Inspection on 19/06/07 for Oakworth Manor

This inspection was carried out on 19th June 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

Oakworth Manor 18/06/08

Oakworth Manor 27/06/06

Oakworth Manor 15/12/05

Oakworth Manor 13/04/05

Oakworth Manor 06/10/04

Oakworth Manor 18/05/04

Similar services:

Abbey The

Snydale Care Home

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 Oakworth Manor Oakworth Manor Colne Road Oakworth Keighley West Yorks BD22 7PB Lead Inspector Cheryl Stovin Key Unannounced Inspection 19th June 2007 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 Oakworth Manor DS0000001166.V335430.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. Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oakworth Manor Address Oakworth Manor Colne Road Oakworth Keighley West Yorks BD22 7PB 01535 643814 F/P 01535 643814 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) Mrs Christine Lynn Flood Jennifer Blenkarn Care Home 21 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (17), of places Physical disability over 65 years of age (3) Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2006 Brief Description of the Service: Oakworth Manor is located in the middle of the village of Oakworth a bus ride away from the town of Keighley. It is a detached adapted property set in its own grounds in the centre of the village of Oakworth. It is conveniently placed for local shops and a bus route. There is adequate parking close to the building. There is level access available to the rear of the building and residents can easily access two patio areas from the lounges. There are three separate communal rooms comprising of two lounges and a dining room. Bedrooms are located on the ground and first floor. Access to the first floor is by a stair lift. Accommodation is provided for twenty-one service users the majority are elderly. A small number may have mental health needs or/and physical disabilities. The current scale of fees ranges from £308 to £415 weekly. Additional charges are for chiropody and hairdressing. Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Oakworth Manor. This included an unannounced visit I made to the home on 19th June 2007. A total of 5 hours was spent on the visit. During this visit a full tour of the building was undertaken, records were examined and discussions took place with management, staff and the people living at the home. In addition to this visit comment cards were sent out to give people an opportunity to share their views of the service with CSCI. A total of nine comment cards were returned from people living at the home. The response was generally positive with people expressing satisfaction with the services and facilities provided in the home. Six relatives/visitors also returned comment cards, again the response was generally expressing satisfaction with the home. The last inspection of Oakworth Manor was on 27th June 2006, no further visits have been made during this time. A pre-inspection questionnaire was sent to the home which was returned promptly and gave useful information. I would like to thank everybody for their warm welcome and the assistance given during the visit to the home. What the service does well: The home has a lively and welcoming atmosphere, people who live at the home said that this was always the case. One relative who was visiting the home during my visit told me that “the home has a feeling, a right homely feeling, everything is just right”. People told me that the home is “well run”, and “it’s brilliant here”. All people have an assessment before moving into the home, and are encouraged to visit, several times if they wish, before making a decision to move in. This is to make sure that the home can meet their needs. The staff were seen to be working together as a team and meeting the needs of people in a sensitive and dignified manner, with appropriate use of informality and humour. The people living at the home said they were well treated and that the staff are kind and attend to their needs promptly. One person described that staff as “first class”. The staff team are well trained and people using the service are protected by the safe recruitment practices in the home. Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 6 There are a wide range of activities for people living at the home to take part in if they wish to do so. An activities co-ordinator is employed five days a week and works with people individually and in small groups. This makes sure that people are able to follow their own interests. The home is well maintained and people live in a safe and hygienic environment. People are encouraged to bring their own possessions with them to personalise their own rooms. People said that the meals served at the home were of a good standard and that they enjoyed their meals. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 and 6 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People’s needs are assessed before moving into the home and they are provided with written information about the services and facilities provided. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide which is on display in the entrance hall of the home. Other useful information is also on display, for example complaints and comments forms and feedback forms for people to comment on the service provided. All people are assessed before moving into the home to ensure that their needs can be met. People are encouraged to visit the home before making a decision to move in, to meet the staff and other people living in the home. Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 9 Each person has an individual contract stating the terms and conditions and rights and responsibilities of each person. One visiting relative told me that they had visited several homes in the area before deciding on Oakworth Manor as a home for their relative. She said she had been impressed by the admission procedure and the reassurance given by the staff to the person moving into the home and the family. Intermediate care is not provided in the home. Oakworth Manor DS0000001166.V335430.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 and 10 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People’s personal and health care needs are met. People are protected by the medication practices in the home. EVIDENCE: A selection of care records were seen. All people have an individual plan of care which is formulated from a detailed assessment. A social history is included which also includes details of the likes and dislikes of people. Manual handling assessments are completed and a falls risk assessment. Any cultural or religious needs are also identified. A monthly review of the assessments are completed as well as a monthly satisfaction questionnaire. The care plans clearly identify the care and support needs of people but do not show how the care is actually to be delivered to meet their needs. More detail is needed to identify the actual tasks to be undertaken in order to meet their needs. Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 11 All people living at the home who returned a survey said that they always receive the medical support they need. A visiting relative praised the home for their “pro-active approach to promoting the health care needs of the residents”. All personal and health care support is given in private and people said that they felt their privacy and dignity was respected. Relatives said in their survey cards that the home always gives the support or care to their relative that they expect. Some of the additional comments received included: “The care is second to none”. “I feel my mother is well cared for and receives friendly service in all aspects of her care at Oakworth Manor”. “When mum is ill (which happens quite frequently) Oakworth Manor staff are there 100 to see to her needs and I’ve noticed my mums recovery is a lot quicker now than when she lived alone and does not result in a hospital stay as it has done in the past”. “Knowing the staff as I do, I would imagine all needs would be catered for and cannot imagine any of the staff not meeting the different needs”. The home uses a Monitored Dose System (MDS) for the administration of medication. The stocks of medication are securely stored. The home has policies and procedures in place to ensure the safe administration of medication. All staff, responsible for handling medication, have been trained in medication administration. The Medication Administration Records (MAR) were accurately completed and all MAR sheets contained a photograph of the person the medication is prescribed for. This ensures that the correct person receives their medication. The records contain information about what the prescribed medication is used to treat and any possible side effects. Stocks of medication held reconciled with the records kept. A procedure is in place to ensure safe disposal of any unwanted medication. None of the people living at the home handle their own medication. Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People choose how to spend their time and join in activities provided in the home. The quality of the meals provided is good and mealtimes are a relaxed social occasion. EVIDENCE: There is a lively and welcoming atmosphere in the home with people choosing where and with whom to spend their time. People were seen to be either relaxing and reading a newspaper or chatting to others. An activities co-ordinator is employed between 10am and 4pm daily She is well aware of people’s interests and works with both individuals and in small groups. On the day of the visit some people were enjoying a game of dominoes, others were having a manicure and later in the day a game of carpet bowls. The activities on offer are clearly displayed and include: arts and crafts, bingo, sing a longs, hair and nail treatments, film time, baking and cake Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 13 decoration, dominoes, carpet bowls, reminiscing, board games, shopping trips and walks. In addition a visiting entertainer comes to the home at least once a month. Relatives and visitors are welcome to join in the social activities in the home. One relative told me how they enjoyed the opportunity to join in with social activities and to celebrate special occasions. All of the people living at the home who completed a survey said that there are always activities arranged by the home that they can take part in. Some made the following comments: “I like to go for a walk every day to keep my legs going”. “I don’t really like to do any, I like to read the paper and do my crosswords”. “I enjoy playing bowls and do jigsaws”. “I like to play bingo”. “I enjoy bingo”.” “I just like to read on my own really”. Visiting relatives were seen to be warmly welcomed into the home and said that they are always made welcome when they visit. One relative said that “they all make us welcome and the staff have time for us as well as the residents”. Another relative made the following comment in their survey: “myself and my children visit often (sometimes noisily) and we are always made to feel welcome as they know we are important to my mum). Regular residents meetings are held to give people living at the home an opportunity to air their views and to make suggestions about the way the home is run. Relatives meetings have also recently been implemented to give relatives and visitors their say about life in the home. Relatives said in their surveys that they are always kept up to date with important issues affecting their relative or friend. Additional comments made included: “They know to ring me if there is any kind of problem and my mum knows she can ask them to get in contact with me if she needs to”. “I am informed immediately if there is a problem”. People living at the home receive a varied and nutritious diet. The main meal of the day is served at lunchtime and the mealtime was seen to be a relaxed Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 14 and social occasion. The lunch being served on the day of the visit was: Lamb steaks served with creamed potatoes, swede and green beans, or salmon, egg, turkey, beef or ham salad, followed by a choice of almond sponge and custard or yoghurt or ice cream. People said that they enjoyed their meals and the comments made in the survey cards supported this. One person said that they would like more potato salad to be served!. One relative described that her mum was struggling to eat at tea-time as she wasn’t keen on some of the options. She said that the manager sat down with her mum and went through the things that her mum liked and now if there is nothing on the menu she likes an alternative is always prepared. Oakworth Manor DS0000001166.V335430.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 and 18 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People are protected by the policies, procedures and practices in the home. EVIDENCE: The home has a complaints procedure which details the steps to take if anybody wishes to complain about anything in the home. The document contains all the correct contact details and is clearly displayed in the entrance hall of the home. All of the survey cards indicated that the people living in the home and their visitors would know who to speak to if they were unhappy about anything in the home. Relatives made the following additional comments: “I have not had to make any complaints. I did have an issue and I spoke to the manager who was very professional and articulate in her response and very reassuring. I feel I could go to the manager with any issue and have a positive response with a positive outcome”. “The couple of times we’ve had an issue the service has responded extremely well”. Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 16 “They are always ready to listen to suggestions and implement them if possible”. “This has never arisen, very happy with everything”. The home has an adult protection policy and all staff have received training in the Protection of Vulnerable Adults (POVA). The local authority safeguarding of vulnerable adults literature is displayed in the home. Oakworth Manor DS0000001166.V335430.