Inspection on 16/10/07 for Medway House

This inspection was carried out on 16th October 2007.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Medway House 18/10/06

Medway House 05/01/06

Medway House 09/06/05

Medway House 17/09/04

Medway House 18/02/04

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

CARE HOME ADULTS 18-65 Medway House First Choice Care Limited 62 Medway Gardens Wembley Middlesex HA0 2RJ Lead Inspector Andreas Schwarz Key Unannounced Inspection 16th October 2007 10:00 Medway House DS0000017468.V353048.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 Medway House DS0000017468.V353048.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. Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Medway House Address First Choice Care Limited 62 Medway Gardens Wembley Middlesex HA0 2RJ 020 8385 1438 020 8904 5250 firstchoicecare1@hotmail.com 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) First Choice Care Limited Mr Divya Gandhi Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One (1) place for a service user over the age of 65 can be accommodated. 18th October 2006 Date of last inspection Brief Description of the Service: Medway House is a care home providing personal care and accommodation for up to four people with mental health issues. The home specializes in the support of people from an Asian background. At the time of the inspection, there were no vacancies. The home is owned and run by Mr Gandhi, the director of First Choice Care Ltd. The home has 24-hour staffing, including one staff sleeping-over at night. The company has one other registered home, Mosaic House, which is within walking distance from Medway House. The home is located within a residential area of Sudbury, part of the borough of Brent. It is close to local shops and both bus and rail links. Parking restrictions do not apply on the road outside the home. There is parking in front of the home. The premises are a modern two-storey building and are in keeping with other homes in the street. All bedrooms are single rooms, fully furnished, and with built-in sinks. One is downstairs. The home has two bathrooms, with a walkin shower facility in both, and a third, separate toilet downstairs. The home has an open-plan kitchen and lounge. A small garden is to the rear of the property. Fees and charges can be obtained from the registered manager on request. Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place during a day in October 2007 and lasted 7 ½ hours. The registered manager/provider Mr Ghandi was available throughout this unannounced key inspection. I spoke to three people using the service and one member of staff during this key inspection. All service users surveys have been returned one of these have been written in Gujarati and was translated by the Commission for Social Care Inspection. The home has returned a completed Annual Quality Assurance Assessment within the given timescale. I would like to thank people using the service, staff and registered manager for assisting me during this unannounced key inspection. What the service does well: What has improved since the last inspection? The home has met five of the six requirements made during the last key inspection. The home purchased new sofas, a new fridge/freezer, a new washing machine and the lounge has been repainted. Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 6 One new person moved in and has settled in well, the home is currently planning together with this person finding more independent accommodation. 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. Medway House DS0000017468.V353048.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 Medway House DS0000017468.V353048.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): People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Admissions are not made to the home until a full needs assessment has been undertaken. Prospective individuals are given the opportunity to spend time in the home. EVIDENCE: The registered manager Mr Ghandi undertakes assessments of new prospective people using the service. The registered manager is a qualified social worker and is experienced in the assessment of people with mental health problems. The registered manager informed me that once a suitable person has been found, the person is invited for a number of trail visits to the home. This can be a visit for mealtimes, overnight stay, etc. Previous inspections pointed out that the home must have records of these visits, which was still found to be non compliant. People using the service informed me that they have been involved in the assessment and confirmed of having had a trial visits. I viewed two care plan files during this inspection and signed contracts were available for both people. Medway House DS0000017468.V353048.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): People using the service experience good outcomes in the area. This judgement has been made using available evidence including a visit to this service. The service involves individuals in the planning of care that affects their lifestyle and quality of life. The care plans are person centred and are agreed with the individual. Each care plan includes a comprehensive risk assessment, which is reviewed regularly. The home ensures that people using the service are consulted on a regular basis to gather information about their satisfaction. EVIDENCE: All service users files I have viewed during this unannounced key inspection included a detailed care plan. Care plans are reviewed regularly with the key worker and people using the service, care plans use all past history information, current needs and abilities and areas the home must work together with people using the service. Regular Care Programme Approach meetings are undertaken and minutes of these are in individual files. People using the service informed me that they know about their care plan and that staff regularly meets with them to update the plan. Care plans are person Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 10 centred and have clear actions for people using the service and staff to follow when providing and receiving support. I observed people using the service leaving the home independently. I overheard staff and people using the service arranging a visit to Central London during this key inspection. People using the service informed me that the registered manager is listening to what they have to say and told me that they can decide where they want to go, what they want to eat, etc. I sampled people’s financial records for the past two years all records have been transparent and entries could be tracked. I judge the financial accounts of high standard. People using the service are encouraged to manage their own finances and the home is devising budget plans together with people using the service. The home sends out annual surveys and residents meetings are undertaken regularly to obtain peoples views about the services. The home has clear risk assessments in place this allows people to be as independent as possible. People using the service are involved in the risk assessment process and have signed assessments. Risk assessments are reviewed regularly and are updated if risks have changed. Medway House DS0000017468.V353048.