Inspection on 23/05/05 for James Burns House

This inspection was carried out on 23rd May 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

James Burns House 26/09/07

James Burns House 10/10/06

James Burns House 19/12/05

James Burns House 27/01/05

James Burns House 21/07/04

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

CARE HOME ADULTS 18-65 James Burns House Greenways Avenue Bournemouth Dorset BH8 0AS Lead Inspector Marion Hurley Unannounced 23 May 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service James Burns House Address Greenways Avenue Bournemouth Dorset BH8 0AS 01202 523182 01202 533058 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) Leonard Cheshire Claire Hough CRH PC - Care Home only 21 Category(ies) of PD Physical disability (21) registration, with number PD E Physical disability over 65 years of age of places (21) James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27th January 2005 Brief Description of the Service: James Burns House was purpose built to accommodate up to twenty-one younger adults with varying physical needs and abilities. It is one of a number of services run in the South West Region by the Leonard Cheshire Foundation. The Home is situated in a small complex, which includes sheltered housing. It is close to all local facilities, including two post offices, library and the Castle Point Shopping Centre. The Home has its own transport. All the residents are encouraged to assist in the day to day running of the home which may include becoming a member of the Home’s Local Committee or joining one of the specialist quality audit groups, which monitors specific aspects and functions of the Home. James Burns House is well equipped with specialist aids and adaptations to meet the assessed needs of residents. There is level access into all parts of the building and surrounding gardens plus ample car parking facilities. There is a large annexe for the storing and recharging of electric wheel chairs. The property is well maintained both internally and externally. James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. James Burns House was assessed according to the Care Homes for Adults (18-65), National Minimum Standards. The overall time spent to complete the inspection process was a total of nine hours, five of which were spent at the Home. In the course of the inspection seven residents were spoken with privately whilst others joined in general discussions. The Registered Manager was available and provided information and access to all records requested. Six staff were met during the course of this inspection visit and each was spoken with independently. Staff and residents morale was good and very positive on the day of this inspection and throughout the visit it was evident from observations that the staff work well together and genuinely side by side with their residents. What the service does well: The Registered Manager and staff team alongside the residents have created and maintain a busy and positive atmosphere, which strikes the visitor as they enter the Home. Throughout the inspection visit both staff and residents were asked and indeed felt confident to freely express their opinions. The Registered Manager and staff have successfully created a positive working relationship with the residents and it was evident from observations that daily decision-making involves everyone. The Service User Plans demonstrated that residents are involved in decision making in their daily lives and those residents spoken with confirmed their involvement in the plans and day-to-day running of the home. All the residents currently residing at the Home have the capacity and motivation to contribute and share ideas with staff. James Burns House provides a good and varied menu and there are always two choices available, fresh fruit and drinks were available throughout the home. Staff and residents said the home was well run. The management style is open and has created an honest and inclusive atmosphere. Risk assessments are used to minimize risk and understand the hazards to personal safety but not to limit resident’s freedom of choice. James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 6 James Burns House offers a needs led service though flexible routines and good staff resident relationships. Staff benefit from the Registered Manager’s and the Organisations commitment to staff training. Maintenance checks and all Health & Safety Issues and Risk assessments are comprehensive and regularly reviewed. What has improved since the last inspection? 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. James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed at this inspection.The key standards will be assessed at the next inspection. All the above standards have been met at previous inspections. Since the last inspection there have been no admissions. The home currently has one vacancy and at the time of this inspection this was under consideration by a prospective service user. EVIDENCE: James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,and 10 • Each resident has an Individual Service Plan, which reflects the support they require to manage their daily and personal needs and provides a record of the support and facilities provided by staff ensuring the resident’s individual Plan is achieved and developed when circumstances or needs change. All the residents contribute to their personal plans and are totally involved in decisions affecting their lives. Residents are involved in the day-to-day running of James Burns House both formally and informally. Comprehensive risk assessments are completed with the residents and residents are aware of these and the subsequent hazards, which are worked through together to minimize their person risk. On admission each resident is talked through issues relating to confidentiality and the need to share information. Residents confirmed that they know information is held about them and that it is stored securely. • • • • James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 10 EVIDENCE: Three sets of resident’s records were read and discussed with residents and staff. The service plans showed residents being offered opportunities to make decisions both individually and collectively within the home. Many residents have chosen to keep their own Plans in their bedrooms and really do feel when asked that the documents “are their records”. Observations throughout this inspection visit demonstrated how staff were working alongside residents in the daily routines in the home and were actively encouraging participation in all every day activities and chores. From discussion with some residents, and with direct observations it was clearly evident that many residents have the capacity, confidence and motivation to make decisions about their life style and the risks this may involve. Other residents were observed to need encouragement and some communicate their needs and wishes through the use of specialist communication aids. James Burns House has a detailed risk assessment process, which identifies the risk, and then the actions necessary to minimize the potential hazards regarding personal safety yet balancing this against limiting residents preferred choice or activity. These assessments, with the service plans are reviewed regularly. Dates and comments /adjustments were noted on all the files examined during this inspection visit. James Burns House operates a confidentiality policy and records are