Inspection on 01/12/05 for Park View

This inspection was carried out on 1st December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park View 24/11/08

Park View 22/11/06

Park View 10/05/05

Park View 07/02/05

Park View 20/08/04

Park View 29/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Park View 29 Cocknage Road Dresden Stoke-on-Trent Staffordshire ST3 4EG Lead Inspector Lorraine Mavengere Announced Inspection 1 December 2005 9:30 Park View DS0000008323.V258410.R01.S.doc Version 5.0 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 View DS0000008323.V258410.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park View Address 29 Cocknage Road Dresden Stoke-on-Trent Staffordshire ST3 4EG 01782 252586 01782 252586 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) Strathmore College Limited Ian Clarke Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Category LD, 3 (three) of whom may be 16 to 18 years of age. Date of last inspection Brief Description of the Service: Park View is a twelve bedded residential unit, which can provide accommodation for up to twelve younger adults with learning disabilities. It is a detached property, providing ten single and one double bedroom, communal facilities are adequate. The home located in the residential area of Dresden, close to local amenities and a main bus route into the nearest town centre of Longton. The home is part of the Strathmore College Group, operated by Craegmoor Health Services. Residence at the home is limited to three years; the package provided is jointly care and education. Service users leaving home are supported to find alternative placements through extended transitional arrangements. The home is known as a residential college and service users residing there are referred to as students. Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Park View has a new manager in post. At the time of inspection she had been in post for three months and is currently under going registration through the Commission for Social Care Inspection as the registered manager. The inspection took place during the day and early evening. Most of the students were spoken to. They were able to freely give their views and opinions on the service provided at Park View. These views are included in this inspection report alongside information from the comment cards received. On this occasion, no relatives were available to give their opinion about the home. Relatives’ views were therefore taken from feedback received by the home through their quality monitoring system and, through the relatives’ comment cards received by the Commission for Social Care Inspection. Information included in the report was gathered mostly from discussions with the manager, case tracking, reading of documents, discussions with the students and the pre inspection information. The inspection concentrated on assessing the standards that were not inspected during the last inspection and reviewing the standards that were met with shortfalls. At the time of inspection, there were ten students residing at Park View. The manager reported that there were currently two staff vacancies that are covered by existing staff. The home is recruiting for these vacancies. What the service does well: What has improved since the last inspection? All the requirements from the last inspection have now been met. The manager must be commended on her hard work in ensuring that the requirements from the last inspection were adequately addressed to a high standard. Having been in post for only three months, the manager is still in the Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 6 process of making changes that are suitable to her management style as well as settling into her role at Park View. The pre inspection information stated that the home now has an I.T facility on site to support and manage communication with families via the internet. 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. Park View DS0000008323.V258410.R01.S.doc Version 5.0 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 Park View DS0000008323.V258410.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed during the last inspection. All the standards with exception of standard five were fully met. A requirement was made for the home’s contracts to be revised so that they include all relevant information as stated by the standards and regulations. Although these were not seen during the inspection as they are kept at head office, the manager confirmed that the amendments have been made and are in line with standards and regulations. This will be further analysed during the next inspection. EVIDENCE: Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8,10 Staff respect students’ rights to make decisions. This right is only limited through assessments and recorded care plans, for which the student is actively involved where possible. Students have the day to day opportunity to participate in the running of the home. All confidential information about the students is handled in accordance with the home’s written policies and the Data Protection Act 1998. EVIDENCE: It was evident from talking to the students that their right to make decisions about their lives is respected and supported. The home was able to demonstrate through observed practice that where limits have been put on a service users’ right to decide, the reasons are justified, documented and have been fully assessed. In this case, one student was constantly stating that he did not want to go out for a named activity that night. Staff, however, seemed keen that he attends the activity. Upon further questioning, it was explained that this was a daily routine for him where he would say that he does not want to attend certain activities but would thoroughly enjoy them once he engages Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 10 in them. It was also explained that on the other hand, should his decision to not attend be observed, he regrets it and then wants to attend. For these reasons, the team always try and encourage him to go even when he says he does not want to. This is backed up by written documentation. It also has to be noted that the home is a residential college and when the students sign up for their places there, they are also committing to certain learning and living programmes. Students spoken to however, stated that they felt supported in making decisions. Students spoken to confirmed that they were actively involved in the running of the home and participated in activities such as menu planning, general décor and were able state the changes that they would like made to the home. Records showed that no students’ meetings take place presently. The manager confirmed that student meetings will start to take place regularly enabling students to raise and address issues to do with the running of the home. The manager was able to give examples of when the students were consulted in every day matters. It is recommended that students are provided with the opportunity to meet to discuss and contribute to the running of the home. The service users’ guide and discussions with the students show that up to date information is provided on the home’s policies, activities and services. The home has an in depth written policy on confidentiality that all staff have to abide by. The policy gives clear guidance on how to handle confidential information. Staff spoken to were able to demonstrate knowledge of this policy. Records were seen to be secure, accurate and in line with the Data Protection Act 1998. All confidential information is kept in a lockable metal filing cabinet in an office that is kept locked when not in use. Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 15, 16 Students at Park View are part of the local community. Positive relationships are encouraged with in the home and students are supported in maintaining contact with families and significant others outside the home. The home’s daily routines promote independence and choice. EVIDENCE: Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. The requirements made for standard 20 in the last inspection have now been fully complied with. EVIDENCE: Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The home’s policies and procedures do not fully protect students EVIDENCE: The home has a procedure guidance document for action to be taken by staff in the event of suspected or actual abuse. The home has not had any vulnerable adult proceedings since the last inspection and no staff have been referred to POVA. Records show that staff are offered training in Protection of Vulnerable Adults against abuse. This is not the case for all staff at present. The registered manager must ensure that all staff receive their Protection Against Abuse training. The home’s policy is not in line with the Local Authority Interagency Working Policy on vulnerable adults. The current working document is quite vague and can be misleading in its instruction to staff. The manager must ensure that the home’s policy is robust and in line with the Local Authority Interagency Policy on vulnerable adults. Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 30 The home’s premises are suitable for the stated purpose and are clean safe and comfortable. The standard however was not fully met as a result of two areas of the home’s physical environment that need to be addressed. All students are provided with sufficient useable bedroom space. Students’ bedrooms promote independence and are equipped with fittings and fixtures that are suitable for their lifestyle needs. Students are provided with adequate toilet and bathroom facilities that maintain privacy. All communal areas are satisfactory in size allowing the service users un crowded living space. The home is kept clean, hygienic and free of offensive odours. There systems in place to prevent infection and spread of inspection. EVIDENCE: A detailed tour of the home showed it to be safe, comfortable, bright, cheerful, airy and clean. The home provides suitable heating and ventilation. It was Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 15 quite worrying to note that some of the radiators that were hot to the touch were not covered. The concerns were largely because the home has students who are diagnosed with epilepsy. In light of this, it is required that the manager re assess the need for radiator covers throughout the home. All furnishings and fittings are of good quality and are as domestic, unobtrusive and ordinary as is compatible with fulfilling their purpose. The access to outdoor space is user friendly, no students struggle to enter or exit the garden area. The premises also meet the requirements for their local fire service and environmental health department, health and safety and building Acts and Regulations. Observations showed that service users seemed comfortable in their living environment. One of the downstairs corridors had a damp patch on the ceiling. The manager confirmed that this is being addressed. Although room sizes were not measured on this occasion, the manager confirmed that these have not been altered since they were first registered. In light of this, the rooms are the required size to meet service users’ needs. The students’ bedrooms were all individually decorated to suit each student’s personal taste. Service users spoken to stated that they had chosen their own decor for their bedrooms and could bring personal items from home. This was very evident when students were talking about the work that they had done in their rooms. Both the manager and the residents confirmed that all service users chose the items that go into their rooms. The national minimum for bedroom furnishing was met in accordance to residents’ assessed needs. The bedroom furniture is sufficient to meet students’ specified needs and lifestyles. All bedrooms at Park View have en suite facilities. The number of bathrooms are adequate for students living at the home. There is one disabled toilet. This is suitably equipped with hand rails and grab rails. The toilet and bathroom facilities meet students’ assessed needs and offer sufficient personal privacy. The shared spaces are a good size and meet the standards for room sizes. Measurements were not taken on this occasion; measurements were based on those taken in previous inspections. All other aspects of the living shared areas, including the furnishings, were modern, comfortable and domestic in nature. A detailed tour of the premises evidenced that the home, on the day of inspection, was kept clean, hygienic and free of offensive odours. All staff are trained in Infection Control as part of the home’s mandatory requirements. Records showed that the home holds robust infection control policies and procedures that include safe handling and disposal of clinical waste; dealing with spillages; provision of protective clothing; hand washing. The laundry facility was inspected in detail. The inspector found that this was adequate for its stated purpose. It is recommended that the home provide lidded bins in the home as an extra measure for infection control. Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Staff have the competencies and qualities required to meet the needs of the students. The home’s recruitment policies and practices are robust and aim to protect and support students. Staff training is appropriate to meet the needs of the students. EVIDENCE: Training schedules seen show that staff are given training in First Aid, Fire Safety, Health & Safety, Food Hygiene, COSHH and Manual Handling. All the above listed training is mandatory. Records show that staff have to undertake an induction programme at the commencement of employment. The induction programme covers all mandatory training. Besides the in house induction that staff have to do when they first start working for Craemoor, they can also access a TOPSS certified induction and Foundation training programme to be achieved within 12 months of starting employment. The induction programme was seen to be detailed. Observed practice and confirmation from students showed that staff respect students, they were accessible, approachable, interested, motivated and committed. All