Inspection on 28/09/05 for Oaklea

This inspection was carried out on 28th September 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oaklea 16/10/07

Oaklea 10/10/06

Similar services:

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Oaklea 29 Oak Road Woolston Southampton Hampshire SO19 9BQ Lead Inspector Chris Johnson Unannounced Inspection 28th September 2005 10:25 Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 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 Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 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. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oaklea Address 29 Oak Road Woolston Southampton Hampshire SO19 9BQ 023 8044 6451 023 8044 6451 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) In Chorus Limited Mr Andrew Foster Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered to accommodate service users between the ages of 18 - 25 One named service user may be accommodated aged 16/17 years Date of last inspection N/A Brief Description of the Service: Oaklea was registered in April 2005 to provide care and support to 6 younger adults who have a learning disability. The home is situated in a residential area of Woolston, close to Woolston shopping centre and other local amenities. The area is well served by public transport with frequent buses to and from Southampton city centre. The home also has its own transport. The home is a detached former family home that is undistinguishable from other homes in the area. Accommodation is spread across two floors and consists of six single bedrooms all with en suite toilets. Service users also have access to a lounge, dining room, kitchen/diner and two bathrooms, a shower room and garden. An application is currently being processed by the Commission for Social Care Inspection to register a new manager. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of the home since it was registered in April 2005. It was an unannounced inspection, completed over two days. The acting manager was present throughout the inspection. During the course of the inspection the inspector was able to look at several residents bedrooms, all communal parts of the home, inspect records, talk to staff and residents and observe care practices. Relatives also provided feedback through a questionnaire. What the service does well: What has improved since the last inspection? What they could do better: The home does need to improve some of its record keeping practices. This is necessary to ensure that residents’ best interests are fully protected at all times. Residents need to be provided with more information, so that they are fully aware of their rights. Written care plans and risk assessments need to be reviewed more regularly to minimise the risk of care needs being overlooked. Some improvement in staff recruitment is needed to ensure the protection of people living in the home. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 6 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. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 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 Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 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): 2,3,4 and 5. The home operates a thorough admission and assessment procedure ensuring that they can meet peoples’ needs prior to them moving in. The home is responsive to service users needs. Service users need to be given more information regarding their rights. EVIDENCE: The home does carry out thorough and comprehensive assessments prior to offering a resident a place at the home. Assessments are normally completed over a period of time and involve all aspects of a persons needs. Advice and assessments are sought from professionals such as care managers and psychiatrists. Although all assessments were not available, of those seen it was clear that every effort had been made to ensure that the home could meet the person’s needs before offering them a place at the home. Residents told the inspector that they had the opportunity to visit the home, meet other residents and see their room before making a decision as to whether they wished to move in. Dependant on how many rooms are available at any given time residents said that they were given a choice regarding which room they would prefer. Although all assessment documentation looked at by the inspector supported these findings, several assessments were not available in the home. It was explained that this was an administrative error and would be corrected. All residents spoken with said that they considered that their needs were being met. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 9 There was some concern regarding the level of need of one resident. Staff reported that it was proving increasingly difficult to meet the person’s needs. The home had however, increased staffing levels and sought the input of specialist teams and was being proactive in finding a solution. The manager explained that the situation would be resolved within the following two weeks and the inspector was satisfied that the short-term emergency measures introduced were satisfactory. Residents have not as yet been issued with contracts or statements of terms and conditions. Residents spoken with had not seen a copy although they were all aware of what was expected of them, what does /does not constitute acceptable behaviour and any related house rules. The manager said that contracts were in the process of being completed and that they would be issued in a format suitable to each resident’s level of need. This is important to ensure that all residents are fully aware of their rights as well as their obligations. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 and 10. Confidentiality is respected and promoted as are service users right to make choices and decisions about their lives and their home. However an improvement is needed in ensuring that care needs and associated risks are reviewed regularly to minimise the risk of care needs being overlooked. EVIDENCE: All residents had a written plan of care. The care plans of four residents were looked at. Although all plans contained detailed and specific guidance on how residents care needs should be met, there is a need to ensure that they are reviewed and updated more frequently. Comprehensive risk assessments were available for three of the residents, however in respect of one resident this had not been thoroughly completed despite the resident moving into the home in May 2005. In discussion with staff they were fully aware of the risks and needs of residents, and residents reported that they considered their care needs were fully met. There is a danger however that if plans are not regularly updated that needs will be overlooked. A variety of communication methods are used to enable residents to understand information and convey their needs. This is done in different formats using differing techniques appropriate to the individual’s need. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 11 From discussion with residents, staff and looking at written information it was clear that residents are supported and enabled to make decisions about their lives. Residents told the inspector that they were free to choose how they spent their time and whether or not to engage in an activity. Residents said that they liked having the weekly house meetings as they had the opportunity to say if they were unhappy with anything or discuss any changes that they would like to make. They also said that they had an input into the house rules and that they had been able to decide on these as a group. Resident’s records are kept confidentially and securely and staff were observed to handle information in a confidential and respectful manner. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 and 17 The opportunities for residents to engage in their own interests develop new skills and maintain relationships with family and friends are good. The home promotes service users’ rights and listens to their views. EVIDENCE: Residents have plenty of opportunity to improve, learn and maintain a variety of skills. Support and encouragement is provided to enable residents to develop daily living skills and maximise their potential. All residents take responsibility for keeping the home clean and tidy and support is offered as appropriate. Residents told the inspector that they were aware that they would be expected to take an active role in the day-to-day upkeep of the home prior to moving in. Residents said that they had been given support and the opportunity to try new things. Several residents attend local college courses, enabling them to develop new skills such as art and cookery. Residents also have the opportunity to attend supported work placements and workshops. These include working on an allotment, in a bank and offices. It was clear that these are tailored to the individual’s needs, expectations and interests. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 13 Residents told the inspector that they had the opportunity to access the local community and take part in leisure activities such as swimming and using the local library. Residents said that they were free to receive visitors as and when they pleased and keep in contact with friends and family. All visitors who returned a comment card agreed with this. Residents have access to a cordless phone free of charge so that they can make and receive calls in private and also have free Internet access, enabling them to keep in touch by email. Residents felt that their privacy was respected and said that staff always knocked their doors and waited to be invited in. It was clear that residents can pursue their own interests and this was reflected in the variety and range of equipment that they had in their bedrooms. Residents said that they were happy with the food provided in the home and that snacks and drinks were available as required. All residents take turns to cook. This is organised around their lifestyles and daily activities and residents said that they were happy with the level of support that they received. Menus are discussed and agreed at the weekly house meeting. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 20 Residents are supported with all their healthcare needs. Medication is safely managed. At times there can be a heavy use of medication to cope with behaviour. EVIDENCE: Residents told the inspector that they were supported as necessary with their health care needs and records were available to support this. Residents’ medication is managed safely and appropriately and stored appropriately. Medication administration records were checked against stock held in the home and all balanced. The home has very clear procedures regarding the management of residents’ medication. Regular checks are completed to ensure that the correct procedures have been followed and all staff were aware of the procedures. At present none of the residents self medicates however this had been discussed with one resident with a view to him gaining more independence. Currently however residents do not have lockable storage in their rooms and until such time as this is implemented they will not be able to hold their own medication. It was felt that one resident identified during the inspection was being heavily medicated to enable him to live at the home. Although the inspector was satisfied that medication was being administered to him appropriately and as prescribed there had been a lot of use of PRN medication especially when he Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 15 had exhibited aggressive behaviour. The inspector was informed that this was only a short-term measure and that the home was looking at alternative solutions. It would not be expected that this would be sustainable or fair to the resident for any length of time. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Residents feel confident that their concerns will be listened to. However they do need to be provided with more information to ensure that they are fully aware of the complaints procedure. An improvement is also needed in the standard of record keeping regarding service users’ money to ensure that their finances are fully safeguarded. EVIDENCE: All residents said that they felt safe, protected and that the staff treated them well and with respect. The Commission for Social Care Inspection had not received any complaints about the home since it opened in April 2005. Residents and relatives all reported that they had not had cause to complain. Residents have not yet been issued with a copy of the homes’ complaints procedure and a copy was not displayed within the home. Importantly however, residents did say that they knew whom they could speak to if they had a complaint. One resident said that the acting manager and their key worker had explained to him what he should do if he was unhappy with anything. Residents also said that if they had had any concerns that they had been dealt with to their satisfaction. There is a need however to produce the complaint procedure in an appropriate format and issue one to each resident to ensure that they are fully aware of the complaints process and their right to contact the Commission for Social Care Inspection at any stage if they are not satisfied with the outcome. The home looks after several resident’s money. Although records and receipts are kept there is a need to improve the standard of record keeping as some minor discrepancies were found. This is important to ensure that their finances are appropriately managed and safeguarded. Records were available to show that this had been discussed with all staff and brought to their attention and the manager was actively seeking to improve the current system. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26 and 30 Service users live in a safe, clean, comfortable and homely environment. The provision of individual lockable storage will provide them with greater choice, privacy and security. EVIDENCE: The home is comfortably furnished and well maintained. All furnishings and fittings were purchased and installed prior to the home opening in April and are therefore relatively new. Residents have access to all communal areas of the home and their own bedrooms. Bedrooms were personalised with residents’ own belongings and reflected their individuality. At present residents do not have lockable storage facilities in their rooms and this will need to be addressed to enable them to look after and safeguard their own medication and personal belongings. Each resident has their own toilet allowing them more privacy. Bathrooms and the shower room are shared and were well presented. The home was clean and it was evident that standards of hygiene are maintained. The home plans to have a conservatory built in the future. This will provide additional communal space. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 18 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): 31,32,34,35 and 36 Staffing levels are maintained and structured around the needs of those living at the home. Service users benefit from having a caring, supportive and competent staff team. Some improvement in staff recruitment is needed to ensure the protection of people living in the home. EVIDENCE: Adequate staffing levels were in place to ensure that the needs of the service users could be met. Staffing levels had been increased temporarily to meet the needs of one resident and this demonstrated that the home was responsive to the needs of residents and promoted their safety and well being. Residents spoke highly of the staff team and said that they were supportive, helpful and understanding. The staff team is structured in such a way that all staff are aware of their responsibilities at any given time, this provides clarity to both staff and residents. Staff are split into two shifts with a team leader delegated to both shifts to provide staff support. A shift leader is always present and they have the overall responsibility for ensuring that medication and other procedures are appropriately followed. All new staff undertake an induction period enabling them to get to know the residents, understand their day-to-day responsibilities and the home’s policies and procedures. Staff told the inspector that they considered that their induction had been thorough and that they felt supported to carry out their role. Staff receive Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 19 regular supervision from the acting manager and said that she was approachable and was willing to offer support and advice at any time rather than leave issues until a supervision meeting. Some staff have started NVQ training and it is anticipated that those employed more recently will commence courses in the near future. All staff receive training in core health and safety subjects such as fire, and moving and handling. Staff did feel that had received adequate training in order to care for the residents and commented positively on the level of choice that they were able to offer residents. Although they did say that the level of support currently being provided to one resident was proving difficult and having an adverse effect on the rest of the household. Recruitment records for several members of staff were looked at and whilst the majority were available and adequate there were some exceptions. It was found that insufficient checks had been completed in respect of one member of staff. Neither a current Criminal Records Bureau nor a Protection of Vulnerable Adults check had not been completed although a Criminal Records Bureau certificate was held in respect of their previous employment. It was explained to the manager that CRB certificates are no longer portable and fresh checks must be completed before any member of staff is employed at the home. All other aspects of the recruitment procedure were found to be thorough. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 20 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): 37,38,41 and 42 The manager is accessible, sensitive to the needs of service users and is supportive to staff. Levels of communication are good and the ethos of the home benefits service users. The standard of record keeping needs to be improved to ensure that service users’ best interests are safeguarded. EVIDENCE: The home appeared to be safe and is well maintained. From inspection of the fire logbook regular and thorough testing of the homes fire detection equipment had taken place. It was noted that regular inspection of the home’s fire fighting equipment had not taken place and it was agreed that the manager would seek advice as to the frequency that these checks must take place. It was noted that there needed to be an improvement in the standard of record keeping regarding residents details held in the home. Some documents and information were unavailable. These included original assessment documentation for some residents, a written record of the day that they moved Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 21 into the home and photographs of residents. Photographs are particularly important to aid with identification should a resident go missing. There is also a need to ensure that residents’ money and valuables looked after by the home are accurately recorded. The management arrangements were satisfactory. An application to register the acting manager has been submitted to the Commission for Social Care Inspection. The acting manager is at the home for a sufficient time each week to oversee the day-to-day running of the home and reports directly to the current registered manager. Management are accessible to both residents and staff and both staff and residents were in agreement that the manager was available to discuss issues and was supportive. The value base and ethos of the management and staff team appear to be in the best interests of residents. Communication between management, staff and residents is good and residents clearly benefit from the weekly house meetings. Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 2 Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 x 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 2 x x x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 x 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oaklea Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 2 2 x DS0000063436.V252052.R01.S.doc Version 5.0 Page 23 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA5 Regulation 5 (b) (c) Requirement All service users must be issued with contracts or terms and conditions whichever is the appropriate. These must be in a format appropriate to service users needs. Care plans and associated risk assessments must be reviewed and updated regularly. Service users must be issued with a copy of the homes complaints procedure in a format appropriate to their needs. You must ensure that an accurate written record is kept of all money or other valuables looked after for Service users. All service users must be provided with lockable storage facilities in their rooms. Staff must not commence work at the home until all satisfactory checks have been made in line with the regulations. Criminal Records Bureau checks and a check against the Protection of Vulnerable Adults list (POVA) must be made for any staff member employed since 26th July 2004. DS0000063436.V252052.R01.S.doc Timescale for action 30/11/05 2 3 YA6 YA22 15 (2) 22 (5) 31/10/05 31/12/05 4 YA23 17(2) Schedule 4 (9) 23(2)(m) 19 (1) (b) 31/10/05 5 6 YA26 YA34 31/12/05 30/09/05 7 YA34 19 30/11/05 Oaklea Version 5.0 Page 24 8 9 YA41 YA42 17 (1) (a) Schedule 3 13 (4) (c) You must maintain all records as specified in Schedule 3. These must be kept in the home. You must seek the advice of Hampshire Fire and Rescue regarding the frequency of checks to be carried out on fire fighting equipment and take action appropriately. 30/11/05 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Oaklea DS0000063436.V252052.R01.S.doc Version 5.0 Page 26 - 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!