Inspection on 24/10/06 for Oval Residential Home (164A)

This inspection was carried out on 24th October 2006.

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 found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oval Residential Home (164A) 14/08/07

Oval Residential Home (164A) 18/01/06

Oval Residential Home (164A) 15/12/04

Oval Residential Home (164A) 06/07/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Oval Residential Home (164A) 164a Oval Road East Croydon Surrey CR0 6BN Lead Inspector James O`Hara Key Unannounced Inspection 24th October 2006 09:00 Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 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 Oval Residential Home (164A) DS0000025825.V316867.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oval Residential Home (164A) Address 164a Oval Road East Croydon Surrey CR0 6BN 020 8686 9814 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 Mercidita Bheecarry Mr Mike Bheecarry Mrs Mercidita Bheecarry Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 Brief Description of the Service: 164 Oval Road is a terraced house located in a side street a few minutes walk from East Croydon Station. It is a small care home registered for three adults with mental health difficulties between the ages of 18 and 65 years. Presently two service users live at the home. Local amenities are within walking distance from the home. Bus and tram services also serve the local area. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced site visit was carried out between 9.00am and 12.30pm on a Tuesday morning/afternoon. Methods of inspection included a tour of the premises, observation of contact between staff and service users and discussion with one member of staff and the registered providers Mrs Mercidita Bheecarry and her husband Mike. Records examined included service users care plans, risk assessments, complaints, adult protection, staffing training and personnel records, medication, and health and safety records. Requirements and recommendations from the previous inspection were also discussed with Mrs Bheecarry and her husband. What the service does well: What has improved since the last inspection? Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 6 The full time member of staff has completed an NVQ level 3 in care and is now completing NVQ level 4 the Registered Managers Award. 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. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home should do more to ensure that prospective service users and their representatives are provided with all the information they need to make an informed decision about whether or not to use the service. No new service user has moved to the home since the last inspection however all the procedures are in place should they be needed. EVIDENCE: The homes Statement of Purpose was last reviewed in 2002 and the home does not have a Service Users Guide. The registered provider must update the homes Statement of Purpose and included details as stated in schedule 1 of the Care Homes Regulations. The registered provider must develop a Service Users Guide for the home using regulation 5 of the Care Homes Regulations as guidance. The home is registered to support three service users, there are currently two service users living at the home. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 9 One new service user had moved into the home prior to the last inspection. Mrs Bheecarry stated that after consultation with the service user, his relatives and his care manager it was agreed that he should move to a placement more suitable to his needs. Mrs Bheecarry stated that she felt that the service users needs were not properly reported to her prior to the service user moving in and that in future she would be more careful when admitting service users. There is evidence that previous placements at the home had full needs assessments carried out by their placing authorities, the community psychiatric department and the service users General Practitioners. The home has its own assessment, which is completed prior to any service user moving into the home. Mrs Bheecarry stated that the service users are able to visit the home prior to deciding to move in. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have care plans with detailed information on their needs and personal goals. Service users placement is kept under review by their placing authority. Service users have individual risk assessments and risk management strategies in place so that service users can participate in activities in the home and in the community in a safe manner. EVIDENCE: The home supports two service users with mental health. There was evidence that service users care plans are kept under regular review by the home and their care managers. Both of the service users care plans had been reviewed on the 06/04/06 and their risk assessments had been reviewed on the 10/04/06. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 11 Mrs Bheecarry stated that both service users had their placement/needs assessment reviewed by their care managers. One was completed on the 13th May 2006 and the other on the 16th October 2006. Mrs Bheecarry said that she is waiting for the care managers to send copies of the reviews to the home. Service users have meetings once a month. Mrs Bheecarry produced minutes of service user meeting minutes for April, May, June, Jul and August 2006, service users discussed house issues and what food they like to eat and holidays. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Provision is made so that service users attend appropriate social activities and become part of the local community. Service users spoken to on the day of the inspection were confident and comfortable and spoke in a positive manner about the support they receive in the home. EVIDENCE: None of the service users require a special diet. Mrs Bheecarry stated that on Saturday evenings service users plan what they wish to eat for the rest of the week. Menus are drawn up and shopping is purchased however she said that sometimes the service users change their minds and request something that is not on the menu. In this case she records what service users have instead. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 13 One service user said that he was off to the Lantern Day Service; he said he goes there on Tuesdays and Thursdays. He also works at a barbershop and at a garage a few hours a week. He said he likes to spend time at the bookmakers and local cafes. The other service user said that he likes to go to Croydon shopping with the registered provider. Mrs Bheecarry said that this service user attends the Fairfield Club most afternoons. He also goes to a local Church each Sunday. Both service users have regular contact with their families. One service user has spent time with his family fir Diwali. Mrs Bheecarry stated that this service users family visit on a regular basis and take him out to restaurants shopping and family get together. The other service user also has regular visits to and from his sister. Both service users have been on holiday this year. One service user went to Portugal and the other service user had two holidays one in Belgium and the other in Spain. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall the arrangements for health care needs of the service users are good and they receive personal support in the way they prefer however medication should be relocated to a more secure area of the home. EVIDENCE: Service user plans include details of their personal care needs and the ways in which staff should work with the individual to meet them. Where support is required with personal physical care this is outlined in more detail and guidance is available to staff on how specific tasks should be undertaken. Both service users at the home are diagnosed Learning Disabilities with some Mental Health issues. Mrs Bheecarry and her husband were both previous Registered General Nurses however she is no longer registered. Her husband is still registered as a Mental Health Officer. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 15 All service users are registered with a local General Practitioner. None of the service users have specialist medical conditions however should the needs of the service users change then Mrs Bheecarry stated that she would seek support and training to enable staff to support the service user. Medication is stored in a locked cupboard in the recreation/smoking area of the home. Medication administration and recording sheets were up to date and accurate. The home also has an appropriate system for recording the receipt and returns of medication. It was recommended at the last inspection that the medication be relocated to a more secure area of the home. This recommendation was not discussed on the day of the inspection. This recommendation will be assessed at the next inspection. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are handled objectively and the service users are confident that any concerns they may have are listened to and acted upon. EVIDENCE: Mrs Bheecarry stated that there had been no complaints received by the home since the last inspection. The home has a copy of Croydon Councils Protection of Vulnerable Adult Policy. Mrs Bheecarry has developed a procedure for use in relation to this particular home that should result in the necessary notifications to those agencies that are outlined in the statutory procedure. Mrs Bheecarry stated that all staff had recently attended training on adult protection. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Not enough emphasis is being placed on fire safety in the home consequently the residents and staff are at risk. EVIDENCE: The home is suitable for the needs of the current service users. Service users bedrooms have been decorated to their own personal choices. Service users spoken to on the day of the inspection said that they were happy living in the home and with their rooms. The home has more than sufficient communal space that is both freely accessible to service users. There is a large garden to the rear of the premises. The garden is pleasant and well maintained. There is a fourth single bedroom, which is used as a sleep in room. The lounge is small but comfortable and contains a television and video and two comfortable chairs, the room also has a dining area this has a basic table Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 18 and three chairs it was noted that one of these was an office type chair. It is recommended that the registered provider provide suitable dining room furniture for the service users. Mrs Bheecarry produced the homes fire safety records. The records showed that the fire/smoke detectors had not been tested since February 2006. Mrs Bheecarry stated that the fire/smoke detectors had been tested however this information had been recorded in the fire records for 170 Oval Road (Mrs Bheecarry’s other care home) as the fire/smoke detectors are checked in both homes at the same time. The registered provider must ensure that 164a Oval Roads fire/smoke detectors are tested on a weekly basis and recorded in the homes fire records. Mrs Bheecarry stated that her husband was just changing the batteries prior to the inspection. There were three fire extinguishers in the home; two of these had been checked as working in 2003, Mrs Bheecarry stated that the Fait Garage gave these to her. Mrs Bheecarry was advised to remove them from the home. The other fire extinguisher did not have a date of when it was checked therefore it is difficult to assess if it was working. The home had a fire blanket located in the kitchen. The Commission contacted the London Fire & Emergency Planning Authority (LFEPA) following a previous inspection because the home had not had a visit. A report sent to the Commission from a fire officer stated that a visit was made to the home and confirmed that the premises is considered to be satisfactory for fire safety arrangements. However following the findings during this inspection it is evident that not enough emphasis is being placed on fire safety in the home consequently the service users and staff are at risk. Following the inspection Mrs Bheecarry contacted the LFEPA for advice on fire safety. She stated that the fire officer has sent advice on fire safety to the home. A requirement is set that the registered provider must follow the advice of the LFEPA on fire safety in the home. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered provider needs to ensure that the staff team receives regular supervision so that the service users benefit from having a consistent approach to their needs. Staff training records needs to be updated to provide evidence of all training attended by all staff. EVIDENCE: Mrs Bheecarry and her husband work at both 164a and 170 Oval Road. Mrs Bheecarry stated that three members of staff are employed at the home. One member of staff works full time and two work part time. The full time member of staff has completed an NVQ level 3 in care and is now completing NVQ level 4 the Registered Managers Award. Mrs Bheecarry stated that this member of staff might at some stage take over as the registered manager. None of the staff files included a copy of their qualifications as Mrs Bheecarry stated that they are awaiting these to be sent. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 20 Staff files included training records. The full time member of staffs file indicated that she had attended training on adult protection, food hygiene, first aid and medication. One part time member of staffs indicated that they had attended food hygiene and fire safety training. The other part time member of staff’s records indicated that they had attended training on first aid, moving and handling and food hygiene. The registered provider must ensure that all members of staff attend training on fire safety, health and safety, moving and handling, first aid, adult protection, medication and health and safety. Mrs Bheecarry stated that some staff had attended training on these topics but that they had removed certificates to use as evidence for completing their NVQ’s. Copies of the certificates for these training courses should be held in their staff files. Mrs Bheecarry could not provide evidence that staff receive 1-1 supervision. The registered provider must ensure that all members of staff receive a formatted recorded supervision six times a year. Staff records included a recent photograph, a Criminal Records Bureau Check, passport and two references. It is recommended that staff references are taken up on company headed paper and or include a company stamp. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. In general the home appears to be well run however not enough emphasis is being placed on health and safety in the home consequently the residents and staff are at risk. The management approach of the home creates an open, positive and inclusive atmosphere. EVIDENCE: Mrs Bheecarry has completed the NVQ 4 qualification in Management and Care. Mrs Bheecarry and her husband were both previous Registered General Nurses however she is no longer registered. Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 22 At the last inspection Mrs Bheecarry provided evidence of quality monitoring systems employed in the home. She stated that she was reviewing the homes performance for 2005 and this information would be recorded on her system. It was agreed then that this system would be examined in detail at the next inspection. During this inspection Mrs Bheecarry produced an action plan for the home and some service users questionnaires. It is recommended that the registered provider use standard 39 of the National Minimum Standards to develop an appropriate quality assurance/monitoring system for the home. Mrs Bheecarry produced Landlords Gas Safety Certificate 29/09/06 and Portable Appliance Testing was last carried out on the 06/05/05 and so is over due. The registered provider must ensure that a Portable Appliance Test is carried at the home and a copy of the certificate is sent to the Commission. Also see requirements in relation to fire safety in environment standards of this report. Oval Residential Home (164A) DS0000025825.V316867.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X X X X 2 X Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 24 No. 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 YA1 Regulation 4(1) Requirement The registered provider must update the homes Statement of Purpose and included details as stated in schedule 1 of the Care Homes Regulations. The registered provider must develop a Service Users Guide for the home using regulation 5 of the Care Homes Regulations as guidance. The registered provider must ensure that 164a Oval Roads fire/smoke detectors are tested on a weekly basis and recorded in the homes fire records. A requirement is set that the registered provider must follow the advice of the LFEPA on fire safety in the home The registered provider must ensure that all members of staff attend training on fire safety, health and safety, moving and handling, first aid, adult protection, medication and health and safety. If staff has attended these training courses then certificates should be help in their staff files. The registered provider must DS0000025825.V316867.R01.S.doc Timescale for action 28/02/07 2. YA1 5(1) 28/02/07 3. YA24 23(4) 24/10/06 4. YA24 23(4) 24/10/06 5. YA32 18(1) c 28/02/07 6. YA36 18 (2) 28/02/07 Page 25 Oval Residential Home (164A) Version 5.2 7. YA42 13(4) ensure that all members of staff receive a formatted recorded supervision six times a year. The registered provider must ensure that a Portable Appliance Test is carried at the home and a copy of the certificate is sent to the Commission. 28/02/07 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. 3. Refer to Standard YA20 YA34 YA39 Good Practice Recommendations It is recommended that the medication be relocated to a more secure area of the home. It is recommended that staff references are taken up on company headed paper and or include a company stamp. It is recommended that the registered provider use standard 39 of the National Minimum Standards to develop an appropriate quality assurance/monitoring system for the home. It is recommended that the registered provider provide suitable dining room furniture for the service users. 4. YA24 Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Oval Residential Home (164A) DS0000025825.V316867.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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