Inspection on 25/10/05 for Oakleigh

This inspection was carried out on 25th October 2005.

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

Oakleigh 21/05/09

Oakleigh 06/06/08

Oakleigh 15/07/07

Oakleigh 11/08/06

Oakleigh 11/01/05

Oakleigh 26/11/04

Oakleigh 20/07/04

Oakleigh 27/02/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Oakleigh 22 Great North Road Alconbury Weston, Huntingdon Cambridgeshire PE28 4JR Lead Inspector Matthew Bentley Unannounced Inspection 25th October 2005 10:00 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 Oakleigh DS0000015107.V264287.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 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. Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Oakleigh Address 22 Great North Road Alconbury Weston, Huntingdon Cambridgeshire PE28 4JR 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) 01480 890248 01480 896308 Mr Styllianakis Styllis Celia Ann Harris Care Home 27 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (27) of places Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th November 2004 Brief Description of the Service: Oakleigh provides accommodation, care, and support for up to 27 older people, 2 of whom have a degree of dementia. The home is in the small village of Alconbury Weston, which has a shop, public house and church, and is within easy reach of Huntingdon and Peterborough. The building was originally a private bungalow but it has been extended a number of times and now offers accommodation in 24 rooms on the ground floor, and one room on the first floor which is accessed by a stairs or a stair lift. All 25 rooms have en-suite facilities; the two double rooms are currently used as superior singles. The building surrounds an attractive central courtyard; residents have a choice of communal accommodation, including 3 lounges and a dining room. The gardens surrounding the house are attractive, well maintained and frequently used by the residents and their families. The home is staffed 24 hours a day, with 2 staff on duty overnight. Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took 3 hours and 45 minutes and took place on 25th October 2005 between 11.30 and 15.15. The inspection was carried out by one inspector who spoke to a number of service users and staff; the inspection also included reading documents, speaking to the manager, and a tour of the building. Overall the inspection’s findings were positive, and residents expressed a high degree of satisfaction with the services offered. Comments on the day of inspection included “there is nowhere else I’d rather be” ”it’s a lovely place” and “the staff are very good; they are always happy”. What the service does well: What has improved since the last inspection? What they could do better: More rigorous checks need to be made on staff before they start working at the home. Fire safety arrangements need to be improved. Bathrooms should not be used for storing furniture and other items such as continence pads. Staff who deal with food, should have appropriate training. Oakleigh DS0000015107.V264287.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. Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5 Suitable measures are taken to ensure that potential service users’ needs are fully assessed prior to their moving into the home, and the service is able to meet the needs of older people. EVIDENCE: The home has a brochure, which outlines the services offered, and a satisfactory statement of purpose has also been produced. If a person is interested in moving into the home, the manager visits the person concerned and meets with family members and any professionals who may be involved, so that as much information about the person’s needs as possible is obtained. Residents’ files include the information that has been gathered on each person’s needs, including pre-admission assessments and details of the person’s families, social histories, hobbies and interests. Staff are experienced and competent and have a good level of knowledge about the general needs of older people and the people living at the home specifically. Aids and adaptations are available to help staff to meet service users’ needs, and discussions with staff and residents indicate that the home is capable of meeting the needs of older people. Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 9 Individuals and their families are encouraged to visit the home before making a decision about the home, and two people who are new to the home said that they had visited on a number of occasions before making a decision to move in permanently. New residents are admitted for a trial period, after which the arrangements are reviewed to see how the person feels about the home and ensure that their needs are being met. The home does not provide intermediate care therefore standard 6 is not applicable. Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 The system of care planning outlines what help each person needs and how that assistance should be given, so that staff can be clear about what they need to do. Arrangements are in place to ensure each service user receives input from relevant professionals to ensure each person’s health needs are met. Personal care is given sensitively so that individuals’ dignity and privacy are maintained. Procedures for managing service users’ medication are satisfactory and are being properly followed, so that medication is safely administered, however, storage and other aspects of the management of medication need to be improved EVIDENCE: Care plans relating to 3 residents were seen and showed the action required to meet their assessed health, personal, and social care needs. The plans have been reviewed every month and updated to show any changing needs or goals. The home is not registered to provide nursing and no nursing tasks are carried out by care staff, however, the manager said that district nurses are very Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 11 supportive and carry out nursing tasks when they are needed. Staff are provided with equipment such as hoists and mobility aids to ensure that residents are safe when moving around the home. The home uses a pre-dispensed monitored dosage system for administering medication; records relating to the management of medication are satisfactory and the person responsible for medication at the time of inspection said that she has received sufficient training to give out medication safely. A full and detailed inspection of the home’s procedures for the receipt, recording, storage, handling administration and disposal of medicines was carried out on 19 August 2004 by the Commission’s pharmacy inspector. The manager is taking action to meet the requirements or recommendations made, and it has been agreed that the pharmacy inspector will be asked to re-visit to assess the progress made. Care staff were seen talking with service users whilst helping them walk from one place to another and with other tasks; the way they spoke was respectful and polite. One member of staff was seen helping a resident to eat her lunch and take her medication; the person concerned was told what was going to happen and was allowed to do as much for herself as possible rather than the staff member taking over. Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The range and frequency of organised activities is adequate, and staff provide appropriate support to facilitate contact with family and friends. Residents are encouraged to make choices about their lives and are encouraged to maintain their independence. Dietary needs are well catered for, with a balanced and varied selection of food available to meet residents’ individual tastes and choices, however, storage of food needs to be improved and training needs to be updated to ensure that food is handled safely. EVIDENCE: Since the last inspection, the activities co-ordinator who was previously employed has left the home, however, residents said that they were happy with the level of activities in the home, and one said how much he appreciated the fact that a Church service is held in the home every other week. A member of staff organises a bingo session every week and the mobile library calls every month; again, this is appreciated by residents. Residents are encouraged to maintain as much contact with their relatives as they wish; relatives and visitors are able to come and go without making an appointment, and residents are able to see their visitors in private in their own room, in one of the communal areas or, when the weather is fine, in the garden. Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 13 Residents confirmed that they are able to exercise choice about what they do in the home and can come and go as they please. Residents can bring personal possessions into the home, and many have done so, however, items of furniture and electrical equipment must meet the relevant safety standards. The kitchen area is well organised, and clean, however a number of items of cold meat are being stored in the fridge without an indication of when they were opened. A requirement has been made about the need for staff to have training in the safe handling of food. Records relating to food show that each resident is getting a balanced, healthy diet, and individual likes and dislikes are recorded by the kitchen staff. Meals are served in the dining room, though some people choose to eat some meals in their rooms. The dining arrangements provide a pleasant, homely and relaxed atmosphere, and the mealtimes are treated as a social occasion. Residents said that the food is very good and that they are happy with the quality and quantity of the food provided; one said “the food is excellent; it’s like a hotel”, another said that she appreciated the fact that the night staff brought her a pot of tea if she was awake for any length of time. Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 The arrangements for ensuring the protection of service users from neglect or harm are satisfactory, and residents are protected from abuse or mistreatment, however, more rigorous procedures are needed prior to employing new staff otherwise unsuitable people may be employed, putting residents at risk. EVIDENCE: The home has an adult protection policy to guide staff in dealing with allegations of abuse or mistreatment, and there is also a whistle blowing policy aimed at encouraging staff to voice any concerns. Files relating to the two newest staff were seen; neither contained two written references, and one did not have a Criminal Records Bureau (CRB) check nor evidence that a Protection of Vulnerable Adults (POVA) check have been carried out. This was a requirement resulting from the last inspection; failure to comply with this requirement may result in legal action being taken against the service. Staff have received training in the County Council’s adult protection procedures, and those spoken to all said that they would have no hesitation in speaking to the manager if they had any concerns. Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 25, 26 The home is suitable for the needs of those living there, and sufficient equipment is provided so that service users’ independence is maximised. The home is clean and hygienic and there are no unpleasant odours. EVIDENCE: The home is situated in the quiet village of Alconbury Weston, which is within easy reach of Huntingdon and Peterborough; the village has a shop, public house and church. The building is provided with aids and adaptations to meet the needs of older people, and the home is well maintained, decorated to a high standard, and has a homely and pleasant atmosphere. The large pleasant gardens are accessible to people with mobility problems, and are well maintained with lawns, flowerbeds, shrubs, and trees. Appropriate seating is provided outside, along with a gazebo to provide shade in warmer weather. Residents have access to a range of communal space, including three lounges (one a quiet lounge without a television), a dining room and a reception area, all of which have a range of comfortable seating. Lighting in the communal rooms is domestic in character and furniture is good quality and appears to be Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 16 suitable to the needs of older people. Residents said that they are happy with the communal facilities provided. The home has a number of toilet facilities close to communal sitting areas, and each of the 25 rooms has its own en-suite facilities including toilet and washbasin. One bathroom is being used to store an unused bed, and another is being used to store continence pads, a requirement for the bathrooms concerned to be made available for use, was made as part of the last inspection. Failure to meet the requirement made resulting from this inspection may result in legal action being taken against the home. During the last inspection, one resident said that she would like to be able to have a shower, as that was what she were used to before she moved into the home. A recommendation was made that the possibility of converting one of the unused bathrooms into a walk in shower facility should be considered, however, no action has yet been taken. The home has two double rooms, which are used as superior singles; as doubles, they would not meet the 16 sq m requirement. Pre-set valves are fitted to the baths and washbasins, to ensure that the hot water is delivered at a safe temperature. All rooms are centrally heated and residents are able to control the temperature in their bedrooms with support if needed. A number of radiators have not been fitted with covers, however, following advice from the Environmental Health Officer, the manager has carried out a risk assessment on all rooms that do not have covers, and she says that is confident that residents are safe from harm from hot surfaces. A call system has been installed in every room used by residents so that they can summon assistance if necessary; one resident commented that staff members were very quick to respond when she used her call bell. The Home has appropriate laundry facilities that are sited so that soiled articles are not carried through areas where food is prepared, stored, cooked or eaten. The home appears hygienic, with no unpleasant odours, and residents commented that the home is always very clean. Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24, 25, 26 Sufficient staff are on duty to ensure that service users’ needs are properly met. Staff are clear about their roles and are competent and properly trained and experienced, so that they can meet residents’ needs. The home’s recruitment procedures need to be revised so that full checks are carried out on potential staff to ensure that unsuitable people are not employed. EVIDENCE: At the time of the inspection, three care staff were on duty, along with the manager, and catering and housekeeping staff. Waking staff are on duty overnight and an on call system is in place in case management support is needed. Staff are well presented in a uniform, and are courteous, welcoming and helpful. The manager said that the home has already exceeded the minimum requirements for the standard relating to NVQs, with around 75 of care staff having either already gained the award or just about to do so. Training is reported to have been carried out on health and safety matters such as moving and handling, first aid, and fire safety, and updates are being arranged to ensure that all staff members’ knowledge and practice are up to date. As noted in standard 18 files relating to the two newest staff were seen; neither contained two written references, and one did not have a Criminal Records Bureau (CRB) check nor evidence that a Protection of Vulnerable Adults (POVA) check has been carried out. This was a requirement resulting Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 18 from the last inspection; failure to meet the requirement made during this inspection may result in legal action being taken against the home. Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37, 38 The home is being properly managed and there is leadership, guidance, and direction for staff to ensure residents receive consistent quality care. Measures are generally in place to ensure that the health, safety and welfare of the people using the service are being protected, however, one area relating to health and safety has a shortfall, which puts residents at risk, as does the fact that the necessary checks on staff are not properly carried out. EVIDENCE: The registered manager of the home is Celia Harris; Ms Harris has worked in the home for eight years, was made Deputy Manager in 2000, and became manager in 2003. Celia Harris has completed the Registered Managers Award course, along with NVQ at levels 2 and 3; she is seeking guidance about how appropriate gaining the NVQ level 4 in care will be to her role. The manager has a high presence in the home and demonstrates an approachable and open style of management. Discussion and observation Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 20 suggested that communication in the home is effective, and staff and residents said that they were happy with the style of management and would feel able to approach the manager if they had any concerns or suggestions. One person said, “Celia is marvellous; she’s a really good manager”. Accounts and business plans were not inspected; this would only ordinarily occur if there were particular concerns, however, given the high level of occupancy, there is no reason to question the financial viability of the business. Insurance documents appeared to be in order. The home does not handle money for any of the service users; families or other representatives are expected to do this if an individual is unable, or does not want, to manage their finances. The manager has put in place policies and procedures to ensure that staff received the induction, training, and supervision necessary for them to carry out their work effectively and in safety. The manager said that supervision takes place at least 6 times a year, however, it is arranged informally on an ‘as and when’ basis. A full check of records required to be kept in a home as detailed in Schedule 4 was not undertaken, however, notifications of incidents affecting the welfare of service users were being sent as required under Regulation 37. Copies of the reports of visits to the home by the registered provider are not being sent to the home or the Commission on a monthly basis as is required under Regulation 26. Wedges, and items of furniture are being used to prop open a number of fire doors which would mean that, in the event of a fire, the doors would not close automatically putting residents at risk of both fire, and smoke inhalation. Advice has been sought from the fire safety officer, who has said that fire doors must only be held open with a system connected to the fire alarm system so that if the alarm is sounded, the doors close automatically. This was a requirement resulting from the last inspection; failure to comply with this requirement may result in legal action being taken against the service. Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 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 X 18 2 3 3 3 3 3 X 3 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 2 Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 22 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 OP21 Regulation 23(2)(j) Requirement The home must provide the ratio of baths with suitable equipment, as it did prior to 2002. This was a requirement resulting from the last inspection; failure to comply with this requirement may result in legal action being taken against the service. Staff must not be appointed until all the information required in paragraphs 1-7 of Schedule 2 have been obtained. This was a requirement resulting from the last inspection; failure to comply with this requirement may result in legal action being taken against the service. Copies of records of monthly visits to the home by the registered provider must be sent to the home and to the Commission. This was a requirement resulting from the last inspection; failure to comply with this requirement may result in legal action being taken against the service. DS0000015107.V264287.R01.S.doc Timescale for action 15/12/05 2 OP29 19(b) 25/10/05 3 OP37 26 25/10/05 Oakleigh Version 5.0 Page 23 4 OP38 23(4)(c) 5 OP38 18(1)(c) 6 OP38 13(4(c) Fire doors must be allowed to 25/10/05 close freely in the event of a fire. This was a requirement resulting from the last inspection; failure to comply with this requirement may result in legal action being taken against the service. All staff involved in the 31/12/05 preparation or servicing of food must receive food hygiene training Opened items of food stored in 25/10/05 the refrigerator must be marked with the date on which they were opened and must be disposed of within an appropriate timescale 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 Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Oakleigh DS0000015107.V264287.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!