Inspection on 31/08/07 for Parkdale

This inspection was carried out on 31st August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Parkdale 13 Park Road Colchester Essex CO3 3UL Lead Inspector Sara Naylor-Wild Key Unannounced Inspection 31st August 2007 10:00 Parkdale DS0000068521.V350155.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 Parkdale DS0000068521.V350155.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. Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkdale Address 13 Park Road Colchester Essex CO3 3UL 01206 769500 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) Minster Pathways Limited Vacant Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (2), Physical disability (6), of places Physical disability over 65 years of age (2) Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability and who may also have a physical disability (not to exceed 6 persons) Two persons, aged 65 years and over, who require care by reason of a learning disability and who may also have a physical disability, whose names have been made known to the Commission The total number of service users accommodated in the home must not exceed 6 persons The manager achieves the RMA qualification by December 2006 Date of last inspection 22nd August 2006 Brief Description of the Service: Park Dale is a residential care home for adults with a learning disability, who may also have additional physical disabilities. The home does not purport to admit service users who require complex care by way of challenging behaviour. The accommodation is a bungalow arrangement and all bedrooms are for single occupation. There is one lounge/dining room. Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report includes the unannounced inspection site visits on 15th August 2007 and 3rd September 2007. The evidence contained in this report was gathered from discussion with managers, staff and people living at the home, observation of residents interaction with staff, questionnaires completed by residents relatives and professionals visiting the home and information contained in the Annual Quality Assurance Assessment (AQAA) provided to the Commission for Social Care Inspection (CSCI). Ms Kim Allen, the Acting Manager and the other members of the management team, assisted the inspector at the site visit. Feedback on findings was given to Ms Allen during the visit with the opportunity for discussion or clarification. The inspector would like to thank the Ms Allen, the management and staff team, residents, relatives and visiting professionals for their help throughout the inspection process. What the service does well: What has improved since the last inspection? The service continues to build on good practice initiatives such as residents care planning; developing community based activities for residents and the development and supervision of staff. Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 6 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. Parkdale DS0000068521.V350155.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 Parkdale DS0000068521.V350155.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): 2 , 3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who are considering moving to the home can be confident that the service understands their needs and will have the resources to support them before they agree to their admission. EVIDENCE: The admission and care planning processes were discussed with the Acting Manager. She highlighted aspects of development needed in these forms and was able to provide evidence of the planned improvement in the quality of information gathered. The copies seen of the most recent admission documentation contained a lengthy needs assessment document that asks for indications across a wide range of aspects of daily living. Whilst the format invites elaboration in some areas, the copies seen tended to be mainly yes/no or one-line responses. The additional form the acting manager planned to implement provides additional information that states how the identified issues need supporting and would form the basis of a care plan. This would provide a greater detail of information for the purposes of the assessment, but equally the current format does provide indications of how independent individuals may be supported. Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 9 The resident’s files also contained a basic practical independence assessment that looks at the aspects of independent living separately from the individual social and emotional needs The residents files examined contained the residents’ copy of their Terms and conditions that were set out in an easy read style. Residents spoken during the inspection with gave insight into the homes admission process including how they had been introduced to the home and consulted about their admission. They said they had opportunity to visit prior to moving in and had met staff and residents. They had found this helpful and gave them an idea of what the home was like before they moved in. They had also been able to bring items with them such as furnishings and decorative belongings. Parkdale DS0000068521.V350155.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, 8, and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home can be confident that the staff understands how best to support them. EVIDENCE: The documents relating to four residents were case tracked at this visit. These included a mix of the residents most recently admitted to the service and those residents who had been living there for a number of years. The Acting manager indicated that they felt improvements could be made in the level of information available and how the documents worked together. The examples provided in the most recently admitted residents files had personal support guidelines sheets that were written in the first person and covered a range of daily living tasks. Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 11 These are broken down into columns with the task heading, “I can do.. you can help me by… and be aware of “. As an example in one case this was completed under the headings of Waking up and getting up, with “I can wake up on my own, you can help me by letting me know how to get out of bed and direct me e.g. take the covers away and ask me to swing my legs round and stand up.” The files of more established residents had specific issues identified in a goal plan that contained short-term agreed goals. Each of the decisions consisted of short-term outcomes, long term planning and a clear strategy for carers and service users to work toward. These were reviewed and referred to the involvement of the resident in these discussions. The Acting Manager reported that this format was felt to be too bulky for daily use and planned to change these forms to have a needs and compatibility assessment that is more reflective of daily living independence with identified issues highlighted as goals with greater details around the plans to meet these. Staff record daily for each resident in response to the events on their shift. These entries did not always indicate how well the individual resident’s plan of care had been able to be implemented on that day and many entries only made confirming statements about the event rather than the way in which it had been carried out. One record contained for example an entry that stated that the resident got up, washed and had breakfast but did not indicate the level of support they required and whether this was in line with their goal plan. The acting manager was aware of this area of development. The residents and their families were invited to attend review meetings with the staff. A programme of review dates were posted in office demonstrates the forward planning given to ensuring reviews take place. When residents receive visits from health professionals these are recorded on a specific monitoring sheet. Visits are charted by a tick sheet with the comments associated with the visit completed on the back of the sheet. On the copies seen during the inspection these comments were generally completed by the GPs and Visiting Nurses themselves and include details of the reason for the visit and action taken. Parkdale DS0000068521.V350155.