Inspection on 14/11/06 for Little Paddocks

This inspection was carried out on 14th November 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 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

Little Paddocks 01/10/08

Little Paddocks 07/03/06

Little Paddocks 05/09/05

Little Paddocks 22/02/05

Little Paddocks 20/07/04

Little Paddocks 11/02/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Little Paddocks The Street Little Clacton Clacton on Sea Essex CO16 9LG Lead Inspector Ray Finney Key Unannounced Inspection 14th November 2006 10:00 Little Paddocks DS0000036146.V319720.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 Little Paddocks DS0000036146.V319720.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. Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Little Paddocks Address The Street Little Clacton Clacton on Sea Essex CO16 9LG 01255 860307 / 9 01473 828057 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) Mr Rohan Vasantha Kumara Dias Mrs Velambah Dias Mr Joseph Roy Nadin Care Home 8 Category(ies) of Learning disability (8), Physical disability (2) registration, with number of places Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 8 persons) Persons of either sex, under the age of 65 years, who require care by reason of a learning disability who may also have a physical disability (not to exceed 2 persons) The total number of service users accommodated must not exceed 8 persons 7th March 2006 Date of last inspection Brief Description of the Service: Little Paddocks offers care and accommodation for people with learning and physical disabilities between the ages of 18 and 65 years. Owned by Mr and Mrs Rohan Dias, who also own a number of other homes in the area, the home was first registered in February 2003. The registered manager is Mr Joseph Nadin (Ned). The service comprises of two four-bedroom detached bungalows on the same site, purpose built and positioned adjacent to each other. Both properties offer single accommodation with one room in each bungalow having en-suite facilities. The facilities are domestic in character. There is a large level garden to the rear and side of bungalow 2, with the front garden area being mainly laid to hard standing for vehicular parking. Information about the service may be obtained by contacting the manager. The home charges between £800.00 and £1,200.00 a week for the service they provide. Service users pay extra for personal items such as toiletries and admission fees to leisure and recreational activities of their choice; the cost for these is normal retail prices. This information was given to the Commission in November 2006. Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to compile this report. Discussions with the manager and members of staff provided information about the home. Documentary evidence was examined, including staff rotas, menus, service users’ care plans and staff files. A visit to the home took place on 2nd November 2006; this included a tour of the premises, discussions with service users, members of staff and the manager and observations of interactions between service users and members of staff. On the day of the inspector’s visit the atmosphere in the home was relaxed and the inspector was given every assistance from the registered manager, Joseph Nadin. What the service does well: What has improved since the last inspection? What they could do better: As at the last inspection staff continue to receive appropriate training and are well skilled but there has been no improvement in the level of care staff who have obtained or who are working towards National Vocational Qualifications (NVQ). The manger has not yet obtained an NVQ level 4 qualification nor the Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 6 Registered Managers’ Award and needs to ensure further efforts are made both to support care staff to achieve NVQ awards and to complete appropriate manager’s qualifications. 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. Little Paddocks DS0000036146.V319720.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 Little Paddocks DS0000036146.V319720.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 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have the information they need to make an informed choice about where to live. The home ensures service users are admitted on the basis of a full assessment. EVIDENCE: The home’s Statement of Purpose has been reviewed and updated this year. Service users’ records that were examined all contain a copy of the Statement of Purpose and Service User’ Guide. Although there have been no new admissions to the home for some time, there is a process in place for assessing service users’ needs before admission. The manager is able to demonstrate an awareness of the assessment process. A sample of four service users’ records examined all contain assessments of needs. The assessments cover communication needs, making choices and assertiveness, health, leisure, relationships and cultural needs. Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs and goals are reflected in their Individual Plans. Service users are supported to make decisions about their lives and are supported to take risks within the limitations of their capacity to understand. EVIDENCE: A sample of four service users’ care plans that were examined all contain sufficient detail to ensure staff provide care in a way that meets the service user’s needs and wishes. Care plans identify objectives and ‘planned interventions’ detailing the support needed. There is evidence in the records examined that care plans are reviewed regularly. Observations of interactions between staff and service users show that staff encourage service users to make choices and take part in the running of the home. Care plans and assessments of needs examined show evidence of how service users are encouraged and supported to make choices. Service users’ Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 10 files contain records of meetings that are held approximately quarterly. files examined contain information about Advocacy Services. All Service users’ records examined show that risk assessments are in place and the care plans relate to the initial assessment of risk. Records examined show that risk assessments and care plans are reviewed regularly. Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to take part in a range of age, peer and culturally related activities and are part of the local community. Service users are supported to maintain appropriate relationships. The home ensures service users’ rights are protected. Service users are offered a varied diet that they enjoy. EVIDENCE: Service users living in the home are not able to access paid employment because of their complex needs. However, the home supports service users to take part in a range of activities. Records examined show that service users attend local college courses such as ‘Reading and Number Skills’ and ‘A Place of my Own’. On the day of the inspection visit activities such as jigsaws were going on in the home and some service users were out attending activities. Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 12 The home continues to support service users to access local community facilities such as local pubs, shops and the village hall. Activity planners examined show that a variety of activities, including snooker, dance and swimming, take place according to individual interests. On the day of the inspection visit all of the service users living in one of the bungalows were out taking part in various activities. Care plans examined contain details of how service users are supported to maintain relationships and how family links are maintained. As previously reported, some service users visit their family home and relatives also visit Little Paddocks. The family of one service user has recently been involved in decorating their bedroom. One bungalow has a wall planner that shows how service users take part in the daily running of the home, including cleaning, shopping, cooking and washing up. One service user is very proud of their bedroom and keeps it tidy and clean. Regular service user meetings take place to ensure they are involved in the operation of the home. Care plans contain clear evidence of involvement in daily routines. Discussions with manager and observations on the day of the visit confirm that service users take part, where they are able, in housekeeping tasks. Menus were examined and show that a variety of nutritious food is offered. The small size of the home and the domestic nature of the premises ensure that service users individual wishes around meals are taken into account. Overall meal times are flexible to fit individual activities. Service users are free to choose when they prefer to eat. On a tour of the premises food stocks were examined and fresh fruit and vegetables are available. Discussions with the manager and staff confirm that service users are involved in menu planning, shopping, food preparation and making snacks and drinks. A new combination microwave has been purchased and placed on a lowered work surface to assist a service user in a wheelchair to be actively involved in food preparation. Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. 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 ensures service users receive personal support in the way they require and their physical and emotional needs are met. Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Records examined show care plans contain sufficient detail to ensure care is delivered in the way service users need. Staff confirm that personal support is carried out by staff of same gender as the service user. The home operates a key worker system and staff are able to demonstrate an awareness of service users’ preferences. Four service users’ files examined contain evidence of appointments with health professionals. Service users have their weight checked approximately monthly. As at the last inspection, the manager explained that the home arranges visits from a dentist and chiropodist when needed. Staff confirm that meetings with healthcare professionals take place in private, although staff Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 14 support may be needed where there are communication difficulties. Records examined document how service users are supported around individual healthcare needs like epilepsy. Care plans examined contain evidence of input from the dietician, community nursing services, optician and advice on healthy eating and constipation. Staff records contain evidence of training around epilepsy. A tour of the premises shows that appropriate technical aids are available. The home operates a monitored dose system for medication. There is a Policy and Procedure in place around the administration of medication. Records examined show that staff have signed to say they have read the policy and understand their responsibilities. There are currently no service users living in the home with the capacity to self medicate. Care plans contain details of prescribed medication. Medication is stored appropriately in a locked cupboard. Medicine Administration Record (MAR) sheets were examined on the day of the inspection visit and are completed appropriately. Staff files contain evidence of training around medication. Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users may be confident their views are listened to and acted on. Arrangements are in place to help protect service users from abuse, neglect and self-harm. EVIDENCE: The home has an appropriate Concerns and Complaints policy in place and there is suitable documentation in place for recording complaints. The policy contains appropriate details including timescales for response and contact details for senior management and the Commission for Social Care Inspection. Service users’ records examined contain details of complaints information. Staff files examined contain evidence that Protection of Vulnerable Adults (POVA) training took place in February 2006 and staff training on Non-abusive Psychological & Physical Intervention was carried out in September 2006. As at the last inspection, policies around POVA and Offences Against Service Users are in place and staff have signed to say they have read and understand them. There is a whistle blowing policy in place so that staff may be assured that they will be protected if they feel the need to raise concerns about practices. As part of the recruitment process, the home carries out Criminal Records Bureau (CRB) enhanced disclosure checks to ensure the protection of service users. None of the service users currently living at Little Paddocks manage their own finances. The home ensures that only small amounts of money are Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 16 kept in the home. All service users have their own individual bank accounts and documentation relating to finances is appropriately locked away for safety. Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. 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. Service users live in a homely, comfortable and safe environment and they can expect the home to be clean and hygienic. EVIDENCE: During a tour of the premises the inspector observed that the environment is comfortable and the home is well maintained. The furniture throughout the home is domestic in nature and of good quality. Service users’ bedrooms that were examined all have plenty of evidence of personal possessions such as music systems, televisions, videos/DVDs and personal photographs. Bedrooms are decorated to meet individual tastes. The inspector and the manager discussed access to the kitchen for a service user who uses a wheelchair. Since the last inspection a new combination microwave that can also be used as an oven/grill has been purchased. This, combined with the lowered work surface previously installed has widened the scope of access for this service Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 18 user, who is encouraged to take an active part in preparing meals. The tour of the premises also showed that the home is well maintained, with evidence of recent redecoration and new carpet in one bedroom. The home is clean throughout, there are no odours and the bathrooms are well maintained and clean. Little Paddocks DS0000036146.V319720.