Inspection on 28/12/06 for New Wokingham Road 95

This inspection was carried out on 28th December 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

New Wokingham Road 95 18/09/07

New Wokingham Road 95 06/02/06

New Wokingham Road 95 09/08/05

New Wokingham Road 95 06/10/04

New Wokingham Road 95 19/05/04

New Wokingham Road 95 14/10/03

Similar services:

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 95 New Wokingham Road Crowthorne Bracknell Berkshire RG45 6JN Lead Inspector Marie Carvell Unannounced Inspection 28th December 2006 12:00 95 New Wokingham Road DS0000050661.V320950.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 95 New Wokingham Road DS0000050661.V320950.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. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 95 New Wokingham Road Address Crowthorne Bracknell Berkshire RG45 6JN 01344 771369 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.new-support.org.uk New Support Options Limited Mr Jimmy Bala Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1) of places 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 Brief Description of the Service: The home provides care and accommodation to three service users, aged between eighteen and sixty five years and one service user over the age of sixty five. All service users have a learning disability. The home is situated within a short distance from Wokingham and Bracknell town centres. A range of local amenities and shops are easily accessible within walking distance. The home has its own vehicle and there is good access to public transport. The property is detached and accommodation is provided on two floors. Windsor and Maidenhead Housing Association own the property and the care is provided by New Support Options. The range of care needs within the home is diverse and complex. Several service users have needs, which can challenge the service. The current scale of charges as at December 2006 is £1459:00 per week. There are additional charges for hairdressing, toiletries and clothing. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘key Inspection’. The inspector arrived at the service at 12.00pm and was in the service until 3.35pm. It was a thorough look at how well the service was doing. It took into account detailed information provided by the service’s manager, and any information that the CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the service and other people seen during the inspection. Four service users and one local general practitioner responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has, in this report, made judgements about the standards of the service. A detailed tour of the premises was carried out and a sample of records required to be kept in the home were examined, including case tracking of two service users’ files. At the last inspection carried out in February 2006, one requirement remained outstanding from August 2005. This was that the manager carries out risk assessments and takes appropriate action to reduce the risk of falling from first floor windows. This has now been complied with. Feedback was given to the senior support worker on duty throughout the visit. What the service does well: The inspector joined two service users for lunch and spent time with three service users. One service user is unable to communicate verbally, but is able to communicate adequately using facial expressions, gestures and body language. All service users had enjoyed Christmas. One service user showed the inspector some of the colouring books that she had received as Christmas presents. Another service user showed the inspector his new shirt with the name of a favourite sports team on the front. Comments made by service users included, “I like living here, I have a nice room and the staff are very nice”, “The staff take me out shopping”, “We all had a lovely Christmas lunch cooked by X, she is a very good cook”. Service users’ rights and responsibilities are respected and this is evidenced in service user records. The right to be alone is respected by staff, who do not enter bedrooms without permission. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 6 Visitors to the home are made welcome. Service user birthdays and other events in the home always include families and friends. Daily routines are relaxed and flexible to meet the service users’ preferences. Regular healthcare checks take place and healthcare professionals are in regular contact with service users and the staff team. The home’s general practitioner commented on the questionnaire, “Very good care of residents and good liaison with surgery. Lovely atmosphere. Staff well trained, caring and provide good care”. Guidelines are in place to assist staff to meet the healthcare needs of service users. Records were seen to be well maintained and up to date. Staff on duty were professional in their approach to questions asked by the inspector and were observed to carry out their duties with patience and humour. It was evident that there is a good rapport between staff and service users. What has improved since the last inspection? What they could do better: Two service user questionnaires, completed with staff support, stated that they were not aware of how to make a complaint. One questionnaire stated ‘no’ to the question, with no comments recorded as to how this could be addressed. The second questionnaire stated, “I am unable to understand this questionnaire as I have no communication skills”. The inspector spent time with this particular service user who is not able to communicate verbally but is able to communicate his feelings adequately using facial expressions, gestures and body language. Training in communication skills needs to be updated in order to meet the needs of the service user who is unable to communicate verbally with staff. It was not evidenced that the four bank staff, who work in the home on a regular weekly basis, receive any individual, formal supervision. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 and 4. Quality in this outcome area is good. All service users are assessed prior to admission and are given the opportunity to visit the home before moving in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The four service users have lived together in the home for many years. Previous inspection information has indicated that all service users have had a full assessment undertaken prior to moving into the home. There is a comprehensive referral and admission process in place. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9. Standard 9 was subject to requirement at the last inspection. Quality in this outcome area is good. Service users have detailed care plans and are involved, as much as possible, with decision making. Appropriate risk assessments are in place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users have a detailed care plan; these are reviewed on a regular basis and updated as necessary. Service users are enabled to be involved as much as possible. Service users are assisted and encouraged to exercise their right to make decisions and choices. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 11 Risk assessments are in place to support care plans with guidelines from healthcare professionals, as necessary. Since the last inspection risk assessments have been carried out on the first floor bedroom and bathroom windows, as they posed a risk to service users falling. Following the risk assessments, window restrictors have been fitted. From discussion with service users, staff on duty and observation by the inspector, all staff were able to demonstrate a clear knowledge of the service users’ needs and preferred lifestyles. Service users were observed to be treated with dignity and respect. It was evident that there is a good rapport between the service users and staff team. Staff on duty were observed promoting choice and decisions made by the service users using a variety of communication methods. All service user records were seen to be well maintained and detailed. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17. Quality in this outcome area is good. Service users are assisted to make informed choices regarding all aspects of their daily life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users have a weekly programme of activities. Daily activities undertaken are recorded in service user records. The home has its own vehicle, which is well used for outings. Four service users returned their completed questionnaires, with assistance from support staff. Unfortunately, other than boxes being ticked, no comments were recorded. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 13 The inspector joined two service users for lunch and spent time with three service users. One service user is unable to communicate verbally, but is able to communicate effectively using facial expressions, gestures and body language. All service users had enjoyed Christmas. One service user showed the inspector some of the colouring books that she had received as Christmas presents. Another service user showed the inspector his new shirt with the name of a favourite sports team on the front. Comments made by service users included, “I like living here, I have a nice room and the staff are very nice”, “The staff take me out shopping”, “We all had a lovely Christmas lunch cooked by X, she is a very good cook”. An amount of money is allocated to each service user each year towards a holiday. Holidays are being planned for later on in the year. Service users’ rights and responsibilities are respected and this is evidenced in service user records. The right to be alone is respected by staff, who do not enter bedrooms without permission. Visitors to the home are made welcome. Service user birthdays and other events in the home always include families and friends. Daily routines are relaxed and flexible to meet the service users’ preferences. From the evidence seen by the inspector and discussion with staff on duty, the inspector considers that the home would be able to provide a service to meet the needs of individuals of various religious, racial or cultural backgrounds. All service users said that they enjoyed the food provided and were given a choice. Food stocks were plentiful with fresh fruit, vegetables and salad. The inspector joined two service users for the midday meal. The meal of pasta with a meat sauce was tasty and attractively served, followed by rice pudding. The meal was relaxed, with staff chatting to the two service users and assisting as necessary. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 18,19 and 20. Quality in this outcome area is good. Service users’ personal and healthcare needs are well met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users’ physical and personal support needs are detailed in care plans. Personal care provided is recorded in daily records. Service users’ records evidenced that regular healthcare checks take place and that healthcare professionals are in regular contact with service users and the staff team. The home’s general practitioner commented on the questionnaire, “Very good care of residents and good liaison with surgery. Lovely atmosphere. Staff well trained, caring and provide good care”. Guidelines are in place to assist staff to meet the healthcare needs of service users. Records were seen to be well maintained and up to date. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 15 Medication administration records were seen to be well maintained and up to date with no obvious gaps in recordings. All staff have received medication training. Medication is securely stored. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is adequate. Not all service users are aware of how to make a complaint. Procedures are in place to protect service users from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a comprehensive complaints procedure and is available in a pictorial format for service users. Two service users who completed questionnaires, with staff support, stated that they were aware of how to make a complaint. In discussion with one service user, she was very clear that she would speak to the manager or a member of staff, if she had a concern or complaint. The remaining two service user questionnaires, completed with staff support, stated at they were not aware of how to make a complaint. One questionnaire stated ‘no’ to the question, with no comments recorded as to how this could be addressed. The second questionnaire stated, “I am unable to understand this questionnaire as I have no communication skills. I moved here as part of a resettlement programme in 1998”. The inspector spent time with this particular service user who is not able to communicate verbally but is able to communicate his feelings adequately using facial expressions, gestures and body language. Since the last inspection the home has received one complaint. This was appropriately addressed. No information concerning complaints about the service has been received by the CSCI since the last inspection. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 17 All staff have received training in the protection of vulnerable adults from abuse. This was confirmed by staff on duty and evidenced in training records. Staff spoken to were clear about the home’s whistle blowing policy. Policies and procedures are in place. Policies and procedures are in place for dealing with service users’ money and bank accounts. The majority of service users depend on the manager and staff team to manage their personal allowance on their behalf. Very clear, well maintained and up to date records are kept for each service user’s finances. Two staff signatures verify cash spent on behalf of a service user and a receipt is obtained. Financial records are audited on an annual basis. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 18 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): Standard 24,25 and 30. Quality in this outcome area is good. Service users live in a homely, comfortable, clean and safe environment, which meets the needs of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is in good decorative order and furniture is of a good standard. The staff team has worked hard to ensure that the home is comfortable and welcoming. At the time of this inspection several service users expressed their pleasure in the Christmas decorations and Christmas tree. One service user pointed to the Christmas tree and decorations and smiled. Several bedrooms were visited at the invitation of the service users. Bedrooms reflected the interests of the service user and were comfortably furnished. One service user showed the inspector posters displayed on his bedroom walls and Christmas cards received. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 19 Two other service users were able to tell the inspector about new furniture purchased, including a television and a music centre. Since the last inspection the lounge, some bedrooms and bathrooms have been refurbished and new furniture purchased. Appropriate aids and adaptations are in place to maximise service user independence. Window restrictors have been fitted on first floor windows to reduce the risk of falls. The home was found to be clean, fresh smelling and hygienic. There is a daily cleaning schedule, which is monitored by senior staff on duty. The home has a well equipped laundry. The washing machine has a sluicing facility. Policies and procedures are in place regarding infection control measures and staff have received health and safety training. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 20 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): Standards 32,34, 35 and 36. Quality in this outcome area is adequate. Staffing levels are sufficient to meet the needs of the service users. The home is dependent on bank staff to cover the five staff vacancies. Bank staff do not receive any individual, formal supervision. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff on duty were clear about their roles and responsibilies in the home. All members of staff have been employed in the home for many years. No new members of staff have been recruited since the last inspection. The home continues to have five full time vacancies for support workers; these hours are covered by a team of well established bank workers. Policies and procedures are in place for the recruitment of staff. Staff on duty were professional in their approach to questions asked by the inspector and were observed to carry out their duties with patience and humour. It was evident that there is a good rapport between staff and service users. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 21 Training is promoted in the home, with 50 of the staff team having completed National Vocational Training at Lz\evel II. Training records evidenced that all staff receive mandatory training and specialist training as necessary. There is a staff training and development programme in place. Training in communication skills needs to be updated to ensure that all staff are able to meet the needs of the service user who is unable to communicate verbally with staff. Permanent staff on duty confirmed that they receive formal supervision from either the manager or deputy manager, usually monthly. However, it was not evidenced that the four bank staff, who work in the home on a regular weekly basis, receive any individual, formal supervision. Staff said that they felt well supported by the manager. Comments made by staff included, “He is always fair and will listen”, “Firm but fair”, and “He is committed to meeting the needs of the service users, their needs always take priority”. Staff meetings take place on a regular basis and minutes of meetings were available for examination by the inspector. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 22 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): Standards 37, 39 and 42. Quality in this outcome area is good. Service users benefit from a well managed home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The experienced and well qualified manager has been in post since the home opened in 1998. The inspector gained the impression that the manager and staff team work well together. Records are well maintained and policies and procedures are reviewed on a regular basis. There is an annual management audit undertaken by the service manager, and proprietor representative visits are undertaken on a monthly basis, and are conducted unannounced. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 23 A sample of records relating to health, safety and fire were examined and seen to be up to date and well maintained. 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 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 Standard No Score 1 x 2 3 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 25 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. 1. Standard YA22 Regulation 22 Requirement The manager must ensure that the home’s complaints procedure is in appropriate formats for all service users. The manager must ensure that all staff, including bank staff, are provided with training in communication skills, appropriate to the needs of the service users. The manager must ensure that all bank staff receive regular, recorded supervision at least six times per year. Timescale for action 28/02/07 2 YA35 18 28/02/07 3 YA36 18 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 95 New Wokingham Road DS0000050661.V320950.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 95 New Wokingham Road DS0000050661.V320950.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. 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