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. The people living at the home can expect their social and emotional needs to be supported by the service. EVIDENCE: Residents spoken with during the inspection gave examples of activities they took part in both in and outside the home. One resident had a busy and full programme of activity at local college courses and clubs. Another resident told the inspector of their choices and how they had opted not to do some outside activities as they anticipated that the service would be providing more things to do and did not want to miss out on these opportunities. In all cases there are efforts made to understand the individual residents interests and abilities to tailor activities to them. The opportunity to take part in the daily routine of the service is offered to residents where appropriate. Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 13 A form called “Keeping track” is used to identify what activities of daily living each resident has participated in such as meals washing up gardening house chores etc. In addition the residents files contained a weekly planner of activities. The activities noted in these tended to be centred a lot on the building and internal activities such as watching TV, cooking, board games, bingo and music. The Acting manager said that the emphasis had previously been very cantered on activates that were undertaken inside the home. This was an area of development and there was a new emphasis on residents taking part in community-based activities such as trips to local pubs, shops and clubs. The Acting Manager also reported that joint initiatives with one of the services sister homes was regularly taken up to provide both groups of residents with opportunities to socialise. The staffing ratios did present a challenge to the plans for more community based activity having being set to two staff in the waking day and one staff at night. The Acting Manager reported that the service had agreed to fund for an extra staff member on three days per week. However this can only occur when there is not cover required for annual leave and sickness amongst the staff group and the four weeks rota sheets seen at the inspection only indicated that this cover was provided on two of the four weeks. The Acting Manager reported the other initiatives that the service uses to overcome these difficulties including using flexibility of sister homes staff cover when their residents are out, combining activities with the residents from that home, and using management cover to supplement the numbers where ever possible. The services commitment to providing opportunities for their residents to take part in community based activities as identified in their care plan is enshrined in their statement of purpose and the organisation must consider how it ensures it will consistently deliver a service to match this statement. The relatives of residents were actively involved in some of the residents’ support and documentation in care plans identified clearly how this interaction was supported by the service. Residents spoken with during the inspection indicated that this was an important part of their life and they appreciated the way the service welcomed their relatives. The mealtime arrangements had not changed from previous inspections and residents spoken with said the food was good and they were given plenty to eat. One resident spoke about the kind of food they liked and how this was included in the menu choices. Parkdale DS0000068521.V350155.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. People living at the home can be confident that their welfare is supported by the service. EVIDENCE: Residents spoken with identified times that they go out to activities and felt this was better than it used to be. This was reflected in their care planning and the Acting Manager plans further development. Residents have access to community facilities for social and healthcare activities and support as appropriate. Residents were dressed in an age appropriate and gender oriented way and their personal space in bedrooms reflected their personality and their individual needs. Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 15 As documented in care plans the residents healthcare needs are met in a satisfactory way. Healthcare records and arrangements were well maintained, with service users having access to all healthcare services including dentist, optician and, where necessary, community nursing services. The management of medication was considered at this visit and evidence of secure and well-maintained system was found. The home uses a monitored dosage system in blister packs where appropriate. The opportunities to for self-medication and risk assessment were discussed with the staff that indicated that no-one living at the service was selfmedicating. The residents’ files contained a copy of a drugs consent form giving permissions to the home to administer drugs on the residents’ behalf. Parkdale DS0000068521.V350155.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. People living at the home can be confident that their views are listened to and acted upon. EVIDENCE: Residents’ files contain a copy of the complaint procedure produced in easy read format, and other copies are available in written and symbol based versions. Residents spoken with were not as such aware of the complaints procedure, but did know who they would speak to and believed that that person would “sort it out”. For some this was a member of the staff team, for others it was the Acting Manager. The Acting Manager confirmed that the service had not received any complaints during the period since the previous inspection. CSCI have not received any complaints about this service during the same period. The safeguarding adults process meets the requirements found at the previous inspection and continues to be well maintained. There have been no safeguarding adults issues since the previous inspection. The person in control demonstrated sound understanding of the practice and principles associated with safeguarding adults. Parkdale DS0000068521.V350155.