Inspection on 04/12/06 for Lindhurst Lodge

This inspection was carried out on 4th December 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lindhurst Lodge 08/06/06

Lindhurst Lodge 19/07/05

Lindhurst Lodge 05/04/05

Lindhurst Lodge 07/07/04

Lindhurst Lodge 01/04/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Lindhurst Lodge Lindhurst Road Athersley Barnsley South Yorkshire S71 3DD Lead Inspector Mrs Christine Rolt Key Unannounced Inspection 4th December 2006 09:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindhurst Lodge Address Lindhurst Road Athersley Barnsley South Yorkshire S71 3DD 01226 282833 01226 282833 none NONE Mr Azad Choudhry 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) Post Vacant Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th June 2006 Brief Description of the Service: Lindhurst Lodge is a purpose built care home providing personal care and accommodation for 37 older people. The home is a two-storey building with a passenger lift. It has 33 single bedrooms and two double bedrooms. There is a small car park to the front, and large, private gardens to the rear. All areas of the home are accessible to people in wheelchairs. Lindhurst Lodge occupies a central position at Athersley North, and there are shops, pubs, a post office and other amenities within the vicinity. The home is approximately three miles from Barnsley town centre. The weekly fee was £327.50 per week. Hairdressing, chiropody, toiletries and non-emergency taxi service were not included in the weekly fee and were charged separately. The acting manager supplied this information in the PreInspection Questionnaire dated November 2006. The home produces a Service User Guide and a Statement of Purpose. Copies of the Service User Guide are given to prospective residents and their families. All residents had copies of the Service User Guide in their bedrooms. The Statement of Purpose and the latest inspection report were displayed in the entrance foyer. The home also produces a newsletter. Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection and comprised information already received from or about the home and a site visit. The site visit was from 9:45 am to 4:00 pm th The acting manager Ms. Elaine Murfin was present on 4 December 2006. and provided assistance throughout the day and the operations manager Mrs. Pat Smith was available and provided assistance throughout the morning and returned for feedback during the afternoon. The majority of the residents were seen throughout the day and chatted with. Two residents, two relatives and a GP were asked a range of questions about the home. In addition to this, Residents’ Surveys were sent to ten residents and five were completed and returned, Relatives Comment Cards were sent to ten relatives and four were completed and returned and ten Questionnaires were to staff and four were completed and returned. Three residents were tracked throughout the inspection. A sample of records was examined and a partial inspection of the building was carried out. The inspector wishes to thank the operations manager, the acting manager, staff, residents and relatives for their assistance and co-operation. What the service does well: The home was clean, warm and welcoming. throughout the home. There were no offensive odours Residents were clean, tidy and neatly dressed. They were relaxed and said that they were satisfied with the home and the care they received. They followed their own routines; some liked to spend their time in their own rooms whilst others socialised in the lounges. Residents who were capable went out for walks and visited local shops; escorts were provided if considered necessary. Residents said they were treated with respect and the manager and the staff listened to them. Comments were “I talk to manager whenever I wish to”, “All staff listen to us”, “Very good”, “Staff talk to him”, “Very happy here” and “Absolutely – 100 ” (treated with respect and dignity). The menus offered a choice at all meals and special dietary needs were catered for including soft, liquidised, vegetarian and diabetic diets. What has improved since the last inspection? Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 6 The home showed a marked improvement since the last key inspection. Daily Care Records had improved but could be improved further (see next section). The monitoring of accidents and falls had also improved but again, could be improved further (see next section). Inventories of residents clothing and personal possessions had been updated. Care plan reviews were now carried out in consultation with the resident or their representative. The home was undergoing a major programme of redecoration and residents commented on the lightness and brightness of the home. The procedures for employing staff had improved and staff files now included all the required information. Quality assurance monitoring systems had been implemented. These included environmental checks, audits of records and systems and questionnaires for residents. The operations manager also carried out her own checks and audits, which were noted in her reports together with the actions that needed to be taken to improve the service. Staff training had improved and was ongoing, particularly mandatory health and safety training. 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. Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6. Quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. Prospective residents and their families had the majority of information about the home to enable them to make a choice but some information was not included or was out of date. All residents had written contracts/statements of terms and conditions. All residents had their needs assessed prior to moving into the home to ensure that the home could meet their needs. The home does not provide intermediate care. EVIDENCE: When residents and their families were asked, the majority said that they had received sufficient information about the home. The acting manager said that prospective residents and their relatives could visit the home at any time; they were given a tour of the home, questions were answered and copies of the Service User Guide were issued. The Statement of Purpose and the latest inspection report were displayed on the notice board and the acting manager Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 9 said that each resident had a copy of the service user guide in their bedroom. The Statement of Purpose was checked. The majority of the criteria was included but some information had been omitted or needed amendment. The Service User Guide did not include a copy of the contract/terms and conditions. Neither of the documents had been reviewed therefore some information was out of date. Residents had contracts/statements of terms and conditions with the home and these were on each resident’s file. The contracts/statements of terms and conditions contained information of the resident’s room number, the fees and what was and what was not included in the fees. The manager assessed residents’ needs and copies of the assessments were seen on residents’ files. Copies of social service assessments were also seen on some residents’ files. Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. The resident’s health, personal and social care needs were set out in an individual plan of care and health needs were met, but daily recording did not always provide sufficient detail of all the needs of residents. Privacy and dignity were respected. Residents, where appropriate, were responsible for their own medication and were protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: All residents who were asked about their care said that they always received the care and support they needed. Care plans had improved. Risk assessments were in place, inventories of clothing and personal possessions had been updated, residents’ weights and other aspects of wellbeing were monitored, accidents were monitored and reviews were carried out in consultation with the specific resident or their Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 11 representative. However, information in some daily care records was not consistently recorded to ensure that all needs were met e.g. gaps in monitoring of residents who’d had accidents/falls, some gaps in information on day to day basis of how social and emotional needs were met. This was discussed with the acting manager and operations manager. Residents were treated with respect and called by their preferred name and residents and relatives confirmed this. One comment was “Absolutely 100 ”. Other comments were “Staff very kind and patient” and “All staff listen to us”. Residents were supplied with keys to their bedrooms and their lockable facilities. Care plans contained medication information including permissions for the home to administer or whether the resident was self-medicating. A sample of medication was checked against the MAR sheet and all medication tallied with the records. The correct procedures were being followed. Medication that required refrigeration was kept in a medicine refrigerator and the temperature was monitored daily and records were kept. The register for controlled drugs was completed properly. The manager and the operations manager carried out audits of medication. Staff had received accredited training. Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. Residents found the lifestyle experienced in the home matched most of their needs. Residents maintained contact with their family and friends. Residents were assisted to exercise choice and control over their lives. Residents need to be made aware of the choice of meals available at lunchtime. EVIDENCE: The Pre-inspection Questionnaire stated that the home provided a variety of activities including bingo, skittles, quizzes, singalongs, card games, memory games and exercise to music. Outside entertainment was also brought into the home. The manager said that the local librarian visited the home and read to residents. An activity programme was displayed on the notice board. However, no activities were seen during the site visit and care plans did not contain information of activities that residents had participated in. Residents said that activities were provided occasionally. Therefore this area could be improved. Comments were “Nothing to do, sometimes do little games but not Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 13 often”, “Read a lot, - just sit and talk – sometimes have a little singsong”, “Take us to shops” and “Staff talk to her”. The operations manager said that she was advertising for an activity co-ordinator. Residents said that they could choose when to get up, go to bed, how to spend their day and where to have their meals. Some residents chose to spend time in their bedrooms whilst others liked to socialise with other residents. One resident said that staff would take them to the local shops if they wished to go, and the manager confirmed this. In the Residents Survey, residents were asked about the meals. Their responses were that 40 always liked the meals, 20 usually liked the meals and 40 sometimes liked the meals. The meal served on the day of the site visit was good. Comments were “No complaints” “Ask her what she’d like” “Very good variety at tea but no choice at lunch”, “All right but don’t like dinners….plenty of food on the plate”. Menus stated that alternative meals were available at lunchtime but there was some confusion as to whether residents were being made aware of this. The acting manager said that she would clarify this point with the staff. The operations manager said that sliced fruit was available every morning and afternoon and the acting manager confirmed this. Special diets were available including vegetarian, liquidised, soft and diabetic. Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. Residents and their relatives were confident that their complaints would be listened to, taken seriously and acted upon. Residents were protected from abuse. EVIDENCE: The complaints procedure was displayed on the notice board. However, this needed updating with the current manager’s name. The CSCI had not received any complaints since the last inspection. The complaints book was checked. There were no complaints. Staff were aware of the correct procedure for dealing with complaints. Residents and relatives said they had no complaints but knew how to complain and considered that their complaints would be dealt with. The manager and the operations manager were aware of the correct procedure for dealing with allegations of abuse. There were no allegations of abuse. All staff had either undertaken adult protection training or were enrolled on courses for this training. Some staff were on this training on the day of the site visit. New employees undertook in house adult protection training and were then enrolled on courses for further adult protection training. Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. The home was clean, pleasant and hygienic and residents lived in a wellmaintained and generally safe environment. EVIDENCE: There were no offensive odours during the site visit. Residents and visitors said that the home was clean and hygienic. All areas seen during the site visit were clean, tidy and well decorated. The Pre-inspection Questionnaire stated that redecoration of the home was ongoing. This was noted during the site visit and residents spoke of their bedrooms being redecorated. The manager carried out monthly audits of the bedrooms to ensure that they were up to standard. Records were kept and notes made of areas that needed attention. One resident was noted to have a variety of detergents in her room. The bedroom door was locked and the manager said that it was always kept Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 16 locked. The manager was told to carry out a risk assessment and provide a cupboard for storage. On the main corridor outside the dining room, a patch of carpet was above the level of the rest of the carpet, which was a tripping hazard. The manager said that this was for access to the manhole. The manager was advised to consult Health and Safety for advice on ways to minimise the risk to residents. Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. The number and skill mix of staff met residents’ needs. Residents were in safe hands at all times and were supported and protected by the home’s recruitment policy and practices. The ratio of staff with NVQ Level 2 was below the minimum 50 , but action was being taken to ensure that staff were trained and competent to do their jobs. EVIDENCE: There were sufficient staff on duty at the time of the site visit. manager said that they were advertising for a carer. The operations Since the last inspection some staff had left and this had affected the number of staff with NVQ qualifications, which had dropped from 50 to 28.5 . The operations manager and the acting manager said that this was being addressed by enrolling all staff on NVQ courses. Therefore all staff who did not have this qualification were either in the process of completing it or were waiting start dates. Three staff files were checked. All contained the relevant documentation as required by the Care Home regulations. Files also contained certificates and other evidence of training undertaken. Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 18 The Pre-inspection Questionnaire stated that all new employees undertook induction and foundation training and staff verified this. Skills training was promoted. Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. The acting manager had not made application to the CSCI for registration. The home had a quality assurance monitoring system to ensure that the home was run in the best interests of residents. Residents’ financial interests were safeguarded. The health, safety and welfare of residents and staff were promoted and protected. EVIDENCE: Since the last key inspection the deputy manager had been promoted to acting manager and commenced the Registered Managers Award. The CSCI had not received application for the registration of the manager. This was discussed with the operations manager. Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 20 According to the Pre-inspection Questionnaire, all Policies and Procedures were reviewed between July and October 2006. The CSCI was notified of incidents that affected the wellbeing of residents. The home had a Quality Assurance monitoring system that included audits of bedrooms, residents’ finances, medication and staff training. Residents’ Questionnaires had been implemented. The operations manager carried out regular monitoring visits of the home and produced detailed reports of these visits as required by the Care Homes Regulations. The home held money on behalf of two of the three residents tracked throughout the inspection. The acting manager dealt with residents’ monies and the operations manager carried out regular audits. This money was checked and tallied against the records. There was evidence that residents who were capable of asking for their money signed the records. The requirement on the previous inspection report for the provision of an extra refuse bin was discussed. The operations manager said that this had now been resolved. Compacting waste materials had eliminated the need for an extra bin. Kitchen staff verified this. The Pre-inspection Questionnaire provided details of the dates that systems and equipment within the home had been maintained and services. The Pre-inspection Questionnaire provided information that six of the staff held first aid certificates and the acting manager verified this during the site visit. Mandatory health and safety training was ongoing. Staff had already received training and refresher courses for moving and handling, adult protection and fire safety. The operations manager had also contacted the local Health and Safety office and arranged for the Health and Safety Officer to provide training for staff and also to advise on health and safety issues with the home. Future training included emergency first aid, infection control, and food hygiene. Other training included assertiveness, care planning and induction and foundation training. A training matrix was used for ease of reference in determining staff training needs. Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4 Requirement The Statement of Purpose must be updated and amended to ensure that all criteria listed under Schedule 1 of the Care Homes Regulations is included. The Service User Guide must be updated and amended to ensure that all the required information is included. Provide consistency in daily recording to ensure that all the needs of the resident are monitored and met. Consult residents about the programme of activities to ensure that social needs are met. Residents must be informed of the meal options available, particularly at lunchtime. The complaints procedure must be updated with the current manager’s name. Risk assessments must be carried out for the identified resident and the identified environment, and suitable storage facilities for detergents made available. DS0000018262.V315376.R01.S.doc Timescale for action 29/01/07 2. OP1 4 29/01/07 3. OP7 12 29/01/07 4. OP12 16 29/01/07 5. 6. 6 OP15 OP16 OP19 12 22 13 29/01/07 29/01/07 29/01/07 Lindhurst Lodge Version 5.2 Page 23 7 8. OP28 OP31 18 8, 9 A minimum of 50 of care staff must be trained to NVQ level 2 or equivalent. Application must be made to register the manager. (Previous timescale of 4th September 2006 not met) 29/01/07 29/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Lindhurst Lodge DS0000018262.V315376.R01.S.doc Version 5.2 Page 25 - 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. 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