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): People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The service has a strong commitment to enabling people who use services to develop their skills. People who use the service have the opportunity to develop and maintain important personal and family relationships. People who use services are involved in meaningful daytime activities of their own choice and according to their individual interests and capability. The meals are balanced and nutritional and cater for the varying cultural and dietary needs of the individuals using the service. EVIDENCE: People using the service go to college to obtain qualifications in Computing, English or Maths. One person is doing voluntary work in a neighbourhood centre. One person is accessing a Drop-in centre run by Mencap. The home is encouraging people using the service to clean their own room, do their own cooking, washing up to gain more skills. Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 12 As mentioned earlier I observed people using the service going into Central London. The home went on two holidays last year; people using the service contribute to the cost of the holidays. People using the service told me that they could vote if they choose to do so. The home has a minibus, which is used for both homes. The home is trying to recruit staff from the same cultural background like people using the service. People using the service informed me that family members are involved in their care and the home is encouraging regular visits to see their family. This is however depending on risk assessments. People using the service informed me that they can invite friends over if they wish to do so. I observed a relaxed atmosphere during this key inspection, people using the service move around freely. As raised earlier people using the service are involved in household tasks. People using the service have their own key following a risk assessment. The home is arranging routines with all people using the service; these however are flexible if the person is changing his mind. The home does not have a planned menu, people using the service informed me that staff ask them every day what they want to have, which is than prepared for dinner. The meals reflect the cultural background of people using the service. The home is proving vegetarian and non-vegetarian meals. One of the people living in the home is a devout Muslim and records show that Halal meat is provided. None of the people using the service need support in feeding. Medway House DS0000017468.V353048.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): People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Personal healthcare needs including specialist health, nursing and dietary requirements are clearly recorded in each resident’s plan. The delivery of personal care is individual and is flexible, consistent, reliable, and person centred. The home has an efficient medication policy supported by procedures and practice guidance, which staff understand and follow. Staffs competence in the administering of medication must however be fully assessed. EVIDENCE: People at Medway House don’t need any direct personal care support. People using the service informed me that staff asks them to have a shave or a wash if they forget. People using the service do not have any mobility problems. The home is providing manual handling training to staff. People using the service were dressed appropriately and informed me that staff supports them to buy new clothes. The home has a key working system and all people have an allocated key worker. The registered manager informed me that the home has recently introduced a new system of allocating tasks. One of these tasks is to Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 14 check if key workers are working effectively and records are maintained to good standard. People using the service are encouraged to visit their General Practitioner regularly. Health appointments are records in the diary. One person using the service informed me that he is currently in the process of obtaining a second opinion regarding his medication. I recommended to the registered manager to record more clearly the outcomes of visits to health care professionals. The home has a medication policy in place, which has been reviewed in 2005. A local pharmacist dispenses medication in doset boxes. Medication Administration Sheets are available and are of good standard. I noted that the person on shift was administering medication, but did not receive medication training. This has been discussed with the registered manager and it is required to judge staff’s competence in the handling of medicines using the Skills for Care competency assessment and put risk assessments in place until formal medicines training has been provided. The home has individual PRN guidelines in place and the signatory list was up to date. Medicines are stored safely. Medway House DS0000017468.V353048.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): People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has an open culture that allows residents to express their views, and concerns in a safe and understanding environment. The service has a complaints procedure that is clearly written and easy to understand. The policies and procedures for Safeguarding Adults are available and give clear specific guidance to those using them. The home understands the procedures for Safeguarding Adults and will attend meetings or provide information to external agencies when requested. EVIDENCE: The home has received no complaint since their last key inspection. This information was obtained from the Annual Quality Assurance Assessment returned to the Commission for Social Care Inspection. The home has an effective complaints policy in place; the policy is compliant with National Minimum Standards. A detailed form to record any complaints is attached to the complaints procedure. People using the service informed me that they know who to complain to and that they have currently no complaints. The home has a detailed Protection of Vulnerable Adults policy and Brent Council multi-agency Adult Protection Guidelines in place. The registered manager informed me that staff is required to read the Department of Health documents “A Practical Guide” to the Protection of Vulnerable Adults. Staff has attended Protection of Vulnerable Adults awareness training provided by Brent Council. The registered manager informed me that senior staff and Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 16 management will attend a more in-depth Protection of Vulnerable Adults training, which is provided by the local authority. Staff demonstrated good understanding of who to report allegations of abuse to. The home has a whistle blowing policy in place. Medway House DS0000017468.V353048.