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, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall service users are supported by competent staff who receive appropriate training, although the manager should ensure staff are supported to acquire recognised qualifications. Service users are protected by the home’s recruitment policy and procedures. Service users benefit from staff who receive regular supervision. EVIDENCE: Information from the manager indicates that four staff out of a total of 14 carers have got a National Vocational Qualification (NVQ); this is less than the 50 needed to meet the National Minimum Standard. This is an ongoing situation since the previous two inspections. The manager said that there had been some difficulties with assessors but they were continuing to pursue alternative providers. The home has an appropriate recruitment process in place to ensure the protection of service users. The manager is able to demonstrate a good awareness of the requirements of the standards relating to the recruitment of Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 20 staff. Three staff files were examined including that of the most recently recruited member of staff. Overall files contain the required information including an appropriate application form, contract, photograph, two written references and appropriate proof of identification (ID). One staff file of a longstanding member of staff did not contain two written references. The manager should ensure that all staff files contain all the required information to meet regulations. Records examined show that the home has a good training and development system. The staff training and Development plan for 2006-2007 was examined. Training in past year includes Fire Safety, First Aid, Food Hygiene, Health & Safety, Infection Control, Protection of Vulnerable Adults, Moving & Handling, SCAPE (Safe Care and Protection in Essex), Medication and Epilepsy. Staff files contain evidence of staff induction and regular supervision. The home’s system around staff supervision appears robust. Staff have regular recorded supervision meetings at intervals as specified in the National Minimum Standards. Records examined also show evidence of annual appraisal. However, supervision records do not show that issues raised and recorded are being acted upon. More detailed documenting of issues raised through the supervision process would ensure service users are supported by a well-managed staff team. Little Paddocks DS0000036146.V319720.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, 39, 40 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall service users benefit from a well run home, although further steps need to be taken to ensure the manager obtains appropriate qualifications. Service users views are taken into account through the Quality Assurance process. The home has policies and procedures in place to safeguard the rights of the service users. The home ensures the health, safety and welfare of service users are promoted and protected. EVIDENCE: On the day of the inspection visit there was a discussion with the manager around appropriate qualifications for managers of care homes. Although the manager has both care and management experience, he has not yet achieved the expected formal qualification in either care or management. The manager Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 22 has been unable to complete the NVQ level 4 in care/Registered Manager’s Award because of difficulties with the course provider. The registered provider needs to address the issue of accessing another appropriate course as a matter of urgency. As at the last inspection, the home has an appropriate quality assurance system, which seeks the views of service users and staff. The information obtained from questionnaires has been collated into a report and an action plan is in place to deal with issues arising. The new annual cycle of quality assurance and monitoring commenced in November. Policies and Procedures around Medication, Concerns & Complaints were examined and found to be appropriate. A new draft policy on ‘Wills, Bequests, Gifts and Gratuities’ has been developed and is to be considered at the next management meeting. A new policy has been put in place (01/06/06) around access to the kitchen pending the admission of a service user with issues around access to food. This policy will not affect other service users in this bungalow who only access the kitchen with staff support. The home has appropriate policies and procedures in place around infection control, control of substances hazardous to health (COSHH), fire safety, food safety, first aid and Health & Safety. Maintenance records were found to be well organised and indicate that appropriate Health & Safety checks are carried out. The following Health & Safety records were examined: • • • • • • • Electrical Installation Certificate (5yrs) 09/01/03 Emergency Lighting Certificate 27/02/06 Fire Alarm System Inspection 27/02/06 Gas Safety Certificate 10/11/06 Hoists checked 08/01/06 Fire extinguishers/blankets checked 06/12/06 Water temperature checks Little Paddocks DS0000036146.V319720.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 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 2 33 X 34 2 35 3 36 3 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 2 X 3 3 X 3 X Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 24 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. 1. Standard YA34 Timescale for action 19(1)(b)(i)(c) The registered manager must 28/02/07 Schedule ensure that two written 2(5) references are obtained for all members of staff Regulation Requirement 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. 3. Refer to Standard YA32 YA36 YA37 Good Practice Recommendations The Registered Person should ensure that 50 of care staff are trained to NVQ level 2 or above. The registered manager should ensure action taken and outcomes of issues raised through the supervision process are recorded adequately. The registered provider should take steps to ensure the registered manager obtains qualifications appropriate for the running of the home. Little Paddocks DS0000036146.V319720.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Little Paddocks DS0000036146.V319720.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. 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