CARE HOMES FOR OLDER PEOPLE
Oldfield House Oldfield House 15 Hawkshaw Avenue Darwen Lancs BB3 1QY Lead Inspector
Mrs Jennifer M Turner Unannounced Inspection 11th May 2006 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 Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Oldfield House Address Oldfield House 15 Hawkshaw Avenue Darwen Lancs BB3 1QY 01254 702920 01254 707418 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) Dr Govindon Asoka Kumar Mrs Kathleen Kumar Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (18), Physical disability (1) of places Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. A total of 18 (OP) elderly service users can be accommodated at the home. One named service user who requires personal care and is under the age of 65 (PD) can be accommodated at the home. When this service user leaves the home, the Commission for Social Care Inspection must be contacted to remove this condition. The home shall employ, at all times, a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 3rd November 2005 3. Date of last inspection Brief Description of the Service: Dr and Mrs Kumar own Oldfield House and it is part of a small local group of three homes. It is a converted two-story building set within is own grounds. There is car parking space at the front of the building. At the time of the inspection it provided personal care for 18 older people and 1 named resident with a physical disability. The home is situated about 200 metres from the main Blackburn to Darwen road where there are a variety of shops and retail premises. Darwen town centre is approximately one mile away. Accommodation is provided on two floors. There are 17 single bedrooms and 1 double bedroom. There are bathrooms and toilet facilities upon each floor. The home has one lounge and a separate dining room. Both are situated on the ground floor. Both stairs and a passenger lift are available for access to the first floor. Gardens are accessible to residents via a ramp. The fees at 11th May 2006 were a standard £354.00 per week. additional charges for hairdressing. There were Information about Oldfield House can be obtained from the home in the form of the Statement of Purpose and the Service Users Guide. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced key inspection, including a visit to the home, took place on 11th May 2006. The inspection was unannounced and took place over a period of eight and a half hours. At the time of the inspection there was full occupancy. The manager, five care staff, the person employed for maintenance and a visitor were spoken with. The inspector also met with a number of residents and spent time observing interaction between staff and residents. Wherever possible, residents were asked about their views and experiences of living in the home and some of the comments are printed in this report. One relative had completed a comment card prior to the inspection stating “what a lovely place – welcoming”. Four internal quality assurance questionnaires were also made available. Information from a pre inspection questionnaire also contributed towards the findings. During the course of the inspection, procedures and records were also examined, lunch was taken with the residents, activities were observed and the premises were viewed. Areas that needed to improve from the previous inspection were looked at for progress made. The home was assessed against the National Minimum Standards for Older People. What the service does well:
Copies of the home’s Statement of Purpose and Service Users Guide are kept in the hall in order for relatives and other visitors to have easy access to information about the home. A copy of the terms and conditions/contract is kept in each resident’s room with the original being held in their personal file. Prior to people moving into the home, their needs were assessed. They were consulted about the level and type of care they required, and could visit the home to look for themselves at the facilities offered. Important information needed to support them in every day living was recorded and used to plan the care they required. This helped to personalise care and show staff what they should do to achieve this. They also received a letter following their initial assessment indicating that staff at the home could meet their needs. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 6 Staff training was continuous and a majority of staff had attained the National Vocational Qualification at level 2. This training helps them to understand the diversity of residents needs. Healthcare needs were also monitored and staff worked with visiting medical professionals for the benefit of residents. Comments in a questionnaire stated that the resident “receives all she needs and there is nothing she would change”. Other residents said that they “always received the medical support needed” and that “Doctors are always called when required”. There were no rules in the home and routine was personal to each resident. Residents said they enjoyed the meals offered, “we get enough to eat” and “the food is cooked well”. Complaints were taken seriously and residents and relatives had confidence any issue they raised would be dealt with properly. Residents were happy with the quality of furniture and facilities available to them. They were comfortable and warm. They considered staff to be polite and always there for them. Residents and staff benefited from regular meetings and were informed of any changes planned. The home was organised and managed efficiently. What has improved since the last inspection?
The Statement of Purpose and Service Users Guide have both been reviewed and are readily available for relatives and visitors to view. Documentation relating to the admission procedures has been updated. Two recently admitted residents said that they had received enough information for them to make a decision about living in the home. The manager has undertaken accredited training in the administration of medication and has reviewed the policies and procedures relating to medication practices. A number of medication practices have been reviewed ensuring further protection for both residents and staff. The manager had created a new monthly activity chart and a file of photographs showing what had taken place was also available. More activities were being planned. Maintenance and refurbishment throughout the home was noticeable with a number of bedrooms benefiting from this exercise. This ensured that residents lived in a comfortable environment.
Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 7 A new manager had been recruited and registered and had almost completed her training. Staff meetings were more structured with agendas and minutes being available. 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. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1;2;3;6 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. A thorough admission procedure, including the availability of up to date written information, ensures that appropriate admissions take place. EVIDENCE: The Statement of Purpose and Service Users Guide had been reviewed since the last inspection. There was evidence that the Service User’s Guide was available and kept in residents bedrooms. A copy of the Statement of Purpose and Service Users Guide was kept in the entrance hall and was freely available to relatives and visitors to the home. Two recently admitted residents said that they had been given a set of Terms and conditions for the home. They felt that they had received enough information for them to make a decision about living in the home.
Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 10 Three case files were examined. One was for the most recent admission to the home. Pre admission assessments were provided by referring social workers. The manager always visited prospective residents and then she, or Senior Care staff on duty, completed an assessment on arrival, that covered all areas of the standard. The assessments were signed and dated by both the member of staff and resident concerned. Information was also obtained from family members. All information gained was used for the basis for the care plan. Assessments provided by District Nurses were recorded separately but the information was included within the main assessment. Prospective residents received a letter indicating that staff at the home could provide the care they required. Copies were retained on their files. The home does not provide Intermediate Care. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 11 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 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. Resident’s healthcare needs were identified and met. Personal care was delivered in a way that promoted residents’ privacy and dignity. EVIDENCE: Three care plans were examined. Each area of required care was assessed on an individual basis. There was a full description of care intervention, which included involvement with other professionals. These were signed by the key worker and the manager and a review date identified. Residents signed an accumulative sheet at the beginning of the care plan, which related to the overall assessments. Residents said, him” “I am looked after well” “The girls get the doctor if I need Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 12 All previous requirements and recommendations made by the Pharmacy inspector following her inspection have been addressed therefore raising the standard in respect of the administration of medication. Both the manager and a number of staff had received accredited training in the handling of medication. Residents spoken with said that the staff were kind and looked after them well and felt that the staff respected their privacy and dignity – “they knock on my bedroom door before entering” and “personal care is carried out in private”. Staff said that they ensured that bathroom and W.C. doors were closed if occupied and this was confirmed whilst walking around the home. “Visitors can speak to me in private. In my room if I wish”. A “pay telephone” was sited at the far end of the hallway near to the lift. A mobile phone was available for phone calls to be taken in private. Telephone sockets were seen in some bedrooms. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12;13;14;15 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. The dietary, social, cultural and religious needs of the residents were met. EVIDENCE: A local Vicar was visiting the home during the inspection and those residents who wished were offered the Sacrament. Two residents said that since their move into Oldfield House they had received visits from members of their Church. A new monthly activity chart was displayed in various places throughout the home and a file of photographs showing what had taken place supplemented this. The manager had plans for further activities and residents said that contacts within the local community were maintained. A visiting relative commented that the home was “a marvellous place” and that “ it was the best decision they had made”. A tour of the home showed that some residents had brought their own personal items with them making their rooms individual to them. Records
Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 14 showed that upon admission, a room audit was completed and signed by the resident concerned. The manager said that residents or their families controlled their own finances. Information relating to the East Lancashire Advocacy Service was displayed on the notice board. Records were maintained and stored appropriately. Breakfast and supper menus were displayed on the notice board in the hall. Daily menus were displayed on the dining room tables. Sample menus submitted with the pre inspection questionnaire, showed that a hot main meal was available at lunchtime with an alternative available if required. A lighter type meal of sandwiches, or something hot, was available at teatime. A record of snacks served throughout the day, was kept. At lunch, staff were observed encouraging residents to be independent, but were available to offer assistance if required. Those residents who were asked said that they enjoyed the meals offered “We get enough to eat” “The food is cooked well”. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16;18 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. Residents were protected from abuse and had access to the homes complaints procedure. EVIDENCE: A copy of the complaints procedure was included in the homes Statement of Purpose and Service Users Guide. The complaints book, along with a copy of the procedure, was kept in the entrance hall and had one further entry since the last inspection. It showed that there had been a comment made about “no biscuits being available”. This was because the home had run out of one particular type of biscuit although others were available. Relatives spoken with were aware of the complaints procedure and “would speak to Tracy” if they had concerns. They also knew that there was a copy of the procedure in the hallway. Several residents informed the inspector that they knew who to talk to if they were not happy about things. There was a copy of the Blackburn with Darwen adult abuse procedure available and some staff had been on the Protection of Vulnerable Adults course organised by the Local Authority but from records submitted by the manager, not all had attended refresher training. More places were booked. Policies and procedures were in place that safeguarded residents from possible
Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 16 financial abuse. The money of one resident was retained in the home and kept securely. Transactions showed two signatures. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19;24;25;26 Quality in this outcome is Good This judgement has been made using available evidence including a visit to the service. The home was warm, clean and comfortable. Furnishings and equipment met the residents’ needs. EVIDENCE: Maintenance and refurbishment throughout the home was noticeable and a record of routine maintenance was seen. Windows had been replaced in Rooms 18 and 19; new carpets had been laid in Rooms 2 and 14; new flooring in bathroom 1; rooms 2;3;6;11;17;18; the shower room and the kitchen ceiling had been redecorated. Chairs in the lounge had been recovered and double electric sockets had been fitted into bedrooms. Some new bedside cabinets still needed to be fitted with a lock. Staff said that the Health and Safety Officer carried out monthly safety checks and written outcomes were seen. The grounds were safe, tidy and accessible to residents. Fire equipment
Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 18 examined was maintained and regularly serviced. Staff spoken with were aware of the fire drill procedure. The Fire Risk assessment relating to the home had been updated. Some doors were still wedged open but the new manager showed the inspector some quotes that she had received in respect of having appropriate self-release mechanisms fitted. It is anticipated that these will now be completed, as they have been a requirement since November 2005. Residents spoken with were happy with the quality of furniture provided in their rooms and double electric sockets had replaced electric socket extensions and adaptors. The call system was tested as positive in rooms 3;4;10 and the downstairs bathroom. A tour of the building took place. A variety of aids were seen in various parts of the home. All windows had restrictors fitted that enabled residents rooms to be ventilated naturally and safely. Bedrooms were centrally heated and residents said that they were able to control the temperature if they wished but “usually asked the staff”. Emergency lighting was provided throughout the home. Residents felt that the lighting was adequate for their needs. Thermostats were fitted onto water outlets. Random outlets were tested and the temperatures were within the recommended range. Records showed that senior staff made daily checks on water outlet temperatures. A thermostat had been fitted onto the boiler in order to test the temperature of stored water. Laundry facilities were sited away from any areas associated with food. The flagged floor was painted. The painted walls were “peeling” in some areas. A new top load washer had been installed and met the required standards. Dryers were available. A current clinical waste certificate was available and protective clothing was provided for staff. Policies and procedures were available and examined, in respect of the control of infection. Documentation was in place stating that the premises complied with the Water Supply (Water Fittings) Regulations 1999. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27;28;29;30 Quality in this outcome is Adequate. This judgement has been made using available evidence including a visit to the service. Not all the required information was retained on staff files. This could lead to residents’ welfare not being fully protected. EVIDENCE: From rotas and observation staffing levels met the dependency requirements of residents at the time of the inspection. The pre inspection questionnaire showed that no bank/agency staff had been employed during the previous eight weeks. The pre inspection questionnaire submitted showed that of the thirteen care staff, eleven had obtained the National Vocational Qualification at level 2 – 84 . Records examined confirmed this. Three staff files were examined. There were some gaps in employment history and in some cases only one reference was available. The manager indicated that some records were retained at the home in the group where the central office was situated and not all records were received at Oldfield House. However, as this information had been requested since November 2005 the new manager said that she would attend to it. There was a central record, retained in the home, to indicate that Criminal Record Bureau and Protection of
Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 20 Vulnerable Adults checks were made. Staff indicated that they had their own copies of the General Social Care Council Code of Conduct and Terms and Conditions of Employment (Contract). The central training matrix, and individual training records on a number of staff files, were viewed. These showed that a variety of core training was offered. Staff said that they felt confident to meet the assessed needs of residents and confirmed that they received the required number of days of paid leave for training purposes. Information was in place to commence the Common Induction Standards. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31;33;35;38 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. The welfare of residents was sufficiently protected. The home was run in an open and transparent way with a good staff and management team. EVIDENCE: The manager had been registered earlier in the month and was awaiting her certificate. At the time of the inspection she had almost completed her National Vocational Qualification at Level 4. She had a job description. Reference to lines of accountability appeared in the Statement of Purpose. Regulation 26 reports were completed. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 22 Residents meetings were held every 3 months and minutes were made available to the inspector. Agenda’s, minutes and outcomes were recorded. From a residents survey there was a comment “N……. receives all she needs. There is nothing she would change”. From a questionnaire a relative had commented “what a lovely place – welcoming”. Questionnaires showed feedback from residents in respect of standards within the home. The information was retained on resident’s files and was seen referred to in the Statement of Purpose and Service Users Guide. Residents said that they had meetings with the staff. Minutes showed that these were held every three months. Staff meetings were now more structured and agenda’s and minutes were made available In most cases, relatives administered resident’s finances, but those which were administered by the home showed that two signatures were obtained for financial transactions and that residents individual monies were kept separate from each other. Many of the aspects of the health and safety training of staff was covered in the National Vocational Qualification training. Staff spoken with were aware of their responsibilities. Records were maintained for accidents. Fire extinguishers examined had been serviced. The homes fire risk assessment had been reviewed. Various records were examined in respect of the maintenance of equipment throughout the home and found to be “up to date”. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 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 4 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x 3 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x x 3 Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP19 Regulation 23 (4)(a)(c) Timescale for action The registered person must 31/07/06 ensure that doors are fitted with appropriate self-release mechanisms if they are required to be left open. Previous timescale of 30/11/05 not met The registered person must 31/07/06 ensure that the proper checks are carried out in respect of staff employed to work in the home and that all information relating to the recruitment of staff is retained at Oldfield House. Previous timescales of 03/11/05; 31/12/04 and 31/12/03 not met Requirement 2. OP29 19 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP26 OP30 Good Practice Recommendations Flaking paintwork on the laundry walls should be attended to. All new staff should undertake induction training that
DS0000005831.V292542.R01.S.doc Version 5.1 Page 25 Oldfield House 3 OP31 follows the requirements of the National Training Organisation The registered manager should completed her National Vocational Qualification level 4 training and complete the Registered Managers Award as soon as possible. Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Oldfield House DS0000005831.V292542.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
