Inspection on 26/07/06 for Passmonds House

This inspection was carried out on 26th July 2006.

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

Passmonds House 29/11/05

Passmonds House 31/05/05

Passmonds House 16/11/04

Passmonds House 26/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Passmonds House Edenfield Road Rochdale Lancashire OL11 5AG Lead Inspector Bernard Tracey Unannounced Inspection 26th July 2006 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 Passmonds House DS0000025487.V298292.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. Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Passmonds House Address Edenfield Road Rochdale Lancashire OL11 5AG 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) 01706 644483 01706 647701 Denehurst Care Limited Mrs Irene Ingram Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (1), Terminally ill (1) of places Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 35 service users, to include: up to 35 service users in the category of Older People (OP); up to 1 service user in the category of PD (Physical Disability under 65 years of age); up to 1 service user in the category of TI (Terminal Illness TI under 65 years of age) may be accommodated within the overall number of registered places. The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 29th November 2005 2. Date of last inspection Brief Description of the Service: Passmonds House is a care home providing care for older people. The property has been extended over the years to offer accommodation for 35 service users over the age of 65 years, in 2 double and 31 single rooms. Twenty-two of the rooms have en-suite facilities. There are four lounges, one of which is used for residents who wish to smoke, and one dining room. Toilets and bathrooms have aids to assist residents who have a problem with mobility. The home is set in its own grounds and situated adjacent to Denehurst Park. It is approximately 1½ miles from Rochdale town centre and a regular bus service passes the home. Several shops are situated around the locality. Parking is provided to the front of the house. Ramped access is provided to all entrances. The home’s Service User Guide advised residents and their relatives that the most recent Commission for Social Care Inspection (CSCI) report was available in the reception hall. At the time of this inspection weekly fees ranged upwards from £331.00 £346.00 per week, approximately £1436 - £1500 per month. Additional charges were for hairdressing, chiropody,and newspapers. Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was not made aware that this site visit was going to take place. Several weeks before the inspection questionnaires were sent out to doctors, social workers and district nurses, as well as to the residents of the home and their relatives. The questionnaires asked what people thought of the care and services provided by the home. The home was also asked to fill in a questionnaire. The Inspector spent 6 hours at the home. During this time he looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A tour of the building was undertaken and time was spent looking at records regarding safety in the home. He also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. The Inspector spent time speaking to 5 residents as well as speaking to 2 relatives, 5 staff, the deputy manager and the owners. The entire key National Minimum Standards was looked at on this visit to the home. What the service does well: This is a care home where residents are well looked after. One visitor said “This is a good home and the staff have looked after my husband extremely well” The staff team work well together and show a good understanding of the needs of the people living at the home. The home was good at visiting people before they moved in, to make sure the home could provide the care they needed. They were also good at writing down what care people needed and making sure they received it. The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. Meals and mealtimes were considered to be an important part of the residents’ day. The dining room was a nice place to sit, eat and meet with other residents. The residents said that they really enjoyed their meals. They were satisfied with the choice of meals and the way they were cooked and served. Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 6 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. Passmonds House DS0000025487.V298292.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 Passmonds House DS0000025487.V298292.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 3. Standard 6 does not apply Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents were assessed and given information about the home so they knew what it was like before they moved in. EVIDENCE: Before any resident was admitted to the home an assessment of their needs were undertaken, by a senior member of the staff from the home and from the professional i.e. care manager requesting their admission. The files showed that care management assessments had been completed by social workers. Two residents who hadn’t lived at the home for long said it was helpful to meet someone from the home before they moved in. Assessments held on file supported this. Potential residents and their relatives were given a copy of the Service User Guide either when they visited the home or during their assessment visit. The assessment documents of residents were looked at. The assessments were detailed and gave a clear indication of the residents’ needs and their Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 9 capabilities. The assessments looked at the physical, mental and social care needs of the residents as well as the involvement if any, of their relatives. The Inspector spoke with the relative of a resident who had been admitted from home. The relative stated that the manager had been out to the residents’ home to undertake an assessment of his needs. Feedback from discussion with residents who moved into Passmonds, indicated that they were given sufficient information about the home prior to moving in. Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care practices ensured that the residents health care needs were met, that they were treated with respect and their dignity was upheld. Some improvements could be made, in identifying the goals of the written care plans. EVIDENCE: Three care plans were inspected, two of which related to residents who had lived at the home for a relatively short time The care plans encompassed health and social care needs but some did not address how each care need would be met and what the intended outcome for the resident would be. All care plans had been regularly reviewed by staff on a monthly basis. Evidence of resident or relative involvement was seen on two of the care plans, one of which had recently been reviewed with relatives. The care plans of the two residents who had moved in recently had not been signed or agreed with them although each was able to understand and endorse the plans. Some residents and relatives spoken with said they had been actively involved in review. Others who visited regularly said they would consult with the manager Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 11 when they visited and assumed changes were made to plans. Relatives also said they were kept informed regarding the health of the resident they visited. Care managers did not undertake regular reviews. Care plans clearly recorded GP, Psychiatrist, District Nurse, CPN and care management involvement. Residents and relatives spoken with said these health professionals were contacted when necessary. One resident described the care as “extremely good” and other residents and relatives spoken with were satisfied with the overall care provided at the home. Residents said they could have a laugh with staff which they enjoyed. Observation supported this view and relationships appeared to be relaxed with residents enjoying the interchange with staff. A discussion with the residents and relatives identified that the residents had access to other health care services including hearing, sight tests and a visiting chiropodist. Evidence of these visits was kept in the residents’ individual files. Equipment necessary for the prevention and treatment of pressure sores was available in the home. Continence aids were in use and the staff were aware of how to contact the continence nurse advisor for advice if deemed necessary. The weather was exceptionally hot on the day of the inspection and the manager had briefed the staff on the heat-wave guidance which they were following. Jugs of juice were provided in residents’ rooms and communal areas, curtains were closed to keep the sun out and window and patio doors opened to allow a breeze in. None of the residents have chosen to manage their own medicines. One resident commented that they were ‘glad to be rid of them’ because of the worry. Another resident used to keep her own inhaler but no longer wished to do so. She was happy with the current arrangements and ‘buzzed’ for care staff when she wanted her inhaler. She said they always came quickly. The homes medication records were examined to track the management of medicines in the home. They identified that medicines were handled safely and given correctly. Records of medicines received into and leaving the home were up-to-date. Medicines were safely stored in the medicines storage room. Residents spoken with considered their privacy and dignity were respected at the home. Staff interviewed were able to describe good practice in this area e.g. closing doors and curtains when assisting residents, using privacy curtains etc. Relatives commented that observation during their regular visits to the home indicated staff treated residents with respect and upheld their dignity. . Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this area is adequate. This judgement has been made using the evidence available including a visit to the service. Provision of social activities and integration into community life was limited and did not provide a stimulating environment within the home. Family and friends of residents were encouraged to visit and made to feel welcome. Residents were enabled to exercise choice and control over their lives. The dietary needs of the residents were well catered for with a balanced and varied selection of food. EVIDENCE: Activities at the home are not developed to a degree that ensures that residents have a mixture of relaxation and stimulation. Interviews with staff highlighted their need to receive more help and guidance from the manager in this respect. Staff encouraged residents to play dominoes, answer quiz questions, and listen to music. Musical entertainment was provided by an organist on a regular basis. Some residents were observed initiating interaction and expressing their views and feelings but others spent a considerable time sleeping or sitting without occupation. The need for further person-centred activities for residents remains. Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 13 A previous inspection report has referred to the need for a more structured activity, with staff available for one to one activities to take place, including trips out of the home. Individual preferences are not ascertained and activities were not recorded on residents’ files with little evidence to indicate that staff are working with residents on both a group and individual basis. Feedback from relatives was positive with regard to arrangements for visiting. They said they could visit whenever they wished through the day and evening and were made to feel welcome. This was consistent with the visiting policy stated in the Statement of Purpose. Visitors had a choice of where they met with relatives – either in their bedrooms, the lounges or the dining room. Menus inspected were seen to provide a balanced, nutritious and varied diet over a 4 week period. All food was ‘home-cooked’ which residents said they appreciated. Little wastage was seen at the end of the lunchtime meal. Residents spoken with all said they enjoyed the food. Observation when meals were being served showed that the cook knew individual’s likes and dislikes. . Suitable provision was made for those needing special diets i.e. diabetic and soft diets. The cook ensured diabetics were offered as much choice as other residents by using sweeteners in desserts. Staff gave appropriate assistance to those needing it. Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this area is adequate. This judgement has been made using the evidence available including a visit to the service. The complaint system in place enabled the residents to feel that their views were listened to and acted upon. Staff had a good knowledge and understanding of adult protection procedures thereby reducing the possible risk of harm or abuse EVIDENCE: A discussion with residents and relatives indicated that there was a general awareness of how to make a complaint. The complaints procedure was displayed in the reception area. It was easy to understand and gave an assurance that complaints would be responded to within 28 days. The complaints procedure had also been given out to each resident. A copy of the Local Authorities Vulnerable Adults Procedure was in place and a discussion with the senior staff identified that they were aware of the procedure to follow in the event of any allegation of abuse. Training in the protection of vulnerable adults has been undertaken by some staff and is ongoing. Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this area is adequate. This judgement has been made using the evidence available including a visit to the service. A safe homely environment was provided but general maintenance of the home was not always apparent throughout, which on occasion adversely affected residents’ comfort. EVIDENCE: There was evidence of redecoration and some renewal of fabric and furnishings. This has yet to be completed but a significant amount of work has been done. It is recommended that the programme of maintenance and renewal of the fabric is reviewed and a current plan, with timescales, is produced and sent to the Commission for Social Care Inspection. Residents said staff kept the building clean and odour free, inspection of the premises supported this view. Discussion with two domestic staff verified that sufficient staff and equipment were provided to ensure the home was Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 16 maintained in a clean and hygienic condition. An infection control policy was in place and training was provided in this area. Staff spoken with described safe infection control practice. Satisfactory practice was in place with regard to disposal of clinical waste. Four residents spoken to were very pleased with their individual rooms and one said that they had “brought in a number of personal possessions, to make it feel more homely” The laundry was sited away from the food preparation area and was seen to be clean and orderly. Sufficient and suitable equipment was provided and laundry was attended to efficiently. Two residents said that they were satisfied with the laundry system at the home and that there was a quick turn around on the clothes sent for cleaning. The outside of the home needs repainting and the fencing to the front and the side of the home replacing. The owner said that he plans to replace the sectioned fencing with wrought iron replacement. Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this area is good. This judgement has been made using the evidence available including a visit to the service. The residents were cared for by sufficient numbers of staff that were suitably qualified and trained and therefore had the knowledge and skills to meet the residents’ needs. EVIDENCE: The staff group has the skills and management support it needs to ensure that residents receive good care. Residents and relatives spoken to were very happy with the amount of staff on duty and said “they are always helpful and available to see to anything you need doing and nothing is too much bother”. “The attitude of all the staff is excellent” The home has a comprehensive recruitment policy and procedure and when three staff files were checked it was evident that the manager follows the procedure, and ensures the interview process, CRB checks, written references, health checks and past work history are all obtained and satisfactory before the person starts work. The home has a staff-training programme offering staff access to Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 18 mandatory training and some specialist subjects linked to the needs of the residents. A senior member of staff who is employed by the home oversees the training and discussion with the owner during the inspection identified that there is a training plan for the home and staff are notified of the available training dates and when they are expected to attend. Up take of the training is very good. One staff member said that ‘the training here is excellent. Another member of staff was pleased that “ I have been helped to do my NVQ Level 2 and 3 which gives me more skills to help the residents”. The home should ensure that more regular meetings are held with the staff to ensure that discussion can take place on a group basis regarding issues in the home. Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3132 33 35 36 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the required qualifications and experience and is competent to run the home. She works to continuously improve services and provide an increased quality of life for residents. There is a strong ethos of being open and transparent in all areas of running of the home. The manager is resident focused and leads and supports a strong staff team who have been recruited and trained to a high standard. The manager is aware of current developments both nationally and by CSCI and plans the service accordingly. Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager who is also the owner of the home has several years experience working with the elderly in a care home setting. She is aware of her responsibilities both as the owner and as a manager. There are clear lines of accountability within the home. A deputy manager has been appointed recently, who has gained the Registered Manager Award and it is envisaged that she will be applying to become registered with the Commission for Social Care Inspection. Staff interviewed on this Inspection confirmed that the Manager is able to communicate a clear sense of direction and leadership and that her approach to running the home is open and transparent. Staff felt that they could approach her or the deputy and felt supported both in their daily tasks and in their personal development. Residents described the manager as “Very approachable, understanding and listens to your requests”. Policies and procedures are up dated and reviewed as an ongoing practice and action is taken to ensure the requirements of the inspection reports are met. Staff do not have formal meetings with the manager. Despite this the staff agreed that they are able to express ideas, criticisms and concerns without prejudice and the management team will take action where necessary to bring about positive change. There is evidence of ongoing training for all members of staff with a comprehensive induction programme covering all aspects of resident care. The registered person ensures that the employment policies and procedures and its induction and training process are put into practice. Staff supervision files show that individuals do not receive formal supervision with their manager on a regular basis. Records required for the protection of residents and the running of the business are in place, reviewed and up dated as required. Passmonds House DS0000025487.V298292.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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 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 2 3 X 3 2 X 3 Passmonds House DS0000025487.V298292.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. 1. Standard OP12 Regulation 16 Requirement Activities suitable to the needs of residents must be regularly provided, recorded, monitored and reviewed. A new maintenance and renewal plan, for work inside and outside the building must be written and a copy must be sent to CSCI. All care staff and managers must be given the opportunity to receive training in the protection of vulnerable adults. A system of formal supervision system whereby all care staff receive supervision at least 6 times a year must be implemented. The care plans should detail how the care needs of the residents are to be met. All care plans must be drawn up with the involvement of the resident and their representative A system of regular formal staff meetings should be developed Timescale for action 30/09/06 2. OP19 23 30/09/06 3. OP30 12 30/12/06 4. OP36 18 30/12/06 5. 6. OP7 12 15 30/10/06 30/10/06 OP7 7. OP32 20 30/12/06 Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 23 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 Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Passmonds House DS0000025487.V298292.R01.S.doc Version 5.2 Page 25 - 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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