stored securely within the home and thus protecting the rights of individuals. The home has three computers, which are linked into the central Leonard Cheshire network and are registered according to the Data Protection Act, 1988. One resident said, “ no decision is made without me” another “I am free to do what I like”, “ it’s good.” James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,12,13,14,15,16 and 17. • • • • Residents have appropriate opportunities to learn /relearn interdependent and social skills. Residents’ access local amenities and facilities for their personal and recreational needs as any other local residents living in this vicinity might. Visitors are always welcome at James Burns House and many of the residents confirmed their family and friends visited regularly. All members of staff treat residents with respect, and this appears to form the foundation of positive working relationships noted throughout the inspection visit and these genuinely seemed to stem form the mutual respect each person has for each other. Residents are offered a good and varied menu and on the day of the inspection a choice of meals were available and all the residents were involved in making their own choices. • James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 12 EVIDENCE: Evidence taken from reading a number of individual service plans, direct observation and chatting to many of the residents confirmed the commitment of staff to support and encourage each resident to learn, maintain and develop practical life skills to the best of their abilities. Some prefer to do this within the specially adapted facilities at James Burns House whilst others attend local College classes or Day Services. Specialist equipment is available and many residents require the use of aids and adaptations to assist in moving and handling procedures. Two residents who require the use of a hoist were asked how staff managed the transfers and both said, “ it is fine I feel quite safe,” the other said “it never hurts they’re good, they put the sling on carefully”. During the course of the inspection a member of staff was observed working side by side with a resident deciding together what new symbols would be useful to add on their symbol/communication board in preparation for a forthcoming holiday. This activity was causing great excitement and laughter. One resident described how three generations of their family came and visited. Another said, “ they were free to come and go”. The visitor’s book was well used confirming the number of visitors to the Home. All residents have a key worker and one resident said of their partnership “ they check how things are going for me”. Residents and staff stated the food was good and there was always a choice and if they really didn’t want either the chef “would do them something”. Menus appeared nutritious in content with plenty of variety and there was fresh fruit in abundance throughout the home. The chef stated they use a local source for all the meat products and this has not worked out any more expensive than shopping through a larger supplier and the quality is far superior. All records were up to date and included temperatures of appliances, and food consumed. Residents are free to go in and out of the kitchen and make their request known directly to the chef who “feels its all part of their independence” James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20 • • • Staff provide personal care in a sensitive and flexible way to all residents, who are confident and able to tell staff how they wish to be addressed and supported to manage their personal care. The healthcare needs of all the residents are met and residents access local NHS resources and services. Not all aspects of standard 20 are currently met; current practice does not enable a full audit trail of medicines in the home to be established, potentially placing residents at risk. EVIDENCE: Residents spoken with during the course of this inspection visit said the staff treated them with dignity and respect “ they’re kind, we have a laugh, they’re all right they are”. All those spoken with said they had a “good relationship with their key worker”. The service plans were specific in the way personal care was to be provided and details of specialist equipment and the number of staff required was clearly written. Referrals to allied health care professionals were recorded and the outcomes of any intervention noted. Individual residents and documentation confirmed that regular checks and consultations are maintained. Residents know staff at James Burns House will look after their James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 14 health and welfare according to their wishes and their individual assessed needs. Evidence was obtained from discussion with staff and residents and noting equipment during the course of a partial tour of the premises. Medication is safely stored in each unit. James Burns House accommodates people for short stays and it is important these MAR sheets record all the details and dates of the person’s accommodation at the home and any absences are clearly recorded. It is recommended when a new supply of medication is opened this container is dated which will allow for a correct audit to be undertaken at any time to verify the amount of drugs on site. The Controlled medication record was checked and the written records corresponded with the actual number of drugs counted. James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 • • James Burns House has a complaints policy/procedure, which is explained to all new residents. Residents confirmed that they felt their views were listened to and acted on. Residents are protected from exploitation and or abuse and are assured no member of staff will be employed to work at James Burns house until all references and statutory checks have been successfully completed. EVIDENCE: There is currently one complaint being investigated internally by the Leonard Cheshire Society. The details of this were discussed with the Registered Manager. The specific complaint records cross-referenced with the recording on the residents personal notes and in the accident book. In the course of discussion with residents all stated they would certainly tell staff if they had any grumbles or complaints and went further and said, “ I do”. Each resident signs to confirm his or her understanding of the procedures for making either a formal or informal complaint. The Registered Manager ensures all staff attend regular refresher courses on Vulnerable Adults and there is a large chart indicating the timescales for these training events. Staff spoken with during the inspection visit were asked about statutory training and provided details of their last training event and of the four spoken with each had a good understanding of the implications and meaning of the term Vulnerable Adult. Training records confirmed these details. James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,2728,29 and 30 • • • • • James Burns House provides suitable accommodation for the current group of residents who live there. Those bedrooms viewed on the day of this inspection had been personalised and had the equipment required ensuring the safety of the resident and staff when undertaking any manual handling procedures. All bedroom doors have locks fitted and all rooms have a separate lockable storage space so residents may keep personal items safe and secure if they wish. The premises