Inspection on 18/08/05 for New Road (33)

This inspection was carried out on 18th August 2005.

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

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

Other inspections for this house

New Road (33) 24/10/06

New Road (33) 16/02/05

New Road (33) 14/09/04

New Road (33) 22/12/03

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Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 New Road (33) Aston Clinton Aylesbury Bucks HP22 5JD Lead Inspector Chris Schwarz Unannounced 18 August 2005 09:00 a.m. 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 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 Stationary 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. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service New Road (33) Address Aston Clinton, Aylesbury, Bucks, HP22 5JD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01296 632749 Hightown Praetorian & Churches Housing Association Care Home 3 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 3 residents with learning disabilities, some of whom may also have a physical disability. Date of last inspection 16 February 2005 Brief Description of the Service: 33 New Road is a detached bungalow owned and staffed by Hightown Prateorian and Churches Housing Association. It has been adapted to provide accommodation for three people with learning and physical disabilities. Each person has a large single bedroom and the property has been decorated and arranged to reflect a large family type environment. There is an enclosed rear garden with lawned and patio areas and parking spaces at the front of the building. The home is situated in a quiet residential area with a pub and small shop in the vicinity. Aylesbury town centre is approximately five miles away. There are no direct public transport links. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place between 9.00 am and midday on a weekday. It consisted of meeting service users, a tour of the premises, examination of some required records and discussion with staff on duty. The inspector was able to join service users at the breakfast table. What the service does well: What has improved since the last inspection? The home’s fire-based risk assessment has been updated to ensure that hazards are identified and dealt with. The cause of loose tiles in the shower area of the bathroom has been rectified. A fire assembly point has been New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 6 created in the garden as a safe place to gather. Policies and procedures have been reviewed by the provider organisation to ensure that staff have up-todate guidance to refer to. What they could do better: Some documentation needs to be reviewed and updated to ensure that service users’ need are adequately reflected, such as care plans and accompanying risk assessments, and one person requires a review. The home needs to have a copy of the provider’s whistle blowing/confidential reporting procedure in place to ensure that staff know what to do if they come across poor or abusive practice. The provider must ensure that any notifiable occurrence is reported to the Commission for Social Care Inspection within 24 hours of occurrence, as required by the regulations. Evidence of electrical appliances being safety tested is required, to ensure that these are being routinely checked. The provider needs to ensure that the key to the cupboard in the laundry, housing cleaning products, is kept somewhere safe. Generic risk assessments need to be reviewed and updated where necessary, to ensure that unnecessary safety risks are eliminated. Staff are asked to be mindful of the external temperature and ensure that the radiator in the lounge is switched off in warm weather. Over the course of the coming year attention should be given to those parts of the home where paintwork is showing signs of wear and tear. It is recommended that staff sit down when assisting service users to eat, in order that a non-threatening posture is adopted. Attention is needed where staff are referring to service users inappropriately, such as “good boy/girl”. Navigation through the policies and procedures handbook would be easier with a number or colour coded index system, in order that guidance can be quickly located when needed. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 7 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. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 8 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 Standards Statutory Requirements Identified During the Inspection New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: There have not been any new admissions during the period under review therefore these standards were not assessed on this occasion. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 and 9. Care plans and risk assessments are in place for service users but these need to be reviewed to ensure that current needs are adequately reflected and that risks associated with daily living are minimised. Service users are enabled to make decisions about their lives, in order that they have a say in their care. EVIDENCE: Care plans are in place for each service user with details of how individuals need to be supported by staff. Some of the information on the support plans had passed the stated review date, as had some of the risk assessments. These will need to be updated to ensure that current needs have been clearly identified and that risks associated with daily living are minimised. Monthly summaries had been prepared and these were useful to read through. On one service user’s file there was no evidence of an external review since September 2003. A review must be arranged for this person if one has not taken place since that time. Staff offered choices of foods for breakfast and responded to service users’ non-verbal cues, indicating when they had had enough or wanted more, New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 11 effectively. Minutes of external reviews showed that an advocate is still involved with the home on a regular basis. Information has been produced in different formats to make it more user friendly and the home’s advocate also plays a role in helping service users understand these details. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16 and 17 Service users are enabled to take part in appropriate age, peer and cultural activities in order that they have variety and stimulation. Service users are enabled to keep in contact with family and friends in order that important social contacts are maintained. Service users’ rights are respected in order that they lead fulfilled lives. A healthy diet is provided for service users to meet their nutritional needs. EVIDENCE: One person left to go to a hydrotherapy session after breakfast with the remaining two service users listening to music and then a talking book in the lounge. There had been a successful holiday recently and another break was planned in October. Staff on duty said that more people are able to drive the home’s vehicle now, which has made it easier to take service users out. Contact with family and friends is supported by the home. The morning routine was relaxed and geared toward individual service users’ pace. It was noted that staff made sure the bedroom door was locked after one New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 13 service user went out. The radio was on in the background whilst service users were having breakfast and this was unobtrusive with gentle, melodic music which service users seemed to enjoy. Attention had been paid to making the breakfast table look nice through using a clean tablecloth and bright place mats and coasters. Cereal boxes were close to hand to show service users what the choices were and the home had the necessary equipment to help service users eat. One member of staff was observed assisting a service user with breakfast. This was done at a gentle pace with due regard for maintaining the person’s dignity through regular wiping of her mouth. The manner in which the service user was assisted could be improved through the member of staff sitting down to assist rather than standing over the person. This would convey a nonthreatening posture to the service user. There were well maintained accounts of what each person had consumed each day. The kitchen was well stocked with food, including fresh fruit. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Medication is well managed at the home, to keep service users healthy and well. Service users receive personal support in the way they require in order that their needs are met. Physical and emotional health needs are met, to promote service users’ well-being. EVIDENCE: The medication cabinet was secure and locked when not in use. Medication administration records were in good order, as were records of drugs returned to the pharmacy. The home had the necessary policies and procedures on medication practice and individual written guidance had been prepared on “as required” medications. Monitoring forms were in place to keep a stock take of “as required” drugs. Service users’ files contained details of appointments with medical professionals, such as the consultant psychiatrist, dietician and doctor and these seemed up-to-date. Records of seizures were being maintained, where appropriate, and there was evidence of service users being weighed periodically. Support plans contained details of personal care requirements and all care was carried out behind closed doors. The service has a range of disability equipment to facilitate moving and handling. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 15 Service users were nicely attired in clothes appropriate for a warm day and had been assisted to shave. There had not been any deaths at the home during the period under review. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 There are complaints procedures in place, to ensure that service users and their representatives are listened to. Adult protection procedures are in place, to safeguard against the risk from harm. EVIDENCE: There is a complaints procedure in place at the home. The complaints log contained one complaint, dated April 2002. There was an adult protection policy, dated December 2004, and although reference was made in the policies folder to a whistle blowing/confidential reporting procedure, it could not be located. A copy of this must be made available at the home and one forwarded to the Commission for Social Care Inspection for reference. A new member of staff said that he had undertaken Protection of Vulnerable Adults training during his probationary period. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29 and 30 The environment created for service users is spacious, clean, homely and pleasantly decorated, providing comfortable surroundings for the people living there. Bedrooms are appropriately arranged to help promote service users’ independence and there are sufficient bathroom and toilet facilities with the necessary adaptations to ensure that care needs can be met. EVIDENCE: Each person has a spacious single bedroom which has been decorated and arranged to different taste. Rooms had been personalised and looked well presented with good quality furniture and co-ordinating fabrics. The kitchen and dining area are domestic in scale and overlook the garden. The laundry was in good order and the bathroom was clean and fresh-smelling. There was antibacterial hand wash available and clinical waste bins have nonreturn lids to prevent accidental contact with the contents. Some tiles have been replaced in the shower area of the bathroom since the last inspection. The lounge has been arranged to look homely and contains lots of sensory equipment. The patio doors were open, reflecting a warm day, although the New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 18 radiator next to the doors was switched on. It is recommended that this be turned off to avoid overheating service users. The patio area was pleasantly arranged and a new pathway leading to an assembly point had been added; this has been done very effectively. Some scuff marks were noticeable to paintwork in some areas, such as one bedroom and in the dining area. It is recommended that these areas be prioritised for redecoration over the course of the coming year. The home was clean and no offensive odours were noticeable. Hand wash was available at all sinks. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 35 and 36 Service users are overall supported by an effective, competent and qualified staff team, to ensure that needs are met. Staff have undertaken necessary training and are supported, to ensure that they have the skills to provide care to service users. Some modifications are necessary to promote better care practice. EVIDENCE: Three staff were on duty at the time of this visit which provided sufficient cover to enable one person to go out to hydrotherapy. Staff generally demonstrated an understanding of service users’ needs except that on a couple of occasions they referred to service users as “good boy” or “good girl”, plus assistance with eating could be improved, as mentioned earlier. One new member of staff described a structured induction which involved an induction pack, working supernumerary and shadowing others. He had attended a range of mandatory training and said that staff meetings have been taking place and he had been subject to two probationary evaluations. He was aware of how to respond in emergency situations or if there were urgent maintenance issues to attend to. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 20 Rotas showed that satisfactory levels of staff are arranged across the 24 hour day. Some agency and relief staff were being used to supplement the rota although details of vacant hours were not known. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 40, 41 and 42 Overall there is good regard toward health and safety to ensure that service users, staff and visitors are protected from accidental injury. Policies and procedures are in place to provide guidance on good and safe practices, to protect service users’ interests and prevent harm. Monitoring is undertaken by the provider to ensure that service users receive good quality of care. The provider has put in place interim management support until a new manager is in post. The quality of record keeping is varied, which could mean that service users’ needs are not accurately reflected at the home. EVIDENCE: New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 22 The post of manager was vacant at the time of this visit. The Commission is aware that a recruitment drive has been taking place and the position is being offered to someone, subject to the necessary clearance checks. Staff on duty were aware of this and did not express any concerns about the lack of a manager in the interim. The visitors’ book showed that various senior staff within the organisation have been visiting the home over recent weeks. Monitoring visits have been undertaken by the provider and are accessible in the office. Copies are also forwarded to the Commission for Social Care Inspection as required. The Commission had not been notified of disciplinary proceedings being taken against a member of staff. A requirement is set to ensure that all notifiable incidents are reported. The policies handbook showed that updating has been taking place to the guidance manual. It was quite time consuming to find specific material and it is recommended that a colour coded or numbered index system be introduced to quickly locate relevant sections in the handbook and make it more userfriendly. Records seen on this occasion were of mixed quality. Some require updating, as mentioned earlier in the report, but others such as medication administration records, temperature checks and daily reports on service users were in good order. A range of health and safety checks is undertaken at the home. Fridge and freezer temperatures are monitored to ensure that these are working within safe temperature zones. Cooked food is tested with a probe thermometer to ensure that food poisoning bacteria is killed off. Hot water was tested in the bathroom and found to be within safe limits. A health and safety audit had been undertaken in June this year to check for hazards around the building and fire safety checks have been regularly undertaken according to the log book. The home’s fire based risk assessment had been updated since the last inspection and there was a current gas safety certificate. Records of portable electrical appliance testing could not be found. This has been raised before at the home and a requirement is set to provide the Commission with details of such testing. Generic risk assessments have been undertaken but a few were due for review in July this year. A requirement is set to ensure that these are updated. There were certificates showing that hoists had been serviced in April of this year. During the tour of the building it was noticed that the cupboard containing COSHH products (control of substances hazardous to health) was locked but New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 23 the key had been left on a small ledge on the cupboard door. This should be stored safely away and a requirement is set to attend to this. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 24 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x N/A x N/A x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x 2 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 New Road (33) Score 3 3 3 N/A Standard No 37 38 39 40 41 42 43 Score 2 x 3 3 2 2 x 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 25 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. 2. 3. 4. Standard 6 7 9 23 Regulation 15(2)b,c 15(2)b 13(4)c 13(6) Requirement Information on care plans is to be reviewed and updated. An external review is to be held for the service user who has not had once since 2003. Individual risk asessments are to be reviewed. A copy of the whistleblowing/confidential reporting procedure is ((a) to be available at the home and (b) forwarded to the Commission. Previous timescale of March 2005 not met regarding (a). Staff are to refrain from referring to service users as good boy/girl. All notifiable incidents are to be reported to the Commission within 24 hours of occurrence. Evidence of portable electrical appliance testing is to be forwarded to the Commission. Previous timescale of October 2004 not met. The key to the COSHH cupboard is to be kept in a secure place. Generic risk assessments are to Timescale for action by 30th October 2005 by 15th November 2005 by 30th October 2005 by 15th September 2005 5. 6. 7. 32 37 42 12(4)a 37(1) 13(4) by 1st September 2005 by 1st September 2005 by 15th September 2005 by 1st September 2005 by 30th Page 26 8. 9. 42 42 13(4) 13(4) New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 be reviewed and updated. October 2005 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. 4. Refer to Standard 24 24 17 40 Good Practice Recommendations The radiator in the lounge should be switched off in warm weather. Areas with scuffed or marked paintwork should be priorities for redecoration over the coming year. Staff should sit down whilst assisting service users to eat. A numbered or colour coded index system should be produced for the policies handbook. New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 27 Commission for Social Care Inspection Cambridge House, 8 Bell Business Park, Smeaton Close Aylesbury Bucks, HP19 8JR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI New Road (33) 180805_New Road_UI_Stage 4_ S23078_V233732_H53_CAS_ces.doc Version 1.30 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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