Inspection on 02/11/06 for Maun View

This inspection was carried out on 2nd 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 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

Maun View 18/12/08

Maun View 01/02/06

Maun View 03/08/05

Maun View 07/03/05

Maun View 20/05/04

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

CARE HOMES FOR OLDER PEOPLE Maun View 261 Chesterfield Road South Mansfield Nottingham NG19 7EL Lead Inspector Richard Ramsden Key Unannounced Inspection 2nd November 2006 09:30 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 Maun View DS0000036331.V317673.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. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maun View Address 261 Chesterfield Road South Mansfield Nottingham NG19 7EL 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) 01623 423125 01623 412731 Nottinghamshire County Council Mrs Janet Edwards Care Home 60 Category(ies) of Dementia (15), Dementia - over 65 years of age registration, with number (15), Old age, not falling within any other of places category (60), Physical disability (15) Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Out of the total number of beds (60), there will be 15 beds for DE 55 and over and/or DE(E) Out of the total number of beds (60), 15 may be used for PD 55 and over A maximum of 5 PD 55 years and over to be accommodated outside of the intermediate care unit Service users shall be within category OP (60) Date of last inspection 1st February 2006 Brief Description of the Service: Maun View is a Nottinghamshire County Council Social Services run home, situated a short bus ride away from the centre of Mansfield. The Home is purpose built to provide personal care for sixty older people, with up to fifteen service users who have a diagnosed dementia. Maun View offers long-stay placements, short-term placements, and has the facilities for intermediate (rehabilitation) placements. The intermediate beds are joint-funded by Mansfield Health Authority and Nottinghamshire County Council. Accommodation for service users is on two floors, with single bedrooms located in four separate units. Each bedroom has an en-suite toilet and shower. There is lift and stair access to accommodation on the first floor. Maun View is constructed around a courtyard, with an attractive and secure garden for service users to enjoy. There is a day centre within the same building, this has not been included in this inspection. The monthly accommodation charges for those residents who are self funding would be £1,508 per calendar month. A copy of the most recent inspection report is available in the home. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector completed this unannounced visit over one-day it took approximately 8 hours. It included the inspection of care and other records, a discussion with the registered manager, two team leaders, two members of care staff and the cook. The inspector spoke with seven residents and two visitors to the home. A partial tour of the building was also completed. Prior to completing this visit the inspector assessed the homes previous inspection reports, the service history and a pre-inspection questionnaire completed by the registered manager. Five completed residents’ satisfaction questionnaires were also received prior to this inspection. What the service does well: Staff are ensuring that they can meet the assessed needs of prospective residents prior to their admission to the home. Individual care plan show that residents health care needs are being adequately met. The residents and relatives spoken with during the inspection confirmed this. The care plans provide appropriate information to ensure that staff are always aware what support and assistance each resident requires. They are being reviewed on a monthly basis in consultation with the residents and where appropriate their representatives. The homes manager is well qualified and experienced and ensures that the room is run in the best interests of the residents. Residents and staff said that the manager is very approachable and that she seeks their views about the way in which the home operates. The residents said that they liked their bedrooms and confirmed that they had been encouraged to personalise them with small items of furniture, ornaments and photographs. They said that the staff are always friendly and respectful and ensure that the residents’ privacy and dignity is maintained at all times. One resident said, “The home is a lovely place it is like living at the Ritz”. None of the residents spoken with could think of anything that could be altered to improve the services already offered by the home. The staff state that they receive regular supervision and training. The home is purpose-built and has been maintained to a very good standard. Residents said that they find the home to be beautifully decorated and comfortably furnished. The homes intermediate care unit is providing rehabilitation and is enabling some residents to return to their own home. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Maun View DS0000036331.V317673.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 Maun View DS0000036331.V317673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has improved the information in the Service User Guide and the Statement of Purpose. However the Service User Guide is not in a user-friendly format, which could easily be provided to all prospective residents. Residents have been provided with written contracts/ statement of terms and conditions of residence. The homes staff ensure that they can meets the assessed needs of prospective residents by obtaining full written assessments prior to their admission to the home. The intermediate care unit is helping to maximise residents independence and where possible return to their own home. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 9 EVIDENCE: The manager has produced a comprehensive document detailing the services provided by the home. However it would be extremely difficult to provide all of this information to every prospective resident. Out of five residents satisfaction questionnaires received prior to this inspection, two people stated that they have not received enough information about the home, before they moved in, to enable them to decide if it was the right place for them. The manager should ensure that all residents are provided with a user-friendly, written, Service User Guide, which contains all the information identified in standard 1.2. Three residents records were assessed as part of this inspection. All of these records contained a Terms and Conditions of Residence document, which had been signed by the resident or their representatives. The care plans viewed during this visit each contain a preadmission assessment, which had been completed by a social worker or a trained nurse. The senior staff stated that preadmission assessments are used to ensure that the home will be able to meet the prospective residents assessed needs. The registered person confirms in writing to the residents, that the care home is suitable to meet their needs in respect of health and welfare. (This is good practice). Five residents who were receiving intermediate care were spoken with during this inspection. They all stated that they were very satisfied with the services provided and that they hoped that they would be able to return to