Inspection on 07/03/06 for Nortonbrook

This inspection was carried out on 7th March 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Nortonbrook 11/12/07

Nortonbrook 27/07/06

Nortonbrook 12/09/05

Nortonbrook 01/12/04

Nortonbrook 21/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Nortonbrook 6 Kingdom Lane Norton Fitzwarren Taunton Somerset TA2 6QP Lead Inspector David Kidner Unannounced Inspection 7th March 2006 10:00 Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 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 Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 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. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Nortonbrook Address 6 Kingdom Lane Norton Fitzwarren Taunton Somerset TA2 6QP 01823 336687 NO FAX 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) Autism Solutions Limited Ms Suzanne Low Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home provides permanent residential use, for clients aged 16 years to 65 years. 12th September 2005 Date of last inspection Brief Description of the Service: Nortonbrook is situated in village of Norton Fitzwarren approximately three miles from the county town of Taunton. The home is a large detached property situated in a small cul-de-sac in a residential area. The home was originally registered in July 2003 to provide short breaks, for younger adults. In November 2003 the registration was changed and it now provides long-term placements for up to 3 younger adults who have a learning disability. The Inspector was advised that the home would now only accommodate 2 service users. The accommodation comprises, a communal lounge, conservatory, kitchen and dining room. Both bedrooms have en-suite facilities and are located on the first floor. There is a large enclosed garden to the rear of the property. The home also provides transport for service users. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Registered Manager and Proprietor are aware that the home must meet the Supplementary Standards for Care Homes accommodating Young People Aged 16 and 17. At the time of the inspection there were no service users accommodated at the home under the age of eighteen. Therefore, the supplementary standards were not assessed. The Commission for Social Care and Inspection (CSCI) was advised that a new Manager has been appointed to the home following internal promotion of the current Registered Manager. An application for the new Registered Manager was to be forwarded to the CSCI in the near future. However, the proposed Registered Manager will not be continuing with the application. Another Manager has since been appointed. The CSCI met with the Proprietor to discuss the appointment of a permanent Registered Manager. It has been agreed with the CSCI that the current Registered Manager, Sue Lowe will continue to be the Registered Manager of the home and a management action plan has been submitted. One inspector conducted this unannounced inspection over one day (6.45 hrs). The newly appointed Manager was present throughout the inspection. The Inspector briefly met both service users’; spoke to two care staff in private, viewed records in relation to care plans, staff recruitment, medicines and health and safety. The Inspector viewed all parts of the home and would like to thank the service users and the care team for making the Inspector to feel welcome at the home and for their contribution towards the Inspection. As a result of the Inspection the home had 3 requirement and 7 recommendations. What the service does well: The home supports service users with very complex needs. Care plans are detailed and supported by detailed risk assessments where needed. The home is homely in appearance but this needs close monitoring, as the home is susceptible to wear and tear. It was evident that the service users needs are met on an individual basis. The care team aim to provide many leisure activities as possible. The team have supported both service users on holidays. This is very positive. The care team communicate with service users using alternative methods of communication where needed. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 6 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. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed at this inspection, as there have not been any admissions since the last inspection. EVIDENCE: Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&9 The home has detailed care plans that are reviewed on a regular basis. Risk assessments are detailed and are regularly reviewed. EVIDENCE: The Inspector viewed both service users’ care plans care plans. Both care plans had recently been reviewed and contained detailed documentation including likes, dislikes, activities, records of family contact, medical overviews and visits to other health care professionals, risk assessments, behavioural management guidelines and support guidelines. The individual risk assessments had been reviewed. Following discussions with the Manager the Inspector recommends that the format of the care plans be reviewed to ensure that they are user friendly and easily accessible. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 12 13 14 15 16 17 Service users are supported to access the local community and partake in a variety of leisure, recreational and social activities. Privacy and independence is promoted. Consideration should be given in involving service users in household type ‘chores’. EVIDENCE: Wherever possible service user’s are encouraged and supported to access a variety of activities. Staff that the Inspector spoke to confirmed that activities that are offered include swimming, walking, bowling, and meals out, TV, garden games, video, DVD and music. All activities are recorded in individual records. The service users access facilities in the local community. The Inspector was advised that since the last inspection both service users have had a mini-break at a Centre Parks. This will have been the second holiday that both service users have accessed in recent months. This is very positive. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 11 The Inspector was advised that there is very good contact with the parents of the service users. All relatives and friends are welcome to visit. All contact with parents, relatives and friends is recorded in individual personal files. Evidence was seen of this. The Inspector was advised at the last inspection that the home would be turning a small-unused room into a light room. This has yet to be achieved. The Inspector spoke to three care staff at the time of the inspection and observed staff carrying out their duties. It was noted that care staff were interacting with service users in a professional and supportive manner. Somerset Total Communication (STC) and Picture Exchange Communication System (PECS) is used where needed. Service users have access to all areas of the home with the exception of private bedroom areas. If restrictions are imposed these must be recorded in individual care plans and agreed by all interested stakeholders. Through discussions with the care team it was evident that staff promote privacy and confidentiality. Staff commented that they always knock bedroom doors before being asked to enter and promote independence as much as possible when assisting with personal care. Both service users have en-suite facilities that further promote privacy as all personal care is conducted in these areas. Staff that the Inspector spoke to stated that at present due to individual needs, service users are not encouraged to assist in household activities such as cleaning, cooking and laundry. The Inspector recommends that this be reviewed and wherever possible service users are supported to develop these skills based on detailed risk assessments. The home does not have a set menu. Menus are based on individual needs and choices. Staff spoken to state that service users are offered choices for every meal. A ‘ healthy diet ’ is promoted and healthy snacks are available between meals. Records of all meals are recorded individually. This ensures that the Registered Manager can monitor nutritional intake. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 19 20 Service users have access to all appropriate health care professionals. The home has good systems for the management of medicines. EVIDENCE: Individual care records viewed by the inspector indicated that advice and support is obtained from a variety of healthcare professionals, including appointments with GPs, Speech and Language Therapists in addition to Consultant specialists. Records are kept of all visits and consultations. One service user has recently had a speech and language therapy assessment. The care team followed the recommendations made. It appears that the team have attempted to implement the recommendations with little success. The inspector advised that this be recorded in the care plan and the author of the recommendation is advised of the outcome. The Inspector viewed the arrangements for the recording of medicines at the home. The home uses MAR sheets. Two staff signatures are entered on the MAR sheets where needed. All records viewed were satisfactory. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 13 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 the following standard(s): The home has a robust Complaints Policy. The home ensures that service users are protected from abuse. EVIDENCE: Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 14 The home has not had any complaints since the last inspection. The Complaints Policy is also written in Somerset Total Communication. There is a Whistle blowing Policy and Somerset County Council Safeguarding Vulnerable Adults Document. The home also has a Policy on the Protection of Children from Abuse and a copy of the local Area Child Protection Committee. All staff sign to state that they are familiar and are aware of such policies. All care staff working at the home has undertaken an Enhanced CRB clearance and records viewed included POVA first checks. Staff that the Inspector spoke to stated that they were aware of the home’s Whistleblowing Policy and Complaints Policy. Through discussions with the staff, they demonstrated the process they would undertake if they needed to raise any areas of concern. The home has individual behaviour management guidelines/protocols for all staff to follow. These are reviewed on a regular basis. Records are kept of all incidents and episodes of behaviours that challenge the service. On a monthly basis the home conducts a behaviour analysis of all such episodes. The Inspector did not view the most recent analysis of behaviours and requests a copy be sent to the CSCI. The Inspector recommends that all care staff should sign the behaviour guidelines/protocols to confirm their awareness and understanding of such documents. This was a recommendation made at the last inspection. Physical Intervention is not used at the home. The Inspector did not view records in relation to service users finances. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 24 25 27 30 Nortonbrook strives to promote a homely environment. The home is well maintained, however will need constant reviewing of the home’s refurbishment and redecoration programme. Some areas of health and safety need to be addressed. EVIDENCE: Nortonbrook aims to promote a homely environment. It is acknowledged that the environment can be susceptible to extreme wear and tear. The Inspector viewed all areas of the home including service user’s bedrooms, lounge, conservatory, kitchen and dining room. The laundry area is accessed via the conservatory into the garage area. The Inspector suggested that some notices that were displayed and related to the staff team could be removed and relocated, as this would further promote a homely environment. The dining room has recently been redecorated and this appears much more homely. The lounge has photographs of recent holidays and new leather suites have been purchased. It was noted that due to the needs of one service user, Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 16 one large window did not have a curtain in situ at the time of the inspection. The Inspector had discussions with the Manager as to how the team could address this. The Manager stated that he would give the suggestions serious consideration. The Manager of the home commented that other areas of the home would be redecorated as and when needed, based on the home’s redecoration and refurbishment programme. It appears that the care team undertake the majority of the redecoration at the home. This appears appropriate but it should not deter from the care team spending time with service users. This should be monitored. The Inspector briefly viewed both service users’ bedrooms. One wardrobe had not been secured to the wall and window restrictors were not fitted in one bedroom and landing area. This must be addressed to promote health and safety. This is also identified in Standard 42. The en-suite facility in one bedroom area was in the process of being re-decorated. The home has a large rear garden. A risk assessment has been conducted in relation to seasonal flooding. On the day of the inspection the home appeared clean and hygienic. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 36 Staff are provided with regular training. This is monitored by a Training and Development Manager. The home does not have robust recruitment procedures. Staff receive regular support and supervision. EVIDENCE: Staff that the Inspector spoke to at the time of the inspection confirmed that they had an induction that included training in autism awareness, medication, breakaway techniques, POVA as well as mandatory training. Individual records are kept of the staff training that each person has undertaken. The organisation has a Training and Development Manager who keeps the details of the training that all staff have undertaken. The Inspector did not view the home’s training and development programme at this inspection. The Inspector viewed the recruitment files of two recent appointments. It was noted that the files did not contain the documentation as listed in Schedule 2 of the Care Homes Regulations 2001. An Immediate Requirement was issued at the time of the Inspection. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 18 As previously stated the home has a Training and Development Manager. The Manager stated that no members of the care team have completed NVQ qualifications. However, three staff are currently undertaking NVQ qualifications. Staff that the Inspector spoke to stated that they receive regular supervision. The Inspector viewed records in relation to this. There was evidence of good record keeping in relation to supervisions. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 38 39 42 The home appears well managed. The home is not taking appropriate steps to ensure the health and safety of service users, staff and visitors. EVIDENCE: The Registered Manager is Susan Lowe. Susan Lowe is working a minimum of 22 hrs per week at the home as she has gained internal promotion. The CSCI met with the Proprietor to discuss the appointment of a permanent Registered Manager. It has been agreed with the CSCI that the current Registered Manager, Sue Lowe will continue to be the Registered Manager of the home and will support the newly appointed Manager, Mr Lee Pope. The Provider has submitted a management action plan and it is expected that the CSCI will receive an application for a permanent manager in the near future. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 20 The staff that the inspector spoke to stated that the Registered Manager and Manager of the home are very supportive, open, and accessible, showed direction and leadership and listen to staff views. The home appeared well run. The Inspector had some discussion with the Manager in relation to quality assurance. At the previous inspection the Inspector recommended that the Registered Manager conduct surveys to gain views from service users, family, friends and other interested stakeholders as part of the homes’ quality assurance and quality monitoring systems. It appears that this has not yet been actioned. This remains a recommendation. The Inspector viewed a large number of environmental risk assessments. It was noted that the majority of these assessments were last reviewed in November 2004. It is recommended that these be reviewed. The most current Gas Safety Certificate is dated 08.12.04. This must be addressed and a copy of the Gas Safety Certificate forwarded to the CSCI. Portable Appliance testing must be conducted, as the last record of this being completed is 24.10.04. The home had a visit from the Fire Officer on the 03.12.04. He reported a “satisfactory standard”. All staff have received fire training and have signed their awareness of the homes’ fire procedure and action plan. The fire risk assessment in relation to fire drills is dated January 2006. The home has three battery operated fire detectors. These are located as suggested by the local fire officer. The detectors are tested weekly. It was noted that the door leading to the laundry area via the conservatory is left open. The inspector recommends that this door be kept shut at all times. This will promote health and safety. The home keeps daily records of fridge and freezer temperatures. It was noted that the wardrobe in one service user’s bedroom was not secured to the wall so as to promote health and safety. Some first floor windows were not restricted. These were identified at the time of the inspection. These issues must be addressed. The Inspector viewed the documentation of accidents at the home. It appears that the number of accidents at the home have decreased considerably since the last inspection. The Inspector recommends that the Registered Manager countersign all accidents at the home as part of the home’s audit process. This was a recommendation at the last inspection. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 21 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 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X 3 3 2 X X 1 X Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 YA34 Regulation 19 Requirement Timescale for action 07/03/06 2 YA42 13 (4) 3 YA42 13 (4) The home must ensure that all recruitment files contain the items as listed in Schedule 2 of the Care Homes Regulations 2001. An Immediate Requirement was issued at the time of the inspection. • The home must ensure 31/03/06 that a copy of the Gas Safety Certificate is sent to the CSCI once this has been obtained. • Portable Appliance Testing must be conducted. The home must ensure that the 14/03/06 following health and safety matters are addressed: • All wardrobes must be secured to the wall unless supported by a detailed risk assessment. (Previous timescale of 03 October 2005 was not met) • Window restrictors must be fitted on all first floor windows unless supported by a detailed risk assessment. Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 23 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 Refer to Standard YA6 YA16 Good Practice Recommendations The Inspector recommends that the format of the care plans be reviewed to ensure that they are user friendly and easily accessible. The Inspector recommends that service users be supported to develop independent living skills these skills based on detailed risk assessments. These should then be regularly reviewed. All care staff should sign the behaviour guidelines/ protocols to confirm their awareness and understanding of such documents. This was a recommendation at the last inspection conducted on 12.09.06. The Registered Manager should conduct surveys to gain views from service users, family, friends and other interested stakeholders as part of the homes quality assurance and quality monitoring systems. This was a recommendation at the last inspection conducted on 12.09.06. The laundry room door should be kept shut at all times. The Registered Manager should countersign all accidents at the home as part of the homes audit process. This was a recommendation at the last inspection conducted on 12.09.06. Records of hot water temperatures should be recorded in centigrade. 3 YA23 4 YA39 5 6 YA42 YA42 7 YA42 Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Nortonbrook DS0000045740.V278176.R01.S.doc Version 5.1 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. 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