Inspection on 10/05/07 for Park Mount

This inspection was carried out on 10th May 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

Park Mount 01/12/05

Park Mount 17/05/05

Park Mount 19/01/05

Park Mount 18/05/04

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

CARE HOMES FOR OLDER PEOPLE Park Mount 52 Park Mount Drive Macclesfield Cheshire SK11 8NT Lead Inspector Helena Dennett Unannounced Inspection 10 May 2007 09:30 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 Park Mount DS0000006626.V332814.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. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Mount Address 52 Park Mount Drive Macclesfield Cheshire SK11 8NT 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) 01625 616459 01625 869080 pallottine.sisters@virgin.net The Pallottine Missionary Sisters Mrs Lesley Sheridan Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 30 service users in the category of OP (old age not falling within any other category) requiring personal care only 1st December 2005 Date of last inspection Brief Description of the Service: Park Mount Care Home is a purpose built home set in two and a half acres of mature grounds. There is accommodation for thirty people in single en-suite rooms on two floors. There is a passenger lift. There are four dining rooms so that people can dine in small groups of seven or eight. There is a kettle and fridge in each dining room where people who live in the home and their visitors can make a drink and have a snack. There is a chapel in the home where regular services are conducted and all denominations are made welcome. The current scale of charges is £380 per week. The latest inspection report can be obtained from the manager of the home. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place on 10 May 2007 and lasted approximately 6.5 hours. It was carried out by one inspector. The visit was only one part of the inspection. The manager was asked to provide information about the home as part of this inspection process. During the visit, the inspector spoke with six people who live in the home, two members of staff and the manager, as well as walking round the building and visiting some of the bedrooms. Care records of three of the people who live in the home were looked at during the inspection visit to check on the care they receive. Records of medication, care plans, staffing rotas and staff training records were also examined, as were policies and procedures. What the service does well: There is a comfortable, relaxed atmosphere in the home and it continues to be well managed to make sure it is run for the benefit of the people who live there. Comments on CSCI survey forms received back before the site visit also reflected that people are happy with life at Park Mount Care Home. The following are examples of some of the comments that were made: • • • • • ‘The home cares for residents and accommodates their individual needs’ ‘Great care at a very economic rate’ ‘The strength to me is that there is a core of long term employees, supervision is close of staff and residents and standards of food, hygiene and safety are all (in my view) of the highest constant standards’ ‘Look after the residents in an individual way according to their needs and health problems.’ ‘A very well run home with the emphasis always on clients needs’ Another person went on to comment that ‘its just normal here’. In answer to the question ‘do the staff listen and act on what you say’ the following comment was made ‘that’s normal’. The health and personal care needs of people living at the home continue to be met. Advice is sought from health care specialists such as the dietician and continence advisor as needed so people can be confident that their needs will be met. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 6 People are involved in making decisions about their lives wherever possible to help them stay as independent as possible. They are also encouraged to take part in social activities if they wish so they can keep active. People are encouraged to follow their own individual beliefs and support is given to them as required. The priest visits daily and mass is held in the chapel. All denominations are invited to attend. In addition the vicar holds a weekly service. This means that people living in the home are able to follow their faith as they would wish. All of the people spoken with were very positive about the meals served at the home. Everyone spoken with during the inspection said that the staff were very good and made sure their needs were met. No complaints were made. All of the necessary checks are carried out on staff before they are employed to ensure they are suitable to work at Park Mount Care Home. 60 of the carers hold an NVQ Level 2 or equivalent qualification in care so people can be confident the staff working at the home will meet their needs. 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. Park Mount DS0000006626.V332814.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 Park Mount DS0000006626.V332814.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments of people’s needs are carried out before they move into the home to ensure the staff working at the home can meet their needs. EVIDENCE: A person who had recently moved into the home was spoken with during the site visit. They were very positive about the care and the facilities provided. They confirmed that the manager visited them before they moved in to make sure that staff at the home could meet their needs. There was also evidence of assessments being carried out in the care file that were examined. Intermediate care is not provided at the home so standard 6 does not apply. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 9 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 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice so people living at the home can be confident they will be well cared for. EVIDENCE: Three care plans were looked at during the site visit. Staff at the home have worked hard developing the care plans, which are person centred and outline individual needs. One of the care plans showed that staff had requested specialist help such as the dietician and district nurse to assist with the person’s care. The records showed that the person’s health had improved since she had moved into Park Mount Care Home. Staff also complete a daily record which is designed to report on the health and well being of the individual. In some cases this record was not detailed enough to show how the person’s needs were being met. This was discussed with the manager. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 10 Eleven comment cards were received back to CSCI before the site visit. The following comments regarding health and personal care were made: • • • • • ‘The home cares for residents and accommodates all their individual needs. ‘They are encouraged to manage their own lives as much as possible within their personal capabilities. They are treated with respect and dignity at all times’ ‘Their health issues which are beyond the residential contract originally agreed have been well cared for by brining in health professionals i.e. district nurse, incontinence nurse etc’ ‘Staff seem confident and will bring in the other health professionals as soon as an issue is seen beyond their expertise’ ‘Consistent attentive staff who try to maintain the individual dignity and worth of my relative’ The inspector spoke with six people who were living at the home during the site visit. All were positive about the staff and the care they provide. One person said, ‘staff are marvellous’. Another person said that ‘staff always knock on the door before coming in’. When asked if they felt staff promoted their dignity and respected their privacy all of the people said that this happens at the home. Members of staff were observed interacting with the people living at the home. This was done in a respectful and positive manner and there was a very relaxed atmosphere in the home. The management of medicines has improved since the last site visit. However, the recording of controlled drugs needs to improve as these were recorded on a separate sheet and should be recorded in a bound book or register with numbered pages. The manager contacted the inspector after the site visit to advise that she had obtained a bound book and was now using this to record the receipt, administration and return of all controlled drugs. The home does not have a special cabinet to store controlled drugs in. Although currently required for care homes with nursing only, it is recommended that the manager consider obtaining a cupboard that meets the requirements specified in the Misuse of Drugs (Safe Custody) Regulations 1973 to make sure that the controlled drugs are kept as secure as possible. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 11 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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Park Mount Care Home are able to make choices about their lifestyle and are helped to maintain their independence so life at the home meets their expectations. EVIDENCE: The people living at the home were positive about daily life and social activities. One person said it is ‘just like home’. Another said that they enjoyed the gardens and quite often walked around them. One person said ‘there isn’t enough to do here’. They went on to say that they had been on a trip on the canal and that they would like to do more activities like that. One person said that being provided with talking books was a real benefit as they were partially sighted and could not read. A senior carer takes the lead responsibility for providing activities in the home. She said that usually they have bingo, dominoes, and card games. Craft making sessions are also held. In addition an entertainer visits regularly and parties are held for birthdays and special celebrations. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 12 The following comment was made on a survey form, which was received, back to CSCI before the site visit: ‘People are encouraged to attend group sessions preventing residents from sinking into solitary depression’ Mass is held daily in the chapel at the home. All denominations are welcome to attend. The local vicar visits very Wednesday afternoon and also holds a service in the chapel. One of the people who attend the Wednesday’s service said there is always a cup of tea and get together after the service, which everyone enjoys. There was evidence that staff at the home support individuals in pursing their own religious beliefs. Everyone who spoke with the inspector praised the meals. Although a choice is not given on the menu, everyone said that they are offered a choice if they didn’t like the dish on the menu. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 13 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Park Mount Care Home are able to express their concerns and complaints so are confident that they will be listened to. Staff know what to do so they can make sure that people who live at the home are protected from abuse and harm. EVIDENCE: There is a complaints procedure in place, which identifies the action to be taken should anyone have a concern or complaint. No complaints have been made to the home or to CSCI since the last inspection. All of the comment cards returned to CSCI before the site visit indicated that everyone knew how to make a complaint. The following comments were made on some of the returned survey forms: • ‘If I wanted to make a complaint I would do’ • ‘I have never needed to make a complaint’ • ‘Never had to complain’ There is a policy in place on adult protection. This outlines the action staff must take if they suspect or witness any abuse occurring. Members of staff when questioned knew the policy and the correct action to take if an allegation of abuse was made. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 14 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained so people live in safe and pleasant surroundings. EVIDENCE: The home is generally well maintained. It is situated in pleasant gardens, which are also well maintained. Several of the people living in the home said they appreciated the gardens and enjoyed sitting out or walking around them during the better weather. One gentleman said he had sat out for an hour the previous day and thoroughly enjoyed it. A maintenance man is employed to look after the general maintenance of the home. Since the last inspection some of the baths have been replaced. However the temperature of the bath water in the downstairs bathroom was found to be 50°C. The manager contacted the plumber immediately during the site visit and arranged a visit for the following day. The manager has Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 15 confirmed that a thermostatic valve has been fitted and so the temperature of the water should not exceed 43 °C. The home has a number of smaller sitting/dining rooms which people were seen using. These contain a kitchenette and people living at the home can make drinks for themselves or their visitors. The home was found to be clean and tidy on the day of the site visit. Some concerns were raised about the laundry service. The laundry is run by the carers at the home. People are encouraged to label their clothes to ensure that they get returned safely. Two people said that at times clothes go missing even though they have labels on. The manager agreed to deal with this issue. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough competent staff working at the Park Mount Care Home so that the needs of the people living in the home are met. EVIDENCE: People who live in the home were very positive about the staff who work there. Comments such as ‘staff are marvellous’, and ‘ an excellent bunch of staff’ were made. Mostly positive comments were also received on CSCI survey forms completed by people living at the home or their relatives. The following is a sample of the comments made: • ‘The staff are cheerful, accommodating and professional at all times, dealing with many trying and potentially difficult situations and people’ • ‘The impression given by all staff is that they CARE’ • ‘Constant attentive, sensitive staff who try to maintain the individual dignity and worth of my father’ • ‘The strength is that there is a core of long term employees, supervision is close of staff and resident’s and standards of food, hygiene and safety are all (in my view) of the highest constant standards’ One comment suggested that members of staff might not always be aware of the diverse needs of the people living in the home. For example, they may Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 17 stand and call from the door of the bedroom rather than enter and talk to the person in the room. It was suggested that this can be frustrating particularly if someone is hard of hearing or partially sighted. Sr Marie, (responsible individual for the home) and the manager agreed that this something that will be brought to the attention of staff. Three personnel files were looked at during the site visit. All of the necessary checks had been carried out to make sure that the person was suitable to work at the home. These had been completed before the member of staff started working at the home. Members of staff spoken with confirmed they are encouraged to attend training sessions and these are readily available to them. The manager confirmed that all staff have attended moving and handling training. Two trainers are currently employed by the home to help with this task. It is recommended that the trainers record the competency assessment following the training so that the manager and all staff know they are competent to carry out moving and handling tasks safely. 60 of the carers working at the home are qualified to NVQ level 2 or above. This is in excess of the national minimum standard of 50 and means that people living at the home can be confident they are receiving care from qualified staff. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 18 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, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of Park Mount Care Home is based on openness and respect. There is a good quality assurance system in place to make sure that the home is run in the best interests of the people who live there. EVIDENCE: The manager of the home is experienced and is registered with the CSCI. She is supported by Sr Marie who is the responsible individual for the home with CSCI and also has many years experience of running a care home. All of the people living at the home were very positive about the management approach of the home. All said they knew the manager and Sr Marie and could approach them if they did have any concerns or issues. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 19 The following comments were made on survey forms returned to CSCI before the site visit: • ‘Great care at a very economic rate’ • ‘We consider ourselves fortunate to have got a place here for my father (he is equally appreciative)’ • ‘I don’t think there is a great deal to improve on as having visited several care homes – this one is excellent’ • ‘A very well run home with the emphasis always on the clients needs’ • ‘Its just normal here, I don’t have any problems here’ Most of the survey forms indicted that staff keep relatives informed if there is a change in the condition of their relative. However, one person felt that staff at the home could keep them better informed about what is happening to their relative. Members of staff spoken with said they work well as a team and can approach the manager if they have any issues or concerns. A quality assurance system is in place. This is based on seeking the views of the people who are living at the home and taking action to deal with any issues that arise. Questionnaires were sent out to the people living in the home last year and the results were collated. The findings were discussed at a staff meeting and the manager said she also informed the people living at the home the results. Sr Marie discussed developing the questionnaire so that a more detailed view of services can be sought. Staff meetings are held regularly. The manager said she is in the process of arranging a meeting for the people living at the home so that they have an opportunity to discuss any issues relating to the running of the home. The manager also carries out audits of accidents and incidents that occur within the home. Staff at the home hold a small amount of money on behalf of the people living at the home. Receipts are obtained for most transactions and two signatures are recorded wherever possible. Health and safety systems within the home are satisfactory in the main. Two of the people living at the home need to use bedside rails. A risk assessment was in place; however this was not detailed enough to cover all aspects of risk. The manager subsequently sought health and safety advice and she confirmed that a further more detailed risk assessment has been carried out to ensure the safety of the people who live at the home. A sample of maintenance records was looked at. Portable Electrical Appliance Testing was last done February 2006. The lift has been serviced regularly. Some recommendations were made at the last service. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 20 Fire safety checks were completed and recorded. The manager confirmed her intention to undertake a fire risk assessment of the whole building to ensure the health and safety of the people living at the home. Discussion took place with Sr Marie and the manager regarding testing the water supply for Legionella. New cold water storage tanks were fitted at the home last year and Sr Marie confirmed that she has engaged the services of a plumber to flush out the two calorifiers to remove scale, sediment and stagnant water. A detailed risk assessment was done more than a year ago and recommendations were made at that time. The manager of the home confirmed that they had sought advice from a health and safety advisor on the action they were taking to deal with the issues. However, there was not enough evidence to suggest that samples have been taken for microbiological testing. It is recommended that advice be sought from the Health and Safety Executive or Environmental Health Officer regarding the action being taken to make sure that the home is complying with the regulations. After the inspection the manager rang CSCI to confirm that advice had been obtained from the Environmental Health Officer and that action was being taken to comply with his recommendations. Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 X X X X X X 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 X 3 X 3 X X 2 Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 22 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 OP9 Good Practice Recommendations Consideration should be given to obtaining a special cabinet to store controlled drugs in that meets the requirements specified in the Misuse of Drugs (Safe Custody) Regulations 1973 so that the controlled drugs can be stored as securely as possible. Any risk assessments undertaken should be thorough enough to make sure that people living at the home are protected from any unnecessary risk. 2 OP38 Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Park Mount DS0000006626.V332814.R01.S.doc Version 5.2 Page 24 - 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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