include:up to 40 service users in the category of OP (Older People) up to 8 service users in the category of PD(E) (Adults with Physical Disability over 65) 2. The service should employ a suitably qualified and experienced Manager who is registered by the CSCI. Date of last inspection 17 January 2005 Brief Description of the Service: Hourigan House is a two-storey building with well maintained garden areas, situated in the middle of a housing estate, half a mile from Leigh town centre. It is close to shops and other local facilities and is well served by public transport. The Home is spacious with several lounges. All bedrooms are single and some have an ensuite toilet facility. There are ample communal toilets and bathrooms situated throughout the home. Hourigan House provides personal care and support for forty people over the age of sixty five years. The home is owned and managed by CLS Care Services Limited who have 40 plus homes around Cheshire and the Wigan area. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 9.15 am. It took place over five hours during the morning and afternoon. The inspector looked around some but not all of the home. Records were looked at and the inspector ate the meal served to residents at lunchtime. To get more information about the home the inspector spoke to five residents, one visitor, three staff and the senior member of staff on duty. What the service does well: What has improved since the last inspection? The home is well presented nevertheless improvements to the décor continue, ensuring residents live in a welcoming, pleasant and homely environment. Good progress has been made by the manager to make sure that the things, which needed improving from the last inspection, have been done. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 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. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 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 HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 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) 2 and 3. Terms and conditions of residence/contracts are issued, which ensures residents/representatives have detailed information about what their rights are. The admission procedure is good and systems are in place to ensure proper assessments are completed prior to people moving in. EVIDENCE: A detailed Terms and Conditions of Residence document is kept in the Service User Guide, a copy of which is given to each new resident when they come to live at the home. Copies of the service user guide are also available in resident’s bedrooms. Those residents who have their care paid for by local authorities have a service delivery agreement. The local authority contract contains broader terms and conditions of residence. Inspection of the records of four residents showed an assessment of care needs had been completed and where applicable social work assessments had been taken note off. The assessment document was detailed and included information relating to physical needs and personal preferences. All assessment documents had been signed and agreed by residents or their representatives. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 9 A good assessment system is in place. The manager or senior staff visit each person either at home or in hospital whether they are paying for themselves or being paid for by the local authority. One visiting relative confirmed staff had conducted an assessment of needs prior to admission. If possible the home will arrange for prospective residents to visit prior to admission so they can meet the staff and other residents. Two residents spoken to confirmed they had visited before deciding to come to live at the home. For those residents admitted on an emergency basis all necessary details are obtained as soon after admission as possible. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 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 and 10 In the main care plans were detailed, up to date and reflected the care needed, but some relevant records had not been completed, which meant important information had not been documented. Personal support is offered in such a way as to promote residents privacy. EVIDENCE: Four care plans were examined. All contained comprehensive information relating to residents personal, social and health care needs. Daily entries in care notes were completed in all the plans examined and gave a good indication of the care provided and residents well being. The plans were easy to read, had been regularly reviewed and set out clear guidance for staff to take when providing care. There was written evidence that the plans had been signed and agreed by either the residents or their representatives. The care plans examined contained some very good information in respect to residents past lives, needs, likes/dislikes and chosen lifestyle. For example one read “ X likes to have a walk if the weather is good” a second “ Y likes to watch television in bed” a third “ enjoys sport on TV and wants to have Sky TV installed”. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 11 Two shortfalls were found. In one care plan a nutritional assessment had not been completed. In another plan it was noted that a resident had apparently lost weight (5 kilogram’s in a month) but there was no indication this had not been followed up. This was discussed with the senior member of staff on duty. She advised that there had been no concerns about this particular residents nutritional intake and felt the recording could be as a result of an inaccurate reading. Assurances this issue would be followed up. Risk assessments were in place in each of the files inspected. They covered areas such as nutrition, pressure areas and moving and handling. In the main all had been reviewed and updated on a regular basis. Anecdotal evidence from residents indicated that staff respected their privacy and dignity. During the inspection staff were seen to treat residents with respect and consideration, were attentive to individual needs and discreet when providing assistance. Written evidence in care plans showed that resident’s needs in respect to dignity were considered important. For example in respect to residents directing their care. For example the care plan for one resident with speech difficulties instructed staff to “ offer the opportunity to X to write things down if this helps, do not hurry X or interrupt”. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 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) 13 and 15. Visiting arrangements are good ensuring links between residents and their relatives and friends are maintained. Meals are good and the needs of residents are well catered for with a balanced and varied selection of food provided. EVIDENCE: The home has an open visiting policy. There are no restrictions on the time people visit and this was evident, with visitors observed during the whole of the period of the inspection. Further evidence was highlighted in the visitor’s book where entries showed residents friends and relatives visiting at different times during the day and evening. The only time restrictions would be imposed is when requested by residents. Anecdotal evidence from both residents and a visitor indicated the manager and staff encouraged links to be maintained. A visitor spoken to confirmed he was always made to feel welcome by staff. He said, “ I am always made welcome and staff always offer me a drink”. Further evidence of this was also observed, staff greeted visitors politely and took time to talk to them. Menus were examined and were found to be well balanced and nutritious. Menus are compiled centrally for all CLS establishments. Discussion with the cook indicated she was able to adapt menus to suit resident’s preferences. A choice is offered at every meal. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 13 Breakfast is served on a flexible basis from 8.30am to 10.30 am residents were observed having their breakfast at various times during the morning. One resident spoken to confirmed she was able to have her breakfast when she wished, “as there is no rush to get up”. The main meal is served at lunchtime with a lighter meal served at teatime. Drinks and snacks are offered throughout the day. Meals are eaten in the main dining room but if they wish residents may eat their meals in their rooms. The dining area was clean and efforts had been made to give an air of domesticity. Dining tables were tastefully set with linen tablecloths and napkins so ensuring a congenial atmosphere. Menus are also displayed. The inspector had lunch with the residents. The meal consisted of roast chicken, stuffing, potatoes and vegetables followed by artic roll. Alternatives to the meal included fish, cheese and vegetable bake and mushrooms on toast. The meal was well presented, in adequate quantities and tasted good. Care practice was specifically observed and good practice found. Staff were sensitive and discreet when providing assistance, no one was rushed and second helpings were offered. A number of residents living in the home were spoken to and everyone who commented said the food was good. All expressed satisfaction with the quantity and quality of the meals provided. Residents also confirmed that if the meal was not to their liking an alternative was always made available. One resident described the food as being “very good”. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 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 The home has a satisfactory complaints system with evidence that residents feel their views are listened to and acted upon. EVIDENCE: A detailed complaints procedure is in place. Details of how to complain are contained in the “Service User Guide” which each resident has a copy of. A system is in place for recording complaints. The homes complaints book was examined and showed seven complaints had been logged since the last inspection in January 2005. The complaints related to noise at night, not being assisted up at preferred time, missing items of clothing, personal hygiene and staff attitude. There was written evidence these complaints had been thoroughly investigated including details of the steps taken to rectify the issues and a copy of the report sent to the complainant. All the concerns raised had been resolved to the complainant’s satisfaction. No formal complaints have been received by the CSCI over the past year. Anecdotal evidence from residents indicated they felt able to approach staff with any concerns and these would be taken seriously. None of the residents spoken to had made a complaint but all indicated they were aware of how to do so if the need arose. In addition to the formal complaints system the home holds regular residents meetings. A “Customer Feedback Log” is also provided for residents and their relatives to make comments about the home. Examination of the minutes of the last residents meeting held on the 1 July 2005 indicated that residents had no complaints about the care provided or organisation of life in the home. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 15 HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 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, 20 and 26. The standard of the environment within this home is good providing residents with an attractive, homely and clean place to live. EVIDENCE: Hourigan House is well maintained internally and externally. Nevertheless improvements to the fabric of the building continue. For example, redecoration of communal areas. In the main standards are good but it was noted that the wallpaper in some of the corridors is damaged. This needs to be addressed as part of the planned programme of renewal and maintenance to ensure standards in the home don’t fall below an acceptable standard. The Home is spacious with several lounges, a dining area and hairdressing room. These areas are furnished with good quality items. Ornaments, fireplaces, pictures and flowers enhance the homeliness of these areas. The garden areas are tidy, well maintained, safe, secure and accessible for residents. Residents and visitors spoken to made no adverse comments about environmental standards in the home. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 17 On the day of this unannounced inspection all areas of the home were clean and odour free. Residents and a visitor commented positively about the cleanliness of the home. Policies and procedures were in place with regard to infection control. Staff were provided with protective aprons and disposable gloves. Liquid soap and paper towels were provided near to hand washing facilities. Staff were observed to be maintaining good hygienic practices. All laundry is undertaken on site and residents spoken to had no complaints about the standard of laundry service provided. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 18 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 and 29. Staff morale is high resulting in a committed and enthusiastic workforce, this ensures a consistent standard of care for people living in the home, but staffing levels need to be reviewed to ensure care needs are not compromised. Recruitment procedures for staff are robust which ensures people living in the home are protected. EVIDENCE: Residents and a visitor spoken to said staff looked after them well. One resident described the care as being “ very good” while a visitor said that his relative was “looked after very well”. Many of the staff have worked at the home for a considerable time and staff turnover is low. It was clear from the comments of staff that they liked working at the home. For example one member of staff described her colleagues as being “like family”. On the day of inspection sufficient staff were on duty to meet residents care needs. During the visit staff were observed to respond speedily to requests for assistance made by residents and also spent time socialising with them. Examination of staff rotas showed that when staff were on leave or off sick absences were covered. The Manager works on a supernumery basis. Domestic and catering staff support care staff seven days a week. In addition an activity organiser and handyman work on a part time basis. Staff spoken to said that current staff ratios during the day were sufficient given the dependency levels of residents living at the home. In the evening and at weekends care team leader carry out administrative and supervisory duties in addition to providing hands on care. These duties could at HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 19 times take care team leaders away from providing direct care to residents. While this situation does not appear to have compromised resident’s care, staff ratios at these times need to be kept under review. At previous inspections, a requirement has been made regarding nighttime staffing levels. Currently the night shift has one care team leader and one carer on duty, to assist residents to bed and support them throughout the night. Given the layout of the building and dependency levels of residents this may not be sufficient. Assurances were given that the number of staff at night and would be increased if necessary. Nevertheless this situation needs to be kept under review to ensure ratios at night are sufficient to meet residents care needs. The files of four staff employed indicated that all necessary recruitment checks had been undertaken. Staff files examined contained: written application forms, 2 references, Criminal Records Bureau (CRB) check and verification of identification. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 33, 35 and 38. The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which include seeking the views of residents, staff and relatives. A satisfactory accounting system was in place, which protected resident’s interests. In the main Health and safety practices are satisfactory, but not all equipment service records were accessible which meant that important information was unavailable. EVIDENCE: HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 21 Effective internal and external quality assurance systems are in place such as staff and residents meetings and visitor/residents surveys. A sample of the most recent completed surveys was examined. The feedback from both residents and visitors was very positive. CLS representatives visit the home on a monthly basis to audit records and speak to residents and staff. A written report is then produced of the findings, which is then forwarded to the CSCI. The home has a system for recording the complaints of those who don’t wish to complain formally. Residents are informed of CSCI inspections and inspection reports are available for visitors and residents to read. The Contracts Section of Wigan Social Services Department, in conjunction with a company called RDB Limited, has undertaken a voluntary star rating of homes in Wigan. As part of the rating process an annual audit of quality is undertaken. This includes consultation with service users and staff. Hourigan House has been awarded 5 stars, which is the highest rating. The home has a satisfactory accounting system in place. Staff could determine exactly how much money the home was holding for each resident. The Home looks after small amounts of resident’s personal allowances. Detailed records are held of all transactions. All monies held for safekeeping are kept individually. A record is kept of monies credited and debited and receipts were obtained for financial transactions. Secure facilities are provided for the safe keeping of money. In the main health and safety issues were satisfactory. Policies and procedures are in place and cover a range of topics linked to health and safety. Documentary evidence was available of staff having completed health and safety training including safe moving and handling techniques and first aid. All accidents and incidents had been recorded and reported correctly. Fire safety records showed that that all fire tests and maintenance procedures had been undertaken regularly. Records also indicated that fire drills and instruction had taken place at frequent intervals. Records examined provided evidence of regular inspections and maintenance checks of equipment and the building undertaken by external contractors. However it was noted that the gas safety and electrical installation certificates were unavailable for inspection. This was discussed with the senior member of staff who thought the certificates were probably kept at head office. To demonstrate the gas and electrical installations are safe copies of both certificates need to be forwarded to the CSCI. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 x x x x x 3 STAFFING Standard No Score 27 2 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x 3 x x 2 HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 23 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 7 Regulation 15 Requirement Care plans must reflect full details of service users assessed needs and actions necessary to meet identified needs including; completed nutritional assessments and details of the action taken when weight loss is identified. As part of planned maintenance torn and damaged wallpaper (corridors) must be attended to. To ensure staffing levels at night are sufficient a review of ratios must be undertaken. Details to be forwarded to the CSCI To demonstrate the gas and electrical installations are safe copies of up date safety certificates must be forwarded to the CSCI. Timescale for action 1 October 2005 2. 3. 19 27 16 & 23 18 1 March 2006 1 October 2005 1 October 2005. 4. 38 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 27 Good Practice Recommendations Consideration should be given to providing an additional F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 24 HOURIGAN HOUSE member of staff at night. HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 HOURIGAN HOUSE F56 F06 S5741 Hourigan House V246423 140905 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!