Inspection on 29/05/07 for Morven House

This inspection was carried out on 29th May 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 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

Morven House 25/08/09

Morven House 15/05/08

Morven House 31/08/06

Morven House 01/11/05

Morven House 20/06/05

Morven House 16/09/04

Morven House 06/04/04

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 Morven House The Causeway Potters Bar Hertfordshire EN6 5HA Lead Inspector Jan Sheppard Unannounced Inspection 29th May 2007 10:00 Morven House DS0000019475.V340971.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 Morven House DS0000019475.V340971.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. Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Morven House Address The Causeway Potters Bar Hertfordshire EN6 5HA 01707 662755 01707 663634 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) www.caretech-uk.com Caretech Community Service Limited Manager post vacant Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection: 31/08/06 Brief Description of the Service: Morven House is part of Care Tech Community Services. The building is owned by the National Trust and leased to Care Tech. It is located within several acres of parkland and gardens, which are accessible to residents. It is within walking distance of Potters Bar shops and town centre and is convenient for public transport links. Morven House provides residential services to 12 young adults with learning disabilities. The house has been divided into two units, one eight bedded unit for residents requiring higher staff input and a four-bedded unit for more independent residents. All bedrooms are for single occupancy and each unit has access to its own communal areas. The layout of the building makes it unsuitable to residents with reduced mobility. There is a service folder, which includes a copy of the latest Commission for Social Care Inspection report, the complaints procedure and other information concerning the service, readily available in the home. Fees vary according to the unit concerned, ranging on average from just over £1000 per week to £1500 per week. Personal toiletries, newspapers, dentistry and chiropody services where these are not free are all charged at additional cost, as are some day care services. Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one afternoon and early evening when a number of residents and the staff on duty were spoken with and when in depth discussions were held with the homes manager. A tour of the building and grounds was also undertaken. The comments in this report reflect the findings made by the inspector during that visit and also take account of information gathered over the past months from the homes manager and by way of the pre inspection questionnaires completed by a number of residents and relatives and other stakeholders in the home. This was a positive inspection and all the key standards examined were met. The new Manager has made application for registration with the Commission. What the service does well: What has improved since the last inspection? Since the last inspection the residents care plans have been fully revised with fresh information presented in an accessible manner. An easy to use “ widget” computer system has been introduced for the use of the residents. Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 6 A number of refurbishment and re-provision works have been carried out to the building and a timetable for other works has been agreed. 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. Morven House DS0000019475.V340971.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 Morven House DS0000019475.V340971.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): 2 People who use this service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to the service. Admissions are not agreed until a full needs assessment has been carried out and the home is satisfied that it can meet these needs. Sufficient information is provided for prospective residents and their families to enable them to make an informed choice about admission. EVIDENCE: As there have been no new residents admitted to this home since the last inspection it was not possible to examine any recent admission records. However previous documentation was seen to include a comprehensive initial assessment process and the planning of a phased introduction to the home. One resident who had been living in the home for many years told the inspector with great detail of her memories of her first introductions to the home and said how kind the staff had been in helping her to quickly feel very settled The existing residents have the required information about the home including the recently reviewed Service Users Guide and Statement of Purpose. Morven House DS0000019475.V340971.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. People who use this service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to the service. The home maintains excellent care plans for each resident. Appropriate procedures are in place to ensure the safety of the people using this service both inside and outside of the home. The residents are given every encouragement to make as many decisions about their own lives as it is safely possible for them to do. EVIDENCE: Since the last inspection all the care plans have been revised so that all aspects of the plan are now presented in a format, which is more accessible for the residents. The plans were seen to contain detailed person centred information concerning specific care needs and how these should best be met to meet the wishes and needs of the individuals concerned and to accommodated changes in their circumstances. Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 10 Evidence of the regular reviews and development of the plans was seen along with the signatures of the service users these giving evidence of their involvement with the compiling and review of their plans. Risk assessment for activities both external and internal to the home were regularly updated. The focus of these assessments was to ensure safety whilst still enabling residents to take reasonable risks as they seek to maintain and develop independent life styles. Morven House DS0000019475.V340971.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. People who use this service experience good quality outcomes in this area. This judgement has been made using a variety of evidence including a visit to the service. The diverse social and activity needs of the residents are well supported. Staff assist the residents to use local community facilities. A varied and healthy diet of freshly prepared good quality food is provided. EVIDENCE: All the residents have individually planned social and activity plans, which were seen to be well recorded as part of their new person centred care plans. It was noted that these plans are also regularly reviewed to take account of any changing needs or wishes. Each residents plan encompasses three or four days attendance at either a local day centre or college class as well as some regular evening and weekend activities involving sport or community events. The manager must ensure that Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 12 the activity needs of the one resident temporarily unable to attend the day centre are adequately met during this interim period. One resident spoke to the inspector of her part time job in a local charity shop whilst another spoke