Inspection on 03/10/06 for Hylton Bank (28)

This inspection was carried out on 3rd October 2006.

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

The inspector 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

Hylton Bank (28) 15/12/08

Hylton Bank (28) 18/03/08

Hylton Bank (28) 17/01/06

Hylton Bank (28) 23/06/05

Hylton Bank (28) 01/02/05

Hylton Bank (28) 13/10/04

Hylton Bank (28) 24/02/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Hylton Bank (28) South Hylton Sunderland SR4 0LL Lead Inspector Sam Doku Key Unannounced Inspection 3rd and 11th October 2006 17:00 Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hylton Bank (28) Address South Hylton Sunderland SR4 0LL 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) 0191 534 1185 0191 534 2137 Northumberland, Tyne & Wear NHS Trust Mr Gary Bridgewater Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: 28 Hylton Bank is a care home for eight people who have a learning disability and who have autism or behaviours associated with an ASD (Autistic Spectrum Disorder). Cheviot Housing Association owns the building and Northumberland, Tyne and Wear NHS Trust lease the property and delivers the service. The service accommodates male and female service users between the ages of 18 and 55 years. At present there are 8 men and women living at the home all who have varying abilities. All have difficulty in understanding their environment or communicating their needs. Consequently all of the people living at Hylton Bank have the potential of exhibiting challenging behaviours. There are 8 bedrooms and each service user occupies a single room, which complies with the National Minimum Standards. The design of the house with a North and South side gives the appearance of two separate houses, each accommodating 4 people. An area, which includes the activity room, the laundry and staff sleep over room, connects the 2 sides. Service users have access to all parts of the house with the exception of other peoples bedrooms unless invited. It is the aim of the home to develop activities, including daily life skills that are designed to reduce anxiety while creating personal security for the individual. The rate of charges for receiving care in the home is £834.68 per week. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was organised so that both 28 and 29 Hylton Bank could be inspected at the same time as the two homes are jointly managed and staffed. The inspection was commenced on 5 October 2006 over three separate visits and concluded with final feedback to the registered manager on the 11 October 2006. The inspection process involved observing the interaction between the staff and the service users and a tour of the premises. It also included discussions with the manager, staff and examining the relevant documents relating to the running of the home and the care. Before the date of the inspection, comments cards were sent to relatives to seek their views on the service. Four people responded to the questionnaires. Their comment were very positive and they all commended the quality of the service. What the service does well: The home continues to deliver a high quality service to the service users providing care that is relevant to the individuals. The care practices in the home allow the service users to be supported in exercising choices and making independent decisions. The staff are highly motivated and offer a service that is consistent with the wishes of the service users. The service users have very active and fulfilling lifestyles. There is evidence of the service users engaging in social and recreational activities of their choice. These are set out in a special care plan called Time Table of Opportunities. This sets out the social, recreational and educational needs of each service user. Service users are supported to be involved in a wide range of social, recreational and educational activities. The staff play active role in preparing and supporting the service users to engage in these activities and also to maintain their independence and community participation. The home has two cars, which enable the service users to access community facilities. Service users are also encouraged to use public transport, and in doing so it provides them with the opportunity to engage with the general public. The staff have good understanding of the complex needs of the service users. Records show that volatile situations are always managed well and by that protect the safety and welfare of all those who live and work there. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 6 Staff receive good support and training from the organisation, which enable them to provide quality care to the service users. Of the current staff of 25, five have NVQ Level 3, 13 have NVQ Level 2 and 4 are currently undertaking the NVQ training. This training and support from the organisation has enhanced the care practices in the home, which promotes the welfare of the service users. Each service user has their own room and are furnished and equipped with personal items, which provide a sense of personal space for each service user. The home has good policies and procedures in place, which serve as reference documents for the staff. Staff have good knowledge of the various policies and procedures in the home. What has improved since the last inspection? What they could do better: Risk assessment should be brought up to date to reflect current care needs. There was an incident whereby an updated written risk assessment should have been formulated. Although all the staff were aware of how to manage the situation, the existing risk assessment had not been updated to reflect this. This has the potential for staff treating the situation differently as there was no written guideline for them to follow. There are forms or records in the service users’ files, which are out of date and their purpose is not clearly understood by the manager and the staff. These should be reviewed to determine whether they are still relevant to the care of the service users. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 7 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. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 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 the following standard(s): 2 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The admission process includes thorough assessment of needs, which identifies care needs of the individual including considerations for their aspirations. This promotes the service users’ welfare and wellbeing. EVIDENCE: The most recent admission to the home was the transfer of a service user from 29 Hylton Bank into 28 Hylton Bank. Arrangements for admission to the home involve planned introduction to the home. There was evidence in the service users file to support this. The manager described the home’s current admissions procedure, which includes receiving full and detailed assessment from the responsible social worker. He also stated that the home would carry out their own assessment to ensure that the needs of the prospective service user could be met. These ensured that the care needs of the individual are met. In addition to the assessments, there are also Support Agreement Plans, which set out each person’s care needs and how those needs are to be met. There is evidence in the service user’s files indicating their involvement in the making the support plans. This ensured their right to be involved in matters relating to their future care arrangements. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Staff are pro-active in assessing and reviewing the needs of the service users which ensured that their needs are met while. Service users is consulted on the day-to-day management of the home and also involved in the management of their care, including the opportunity for them to make independent decisions. EVIDENCE: The ethos and care practices in the home ensured that the service users have the opportunity to make decisions about their life and how they are to be cared for. The service users files provide details of their decisions, the contributions by advocates and other professionals regarding their care and future plans. The files also provide further evidence of the involvement of service users in the day-to-day management of the home. The service users have input into the planning of menus, social and recreational activities. This promotes their independence and sense of control and wellbeing. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 11 Risk assessments have been carried out for all the service users relating to aspects of their care, which require careful monitoring or management. This enables each person to lead fulfilling lifestyle and enjoy the protection of the staff team. Some of the risk assessments include going out independently, travelling, domestic activities, using public transport and road safety. These risk assessments are designed to protect the service users from harm while at the same time promoting their independence and right to take reasonable risks. These risk assessments are regularly reviewed to ensure that they remain effective in safeguarding the safety and welfare of the service users. The service users files showed that they have been involved or supported to be involved in the drawing up of their care plans. Staff confirmed that they believe that the process of involving the service users in the planning of their care has the benefit of ensuring that the care and support that is provided is exactly what the they need. Staff cited several examples of how the service users are able to contribute to their own care. This has helped in giving them a sense of independence and fulfilment. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. There is positive attitude amongst the staff group to involve the service users in community activities, and in so doing give them sense of belonging, respect and some element of control over their lives. EVIDENCE: Service users files and daily records indicate that they are supported to remain part of the local community from which they came from. The service users continue to take part in social, recreational and educational activities. These activities include regular visits to local pubs, theatre, cinema, shopping, attending discos, opportunities to attend college courses and other community facilities. There are also arrangements for service users to engage in indoor activities such as board games, video films and watching TV and to visit friends and be visited by friends from other establishments. The staff also confirmed that the service users have regular visits to the local pubs, cinema, restaurants, shops and other places of interest and entertainment. Their involvement in these activities promote their self-esteem and participation in community activities. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 13 Staff involve service users in the drawing up of the weekly menus and also take part in the weekly shopping for the home. The service users are offered choice of meals and encouraged by staff to maintain some level of independence regarding meals. The care plans show that the service users dietary needs are met. Service users are frequently offered the opportunity to go out for meals. This ensured that they continue to access community facilities and to engage in these activities within the wider community. The service users are supported and encouraged to maintain outside interests. This is a positive practice that has enhanced their confidence and given them a sense of achievement. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. The home actively promotes the emotional and physical health of the service users through the GP and other healthcare professionals. EVIDENCE: The care plans, risk assessments and other care records show that individual care needs have been clearly identified and care programmes have been put in place to meet them. Records show that agreed care plans are followed by all staff and these are reviewed regularly which ensured that the care provided is relevant to the needs of the service users. The service users reactions and views are taken into account when reviewing their care, thus promoting their right to be involved in their care. The service users are supported to continue to attend his GP services and other health related appointments. These visits are recorded in the individual life plans and in daily report books as evidence of the healthcare they receive. Such arrangements promote their health and general wellbeing. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 15 The drugs administration system was inspected and found to be well maintained and there was no discrepancies found in the system. All staff have who are responsible for administering medicines have had suitable training in the handling of medication. Detailed written policies on medicines were also available for inspection. These measures ensured that the healthcare needs of the service user were maintained. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The provider’s complaints procedure is efficient and it is implemented by the home in a way that protects service users from abuse. This ensured their safety and wellbeing. EVIDENCE: There are detailed protection of vulnerable adults policies and procedures in the home and the staff who were spoken with demonstrated good knowledge of how to protect the service users from any form of abuse. All the staff have received training and have good knowledge and understanding of the procedures. Such training and understanding has raised the protection level enjoyed by the service users. The home has a written complaint procedure, which is part of the Northumberland, Tyne and Wear NHS Trust complaint procedure. Summary of the complaint procedure is included in the Statement of Purpose/Service User Guide and copies are retained on his file. The Trust also has a “Whistle Blowing” policy and copies of these procedures are available in the home. The staff who were spoken with confirmed that they have received training in the City of Sunderland Local Authority’s MAPPVA (Multi Agency Panel for the Protection of Vulnerable Adults) procedures and on whistle blowing policies. They confirmed that this has enhanced their understanding and are better informed about safeguarding vulnerable people from any form of abuse. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is comfortable, homely, clean and meets the service users needs. This ensured that they live in a safe and welcoming environment. EVIDENCE: The home is designed to meet the needs of people with a wide range of physical disabilities. The corridors and doorways are wide enough to allow easy access and comfortable movement of people. The generous room sizes allow the service users to furnish their rooms with personal items while leaving sufficient spaces for movement within their rooms. The two lounges are suitably furnished and decorated. This provided a pleasant environment, which enhanced the self-esteem of the service users. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 18 Good standard of hygiene is maintained to avoid any cross contamination. On the day of the inspection the home was clean and maintained to a good standard. Antibacterial hand washing facilities were available in the toilets and bathrooms. The kitchen, lounge and bedroom were all noted to be clean and in good order. The laundry machine has programme facilities to meet disinfecting standards, thus ensuring good control of infection practices and protection of the service users from cross contamination. There are policies and procedures in place regarding safe handling and disposal of clinical waste, dealing spillage, the provision of protective clothing and hand washing. This also protects him from infection and accidents. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. There is sufficient staff employed to meet the care needs of the service users. This enables service users to receive the care and attention that they need. The service users enjoy good staff to service user ratio, enabling them to enjoy personalised care and attention. EVIDENCE: Past rotas showed that the home consistently maintains adequate staffing levels to meet the needs of the service users. The manager continues to adhere to proper employment policies in recruiting staff. It was evident from discussions with staff that the proper recruitment procedures have been followed by the manager. This included completion of application form, job description, contract of employment, two satisfactory references, interviews, and Criminal Records Bureau checks. These measure ensured that the service users are care for by competent people and also protect them from potential abusers. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 20 The Trust has a comprehensive induction plan for all newly appointed staff. The manager confirmed that all new staff are provided with an induction programme and later followed by LADAF training. All staff have been provided with statutory training and other training such as anger management and autism awareness. This ensures that the staff have the knowledge and understanding of the complex needs of the service users. Staff training included moving and handling, first aid, fire safety training, food hygiene, challenging behaviour management, protection of vulnerable adults awareness training, management and prevention of anger management and conflict resolution. These ensured safe working practices for the safety and wellbeing of the service users. The most recently appointed staff confirmed that they have been issued with individual job description and terms and conditions of employment. One of the most recently appointed staff member described the recruitment and selection process and this was in line with the Trust’s written policies. She confirmed that references were taken by the Trust and CRB enhanced check was done for her before she commenced work. It was evident from discussions with staff and the manager that the Trust follows it strict recruitment guidelines and in so doing ensures that the service users are safeguarded from any form of abuse. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The management approach in the home is geared towards involving the service users in most aspects of the running of the home and also in the way they are looked after. This promotes their independence and provides them with a safe and caring environment. EVIDENCE: The manager is a trained nurse and has NVQ level 4 in management. He has considerable experience working in the healthcare setting and in managing a care home. Such training and experience has been beneficial to the service and the service users. Staff stated that the manager runs the service for the benefit of the service users and has positive relations with the staff and the service users. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 22 The Trust has produced detailed Health and Safety policies and copies of these were made available for inspection. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). The manager stated that all staff have had training in food hygiene, fire precaution and first aid. Records relating to fire instructions have been maintained. All portable appliances have been tested. A record is maintained of monthly water temperature tests in the home. There is evidence of regular servicing of fire equipment, gas and electrical appliances. All the servicing records were up to date. These included fire fighting equipments, water treatment, electrical installation and gas servicing. Up to date servicing and maintenance of these services and equipments ensure a safe environment for the service user and the staff who work there. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 2 3 4 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 X 15 3 16 4 17 32 33 34 35 36 3 X 3 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA6 YA30 Good Practice Recommendations Forms on service users’ files, which are no longer relevant to the care should be reviewed and where appropriate these should be removed from the files and archived. The carpet in the reception area on the North side need replace as it is heavily stained and worn. Hylton Bank (28) DS0000015740.V313478.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Hylton Bank (28) DS0000015740.V313478.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. 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!