Inspection on 17/05/07 for Lavender Fields (1)

This inspection was carried out on 17th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lavender Fields (1) 10/02/06

Lavender Fields (1) 07/09/05

Lavender Fields (1) 31/03/05

Lavender Fields (1) 01/03/05

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

CARE HOME ADULTS 18-65 Lavender Fields (1) 1 Lavender Fields Lucas Lane Hitchin Hertfordshire SG5 2JB Lead Inspector Claire Farrier Unannounced Inspection 17th May 2007 2:15 Lavender Fields (1) DS0000058611.V340890.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 Lavender Fields (1) DS0000058611.V340890.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. Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lavender Fields (1) Address 1 Lavender Fields Lucas Lane Hitchin Hertfordshire SG5 2JB 01462 452460 01462 440186 liz.turton@lc-uk.org www.leonard-cheshire.org.uk Leonard Cheshire 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) Elizabeth Turton Care Home 10 Category(ies) of Physical disability (10), Terminally ill (10) registration, with number of places Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may only accommodate service users between the ages of 16 and 24. 10th February 2006 Date of last inspection Brief Description of the Service: 1 Lavender Fields is a purpose built care home with nursing, registered to provide care and accommodation for up to 10 young physically disabled people between the ages of 16 and 24 years. It is owned and operated by the Leonard Cheshire organisation. The young persons unit is part of a social care complex that sits in its own landscaped grounds close to the town centre of Hitchin, with its shops, transport and social amenities. The home is built on one level and has two wings with large bedrooms, each with full en-suite facilities and access to a patio area overlooking the grounds. There is a communal lounge, kitchen and dining room and a large study/activity room that includes an information technology suite. 1 Lavender Fields is intended to provide a transitional service supporting, encouraging and equipping young people to gain the life skills and confidence they need to enable them, where appropriate, to move on to more independent living settings. The Statement of Purpose and Service Users Guide provide information about the home for referring social workers and prospective residents. The current charges range from £1414 to £1752 per week. Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over one afternoon. The focus of the inspection was to assess all the key standards, and some additional standards were also assessed. We talked to most of the people who live in the home. Eight people completed Have Your Say surveys before the visit to the home, and we have used some of their comments in this report. These give a representation of what the people who live at 1 Lavender Fields think about the home. We also talked to some of the staff and the manager. The manager sent some information about the home to CSCI before the inspection. When we were in the home we looked at the home’s records, care plans and staff files, and one of the people who live there showed us around the home. What the service does well: What has improved since the last inspection? The quality assurance system includes the views of the people in the home. Leonard Cheshire carried out a survey of the people who live in the home in January 2007. The overall response from the service users was that the service is generally excellent. Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 6 An education support worker and a health and fitness coordinator have just been appointed. They will provide further opportunities for people to make appropriate choices for their lifestyles. 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. Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has sufficient information on residents’ needs and access to appropriate services to enable their needs to be met. EVIDENCE: Everyone who completed a Have Your Say survey for this inspection said that they were involved in choosing their home, and they had enough information to help them to decide. One resident has been admitted to the home since the last inspection. One person said, “I wanted to move in but at the time I kind of had to because Mum could not look after me.” Another person came when they left university, due to the lack of appropriate housing for disabled people. This person has now been allocated an adapted bungalow so that they can move out and live independently. 1 Lavender Fields is intended to provide a transitional service that supports young people to gain the life skills and confidence they need to enable them to move on to more independent settings, and no one stays there beyond the age of 24. The Statement of Purpose and Service Users’ Guide provide information on the services that the home provides. Both of these were written when the home first opened, and before anyone lived there. The residents are currently involved in updating them, to give their views of the service, and so that Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 9 different formats are available. All the people we spoke to during the inspection are looking forward to moving on to their own homes, and said that they have gained in confidence and skills at 1 Lavender Fields. One person needed more support, and has moved to longer term residential care at the Leonard Cheshire home next door. One person has recently moved into the home. The assessment process included a full assessment from the residential college they attended, and a period of visiting the home. The assessments that were seen provide sufficient information on each person’s personal care and health care needs, and form the basis of their care plan. The staff said that they have sufficient information and training to enable them to meet the needs of the people in the home. Lavender Fields (1) DS0000058611.V340890.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who live in the home are actively involved in their own care planning and are consulted on every aspect of community life in the home. EVIDENCE: Each person is fully involved in writing and agreeing their own care plan. They keep their care plan in their bedroom, together with all other information and paperwork, such as details of medical appointments and assessments. One person said that he is fully involved in all decisions about his life in the home. He has set his own goals for what he wants to achieve, and he was fully involved in a recent review that took place in the home. The care plans that were seen provide good details of the support that each person needs, and they are written clearly and from the person’s point of view. The focus of the care plan is to support each person to be as independent as possible and to improving their skills for independent living. The staff that was spoken to said that the care plans provide them with good information on each person’s needs, so that they are able to provide a good quality of care in the way that Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 11 each person wishes. The care plans include regular health and safety risk assessments, for example for moving and handling, and specific risk assessments, for example for the use of bed rails. The ethos of the home is to encourage each person to live a fulfilling life, and to manage any risks positively so that people can lead the life they want. Lavender Fields (1) DS0000058611.V340890.