Inspection on 24/01/08 for Leacroft

This inspection was carried out on 24th January 2008.

CSCI found this care home to be providing an Good service.

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

Leacroft 09/01/07

Leacroft 06/10/05

Leacroft 03/08/05

Leacroft 28/09/04

Leacroft 26/04/04

Leacroft 06/01/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Leacroft 120 Colchester Road Leicester Leicestershire LE5 2DG Lead Inspector Kim Cowley Unannounced Inspection 24th January 2008 10:30 Leacroft DS0000048221.V356333.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 Leacroft DS0000048221.V356333.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. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Leacroft Address 120 Colchester Road Leicester Leicestershire LE5 2DG 0116 2461425 0116 2768662 leacroft@schealthcare.co.uk Not available Active Care Partnerships Ltd 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) Vacant Post Care Home 19 Category(ies) of Learning disability (19), Learning disability over registration, with number 65 years of age (2), Physical disability (19), of places Physical disability over 65 years of age (2) Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person may be admitted to Leacroft who falls within category PD or PD(E) unless that person also falls within LD or LD(E) i.e.. dual disability. No person who falls within category LD(E) or LD(E)/PD(E) may be admitted to Leacroft when 2 persons of category/combined LD(E) or LD(E)/PD(E) are already accommodated within the home. 9th January 2007 Date of last inspection Brief Description of the Service: Leacroft is registered to provide care with nursing to nineteen residents with learning disabilities, some of whom also have physically disabilities. The home is divided into three adjoining bungalows (Cherry Tree, Pine View, and Sandalwood), each with its own dining room, lounges, and kitchenette. There is a central kitchen, where main meals are prepared, and a reception area. All areas are wheelchair accessible, and secure private gardens surround the property. Fees range from £720 to £1455 per week Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key inspection that included a visit to the home and inspection planning. Two inspectors carried out this inspection. Prior to the visit they spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five hours, the inspectors checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspectors looked at the care provided to three residents living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. The inspectors also met seven other residents, the Acting Manager, Nurse in Charge, a Support Worker, a visiting healthcare professional, and the Operations Manager. Relatives/representatives were sent survey forms prior to this inspection. Five responded and their comments have been used in this report. What the service does well: Leacroft provides homely and comfortable accommodation to younger adults with learning disabilities, some of whom also have physical disabilities. The home has a lively atmosphere and residents are encouraged to lead full lives and take part in a range of one-to-one and group activities. Relatives surveyed by CSCI prior to the inspection made many positive comments about the home. One wrote, ‘Our family is much happier with the care he receives in this home than in any other place where he has been.’ All residents have single bedrooms. Those inspected were individual to their occupants, with the decorations and furnishing reflecting their personalities and interests. One relative wrote, ‘My relative has his own room and it is nicely kept.’ Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 6 The home is well staffed and both nursing and social care staff are employed. This helps to ensure that residents get the care they need, and are able to take part in a range of activities. One carer who was interviewed said, ‘I love working here. It’s laid back and the staff aren’t rushed which means the residents aren’t rushed either.’ All staff interviewed were knowledgeable about the residents in their care and knew their likes/dislikes, hobbies, and favourite foods. Relatives’ comments about the staff were all positive and included the following, ‘They have a good relationship with the residents and a good understanding of their needs’, and, ‘The staff members are always helpful and considerate and caring and friendly to visitors.’ What has improved since the last inspection? What they could do better: Care plans relating to specific nursing interventions, such as the care of indwelling or suprapubic catheters, should be more detailed to ensure that all staff are fully aware of the correct procedures required to provide effective and safe care for the residents. The recording and calculation of fluid balance charts require review so they provide clearer information. Deficits, which may result in a resident becoming dehydrated, could then be more easily identified and acted upon to prevent this happening. A small number of residents have been identified as ‘at risk of choking’. Soft diets are provided and risk assessments are in place. The Acting Manager agreed that staff should receive specific training to enable them to provide effective first aid to deal with choking, should this ever be required. Leacroft DS0000048221.V356333.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. The summary of this inspection report can be made available in other formats on request. Leacroft DS0000048221.V356333.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 Leacroft DS0000048221.V356333.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. (Standard 2 was inspected.) EVIDENCE: People who are interested in coming to Leacroft have their needs assessed by a senior member of the staff team. This usually takes place in their own homes. The assessment process is explained to them, and they are shown pictures of Leacroft to give them an idea of what it is like. A written assessment is produced as a result, and this is later incorporated into their care plans. The assessment considers which bungalow might be suitable for a new resident, as each caters for a different lifestyle (for example those who prefer a quieter or livelier environment). If requested, an advocate can be involved in the assessment process, and the home’s policy Admission of a new service user is provided on request. This means potential residents and their representatives can find out how the assessment process works, and can have help in deciding whether the home is suitable. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 10 The home has had full occupancy since April 2006 so there have no new admissions since the last inspection. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Individual care plans are produced and residents are encouraged to develop their own lifestyles and make choices about all aspects of their lives. (Standards 6, 7 and 9 were inspected.) EVIDENCE: Care plans were individual to each resident and addressed their needs in full, including their interests, activities, and quality of life. The Acting Manager said that where possible care plans are agreed with the residents themselves and/or their advocates/friends/relatives/representatives. (See also Standards 18 to 21.) During the inspection staff were seen encouraging residents to make decisions about their lifestyles. For example, in one of the bungalows each resident had a different version of the lunchtime meal, as staff knew their likes and dislikes. And after lunch, they had the choice as to whether to take part in a social activity. Those who didn’t want to were given different activities to do and staff kept checking on them to ensure they were content. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 12 Detailed risk assessments were in place. As some of the residents are quite vulnerable, risk assessments are important to help to keep them safe. Those inspected were of a good standard and showed that residents are encouraged to be independent and to take risks with staff support where necessary. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Daily life and social activities enable residents to lead full lives. (Standards 12, 13, 14, 15, 16, and 17 were inspected.) EVIDENCE: At present the full-time Activities Organiser post is vacant, however a member of the care staff team is covering this role to ensure the activities programme continues. Group and 1-2-1 activities are organised and these take place at the home and in the local community. Individual records are kept of each resident’s activity programme. This helps staff to discover what they enjoy and benefit from, so future activities can be planned. Activities reflect the needs of residents from a range of cultural backgrounds. For example, different religious festivals are celebrated which gives residents to opportunity to learn about each other’s traditions and culture. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 14 There is a purpose-built activities centre in the grounds of Leacroft which is used every weekday by residents, either individually or in groups. It contains a ‘snoozelem’ (relaxation room), arts and crafts area, and computer. The Acting Manager said relatives are welcome at the home at any time and are invited to attend meetings about the home. Relatives said staff help residents keep in touch with their families and friends. Their comments included: ‘I talk to (my relative) on the phone and there is never any problem when I come to take him out.’ ‘If he goes on holiday they send me a card on his behalf.’ ‘The residents are helped to send cards out on special occasions. This is appreciated by family members.’ The home has a central kitchen where meals are prepared. Diabetic, vegetarian, and non-English (including halal) diets are catered for. Care records indicate that good nutrition is a priority in the home. Menus are displayed in the corridor outside the kitchen where anyone visiting the home can see them. Before each meal residents are asked what they would like as there is always a choice. Leacroft DS0000048221.V356333.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are generally well met. Residents’ records should be improved, and staff need further training in one area. (Standards 18, 19, and 20 were inspected.) EVIDENCE: Residents’ care plans were detailed and gave nurses and carers good information about the health, personal and social care needs of the residents. However, care plans relating to specific nursing interventions, such as the care of indwelling or suprapubic catheters, should be more detailed to ensure that all staff are fully aware of the correct procedures required to provide effective and safe care for the residents. The recording and calculation of fluid balance charts required review so that they provide clearer information. Deficits, which may result in a resident becoming dehydrated, could then be more easily identified and acted upon to prevent this happening. Nurses review care plans regularly so that residents’ care needs can continue to be met. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 16 Contact with healthcare professionals such as GP’s, District Nurses, hospitals, and chiropodists are recorded to ensure that healthcare needs and treatments were addressed. Medication Administration Records (MAR) were reviewed and residents’ medicines were administered according to their prescription to ensure they receive them safely. Residents have nutritional care plans and those who require it have their weight regularly monitored. A small number of residents have been identified as ‘at risk of choking’. Soft diets are provided and risk assessments are in place. The Acting Manager agreed that staff should receive specific training to enable them to provide effective first aid to deal with choking, should this ever be required. Leacroft DS0000048221.V356333.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are listened to, and staff know how to tell if they are unhappy about any aspects of their care. (Standards 22 and 23 were inspected.) EVIDENCE: Residents are encouraged to speak out or let staff know in other ways if there is anything they’re not happy about. One member of staff said, ‘They can’t always say if they’re unhappy, but they have lots of other ways of letting us know. When you get to know the residents well it’s very easy to tell who’s OK and who’s not. And as key workers we can advocate for our residents and let other staff and managers know what they want.’ There are two complaints procedures, one is in written form and the other in symbols, which some residents can understand. Detailed records of complaints are kept with action taken where appropriate. Since the last inspection the home has received three complaints, one of which was upheld. All of these were dealt with promptly within the timescales set out by the Owning Body. There is evidence that the way staff respond to complaints has improved and this should make it easier for relatives and residents to raise concerns in future if they need to. Policies and procedures are in place to protect residents from abuse, and the staff on duty were familiar with these. They are up-to-date (last reviewed on 17/01/08), advertised in the home, and follow the guidance in No Secrets, which sets out what must be done if abuse is suspected. The Acting Manager said further safeguarding training has been booked for staff in the week Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 18 following the inspection. This will help to ensure staff know how to safeguard residents. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in an environment that is homely, safe and well maintained. (Standards 24 and 30 were inspected.) EVIDENCE: Each of the three bungalows was inspected. All communal areas were homely and comfortable. Bedrooms were of a good standard and a lot of thought has gone into making them attractive to the residents who occupy them, with the decorations and furnishing reflecting their personalities and interests. One relative wrote, ‘My relative has his own room and it is nicely kept.’ Records showed that an ongoing redecoration programme is underway to further improve the environment, and ongoing work was being carried out during the inspection. All areas inspected were clean and tidy. Residents are encouraged to help keep the home looking nice and are consulted on the décor when changes are made. Since the last inspection a parker bath has been installed in one of the Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 20 bungalows. This means residents can now choose whether to have a bath or a shower. The temperature of the water in the parker bath is set by computer, but staff said they also check it manually before a resident uses it to ensure it is not too hot. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Friendly, professional and well-trained staff meets residents’ needs. (Standards 32, 34 and 35 were inspected.) EVIDENCE: The home is well staffed with both nursing and social care staff employed. There are usually two nurses and six carers on duty during the day, and one nurse and three carers at night. The Acting Manager is supernumerary. These staffing levels help to ensure that residents get the care they need, and are able to take part in both group and one-to-one activities. One carer who was interviewed said, ‘I love working here. It’s laid back and the staff aren’t rushed which means the residents aren’t rushed either. We have time to give every resident a bath or a shower every morning if they want one. There are lots of activities for residents – they are always doing something. And each resident has a key worker who takes them out shopping or to have their hair done.’ All staff interviewed were knowledgeable about the residents in their care and knew their likes/dislikes, hobbies, and favourite foods. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 22 Relatives’ comments about the staff were all positive and included the following: ‘They have a good relationship with the residents and a good understanding of their needs.’ ‘Mr relative is fortunate in having a carer who has been there every since he arrived. She is very experienced and caring.’ ‘The staff members are always helpful and considerate and caring and friendly to visitors.’ The home has a full-time activities organiser, handyperson, and cook, and a part-time cleaner. A full-time administrator is based in an office near the entrance to the home and provides a warm welcome to visitors. Staff files were inspected and found to be well organised and complete. Each contained a checklist to ensure all the necessary documentation has been obtained, and checks had been carried to help to ensure residents are safeguarded. An extensive staff training programme was in place beginning with a comprehensive induction programme. The majority of staff had NVQs (National Vocational Qualifications). Ongoing training is provided to meet residents’ specific needs, for example training in catheter care and the provision of bed rails had recently been undertaken. All staff receive regular supervision and attend staff meeting. This helps them to keep up-to-date with any developments in the home and focus on their own training needs. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 23 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): Quality in this outcome area is good. Although without a Registered Manager, the home is running well with the focus on empowering and enabling residents. This judgement has been made using available evidence including a visit to this service. (Standards 37, 39, and 42 were inspected.) EVIDENCE: At present the home does not have a Registered Manager. An experienced Acting Manager, who works for the Owning Body, is currently running the home until a new permanent manager is appointed. The Operations Manager said the post has been advertised and interviews were to be held in the week following the inspection. Records showed that relatives meetings are held quarterly and this was confirmed by the relatives surveyed by CSCI prior to the inspection. The last relatives support group took place in the evening to accommodate those who couldn’t get to the home during the day. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 24 Questionnaires are sent out by staff at the home every six months to residents and relatives. The results are turned into an action plan about how the home should be run. Relatives and other relevant parties are invited to attend the six monthly care reviews that each resident has. Advocacy services are available via the home for those who need support in making their views known. These strategies help to ensure that residents’ and relatives’ views are taken into account when decisions are made about the home. Records showed that the health, welfare and safety of residents and staff is a priority in the home. Appropriate checks and servicing of equipment has been carried out, as has consultation with the Fire Department and the home’s Environmental Health Officer. Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 25 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 YA18 YA18 Good Practice Recommendations It is recommended that all nursing interventions, such as catheter care, are detailed in the residents’ files in line with current accepted nursing protocols. It is recommended that fluid balance charts are reviewed to ensure that information is clear and potential complications are identified and dealt with at an early stage. It is recommended that staff receive training to deal with residents who may be at risk of choking. 3 YA17 Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG 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 Leacroft DS0000048221.V356333.R01.S.doc Version 5.2 Page 28 - 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!