of her recent efforts and staff support to obtain similar employment for herself. The home has regular access to transport facilities so that outings and visits in the locality can be quickly arranged to accommodate plans made unexpectedly and the inevitable problems caused by sudden changes in the weather. Photographic evidence was seen of recent trips and visits made and the residents discussed some of these with the inspector. Others were seen to be studying summer holiday brochures and to be making plans for visits to a variety of destinations. The extensive grounds give good opportunity for outdoor leisure activities, which on the sunny day of this inspection were being well used. The opportunities presented by the development of the large greenhouse continue to be well appreciated by the residents who showed the inspector the variety of vegetables that were being grown. All the residents participate in choosing the menus and in the preparation of their meals. Good attention is paid to a healthy eating regime. Fresh ingredients are used with free-range eggs and locally grown potatoes being brought from a local farm shop. Bowls of fresh fruit were seen to be freely available in the dining rooms and lounges as well as in some of the resident’s bedrooms. The planned diets were varied with good choices available at each meal. Records of food actually eaten were recorded where needed along with monthly weight records. BMI records are not presently kept and these should be considered especially for residents with high or low weight problems. The manager reported that the cooking and gardening skills of one staff member in facilitating an improvement and encouraging greater interest in these areas has been to the homes considerable advantage. The residents are fortunate in having family or other long-standing friends who keep in regular visiting contact and to whom they can make periodic staying visits. One service user has an advocate and another is subject to a Guardianship order. Several relatives completed questionnaires prior to this inspection giving their comments and views as to the quality of service that their relative was receiving. Morven House DS0000019475.V340971.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. People who use this service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to the service. Personal Care and Health Care offered to the residents continues to be of a high standard. There is a robust medication storage and administration system, which was well maintained. EVIDENCE: Personal care was seen during this inspection to be delivered to the residents in a kind and understanding manner by staff who clearly had a through understanding of their care needs both physical and emotional. This observation was supported by the detail of the discussion between the staff that occurred during the shift handover meeting, which the inspector sat in on. Staff were heard to be discussing how to enable and encourage a resident to do as much for themself as was possible within safe limits. Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 14 Individual carers were seen to reassuringly intervene when residents became anxious or aggressive. Staff have undertaken training on the management of challenging behaviours. There was good evidence of the resident’s involvement with a number of health professionals; residents are all able to visit their GPs at their surgeries and one was seen to be doing so accompanied by staff during the time of this inspection. One resident attends for regular chiropody treatment and several others have recently had a hearing assessment. The psychology service has regular contact with the home and one resident has been referred for a further specialist assessment. Two residents regularly attend a local epilepsy clinic. Since the last inspection all the residents have received an optical examination as part of the new outreach service offered by a local optician. The manager explained that following the closure of the local hospital based specialist dental service he is endeavouring to arrange for all the residents to be registered with other local NHS dental services. Medication records were spot checked and found to be satisfactory. All staff that administer medication have been trained to do so. The manager confirmed that residents would be encouraged and enabled to self medicate where this was appropriate and could be done so safely. At the time of this inspection only creams were being self administered by one resident. The home continues to use an MDS, monitored dosage medication system supplied by a local chemist. The medication was seen to be safely stored in appropriate locations where good attention was given to the maintenance of a safe temperature. The MAR, medication administration records spot-checked were accurately recorded. The home does not currently have any facilities for the storage of controlled medication. Although no controlled medication is currently being prescribed for any resident in the home this situation could change suddenly and without any warning. The manager must satisfy himself that in such an eventuality legally acceptable storage and administration arrangements could be in place in time to ensure that the required standards for the storage and administration of such controlled medication would be met. Morven House DS0000019475.V340971.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. People who use this service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to the service. A good complaints policy and procedures, which is in an appropriate format for the service users, is in place. Policies and procedures concerning Adult Protection and Whistle Blowing that follow the format given in Hertfordshire County Council Safeguarding Adults Joint Agency guidelines is in place. Resident’s views are regularly asked for, listened to and whenever possible acted upon. EVIDENCE: A comprehensive complaints policy and procedure is in place and is well publicised to both residents and to those responsible for them. One complaint received by the home since the previous inspection was properly investigated and was not upheld. Staff receive training in issues and procedures around the protection of vulnerable adults. Since the last inspection there have been two incidents concerning adult protection, which have been the subject of joint agency investigations, one of which remains ongoing. Copies of the Hertfordshire joint agency adult protection procedures were seen to be freely available for all staff. Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 16 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. People who use this service receive good quality outcomes in this area. This judgement has been made using available evidence including a visit to the service. The physical design and layout of the home enables the residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: On the day of this unannounced inspection the home with one minor exception was found to be clean and tidy, to be well maintained and to have a homely feel and appearance. Areas of the extractor hood over the cooker were found to be sticky, with caked dust. The frequency of the cleaning of this extractor appliance must be increased to ensure that an acceptable level of cleanliness and safety is maintained at all times. The building, formally a merchants house but renovated to its present format in the late Victorian period has large rooms and high ceilings which provide a Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 17 very special environment for its residents for whom the spaciousness gives good advantages to the meeting of their particular needs. The new manager is to be complimented for meeting the considerable challenges poised by this building which was found to be well maintained subject to a routine maintenance programme, to be appropriately furnished in a comfortable attractive and homely manner and to meet the residents needs and provide an attractive and safe environment. Risk assessments for various aspects of the building were seen to be compiled with good detail and to be regularly reviewed. Good attention was paid to the various security aspects poised by the building and by the needs of some of the residents. Individual resident bedrooms seen by the inspector were comfortably appointed in a style and manner, which reflected the resident’s own tastes and wishes. One resident who showed the inspector his collection of pot plants, which were thriving on a large sunny windowsill in his room, said “ I like it here, this is my home and I’m happy”. Another resident who has just returned from her part time employment was proud to show off her brightly decorated room to the inspector and she commented on the beautiful views of the trees and the gardens which she had from her windows. Repairs to the lounge ceiling which had been caused by an overhead water leak had recently been repaired and new furnishings, sofas, and carpets had been obtained and works to complete the redecorations were waiting for completion. Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 18 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 and 35. People who use the service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. There is a stable group of staff, who are trained and skilled and are employed in sufficient numbers to support the people who use the service and to ensure the smooth running of the home. The recruitment practices are robust thereby offering protection to the people who use this service. EVIDENCE: The home is fortunate in being able to retain a stable core group of staff who are experienced, regularly undertake training and who were, on the day of this inspection, seen to be working well together as a team. The manager explained that having benefited from a completely stable staff group for a period exceeding twelve months the home was about to experience staff changes due to the imminent departure of three members on maternity leave. He demonstrated that adequate cover arrangements were in place and Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 19 shared with the inspector a letter that he had sent to all residents and to their relatives explaining these changes. Staff spoken with confirmed to the inspector that they were well supported by the homes managers and by the clarity of the working policies and procedures, which they are expected to follow. They confirmed that their full participation is encouraged at the homes regularly held staff meetings and that they also have bi- monthly supervision meetings with a manager along with an annual appraisal. Minutes and records examined by the inspector confirmed these findings. A training needs profile is compiled for each member of staff and the records examined evidenced their attendance on this training. The home currently has 33 of its staff holding a professional qualification at NVQ level 2 and with several other staff due to complete this training by the end of the year this percentage should rise to or just exceed the required 50 standard. Recruitment records for recently employed staff were examined and were seen to be satisfactory with all the required checks and documentation in place. The manager confirmed that the homes are assisted in their recruitment processes by the Care Tech human relations team. He also explained that recent advertisements for staff now resulted in a number of applications from experienced and qualified workers and that he was, along with another home manager interviewing for new staff on the day following this inspection. One recently appointed senior worker who holds NVQ qualifications at level 3 and who has several years experience in a number of similar work settings confirmed to the inspector that her interview and recruitment arrangements had been handled professionally by the company and the homes manager and said that this was one of the reasons why she had chosen to come to Morvan House. Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 20 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 and 42. People who use this service experience good quality outcomes in this area. This judge has been made using a variety of evidence including a visit to the service. People using this service are safeguarded by a sound management approach led by an experienced and trained manager whose open approach encourages resident’s independence and choices. There is a well-developed system of quality assurance in place to gain the views of the people using the service. EVIDENCE: Although only appointed as Manager of Morvan House twelve months ago the new manager had previously held similar management posts and has applied to the Commission for registration. He is part way through his studies for the Registered Managers Award qualification. The manager explained that he Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 21 chose to come to work at Morvan House as he recognised that his experience, skills and interests in the management of challenging behaviours in which he holds special training qualifications, could be put to good use in the home. In his discussions with the inspector he was able to demonstrate a clear sense of direction for the home and to evidence that the revision of many of the homes working arrangements, polices, procedures and care plans over the past year had assisted with the development of this new direction. There appeared to be a good understanding of equality and diversity issues and a grasp of the complexity and varying stands of these issues. Operational procedures of the home were found to be working smoothly; these were assisted by the accurate keeping of the records, the organisation of which was found to be extremely well managed with close attention to detail. The recent in-house Care Tech audit resulted in a 99 achievement. This good record keeping also promotes the safety and protection of the services users health and welfare. Comments received from relatives and stakeholders in the home confirmed the sound management arrangements and good communication between them. Morven House DS0000019475.V340971.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 2 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 Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 23 no 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 2 Refer to Standard YA20 YA14 YA19 Good Practice Recommendations The manager should review the arrangements for the safe keeping of controlled medications. The manager must ensure that all residents are able to access appropriate leisure and social activities at all times. The manager must ensure that adequate arrangements are in place to ensure that all the residents can receive an adequate dental service. Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Morven House DS0000019475.V340971.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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