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are able to take part in their own choice of activities, which make each person’s stay in the home an enjoyable and rewarding experience. EVIDENCE: Most of the people in the home attend college. An advisor from Connexions visits the home regularly to discuss suitable courses for them. He was in the home during this inspection, and spoke to each person about what they would like to do, including the new resident. Everyone that we spoke to has clear ideas of what they want to do in the future. One person is doing a course on retailing and would like to work in a shop. Another person is doing a performance course, and returned to college in the evening to take part in a performance. An education support worker has just been appointed to work part time in the home and to strengthen links with local colleges. Everyone is supported to be as independent as possible, including looking after themselves and their room, cooking and preparing drinks, and taking responsibility for Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 13 themselves to go to college. One person was very anxious about the support that they needed during the day, and following a long conversation with the support staff they drew up a detailed programme of what happens and the support that is needed at each time during the day. There is no structured programme of activities in the home. The staff support everyone to make their own choices and decisions about what they would like to do during the evenings and at weekends. If people are able to go out independently they are encouraged to do so. One person needs very little support and comes and goes as they please, including staying out until the time that they want to return, and consequently sleeping late the next day. A local pub is a popular venue. The staff support people who are not so independent to go out. One Have Your say survey included the comment, “At Lavender Fields there is not enough opportunities to go out during the evening with a carer due to the number of staff and staff hours.” But one person that we spoke to during our visit to the home said that they are able to do all the things that they want to, and staff are available to support them if they ask them to. The need for staff support and transport arrangements means that they have to make arrangements and they cannot always be spontaneous, but this person felt fully in control of their life, and not restricted. During this inspection the people in the home were discussing what they would like to do during the summer, when they are not at college. They all had suggestions for places that they would like to go to, and a popular choice that the staff were going to arrange was to Daytona race track at Milton Keynes. No one in the home at the moment is aged under 18. It was reported that when there have been younger people in the home, older residents have felt restricted. For example they have to be careful to choose DVDs that everyone can watch, and they are not able to have alcoholic drinks in the home. There is a large screen TV in the main lounge, and DVD nights are a popular social event in the home. There is computer room in the home, which is fitted with a variety of computer equipment for people to use. A volunteer was in the home during this inspection, providing assistance and advice to one person to write an email. A charitable grant to the home has provided a television and games console for ach person to have in their bedroom. Everyone maintains their relationships with families and friends while they are in the home. The only restriction on visitors to the home, including allowing them to stay overnight, is a consideration for the other people in the home. Advice on relationships and sexual health is available, and some people go to the family planning clinic independently. Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 14 People who live in the home are involved in menu planning and preparing meals. Work has just started to extend and refit the kitchen to make it more accessible for everyone in the home to use. Everyone spoke highly of the food provided in the home. The staff promotes healthy eating. A health and fitness coordinator has just been appointed, who will have responsibility for encouraging people to choose a healthy diet and to take part in physical exercise by going swimming or going to a gym. Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an experienced and enthusiastic team of staff, who have the training and skills to provide a good quality of care for the people who live in the home. EVIDENCE: The care plans that were inspected provide good details of the residents’ personal care and health care needs, and a good relationship was observed between the staff and the people in the home. Everyone who completed a Have Your Say survey for the inspection said that the staff treat them well, and the people who spoke to the inspector said that the staff are very good. The home has a good relationship and professional support from medical professionals. Some of the people who live in the home have complex needs, and most are wheelchair users. There is a well-equipped physiotherapy room in the home, and full time physiotherapist who works in both 1 Lavender Fields and the other Leonard Cheshire home next door. The assessments and reviews that are completed for each person include moving and handling, skin care and nutrition. One person has high nursing needs, including permanent oxygen therapy. The care plan contains good details and procedures for the Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 16 care needed, including pictures and guidelines for using the respiration machine. Medication is held in service users own bedrooms, together with each person’s MAR (Medication Administration Records) chart. Everyone is assumed to be able to retain the responsibility for administering their own medication unless a risk assessment shows otherwise. Half the people in the home take full responsibility for their own medication, including ensuring that they get a repeat prescription when it is needed. A medication fridge is available with the temperature checked and records maintained. The temperature of each bedroom where the medication is stored is not monitored. There was no indication that the temperature was too high on the day of the inspection, but there is no procedure to ensure that the temperature does not rise above 25°C. A high temperature may affect the quality of some medication, which could be a risk to the health of the people who take it. Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who live in the homes are encouraged and enabled to make their views and concerns known, and appropriate procedures are in place to ensure that they are protected from abuse and neglect. EVIDENCE: Everyone who completed a Have Your Say survey for the inspection said that they know who to speak to if they are unhappy, and they know how to make a complaint. The complaints procedure is included in both the Statement of Purpose and the Service User’s Guide, and every resident is also given a copy of the Leonard Cheshire “Have Your Say” leaflet. The complaints record is audited regularly to ensure that any complaint is investigated and responded to effectively. People feel confident to talk to the staff about their concerns, and one person has spoken about some issues that happened before they came to the home that are now being investigated. The home has appropriate procedures for safeguarding vulnerable people, and for the protection of children and countering bullying, and all staff have training that includes understanding of these procedures. The staff spoken to were aware of the safeguarding procedures, and of their responsibilities for whistle blowing. Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 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 comfortable and well maintained environment for the people who live there, and the staff maintain a good standard of hygiene and cleanliness. EVIDENCE: Number 1 Lavender Fields is a purpose-built, fully wheelchair-accessible home, pleasantly decorated to provide a non-institutional environment. The bedrooms are particularly spacious and have been decorated by each person to meet their individual taste. The communal areas are well equipped and work has just started to extend and refit the kitchen to make it more accessible for everyone in the home to use. The home appeared to be clean and well maintained, and appropriate policies and procedures are in place for the maintenance of hygiene and control of infection. The central laundry meets the standards for control of hygiene. Lavender Fields (1) DS0000058611.V340890.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Irrespective of their job descriptions and professional status, all staff appeared to be wholly dedicated to understanding and meeting resident’s needs. EVIDENCE: The home has a team of experienced and well trained staff who are able to offer continuity of care for the residents. The staff all appeared to be enthusiastic about their work and to take great pride in the service and in the home. They were seen to work well together as a team and to work meeting the residents needs in a competent manner. Everyone who completed a Have Your Say survey for the inspection said that the staff treat them well. The home has a good level of staffing, with one nurse and four support workers throughout the day, and one nurse and one support worker during the night. The numbers of staff holding professional qualifications, NVQ s at levels two and three considerably exceeds the requirement for 50 . Five support workers have now completed NVQ3 in working with young people and children. The staff spoken to confirmed that there is a lot of training available, and the courses are very good. Induction training for new staff includes one week of Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 20 mandatory health and safety training before the person works in the home. There is a three monthly training calendar that includes updates on all the mandatory training, and training is also available for any specific needs, such as epilepsy and muscular dystrophy. The files of two members of staff who have recently started to work in the home were inspected. They showed evidence of a thorough recruitment procedure, including comprehensive application forms, references and notes of the interviews. Lavender Fields (1) DS0000058611.V340890.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed, and the management actively seeks the views of the residents and other involved people in order to ensure that a good quality of care is provided. EVIDENCE: The manager was appointed before the home opened, to set up the new service for young people with physical disabilities. She is a qualified nurse (RMNH), and she has completed the Registered Managers Award. She is currently studying for a degree in Health and Social Care. Since the home opened, the manager and staff have established the ethos of providing a person centred service for the people who live there. The staff see their role as supporting people to take decisions about their stay in the home, and to be as independent as possible. The responses to Have Your Say surveys from the people who stay in the home, the information in care plans, observation of the Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 22 staff and residents, and discussions with staff and residents, all confirmed that everyone is encouraged to make their views and wishes known. The home has a sound quality assurance system in place that meets the needs of the service. The organisation carries out monthly monitoring visits to the home that include talking to the people who live there. There are regular residents’ meetings. Leonard Cheshire carry out an annual survey of the people who live in the home. The report of the survey completed in January 2007 resulted in a recommendation to support the service users to make more individual choices in their lives. But the overall response from the service users was that the service is generally excellent. The home maintains appropriate records for the health and safety of the residents and staff in the home, and staff follow the home’s policies and procedures. There are regular fire drills that involve both staff and residents. The record of the fire drills shows who takes part in each one. Some staff have not taken part in a fire drill in the last year. Lavender Fields (1) DS0000058611.V340890.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 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 4 4 3 X X 2 X Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 24 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 YA42 Regulation 23(4)(e) Requirement The manager must make sure that every member of staff, including the night staff, take part in at one fire drill a year. This will ensure that the staff are confident that they can keep the people in the home safe in case of fire. Timescale for action 31/08/07 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 YA20 Good Practice Recommendations Consideration should be given to monitoring the temperature of each room where medication is stored. All medication should be stored at the temperature recommended by the manufacturer, to ensure that its integrity is maintained, and there is no risk to the people who use it Lavender Fields (1) DS0000058611.V340890.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Lavender Fields (1) DS0000058611.V340890.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!