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): People using the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that meets the specific needs of the people who live there. The home is comfortable, and has a programme to improve the decoration, fixtures and fittings. Occasionally there is slippage of timescales. Hygiene equipment is available but not always stored safely. EVIDENCE: The home has purchased new sofas, a new washing machine, a new fridge freezer and the lounge has been repainted since my last unannounced inspection. The registered manager showed me around the building, the home is nicely decorated and people using the service live in a well-maintained and safe environment. During my tour of the premise I informed the registered manager of the following issues, the sliding door leading to the garden do not slide and must be repaired, the missing glass in the kitchen cabinet must be replaced and the broken draw must be repaired. The home is planning to build Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 18 a shelter for smokers in the garden and to replace the garden furniture within the next 12 months. People using the service informed me that they are happy with the new washing machine. The washing machine is located in the kitchen none of the people using the service have any continence problems. The Control of Substances Hazardous to Health cupboard was not locked during this inspection, this is required. The home has an Infection control policy, Health and Safety policy, Control of Substances Hazardous to Health policy, etc. in place. Medway House DS0000017468.V353048.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): People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use services have confidence in the staff that cares for them. Staff members undertake external qualifications. Managers encourage and enable this and recognise the benefits of a skilled, trained workforce. The service ensures that all staff receives relevant training that is focussed on delivering improved outcomes for people using the service. The service has a good recruitment procedure that clearly defines the process to be followed. EVIDENCE: I have viewed two staffing files and staffing rotas during this inspection. The home has one member of staff on duty during each shift. At times staff works more than the required 48 hours under European Working Times Directive. Staff however informed me that they choose to do extra hours and that this only happens occasionally. The home is recruiting staff from the same or similar cultural background like the people using the service. People using the service informed me that staff speaks their language. Three of the five employees hold their National Vocational Qualification in Care; this is above 50 and is meeting National Minimum Standards. Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 20 The registered manager informed me that he is using an agency to check employee’s identity, references, work history and integrity. All staff have Criminal Records Bureau checks obtained by the home in place. I have viewed references in staffing files, these references are from previous employment, these references are of good standard, but I asked the registered manager to follow up these references verbally and make a record of this in staff files. The home is holding the Investors in People Award and is currently in the process for being assessed again. 65 of staff is holding their National Vocational Qualification in Care qualification and the home is supporting staff to gain this award. Personal Learning Plans are in place and staff’s training needs are discussed in supervisions. The home is offering compulsory training such as Food Hygiene, Manual Handling, First Aid, etc. and specialist training such Violence and Aggression, Mental Health. The home is providing staff with a minimum of six planned supervisions per year. Medway House DS0000017468.V353048.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): People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The Manager has the required qualifications and experience and is competent to run the home. The home provides value for money. The manager is aware of current developments both nationally and by the Commission for Social Care Inspection and plans the service accordingly. The home works to a clear health and safety policy. EVIDENCE: The registered manager/provider Mr Gandhi is a qualified social worker with a diploma in management studies. The registered manager has a number of years experience working with people who have mental health problems. The registered manager is attending training and seminars that help him keeping up to date with changes in the social care sector. Service users and care staff I Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 22 have spoken to confirmed that the manager is supportive, approachable and listens to the problems and needs residents and staff could have. The home has sent out surveys to people using the service and had one returned before this key inspection, the feedback received was very positive. The home has undertaken an annual development plan for the previous year and the registered manager informed me that he will provide one for the current year once he has received all information from people using the service, stakeholders and significant others. People using the service and staff informed me that they have regular meetings; minutes of these meetings have been viewed during this inspection. I informed the registered manager that he must forward a copy of the annual development plan to the Commission for Social Care Inspection once completed. I have viewed fire records, which were all up to date and in order. Portable Appliances Test Certificate, Landlords Gas Safety Certificate was all in date. The home has a range of risk assessments relating to Control of Substances Hazardous to Health, Health and Safety and Fire Safety in place. Medway House DS0000017468.V353048.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA2 Regulation 17(1)(a) Requirement The home must have clear records of new prospective residents staying for trial visits. (Previous Timescale of 31/12/06 not met) 2. YA20 13(2) The registered manager is required to judge staffs’ competence in the handling of medicines, using the Skills for Care competency assessment and put risk assessments n place until formal medicines training has been provided. The sliding doors leading to the garden must be repaired. The missing glass in one of the kitchen cupboards must be replaced. The broken kitchen draw must be repaired. The Control of Substances Hazardous to Health cupboard must be kept locked at all times. DS0000017468.V353048.R01.S.doc Timescale for action 15/11/07 01/12/07 3. 4. YA24 YA24 23(2)(c) 23(2)(c) 15/11/07 15/11/07 5. 6. YA24 YA30 23(2)(c) 13(4) 15/11/07 01/11/07 Medway House Version 5.2 Page 25 7. YA34 19(1)(a) The registered manager must ensure that all references are checked for validity and authenticity. The registered manager must forward a copy of the annual development plan to the Commission for Social Care Inspection once completed. 15/11/07 8. YA39 24(2) 01/01/08 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 YA19 YA21 YA23 Good Practice Recommendations The home should record in more details outcomes of visits to healthcare professionals. The home should obtain information of will writing services. The home should review their Protection of Vulnerable Adults policy annually. Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Medway House DS0000017468.V353048.R01.S.doc Version 5.2 Page 27 - 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!