Inspection on 17/08/06 for Newlands Hall

This inspection was carried out on 17th August 2006.

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

Newlands Hall 01/05/07

Newlands Hall 14/12/05

Newlands Hall 20/09/05

Newlands Hall 30/03/05

Newlands Hall 30/11/04

Newlands Hall 01/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Newlands Hall High Street Heckmondwike West Yorkshire WF16 OAL Lead Inspector Tracey South Unannounced Inspection 17th August 2006 09:20 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newlands Hall Address High Street Heckmondwike West Yorkshire WF16 OAL 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) 01924 407247 01924 409293 newlandshall@tri-care.co.uk Tri-Care Limited Ms Paula Jane Oldroyd Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th December 2005 Brief Description of the Service: Newlands Hall is owned by Tri-care Limited now trading as Orchard Care Homes. The home offers care and accommodation for up to 37 older people and is situated just out of Heckmondwike town centre on the main road. Standing in its own grounds, the home has been extended since it was first opened increasing the accommodation and services it can provide. The house still retains some of its original features and these add to the character of the home. Accommodation is provided on 2 floors, which are accessible by a passenger lift. There are 31 bedrooms all of which have en-suite facilities. There are 3 lounge areas. There is a small complex of flats in the grounds providing individual accommodation for older people. The current charges at the home range from £344.71 to £450.00 per week. Additional charges are made for hairdressing, chiropody, newspapers and magazines. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this key inspection the Commission for Social Care Inspection undertook an unannounced visit to the home. Alongside this, the staff at the home also completed a pre-inspection questionnaire, which was returned to the Commission before the inspection as requested. Information from this questionnaire was also used for this report. One inspector carried out this inspection and spent approximately 7.5 hours in the home. Surveys were sent to residents, their relatives, visiting professionals and GPs. Ten surveys were sent out to residents, three responses were received. Nine surveys were sent out to relatives, six responses were received. Eight surveys were sent out to GP’s, 4 responses were received. And 3 surveys were sent to social workers, one response was received. This inspection was carried out to assess the home against a pre-determined selection of the National Minimum Standards for Older People. In writing this report, information and evidence was not only obtained by way of visiting the home, but also from notifications sent to and information obtained by Commission for Social Care Inspection. The last inspection report was also consulted. The inspector spoke to 8 residents, some in the privacy of their own bedrooms and others whilst in the communal areas of the home. Care practice was observed throughout the day. Inspectors spoke to management, care staff and ancillary staff. Records were examined and a tour of the home was also undertaken. What the service does well: All prospective residents are thoroughly assessed prior to them moving into the home. Residents at Newlands Hall gave positive feedback about the life. Residents agreed they are more than happy with the home. They said the food is very good with plenty of choices available. One resident said there are no restrictions as far as getting up and going to bed. Two residents who had moved from another home said they were really happy with their bedroom and the fact that they had en-suite facilities. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 6 Comments received from relatives include, “when visiting Newlands, the impression is of calmness and peace. My aunt feels happy and looked after and I feel happy about her care”. “Overall the home provides very good care to my aunt and she is very happy there”. The home offers a pleasant and comfortable environment for residents. Residents said they enjoy the activities that take place in the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 & 3. 6 does not apply. Residents are admitted on the basis that the home is able to meet their needs. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: As part of the survey, residents were asked whether or not they had received a contract of residence. None of the three surveys returned to the Commission responded to the question. There was no evidence of a contract in any of the three resident’s case files examined. The manager explained that all signed contracts are sent to head office once signed by the relevant people. The manager was advised to keep a copy on behalf of the resident. Prospective residents are assessed by the funding authority or by the home if privately funded. The three case files examined during the inspection contained a Social Services Specialist Assessment provided by Kirklees Metropolitan Council, the funding authority. In addition to the council’s assessment the home also carried out their own pre-admission assessment. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 9 The manager explained that all prospective residents are visited either at home or in hospital. In some cases, where the resident is able to do so, they will visit Newlands and it is at this point that the pre-admission assessment is carried out. The manager and deputy managers will then make a decision based on the council’s assessment as well as their own whether or not they are able to meet the needs of the prospective resident. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Not all residents have a care plan in place. Residents have access to health care services. The medication systems are poorly managed. Residents said they are treated with respect. Quality in this outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: New care documentation has been introduced since the last inspection in December 2005. Each resident has a “care profile” in place .The profile includes a number of assessments in relation to the residents care needs. For example, the staff complete the following assessments in respect of each resident; personal care and physical well-being, diet and weight, sight, hearing and communication, oral health, foot care, mobility and dexterity, falls history, continence, medication, mental state, social interests and hobbies, personal safety and risk. Depending on the outcome of the assessment a care plan is then completed. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 11 The care profiles in respect of three newly admitted residents were examined. One resident, admitted in July 2006 did not have a care plan in place, despite moving into the home 19 days prior to this key inspection. Pre-admission assessments carried out in respect of the resident indicated a dependent and vulnerable person, at risk from developing pressure sores, with mobility problems and health issues requiring care staff to undertake specific hygiene techniques. Despite this there was no information in the case profile of the residents specific needs and the support required to ensure those needs would be met. This is the third inspection to take place where one or more residents have not had a care plan in place. A further two case profiles were examined both of which contained care plans. These were generally of a good standard. From the 3 surveys returned, two residents indicated they always receive the care and support they need, one resident said they usually did. Residents are able to access health care services. GP visits are requested as required. There was evidence in the case files examined that GP visits are recorded. Specialist equipment used for the promotion of tissue viability and prevention of pressure sores was seen in both individual bedrooms and communal areas. Resident surveys indicated that they got the medical support they needed. The medication records and supplies of 3 residents were checked during this inspection. However, the inspector was unable to reconcile the stock balances in respect of two residents, as their medication had not been booked in when received in the home. Although the staff were signing when administering medication there was no date in place as to when it was given. This made it impossible to reconcile stocks against the records in place. Controlled drugs are not being stored and administered in accordance with the relevant guidelines. Poor practices in respect of the management of medication were highlighted in the last report and it is of great concern that the same issues remain 8 months on. Residents gave positive feedback about their life at Newlands Hall. They said the staff are caring and respectful of their privacy and dignity. Residents confirmed that staff always knock on doors before entering their bedroom or other private space. As part of the survey residents are asked if the staff listen and act on what they say, all 3 responses said staff always listen. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Residents are able to take part in organised activities. Residents are able to make their own choices about how they spend their time. Friends and family are made to feel welcome at the home. Residents receive a well balanced diet. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Residents said they were able to make their own choices about how they spend their time. Some residents prefer the privacy of their own rooms whilst others are happy to spend their time in the various communal areas there are available. Residents confirmed that there were no restrictions in place with regards to when they get up and go to bed. Posters are displayed in the home, advising residents of forthcoming events. Within the resident’s care profile there is a section on social activities, hobbies etc. This section had not been fully completed in respect of 2 out of the 3 care profiles examined. Residents surveys asked if they are activities arranged by the home that the resident can take part in. The responses were mixed, that is, “always”, “usually” and “sometimes”. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 13 Residents spoken with on the day of the inspection said that there wasn’t much taking place on a morning and quite often they just watched TV or read. The majority of activities take place during the afternoon. The manager explained that mornings are very busy and as a result staff do not have the time to undertake activities. There was evidence in one of the care profiles examined that the resident enjoyed various outings with their relatives, such as shopping trips and meals out. A church service takes place at the home on the first Sunday of each month. The church representatives welcome those from all denominations. The statement of purpose informs relatives and friends that the home has an “open visiting policy” which means that it is possible to visit residents at any time of the day or night. However, there was a notice on the front door asking relatives not to visit at mealtimes as this offends other residents. One of the relatives surveys returned to the CSCI stated, “restriction at meal times – we sometimes disregard as I wish to see food provided”. The manager explained that this action had been taken as a result of some residents expressing their discomfort when certain relatives visit at mealtimes, as they feel uncomfortable. Rather than putting restrictions on all visitors to the home, as some people may only be able to visit at those times, a better option would be to speak to those relatives concerned. The inspector asked for the notice to be removed during the day of the inspection. Residents were complimentary about the food on offer at the home. They said they always get good meals and there are always choices on offer should you not like what is on the menu. A number of different options are available at breakfast, lunch, tea and supper. Drinks are served throughout the day and night. A mealtime was observed, dining tables were nicely set with the appropriate cutlery and crockery, napkins were available, as were condiments such as salt pepper, milk and sugar. In response to the resident surveys 2 said they always liked the meals at the home and one person said they usually did. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 &!8 The home has a complaints procedure that is up to date, very clearly written, and is easy to understand. Residents know how to make a complaint. Residents are protected from abuse. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The home has not received any complaints during the last 12 months. The complaints procedure is sited in the home. Each resident has a copy of the procedure displayed at the back of his or her bedroom door. Residents spoken with were clear about who they would go to if they were unhappy about something in the home, or the way they were being looked after. Prior to starting work all prospective staff undergo a Criminal Records Bureau check including a check against the POVA (Protection of Vulnerable Adults) list. The policies and procedures regarding protection of residents are in place. Twenty staff have received adult protection training since the last inspection in December 2005. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 The home is clean, tidy and a pleasant environment for residents. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Newlands Hall provides a homely environment for residents although there are a number of areas within the home requiring redecoration and new flooring. This also includes the main kitchen area, which requires repainting and wall tiles replacing. The manager explained that she has been asked to carry out an audit of the home and highlight the areas needing redecoration as well as any new furnishings that are required. Confirmation that the fire safety work in respect of the fire safety officer’s report dated 4.2.05 has been completed, must be sent to the Commission by 1st September 2006. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 16 The laundry at the home has been highlighted in a number of past inspection reports outlining the need to bring it up to current standards. A decision was made by Orchard Care Homes that the laundry would be outsourced to Linson Court. Only residents’ personal clothing and small items of table linen are washed at the home. The staff explained that since the new arrangements commenced (July 2006) the washing machines at Linson Court have broken down twice. This will need to be kept under review to see whether it is actually practical to continue with this arrangement. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 There are adequate numbers of staff employed at the home to meet the needs of the residents. The home’s recruitment procedures are robust but gaps in employment are not always explored. Induction training for new staff is not taking place. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: There are at least four staff on duty during the morning and afternoon shift. Two staff work wakeful nights. Care staff are supported by domestics, laundry and kitchen staff. Information provided in the pre-inspection questionnaire indicates that 76 of the care staff have a NVQ qualification of level 2 or above. The personnel file of one newly recruited member of staff was examined. The file contained the necessary documents to demonstrate that employment checks had been carried out prior to the person starting work. The manager was advised to fully explore any employment gaps, when recruiting new staff, and to make a record of this. There was no evidence in place that a member of staff recently recruited by the home had undertaken induction training. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 18 A recommendation was made in the last inspection to ensure that all staff received refresher training in respect of mandatory subjects such as food hygiene, first aid, health and safety, medication, infection control, manual handling and adult protection. Information provided in the pre-inspection questionnaire suggests that such training is starting to take place. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 The home is run in the best interest of the residents. Residents’ financial interests are safeguarded. The health, safety and welfare of residents and staff are promoted and protected. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The manager at Newlands Hall has been in post for the past 2 years. She has a NVQ level 4 qualification in Management. The manager is a caring and thoughtful individual who enjoys the “hands on” aspect of caring. Whilst her commitment to care is to be commended there are concerns about her management style which need to be addressed. There is an expectation that the registered manager will play a major role in ensuring that the requirements made in inspection reports are addressed and to oversee that the appropriate Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 20 action is taken. This is clearly not happening as concerns about care plans and medication have been featured in the last two inspection reports and yet these concerns remain. The home sent out satisfaction questionnaires to all residents recently, returned questionnaires were sent to the company’s head office 16th August 2006 for analysis. The manager explained that she recently held a residents’ meeting; relatives were also invited. The meeting was said to have been well attended and the manager gave residents and their relatives the opportunity to give their views and opinions about the home. The manager plans to hold such meetings every 6 months. The Area Manager is responsible for carrying out visits to the home to form an opinion of the standard of care provided. A report is then produced a copy of which is sent to the Commission for Social Care Inspection. It has been noted that the last report, that involves interviews with residents, was February 2006. The Area Manager, present on the day of the inspection, was asked to ensure she speaks with residents during her visits in order to seek the views of people who live at the home rather than just the staff on duty. Records of residents’ monies held in the home are kept and receipts for any purchases made on the residents’ behalf are available. There are health and safety systems in place and regular checks such as fire alarm tests, fire drills, gas safety checks and the servicing of equipment are carried out. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 22 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. OUTSTANDING REQUIREMENTS IN RELATION TO OP7 CARE PLANNING AND OP9 MEDICATION WERE NOT MET. THEREFORE THE CSCI IS PROPOSING TO TAKE ENFORCEMENT ACTION. No. 1 Standard OP8 Regulation 13 Requirement In conjunction with the above requirement, appropriate assessments must be in place for each resident. These include, manual handling, risk assessments, nutritional and Waterlow assessments. All such assessments must be kept under regular review. This requirement is repeated from the last inspection report (timescale 31.12.05). Care plans must contain information about how individual residents social care needs will be met. A redecoration programme for the home must be produced that give timescales for work to be completed. Confirmation that the fire safety work outstanding 2005 has been completed must be sent to the CSCI. DS0000026276.V299850.R01.S.doc Timescale for action 01/09/06 2 OP12 16 30/09/06 3 OP19 23 30/10/06 4 OP19 23 01/09/06 Newlands Hall Version 5.2 Page 23 5 6 OP29 OP30 19 18 7 OP31 9 When recruiting new staff any 01/09/06 gaps in previous employment must be fully explored. All new staff must receive 01/09/06 induction training within the first 6 weeks of employment or within the first 12 weeks with the introduction of the new Common Induction Standards in accordance with Skills for Care. The manager must receive the 30/09/06 appropriate training and supervision to ensure she is able to carry out her full responsibilities in ensuring that residents are protected. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP2 Good Practice Recommendations A copy of the contract of residence should be given to the resident or kept on their behalf if necessary. Newlands Hall DS0000026276.V299850.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Newlands Hall DS0000026276.V299850.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!