their own homes in the near future. The manager was reminded that if any risks are identified for the individual residents in the intermediate care units, appropriate, individual risk assessments must be produced. The risk assessments must, where possible, identify ways of reducing the risk and inform staff of what assistance and support they must provide. Maun View DS0000036331.V317673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents individual care plans contain sufficient information to ensure that staff are always aware of what support and assistance each resident requires. The care plans viewed during this visit had all been reviewed and where necessary updated each month. Residents’ health care needs are being appropriately met. Some improvements need to be made to the way in which the home administers medication to ensure that the system is safe for the residents. Residents are treated with respect and their rights to privacy are upheld. EVIDENCE: Three residents care plans were viewed as part of this inspection, the care plans appeared to address the issues highlighted in the residents’ assessment process. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 11 It was noted that all the care plans viewed had been reviewed and when necessary updated each month, to ensure that staff always have up-to-date information about the care and support each resident requires. The residents spoken with during the inspection said that they believed that their health care needs are being appropriately met. The records viewed as part of this visit confirmed this. The homes medication was stored securely at the time of this visit. The records of receipt and disposal of medication had been appropriately signed and the homes controlled medication, which was checked at random had been well maintained. When the medication administration records of one of the residents in the intermediate care unit were checked it was noted that there were many occasions when the records had not been signed by the staff administering the medication. It is essential that these records are accurately maintained to confirm whether the resident has actually taken the medication. Several of the residents are in the home for short-term care and one resident who had recently been admitted for long-term care did not have photographs attached to their medication administration records. The photographs help staff to ensure that they are administering medication to the appropriate residents. One resident was administering her own medication, while this is considered good practice, staff must complete an appropriate risk assessment to ensure the safety of all the residents in the home. The inspector checked and the resident was storing her medication securely at the time of this inspection. Staff are recording the temperature in all areas where medication is stored. It was noted that in July of this year, the temperature exceeded 25°C on most days. If medication is stored above 25°C it can deteriorate and become less effective. The manager stated that heat reflective coatings have been provided on windows in areas where medication is stored and that an airconditioning unit has been ordered and should be in place in the near future. All of the residents spoken with durring the inspection said that the staff are always friendly and respectful and ensure that their privacy and dignity is maintained at all times. The observed interaction between residents and staff was of a very good standard. Maun View DS0000036331.V317673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a variety of activities and entertainment for residents. People are encouraged to make contact with family and friends. Where possible residents are encouraged to make decisions about their individual lifestyles. However the home did not have an Access to Records Policy and the staff spoken with, were unclear what procedure they should follow if a resident or their representative asked to see a residents confidential records. The residents spoken with said that they enjoy the food provided by the home. EVIDENCE: Staff are providing a variety of activities and entertainment for the residents. The residents spoken with during the inspection said that they were satisfied with the level of stimulation provided within the home. It was suggested that details of all the activities, entertainment and outings to be provided should be prominently displayed in the home. This will enable residents to plan if they wish to participate in the entertainment programme. The senior staff stated that religious services were previously held within the home. However the Minister who conducted the service has now left and they Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 13 have experienced difficulty in finding someone to replace him. Provision can be made for people to attend local churches if they wish to do so. Residents confirmed that they can see visitors at any time and that their visitors are always made very welcome. Two visitors stated that the staff are always friendly and respectful and confirm that they are often offered refreshments. Residents are asked as part of the admission process if they wish to manage their own finances. This issue is also discussed as part of the review process. One of the residents spoken with said that she manages their own personal finances; two people said that their family manage their finances. Details of how to contact local advocates are displayed within the home. The senior staff could not locate an Access to Records Policy and were unclear what action they should take if a resident or their representative asked to view a residents confidential records. All of the residents spoken with during this visit said that they are very satisfied with the food provided by the home. They confirmed that there is always a choice of food and that an alternative will be provided if they do not want the food suggested on the menu. Two visitors stated that their relative had not been eating while he was in hospital. However his appetite had improved considerably since he moved into the home. They confirmed that staff had prepared special meals to encourage him to eat. (This is good practice). Maun View DS0000036331.V317673.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents believe that their complaints would be taken seriously and that appropriate action would be taken, the homes complaints records support this view. Informal complaints should be recorded in the central book or file to provide an overview of the nature and frequency of complaints received. The registered person is taking appropriate action to protect residents from abuse. EVIDENCE: All residents have been provided with a copy of Nottinghamshire County Councils Complaints Procedure and the literature supplied to residents also indicates how they can make a complaint. The homes complaints records show that there has only been one informal complaint in 2006 and that this complaint was dealt with appropriately. It was noted in the senior staff communication book that several concerns have been raised but that these had not been recorded as complaints and there were no detail showing what action had been taken. It is recommended that the home keep a record of all complaints detailing the investigation and where appropriate any action taken. The complaints records should be recorded in a format, which preserves confidentiality. The records should provide an overview of the nature and frequency of all complaints received by the home. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 15 The residents believe that their complaints would be taken seriously and that appropriate action would be taken. Two residents said that they would talk to the manager if they had any concerns about the home. Staff have received training in adult protection issues and the home has an appropriate Whistle Blowing Procedure. The staff spoken with, during the inspection, were able to demonstrate a clear understanding of this procedure. The inspector was informed that there have been no incidents of abuse in the home in the last 12 months. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The purpose-built accommodation is maintained to a very good standard. At the time of inspection the home is clean and there were no offensive odours. EVIDENCE: A partial tour of the premises was completed as part of this visit. The purpose-built accommodation is comfortably furnished, pleasantly decorated and maintained to a very good standard. Three residents said that they like their bedrooms and confirmed that they can use them at any time. They said that they had been encouraged to personalise their rooms with small items of furniture, photographs and ornaments. One person said is that she had only recently moved into the home she had not yet decided what personal items she wished to bring from her home. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 17 Residents and visitors confirmed that the home is always kept appropriately clean. Two residents stated that they had keys to lock their bedroom doors. One person who was in the home for short-term care, said that she was unable to lock her bedroom door. The previous occupant had failed to return the door Key when they were discharged. She confirmed that she could lock the door while she was in her bedroom and that staff were locking it for her when she was not using her room. Staff confirmed that they were taking steps to ensure that the keys were returned or replaced. A digital lock has been fitted to the laundry door since the last inspection. The laundry is large and well equipped with washable wall and floor coverings. COSH data sheets were displayed in the laundry so that staff could have easy access to them. The home has appropriate infection control policies. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff rotas provided prior to the inspection and those viewed for the week of this inspection showed that adequate staffing levels are being maintained. The homes recruitment policies and practices are supporting and protecting residents. The manager is able to demonstrate the homes commitment to staff training and development. EVIDENCE: The rota provided for the week of this inspection showed that sufficient staff are being provided to comply with previously agreed staffing levels. Residents stated that although the staff always appeared busy they respond quickly when assistance is required. One resident said that the staff do find time for social interaction. The home has a large staff group and 50 of the care staff have completed NVQ level 2 or above training. The staff spoken with said that they are encouraged and supported to attend regular training courses. (This is good practice). The staff training record showed that a considerable amount of training had been provided since the last inspection. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 19 The personal records of two members of staff were assessed as part of this visit. One of the records contained all the required information; the other records did not contain an application form or written references. These documents were faxed to the home from the central office and were satisfactory. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes manager is well qualified and experienced. The home is run in the best interests of the residents. Residents’ financial interests are safeguarded. Where checked the health and safety of residents and staff are promoted and protected. EVIDENCE: The registered manager is well qualified and experienced. She informed the inspector that she has recently completed the registered managers award. Residents and staff said that the manager is very approachable and that she seeks to their views about the way in which the home is run. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 21 Quality monitoring systems are in place, which show that residents are being encouraged to express their views about the services provided by the home. The records of residence finances and the records of items handed in for safekeeping were checked at random and all were well maintained. All aspects of health and safety, assessed as part of this visit, had been satisfactorily maintained. The home had recently had a kitchen inspection completed by the Environmental Health Officer. The report produced following this visit commended the staff and the cleanliness of the kitchen. The Pre-inspection questionnaire completed by the manager stated that 31 residents had been admitted to Accident and Emergency in the last year and that 14 residents had died. When the homes service history was checked only one accident and one death had been reported to the Commission for Social Care Inspection. Regulation 37 states that all of these incidents should have been reported to the Commission for Social Care Inspection without delay. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 22 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 23 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 OP9 Regulation 13 (2) Requirement Timescale for action 02/11/06 2. OP9 3. OP14 4. RQN It is required that staff sign medication administration records each time the medication is given to the person for whom it is prescribed. If it is not given for any reason an explanation must be provided. (The use of codes is acceptable for this purpose). 13(2) 13 It is required that individual risk 02/11/06 (4)(c). assessments are completed with any residents who wish to administer their own medication. Data It is required that staff are made 18/12/06 Protection aware of the procedure they Act 1998. should follow if a resident or their representative asks to view a residents confidential records. 37 It is required that the registered 02/12/06 person informs CSCI without delay of any incident listed in Regulation 37. Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP1 Good Practice Recommendations It is recommended that the Service User Guide be produced in a user-friendly format, which can be provided to all prospective residents. All the information identified in Standard 1.2 should be included in this literature. It is recommended that a photograph of each resident is attached to their medication administration records. It is recommended that staff display a programme detailing all the activities, entertainment and outings to be provided for residents on a monthly basis. It is recommended that all complaints be recorded in a central record to provide an overview of the nature & frequency of complaints received. The complaints must be recorded in a format that preserves confidentiality. 2. 3. 4. OP9 OP12 OP16 Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Maun View DS0000036331.V317673.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!