Inspection on 10/01/07 for Huntingdon Court

This inspection was carried out on 10th January 2007.

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

The inspector 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

Huntingdon Court 24/08/05

Huntingdon Court 07/06/05

Huntingdon Court 25/01/05

Huntingdon Court 18/08/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Huntingdon Court Regent Street Loughborough Leicestershire LE11 5BA Lead Inspector Mick Walklin Key Unannounced Inspection 10th January 2007 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Huntingdon Court Address Regent Street Loughborough Leicestershire LE11 5BA 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) 01509 217474 01509 268393 www.leicestershire.gov.uk Leicestershire County Council Social Services Mr David Dixon Care Home 40 Category(ies) of Dementia (8), Dementia - over 65 years of age registration, with number (30), Learning disability (4), Learning disability of places over 65 years of age (4), Mental disorder, excluding learning disability or dementia (4), Mental Disorder, excluding learning disability or dementia - over 65 years of age (6), Old age, not falling within any other category (40), Physical disability (8), Physical disability over 65 years of age (20), Sensory impairment (4), Sensory Impairment over 65 years of age (4) Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Categories DE, DE(E) No person to be admitted to the home in categories DE or DE/E when 30 persons in total of these categories/combined categories are already accommodated in the home Service User Categories PD, PD(E) No person to be admitted to the home in categories PD or PD/E when 20 persons in total of these categories/combined categories are already accommodated in the home No persons under 55 years of age who fall within categories LD, DE, PD, MD and SI may be admitted to the home No persons falling within category DE may be admitted to the home where there are 8 persons of category DE already accommodated No persons falling within category PD may be admitted to the home where there are 8 persons of category PD already accommodated Service User Categories MD, MD(E) No person to be admitted to the home in categories MD or MD/E when 6 persons in total of these categories combined/categories are already accommodated in the home Service User Categories SI, SI(E) No person to be admitted to the home in categories SI or SI/E when 4 persons in total of these categories combined/categories are already accommodated in the home Service User Categories LD, LD(E) No person to be admitted to the home in categories LD or LD/E when 4 persons in total of these categories combined/categories are already accommodated in the home No person falling within category MD may be admitted to the home where there are 4 persons of category MD already accommodated Intermediate Care Admittance The home may admit persons for purposes of intermediate care as prescribed in the statement of purpose and falling within existing registered categories To be able to admit a person under the age of 65 years named in variation application number V19978 for a period of 4 weeks to commence 12th May `05. Named Person To be able to admit the named person aged 54 years under category PD named in variation application number V24384 dated 5:9:05 for a period of 90 days commencing from the date of their admission to the Home 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 5 Date of last inspection 24th August 2005 Brief Description of the Service: Huntingdon Court is a care home providing personal care and accommodation for forty older persons. Huntingdon Court has two respite beds, two assessment beds and four beds dedicated to rehabilitation. The forty single bedrooms are without en-suite facilities. The home has a central and rear garden, which is well maintained and is accessible to all service users residing in the home. The premise is owned by the Leicestershire County Council Social Services Department and is situated close to Loughborough town centre where service users have access to shops, pubs, the post office and other amenities. The home is easily accessible by private or public transport. Huntingdon Court is fully accessible. Accommodation is provided on two floors with access to the floor via stairs or a passenger lift. Communal areas are provided on both floors of the home. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was undertaken using a review of all the information available to the inspector regarding the service history of Huntingdon Court, and through undertaking a visit to the home. The fieldwork visit took place over 7 hours. The manager was not present during the inspection. The main method of inspection used was called case tracking which involved selecting three service users and tracking the support they receive through the checking of their records, discussion with the care staff and observation of care practices. A tour of the building was undertaken with a member of staff. Documents connected with the running of the care home were also inspected. Two ‘Have Your Say’ leaflets were received from service users, and two from relatives. The previous manager had completed a pre-inspection questionnaire in May 2006. This provided information that the range of fees charged is £370 per week. What the service does well: What has improved since the last inspection? Medication administration and recording is now better, to ensure that medication is handled in a safe manner. An activity co-ordinator was appointed, but she has now left. Activity care plans have been introduced, but require further information, when a new activity co-ordinator is employed. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 7 Staffing levels at weekends have now improved. Staff confirmed that they have received training about conditions such as dementia and mental health problems. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is good pre-admission information available to staff, which outlines areas of support that new residents will require. Residents receiving intermediate care are supported to become more independent. EVIDENCE: Most referrals to the home are from social workers, who are responsible for providing a needs assessment and care plan. These provide staff with a good range of information about the individuals support needs. However, staff from the home do not conduct their own pre-admission assessment to verify this information. One gentleman was admitted at the time of the visit, and was being shown around the home. Staff explained that they had tried to encourage him to visit prior to admission, but he had been unwilling. Visits by prospective residents and their relatives are encouraged, but not always Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 10 possible in the case of admissions from hospital. Residents are admitted for a four-week trial period. The home accepts emergency admissions from social workers or the emergency duty team. Four intermediate care beds are available for residents discharged from hospital, who require further support before returning home. A small domestic style kitchen is available for them to make drinks and snacks. Care plans outline specific areas of support, to assist them to regain independent living skills. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans contain a good range of information, but staff should have more detailed information if risks to residents are identified. There are satisfactory arrangements to ensure that residents health needs are met, and medication procedures promote safety. Staff treat residents with respect. EVIDENCE: Care plans have been updated, and a new format has been introduced since the last inspection. Residents who are admitted for short-term assessment will continue to use the care plan provided by the social worker. Those receiving long-term care have a ‘residential home care plan’ compiled by staff. However, a resident admitted in November still did not have a residential home care plan. The care plans provide a range of information about support needs, such as preferred daily routines, personal care requirements and health, mobility and safety issues. Some care plans inspected had not been reviewed for two Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 12 months, and it is recommended that this be done on a monthly basis. The deputy manager said that the staff team wished to improve the quality of care plans further, and were introducing a care plan summary, to provide staff with clearer and more concise information. One resident had been admitted in December, with a care plan and needs assessment from his social worker. This had identified that the resident was at a high risk from falls. During an 11-day stay at the home, he had fallen, or been found on the floor on nine occasions, but there was no risk assessment in place, outlining what measures staff should take to minimise the risk. Long-term residents are registered with one of three local GP practices, and short-term residents maintain their existing arrangements, or are registered as temporary residents. Other health services such as physiotherapy or community psychiatric nursing are available through referral. A district nurse, who was visiting, said that she has a good relationship with the home. She visits twice a week, and staff are good at communicating, and know the residents well. The previous inspection highlighted an issue relating to administration of medication. During this visit, medication procedures were found to be robust. Staff administering medication have undertaken the safe handling of medication course. Medication administration records were fully completed. Medication is stored in a medical room, and there is suitable recording and storage of medication which requires special procedures. One service user currently self-administers an inhaler, but residents who are admitted and look after their own medication are provided with lockable facilities. A pharmacist inspected arrangements in November 2006, and there were no issues raised. Staff were observed to respect residents privacy when assisting them with personal care. Residents confirmed that they are treated with respect, and staff respect their personal space. A resident commented, “They always knock on the door before coming into my room”. Another said, “We have a laugh and a joke, but they are never rude”. Staff were courteous when talking to residents, and made an effort to be at the same eye level when communicating to those who were sitting, by sitting beside them or crouching. A resident, who was returning home, said to staff, “Thank you - you have been good to me”. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities will improve with the appointment of an activity co-ordinator. Residents maintain contact with families and friends, and exercise control over their lives. Catering arrangements are satisfactory. EVIDENCE: An activity co-ordinator was appointed following the previous inspection, but they have now left. The deputy manager confirmed that it was hoped to fill the post shortly. There is an activity timetable, but there was no evidence of organised activities on the day of the visit. The activity programme is displayed in a communal area, and includes bingo, games, sewing, aromatherapy, beauty, quiz and music. The deputy manager said that organised activities would resume when the new activity co-ordinator is in post, but staff try to follow the programme. Residents confirmed that they had enjoyed activities over the Christmas period. Comments included, “There is not much going on but it doesn’t bother me as I enjoy TV”, and “I really enjoy the bingo”. Activity care plans have been introduced, but those inspected did not have any recent Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 14 entries. One member of staff said, “We are usually very busy – it would be nice just to be able to sit down and chat to residents”. The home is situated close to the town centre, and some residents can access local facilities independently. Contact with families and friends is encouraged, and there were many visitors during the day. Relatives confirmed that there are no visiting restrictions, and that they are well received by staff. Residents preferences relating to daily routines is documented in their care plans. Staff were observed to be consulting residents about their wishes and choices throughout the visit. A resident confirmed that she gets up and goes to bed when she likes, and can spend the day pursuing her own interests. Staff dealt well with a potentially difficult issue, when a new resident wished to go out to purchase provisions. They explained the safety implications, and persuaded him to wait until the following day. A member of staff said that the job was very rewarding. “It’s great to help people in intermediate care, who haven’t got much confidence, and then you see them doing things for themselves”. Residents had mixed views about the food served. Comments ranged from “the food is OK” and “the food is good sometimes”, to “the food is very good – you can have what you want if you ask for it”. There is a choice of two main courses and two puddings, and staff discuss choices with residents the day before. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good arrangements for dealing with complaints and allegations, but better information should be available about the complaints procedure. EVIDENCE: There have been no complaints since the last inspection. The home uses the county council ‘ complaints, comments and commendations’ policy, and leaflets were found in the reception area in English, Gujarati and Bengali. These were not prominently displayed, being hidden behind other county council literature, and relate more to general complaints about council services, rather than the care home. It is recommended that a complaints procedure, relating specifically to the home, is displayed prominently for relatives and residents. Residents said that they would probably speak to staff, or the manager if they had a problem. A relative said that they were not aware of the complaints procedure. Staff displayed a good knowledge of adult protection procedures. They were aware of the location of the policy, and gave correct answers when questioned about a scenario. They confirmed that they have received training, and a new member of staff said that the subject had been covered during her induction. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 16 Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean and comfortable environment for residents to enjoy. EVIDENCE: The home is generally well decorated and maintained, with only signs of minor wear and tear. There are a range of communal areas for residents to enjoy on both floors. Residents described the home as “nice”. One said that she had her own ornaments and pictures to make her room more homely, and there was evidence of residents personalising their rooms throughout the home. Two rooms used for storage of surplus equipment require clearing, and staff confirmed that this was being arranged for next week. Only one resident smokes at present, and she has a designated smoking area in the lounge. She Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 18 complained that she gets cold, because the window has to remain open when she smokes, and the installation of an extractor fan should be considered. The home was clean and free from unpleasant smells on the day of the visit. There are usually four cleaners on duty until 2pm, to ensure standards of cleanliness are maintained. A resident commented, “The cleaners are very good – the home is usually very clean”. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained, and there are sufficient staff to meet the needs of residents. The way that staff are selected protects residents. EVIDENCE: There are currently no care staff vacancies at the home. The deputy manager said that the home maintains minimum staffing levels of six care staff in the morning, and four in the afternoon. There are two waking night staff, and one sleeping-in. Both residents and staff confirmed that these minimum levels are adequate to meet the needs of residents. A member of staff said, “Staffing levels are better, but we do struggle sometimes”. A resident said, “The staff work hard, and give up good care”. A majority of staff have completed National Vocational Training (NVQ), and those that have not are currently undertaking the training, or waiting to enrol. The home has introduced an excellent induction and foundation programme, in the form of a workbook. It was not possible to interview staff who were using the workbook, but a member of staff who started at the home last year said that here induction had been “very good”, and that she had received good support during her induction. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 20 Three staff files were inspected, and all showed evidence of a robust recruitment and selection procedure, and contained the documents necessary for the protection of residents. Staff that were interviewed confirmed that they are up to date with training, and receive regular updates. The previous inspection identified that some staff had not received training in dementia care and mental health. Most staff said that they had undertaken this training, but one session had been cancelled, so some staff were yet to attend. Training was described as good, and staff records demonstrated a structured training programme. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well managed and organised, and residents and relatives are consulted about the running of the home. Some health and safety issues were identified which could potentially put residents at risk. EVIDENCE: Staff and residents said that the home is well managed and organised. A new manager has taken up post since the last inspection, and has been registered by the commission. Staff said that they work well as a team, and there is a good atmosphere, which benefits residents. Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 22 A ‘quality issues’ meeting was organised in December, and all relatives, doctors and district nurses were invited. Questionnaires were sent out prior to the event to obtain feedback. Issues raised included improvements to the décor, and activities. There are good procedures for dealing with residents monies. The deputy manager outlined how monies were paid into accounts, and how transactions are organised, to safeguard their financial interests. Residents have access to petty cash if they need money at short notice. Maintenance records and health and safety documentation are generally well organised, but some documents are out of date, and would benefit from archiving. The following heath and safety issues were identified: • • • • • Monthly fire checks had not been conducted since mid November. Denture cleaning tablets are stored in some residents bedrooms. These should be risk assessed to ensure that they do not pose a risk to residents. The gas safety certificate could not be located. The fixed electrical wiring in the home is overdue for testing. There is an assessment relating to the prevention of legionella, done in 1999, which outlines tasks that should be carried out on a monthly, quarterly, half-yearly and yearly basis. However, the records relating to whether these tasks are carried out could not be found. The risk assessment should be updated to clearly detail the actions to be taken to prevent legionella, in line with Health and Safety Executive guidelines. Huntingdon Court DS0000033477.V323899.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 1 Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP7 Regulation 13(4) Requirement The registered person must ensure that a risk assessment is conducted as soon as a potential risk is identified. The registered person must attend to the health and safety issues identified. Timescale for action 12/02/07 2. OP38 13(4) 12/02/07 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 OP7 Good Practice Recommendations It is recommended that care plans are reviewed on a monthly basis, and that all residents have a care plan relating specifically to their residential care needs. It is recommended that the complaints procedure is prominently displayed for residents and relatives. 2. OP16 Huntingdon Court DS0000033477.V323899.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Huntingdon Court DS0000033477.V323899.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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