Inspection on 22/03/07 for Oakfoss House

This inspection was carried out on 22nd March 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Oakfoss House 18/03/09

Oakfoss House 23/08/06

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 Oakfoss House 6 Weavers Road Walkergate Pontefract WF8 1QR Lead Inspector Susan Vardaxi Unannounced Inspection 22 March 2007 09:00 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 Oakfoss House DS0000066782.V329022.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. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakfoss House Address 6 Weavers Road Walkergate Pontefract WF8 1QR 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) 01977 704068 01977 704068 Denestar Limited Marilyn Higgins Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (22), Old age, not falling within any other category (22) Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One specific service user under the age of 65 in the category (DE), named on variation dated 24th January 2007, may reside at the home. 23rd August 2006 Date of last inspection Brief Description of the Service: Oakfoss House provides residential care for 22 older people including those who may have mental health problems. The home is situated in a residential area close to the centre of Pontefract and all local amenities and facilities. There is a car parking area to the front and lawn areas to the front and back of the building. Garden furniture is provided for the use of service users in the summer months. The entrance leads to a small office on the right and also a large television lounge. A quiet room is available also for service users and their visitors if required. There is a large dining room. Bedrooms are situated on the first and ground floor and all floors are accessible by shaft lift. All bedrooms are for single occupancy. The fees charged in March 2007 for the service are £359.00 per week. Hairdresser and chiropody are not included. People are informed of the service at the time that an enquiry is made when given a copy of the service users guide and the Commissions inspection reports. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit by two inspectors on the 22nd March 2007 over 7.5 hours. This visit included talking with service users, the deputy manager and provider. Some records were inspected; a tour of the building completed and lunch was taken with the service users. Comment cards were sent to service users, relatives and GP’s. The deputy manager was in charge of the home in the manager’s absence, the provider arrived at the home to support her. What the service does well: What has improved since the last inspection? The provider and deputy manager said the home has been awarded Wakefield Metropolitan District Council’s Gold Award for Food Hygiene and the Silver Award for a Smoke Free environment and His Worship the Mayor of Wakefield had presented the awards. A programme for the refurbishment of all areas in the home is in place. Some replacement of carpets and soft furnishings has occurred in six bedrooms, which have also been redecorated. The manager’s office has been relocated to the first floor. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 6 The care plans have been developed further and generally record good information in respect of service users needs. Some areas needing further development were discussed at the visit and the Commission has received confirmation from the provider since the visit that this has been addressed with the manager and deputy manager. An intimate care policy recommended at the last visit had been developed. The medications were locked inside the medication trolley when staff were not in attendance. A new emergency call system has been installed in the home and the deputy manager said service users who are unable to mobilise are placed next to the emergency call point when sitting in the lounges. A sluice facility has been provided. First Aid training has been provided and food hygiene training has been arranged. Some staff are attending dementia care training and the local pharmacist had provided some medication training. Staff recruitment files checked showed that information and checks required prior to staff commencing employment had been completed. The automatic door-closing device on the laundry door, which was broken at the last visit, had been replaced. What they could do better: The progress made to improve the service is acknowledged. Some care plans could be further developed in some aspects to provide cares with detailed information of service users’ needs and how these can be met. The daily notes need to include all events in respect of how service users needs have been met and issues that require monitoring to ensure important information about service users is not lost. The staff rosters seen had been affected by staff sickness and holidays prior to the visit, the manager and deputy manager had been rostered to provide personal care on a shift basis. The provider said she had helped with management issues during this period and is trying to recruit bank staff to help to provide cover when permanent staff are unable to provide cover. A recommendation has been made for the use of agency staff to be considered should shortfalls in staffing levels occur. The provider has told the Commission since the visit that this is being considered. Oakfoss House DS0000066782.V329022.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. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 8 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 Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for completing pre admission assessments are satisfactory. EVIDENCE: Records seen confirmed that pre admission assessments are completed. Intermediate care is not provided at the home. Oakfoss House DS0000066782.V329022.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are set out in care plans and their health care needs are met appropriately. EVIDENCE: Further progress has been made in the care planning since the last inspection. The deputy manager said the new format is working well and further development will be ongoing. She said she reviews the care plans with the senior staff until they feel confident in working with the new format. Person centred cares plans designed for service users who have dementia was discussed with the deputy manager. She said this method of care planning had been included in the dementia-training course she and staff had attended and would be used in future care planning. Since the visit the Commission has received a copy of the provider’s letter to the manager and deputy manager detailing the action needed to further progress the care plans discussed at the visit to ensure all needs are fully met. The action recorded is satisfactory. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 11 Some service users spoken with said they were aware of care plans. Service users weights were recorded on the records seen; a service user’s weight loss over a period of 12 months was discussed with deputy manager who said she would discuss this with the GP. The Commission has received a copy of the providers instructions sent to the manager after the visit requesting that the GP visit be arranged. The care plans had been generated from assessment of needs, risk assessments had been included in respect of falls, manual handling and for a service user using the kettle in their room. A service user keeps some food items in a refrigerator in her bedroom, monitoring this to ensure food items did not exceed their use by dates were discussed with the provider at the visit. Since the visit the Commission has been informed that arrangements have been made to manage this. Some entries in the daily records seen showed details of the actual care delivered on a shift basis. However further development is needed to ensure that information in respect of regularity in the delivery of care and GP visits etc is recorded so that all staff are kept informed when changes in needs occur. This was discussed with the deputy manager who said this is an ongoing issue that the managers discuss with staff on an ongoing basis. The provider in her letter to the manager and deputy manager following the visit has addressed this. Records seen showed that health professionals’ visits had been provided. Four GPs who took part in the Commissions survey were satisfied with he care and had not received any complaints about the service. Three of the four comment cards received after the visit showed that medical support is provided, one considered it was usually provided. Another comment was “staff work hard to maintain continence control” and “the doctor has always been called for when necessary”. Two accidents involving service users falling had been recorded appropriately. Some service users’ medications in stock and medication records were checked and no concerns were observed. A risk assessment had not been completed for a named service user who self-administers their medication, which was discussed with the deputy manager, and provider at the visit who said this would be dealt with immediately. The deputy manager said the medication policy had been reviewed recently. The medication trolley was seen to be locked when staff were administering medications to service users in the dining room recommended at the last visit. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 12 The interaction between service users and staff was good, service users spoken with said, “staff are ok” “care girls will do anything for you”. A visitor spoken with said they “visit regularly and staff speak appropriately to service users” a visitor said “staff are good they know how to approach the their relative. Issues in respect of privacy and dignity are included in the care plans. An intimate care policy has been developed as recommended at the last inspection visit to ensure service users’ privacy and dignity is protected, particularly for those who are unable to make informed choices. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users and relatives are satisfied with the overall service provided. EVIDENCE: The deputy manager said she is the homes activities person. Arts and Craft sessions are provided and some service users had been involved in making Easter bonnets, which were on display in the dining room. Information provided on the pre inspection questionnaire completed by the manager prior to the visit and a list of activities seen displayed in the home show social activities include, quizzes, sing a longs, board games, art and crafts, reminiscences. An external entertainer visits the home, outings to the local pub, coastal and shopping trips are arranged. Four service user comment cards completed by relatives showed that activities are sometimes provided, one stated Bingo, Easter Parade Halloween celebrations, outings to the coast. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 14 The local clergy visit the home on a monthly basis; the dates of the proposed visits are displayed in the entrance hall. Information provided on the pre inspection questionnaires shows Power of Attorney arrangements have been made for three service users and one service user handles their own financial affairs. The meal was taken with the service users in the dining room. The cook was not on duty at this visit and the deputy manager had cooked the meal. A choice of braising steak or cottage pie was available; both meals were served with broccoli, carrots and potatoes. A choice of four puddings was available. The meal taken was cooked to a good standard; the braising steak was very tender. Service users were served good portions, wastage was minimal and all service users spoken with during the inspection considered the meals to be good, comments included “they can have what they like for breakfast and the evening meal”, “ staff just ask what you want and you get it” “both cooks do nice food” “ you can have a cup of tea in the night if you want”. The room looked comfortable and provides a pleasant environment for service users to dine in. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is satisfactory and is made available to service users and their relatives. Arrangements are made for service users wanting to vote. Staff are aware of the action to take should safeguarding issues occur. EVIDENCE: Information provided on the pre inspection questionnaire showed no complaints had been made to the home since the last visit. A new file has been developed for recording complaints should this be required at any time. Two service users and a visitor spoken with said they” know who to complaint to”. The complaints procedure is displayed in the entrance hallway; this was also recorded on a comment card completed by a relative. The four-service user’s relatives who completed comment cards recorded that they are aware of the complaints procedure. The deputy manager said service users have the opportunity to vote at local and general elections, she said most generally vote by post. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 16 Two staff spoken with said safeguarding training had been provided, a new member of staff said this had been discussed when they had started work. All gave good responses to the scenarios used to identify staffs’ knowledge of safeguarding at the visit. A discussion took place with a member of staff who was not quite sure of the procedure for reporting safeguarding issues outside the organisation. The manager had referred a service user to service user incident that had occurred at the home to Wakefield Metropolitan District Council’s Safeguarding team, which the deputy manager said, had been dealt with by the care management team. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,24, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, well-maintained and comfortable environment. EVIDENCE: Information provided on the pre inspection questionnaire shows that the fire officer had visited in January 2007 and requirements made had been implemented. These records were not checked at this visit. A maintenance person has been recruited since the last visit. Work has been completed in respect of re decoration and refurbishment in some bedrooms; the provider said the service users had been offered a choice of materials for bed covers and curtains. New carpets had been provided in the lounge and hallway. A new emergency call system and sluice facility has been provided and the manager’s office has been relocated to the first floor. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 18 The deputy manager said service users who are unable to mobilise are seated close to the emergency call system when in the lounge. However a comment card completed on behalf of a service user received after the visit considered that there is no system for calling for assistance in the lounge for service users who are unable to mobilise. Some areas throughout the home require improvement however the provider is aware of this and a rolling programme is in place for this work to continue throughout the home until all areas have been refurbished. Some running hot water temperatures were checked and were not delivered above 43 degrees centigrade. The laundry room was clean and tidy and an automatic door closure, which was broken at the last visit, had been replaced to ensure the door would close in the event of a fire occurring. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for providing staff training are satisfactory, however staffing levels have been affected by staff sickness and annual leave. Service users are protected by the homes recruitment policy and practices. EVIDENCE: The manager was on sick leave and the deputy manager was covering the cook’s duties on the day of the visit, three carers were rostered and the provider said she was at the home to provide support to the deputy manager. The information provided on the pre inspection questionnaire shows that two service users need two staff to assist day and night and six service users need assistance to eat their meals. The staff rosters for the month commencing March 2007 were checked. It was observed that the manager and deputy manager had been included in the care hours. On some days three carers were rostered in the mornings, which included the manager and deputy manager and three staff in the afternoon. The rosters seen had been affected by staff sickness and annual leave arrangements. The provider said that all efforts had been made to cover the vacant hours and the rosters showed that on occasions the homes staff had worked extra hours to provide the cover needed. The deputy manager Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 20 provided a form that had been completed to show where care hours were needed and the action taken to cover the hours on the day of the visit. The provider said this procedure was completed when staff cover was needed. Staff spoken with considered the staffing levels to be enough when four carers are on duty however occasionally only two staff had been on duty when staff had phoned in sick at the last minute. The provider and deputy manager said they are working to recruit staff to work on the homes bank staff; one applicant was waiting for CRB clearance. Records seen for staff recruited since the last inspection showed that satisfactory references, POVA first and CRB (Criminal Records Bureau) checks had been completed prior to then commencing their employment required at the last inspection. The deputy manager said she is responsible for some in house training. Staff spoken with said that first aid; manual handling and fire training had been provided in the last six months. A new member of the domestic staff said they had had one-day induction, which had included fire, and COSHH training, and she had worked under the supervision of another domestic assistant. She said manual handling training and further fire training had been arranged. The information provided on the pre inspection questionnaire showed that eight staff have NVQ care qualifications, the deputy manager said all staff are now undertaking NVQ training. The NVQ assessor had been in the home assessing night staff before they went home. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The managers have worked to support the staff and provide a quality care service whilst maintaining records to a good standard. However, this could be affected if they do not have sufficient management hours, particularly at times when they work to provide hands on cover when rosters are affected by care staff sickness. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager was not at the home at the time of this visit. The deputy manager was in charge and the provider arrived to support her with the management tasks. A member of staff spoken with said she was well supported by the managers. The provider and manager have developed a quality assurance programme due to commence in April 2007. This was seen at the visit to provide a comprehensive method of auditing the service. The provider completes the monthly-unannounced visits to the home and sends the reports of her findings to the Commission. The deputy manager said staff meetings are held, a service users meeting had been postponed and a new date was to be arranged. The manager, deputy and provider have regular contact with service users. Some service users’ personal allowance records for monies held by the home were checked and no discrepancies were observed. Receipts had been obtained and the hairdresser had countersigned hairdressing transactions. Some staff and service users had been affected by sickness and diarrhoea prior to the visit. The manager had reported this to the infection control department who have said since the visit that the home were vigilant and had acted appropriately in reporting and dealing with the problem. The automatic door closure in the laundry room had been replaced as required at the last visit. No health and safety issues were observed during the visit. The staff training programme seen showed Infection Control and some medication training had been provided in February 07. First Aid training has been provided for most staff and training is planned for April for the four staff who have not yet completed. The deputy manger said the manager is qualified to provide manual handling training and this is being arranged. The deputy manager said she provides fire training every six months and a fire officer provides training annually. The information on the pre inspection questionnaire shows that system checks are completed. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 23 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X 3 X 3 X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Some care plans could be further developed in some aspects to provide cares with detailed information of service users’ needs and how these can be met. Entries in the daily notes should include that the actual planned care has been delivered and medical issues that require monitoring should be recorded to ensure information about service users is not lost. 2. 3. OP8 OP25 A service user’s weight loss and current diet should be brought to the attention of the GP. The registered person should ensure that service users are able to use the emergency call system from wherever they are sitting in the lounge particularly those who are unable mobilise without staff assistance. Consideration should be given to recruiting agency staff when the homes care staff are unable to cover vacant care DS0000066782.V329022.R01.S.doc Version 5.2 Page 25 4. OP27 Oakfoss House staff hours so that management time is not affected. Oakfoss House DS0000066782.V329022.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Oakfoss House DS0000066782.V329022.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. 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!