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 good. This judgement has been made using available evidence including a visit to this service. People living at the service benefit from a homely environment that supports their needs. EVIDENCE: The service is accommodated in a one storey building in a residential suburb of Colchester. The premises are homely and domestic in character and do not stand out from other residential buildings in the same road. The décor is generally good, with some areas already identified for refurbishment such as the Kitchen. Residents’ rooms were decorated in a personal way and were well used by the residents. They told the inspector that they had chosen the colours in their rooms and how the room should be laid out. . Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 18 The premises have an enclosed garden that is mainly laid to lawn with a patio near the building. Whilst here are ramps from patio doors onto the patio, the access to this facility should be considered, as the ramps appeared to be deteriorating and there was not any solid surface for wheelchair uses to access the rest of the garden beyond the patio area. The service has a small laundry area with a domestic style washing machine and dryer. Both were in good working order Parkdale DS0000068521.V350155.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, and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the service can be confident that there is enough staff with the skills required to support them on a daily basis. EVIDENCE: The Acting Manager was able to provide a copy of the staffing calculation used to determine the appropriate staffing levels. Currently 94.5 hours am and pm plus 78.75 nights weekly, Total of 267.75 hours plus 40 hours per week allowed for management time. This translated into two staff on duty in the waking day and one staff member at night. The funding arrangements for each resident are also taken into account when considering staffing levels. The organisation has also agreed to provide an extra staff member for three shifts per week to support community based activity. Although the consistency of this provision was not always possible due to other pressures on the rota such as staff leave and sickness. Staff spoken with felt that although the numbers of staff available were appropriate when residents were staying Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 20 indoors there was a need to have at least a third person to allow residents to go out for activities. Staff supervision was taking place on a regular basis since the Acting manager had been in post. Evidence was seen of the forward planning for each staff session in the supervision planner posted in office for all staff commencing July 2007 to Dec 2007. Supervision notes were on staffs files for the last two months with all staff being supervised by the Acting Manager at the time of the inspection, although they reported that there were plans for the Deputy Manager to take on this role following supervision training later in the year. There was a supervision contract in place for each staff member. Staff spoken with during the inspection confirmed that they received supervision and had found this a beneficial activity. There was a plan in place for Deputy Manager and Senior Care staff in developing their roles to complement the part-time manager role These had already been shared with the Deputy Manager and a meeting was planned with the whole management team to enable them to add their views to the development plans. The Staff files contained evidence of a robust recruitment system and included information such as full application forms, two written references, Criminal Rerecords Bureau checks and proof of identity. Staff training This included to residents development had attended was evidenced in a development matrix and planner for the year. topics raised from both service specified needs and those related needs. In addition each member of staff had an individual programme and a training profile that charts what topics they and when the due date was for refresher courses. Parkdale DS0000068521.V350155.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 Good. This judgement has been made using available evidence including a visit to this service. People living at the service benefit from a strong management team who deliver a service that promotes their best interests. EVIDENCE: The person in charge of the home is the Acting Manager Kim Allen. Ms Allen is a Registered Manager for Newlands; a service operated by the same organisation and had covered the two roles for some months. The Commission was aware that a proposal for this to be a permanent arrangement with the providers submitting an application for Ms Allen to be registered for both services was being considered. Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 22 The way in which this arrangement affected the service was considered at the inspection and both staff and residents were asked how they were supported by the shared role. In both cases the response was very positive and no one felt that the part time nature of Ms Allens presence in the home had been detrimental to the service. This was supported by the improvement in the underpinning documentation such as assessments and care planning and staff supervision that had been instigated by Ms Allen. The service has not developed the quality assurance system since the previous inspection in order to provide a full process of gaining views and reporting on how the responses were going to be acted upon. The Acting Manager was able to discuss the plans to develop a system that will be taken across the organisation. The service did gain feedback from residents at admission via admission surveys although this was not in an easy read format, and from relatives through questionnaires. The questionnaires sent by the Commission to people living in the home indicated a very positive response, although these appeared to have been completed on their behalf by staff. However people living at the home also gave the same views during discussions with them at the inspection visit. Records were inspected as part of the inspection and included the staff roster, staff related records (recruitment, supervision and training), and care related records, complaint procedure, missing person and fire procedure. All of the records were appropriate and met the National Minimum Standards. Parkdale DS0000068521.V350155.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 X 2 3 3 3 4 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA39 Good Practice Recommendations The outcomes of the quality assurance processes should be made available to the stakeholders. This ensures people who contribute to the process through surveys are aware of how their comments are being acted upon to improve the service delivery. The residents’ access to community based activities should not be limited by the arrangements for staffing. This will ensure that residents identified social needs are consistently supported. 2. YA14 Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Parkdale DS0000068521.V350155.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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