files sampled showed that each member of staff has two references and a CRB clearance. The manager confirmed that all gaps in employment are explored. Each member of staff is provided with the GSCC code of Conduct at Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 17 the beginning of employment. The manager spoke about the recruitment process and policy in a detailed manner explaining that no staff are recruited without an interview and all the relevant checks being completed. All staff have a contract of employment/ statement of terms and conditions. All staff are given a handbook that they have to sign up to as part of their contract of employment. Training records show that 60 of the staff team are qualified to NVQ2 or above. According to discussions with the manager, the home’s induction/ foundation training programme is geared towards those who do not have their NVQ qualification. The manager stated that the training is a combination of LDAF and TOPSS. Records show that some staff still have not received their adult protection training but there was evidence that this is line to be completed. The records seen show that each member of staff has an individual training and development profile. Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 42 The home’s quality monitoring and quality assurance systems ensure that the home is constantly working towards achieving its aims, objectives and stated purpose. The health, safety and welfare of service users is protected through its safe working practices and policies with some room to improve. EVIDENCE: The manager has in place monitoring checklists that are carried out either monthly or weekly depending on the item to be monitored. These items include medication, food probe, changes in daily menus, petty cash, register, fridge freezer temps, health and safety and shower- heads. Water temperatures, fire, health and safety audits. These audits are all carried out by the manager. The manager stated that the staff team have regular meetings in which quality issues are discussed. The manager also explained that every Friday, the team meets to discuss and monitor individual learning plans. Regulation 26 visits are routinely carried out and copies of the relevant paperwork are forwarded to CSCI. Survey forms are sent out to families, students and staff on an annual Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 19 basis. Results from the survey are incorporated into the annual development plan. Before hand the team will come together to carry out self- assessment. This is the process of analysing their strengths, weaknesses, opportunities and threats as a team, based on the seven key questions of the Common Assessment Framework. Annual Development plan for 2005 was seen during the inspection. This covers the core care standards as identified in the National Minimum Standards and outlines the home’s objectives for the year. Training schedules seen show that staff are given safe working training such First Aid, Fire Safety, Health and Safety, Food Hygiene, COSHH and Manual Handling. All the above listed training is mandatory. The induction programme covers all mandatory training. Records show that staff have to undertake an induction programme at the commencement of employment. Besides the in house induction that staff have to do when they first start working for Craemoor, they can also do a TOPSS certified induction and Foundation training programme to be achieved within 12 months of starting employment. The induction programme was seen to be detailed. Fire: The fire records for the home were seen during the inspection. The home has a detailed fire risk assessment that was carried out by UK Fire International Limited. The home has an annual fire inspection and fire fighting equipment service. A tour of the premises showed that the home is fitted with dorgaurds and has two fire extinguishers. The manager highlighted that the last fire inspection showed that the home was in compliance with the fire regulations and that all recommendations made were followed up. The fire alarm systems are tested weekly, emergency lighting is tested monthly, fire exits, emergency call points and smoke detectors are also tested weekly. The manager stated that all students new to the home are taken through training of what to do if the fire alarm goes off. Records show that fire drills are carried out regularly throughout the year. Records show that all portable appliances are tested annually by a registered electrician. The home keeps a detailed list of all portable appliances held within the home. Park View conducts weekly health and safety audits that include checking of windows and restrictors, electrical checks, lights and switches, floors, ventilation, fixtures and fittings. The home holds a valid Gas safety Certificate. All heating and pipe work is regularly serviced. Water temperatures are tested weekly. Temperatures were taken on the day of inspection. Two of the bedrooms were seen to have temperatures that were dangerously high. The manager must ensure that water temperatures for these two bedrooms are adjusted accordingly. The home has a Craegmoor healthcare risk assessment folder that covers all areas of possible risk. The risk assessments are sub divided into generic risk assessments, manual handling risk assessments, and COSHH risk assessments. Although all areas of risk are covered, they are not very home Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 20 specific- risk assessments such as the one covering radiators do not really specify what the risks for the home are. In addition to this, some radiators are not covered but are a potential risk due to some students having epilepsy. This is not specified. Risk assessments therefore must be developed to ensure all areas of risk are covered. Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x X X X x Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 N/a 3 LIFESTYLES Standard No Score 11 X 12 X 13 4 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park View Score X X X x Standard No 37 38 39 40 41 42 43 Score X X 3 X X 2 X DS0000008323.V258410.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard YA23 YA23 Regulation 13(6) 13(6) Requirement All staff must receive training in Adult Protection. The home’s policy on adult protection must be robust and in line with the Local Authority Interagency Policy for the Protection of Vulnerable Adults. The risk of not having radiator covers on some radiators must be reassessed and radiator temperatures must be kept safe.. Lidded bins must be put in all areas where there is a risk of spread of infection. The manager must ensure that all areas of generic risk are assessed. Timescale for action 31/03/06 31/03/06 3. YA24 13(4) 31/12/05 4. 5. YA30 YA42 13(4) 13(4) 31/12/05 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Park View DS0000008323.V258410.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Park View DS0000008323.V258410.R01.S.doc Version 5.0 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. 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!