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, 20, 23, 24, 25 and 26 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People live in a well maintained and hygienic environment. EVIDENCE: The home is situated in a residential area in the centre of the village of Oakworth. There are good public transport links to the larger surrounding towns of Howarth and Keighley. The property, a detached period residence, is well maintained throughout with a routine programme of maintenance to make sure that the standards are kept high. The dining room has very recently been decorated and is bright and cheerful. There are two lounges on the ground floor which are tastefully decorated and furnished and provide sufficient space for social activities to take place. Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 18 Individual bedrooms were seen to be well furnished with plenty of people’s personal possessions around their rooms. People said that they were satisfied with their own rooms. There are well maintained and attractive garden and patio areas for people to sit out in during the summer months. The manager is in the process of purchasing patio pots and plants. People living at the home will be involved in the planting and looking after the plants and flowers. The home was seen to be clean and hygienic throughout and visiting relatives said that this was always the case. All of the people living at the home who returned a comment card said that the home was always clean and fresh. One made the comment “It’s up to standard”. The laundry is well equipped with machines meeting the required hygiene standards. An infection control procedure is in place to protect the health and safety of the people living at the home. There are a high proportion of shared rooms in the home, however, only one person I spoke to said they would prefer to move into a single room when one became vacant. An extension to the home to provide an additional ten single en-suite rooms is to be built later in the year. This will give people more choice in whether they wish to share a room or not. Oakworth Manor DS0000001166.V335430.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): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There are sufficient staff on duty at all times to meet the needs of the people living at the home. Rotas seen showed that there are three care staff, one senior and the manager on duty during the day. At night there are two waking night staff. The staff said they felt that the staffing levels were sufficiently high to enable them to spend time just chatting to people or assisting them to follow their individual interests. A visiting relative said that “the staff always seem to have time for the residents”, and another told me that “the staff are on the ball”. Staff were able to demonstrate awareness of people’s needs. They were seen to be providing support in a sensitive manner, and promoting the privacy and dignity of the people living in the home. They said that they work together as a team and that staff morale was high. The staff team is stable with low rates of turnover, that provides a consistent service for the people living at the home. Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 20 The home places a high priority on staff training and development. There is a programme of National Vocational Training (NVQ) in the home and 50 of the care staff hold the NVQ level 2 award. In additional to the NVQ and mandatory health and safety training a variety of additional training has taken place. The training received is clearly reflected in the high standard of care and attention given to the people living in the home. All people living at the home said in their surveys that they always or usually receive the care and support they need. One commented that “the staff have done well for me”, and another “sometimes they are busy and can’t come to me straight away”. Relatives said in their surveys that they all felt that the care staff have the right skills and experience to look after people properly. Additional comments were made including: “The staff all show care and concern”. “The home gives tender loving care to all it’s residents. Nothing is too much trouble for the staff”. “I can honestly say that up to now I have no concerns regarding the skills of experience of the staff”. “They’ve made my mum feel important, liked, safe well cared for which all results in my mum feeling secure and part of a ‘BIG’ family. Everyone is very friendly while being professional. A good balance”. “The staff are extremely friendly and welcoming”. A selection of staff records were seen. All of the staff files contained evidence that all the required checks had been carried out before being employed by the home. All files contained evidence of Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures being received. Two written references are also requested. All staff have job descriptions, contracts and statements of terms and conditions. Oakworth Manor DS0000001166.V335430.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, 32, 33, 35 and 38 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People live in a well run and managed service. People’s health and welfare are protected by the home’s health and safety practices. EVIDENCE: The Registered Manager of the home is experienced and competent to run the home. She has completed the NVQ level 4 in care and is shortly to commence the Registered Managers Award. There is a strong management team in the home with the Registered Manager and the senior staff working together as a Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 22 team. Together they are committed to ensuring an open and positive atmosphere is prevalent in the home. There are clear policies and procedures for handling finances which means that people’s personal finances are held safely. A monthly satisfaction survey is completed by people living at the home and their relatives. The last survey showed high satisfaction with the services provided in the home. There are detailed health and safety policies and procedures in place. All staff receive mandatory training in health and safety and safe working practices. Risk assessments are in place which ensure the health and safety of the people living at the home is protected. Oakworth Manor DS0000001166.V335430.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 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 x x 3 Oakworth Manor DS0000001166.V335430.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 To make sure that all people living at the home receive the care they need in accordance with their preferences, the care plans need to be in more detail. The plans need to show how the care is actually to be delivered. Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Oakworth Manor DS0000001166.V335430.R01.S.doc Version 5.2 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. 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