have sufficient bathrooms and toilets and the communal space is generous to afford all the residents sufficient space to enjoy the shared facilities or find a quiet spot if they so wish. On the day of this inspection the home was found to be clean and hygienic and providing a safe environment for both residents and staff to live and work in. James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 17 EVIDENCE: James Burns House is appropriately maintained and from the Leonard Cheshire Regional development budget has been identified for refurbishment work. It is important this financial commitment continues to ensure the fabric of the building and the facilities are maintained ensuring the on going physical needs of the residents are met. This will include a new condensing boiler and pipe work, which will supply the hot water and central heating throughout the building. There are three bathrooms however, the shower is not in use at the moment but it seems staff have asked all the residents and no one is missing the use of the shower. Some residents were met in their own bedrooms and these rooms clearly reflected their special interests with posters and pictures of their choice e.g. football, family, the Royal family. The large lounge and dining areas are well used and provide ample space for residents to find their own space if they do not wish to be in their bedrooms. There are comprehensive policies and procedures relating to COSHH and staff training records showed staff were all receiving this training regularly. James Burns House employs two staff who complete most of the household chores. Both were spoken with independently and each expressed their satisfaction with the training they receive and the quantity of cleaning supplies and protective clothing. This was further evidenced during the partial tour of the premises when good supplies of protective clothing were noted in the bathrooms, laundry and kitchen areas. James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33, 34,and 35 • • All staff have job descriptions and defined roles and responsibilities which specify their work and tasks they must complete when working at James Burns House. There is a staff team of both qualified and experienced people who work at the Home whom are competent and knowledgeable in providing appropriate support to the residents. The residents have confidence in the staff. Recruitment procedures are thorough ensuring no member of staff commences work until all references and statutory checks have been successfully completed and residents are reassured that all staff have been “thoroughly checked” prior to starting their jobs. James Burns House has a commitment to staff training ensuring all staff are kept up to date in both mandatory and professional training which contribute to their expertise and experience to support residents appropriately and within their defined roles and competencies. All staff receive regular supervision and this provides a practical method of monitoring the work and level of support provided by staff to the residents. • • • James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 19 EVIDENCE: Throughout the inspection visit care staff were seen to be accessible to residents at all times and were observed working side by side in a very positive way respecting each other but with a sense of goodwill and fun. One resident when asked about his relationship with his key worker jokingly said, “ he always gets the better of me but I keep trying to pull one over”. All the residents spoken with and through observing their interaction with staff were clearly relaxed and comfortable in each others presence. From observations made from this inspection visit, James Burns House is adequately staffed and the staff rota confirmed the number of staff on duty. Six staff were spoken with during the course of the inspection and four staff files were read. Each contained clear records reflecting that recruitment procedures are fully implemented and both training and regular supervision all take place and are clearly documented, dated and signed. James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38 39 and 42. • James Burns House is well run by an experienced manager who is supported by a positive staff team. The resident’s benefit from this positive atmosphere and leadership created throughout the home and as a result feel they can express opinions, which will be listened to and acted upon. The Registered Manager and staff team ensure safe working practises to safeguard and protect the residents as far as practical in all aspects of daily living through the professional support provided and ensuring the environment is maintained to a safe standard. • EVIDENCE: The staff members spoken with all stated the management style is “ very open, very straightforward”. They went on to say that the Registered Manager always “ puts the residents first”. Residents spoken to said they had “ no grumbles, we can do what we like pretty much, lets us get on with it”. All the residents spoke very highly of the Registered Manager and staff team stating James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 21 they felt “ the home is well run and we can just tell anyone what we want” . The home carries out regular and specific audits and these always include all the residents generally in the form of a meeting and then backed up with questionnaires. Lots of information about advocacy groups and the disability forum were seen displayed throughout the home. A maintenance and renewal audit is included though this is completed on a regional basis and the completion of work is based on regional priorities and budget allocation. Risk assessments are completed both at an individual level plus generic/ environmental assessments are completed. Records of testing of electrical fire and gas equipment were seen to be in order and these details were verified during the tour of the premises when equipment items were checked. Hot water temperatures are regularly checked and all kitchen appliances including fridge freezer temperatures are tested on a regular basis and a record kept. James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 2 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 James Burns House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 3 3 3 x D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 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 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. Refer to Standard 20 Good Practice Recommendations It is recommended that medication records and dates for all residents staying at James Burns House must be recorded. It is recommended that at the point of opening any medication the date is written on the actual container. This should ensure an audit of the amount of medication held within the home can be completed at any time. It is recommended the Leonard Cheshire Society continue to invest in James Burns House to ensure the fabric of the building and the facilities are maintained and continue to expand ensuring the on going physical needs of the residents are met. 2. 24.12 James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Unit 4 New Fields Business Park Stinsford Road Poole Dorset BH17 0NF 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 James Burns House D55 S4006 James Burns House V223170 230505 Stage 4.doc Version 1.30 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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