Inspection on 16/11/06 for Peterhouse

This inspection was carried out on 16th November 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Peterhouse 16/11/07

Peterhouse 20/12/05

Peterhouse 10/06/05

Peterhouse 17/08/04

Peterhouse 14/04/04

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 Peterhouse Sneating Hall Sneating Hall Lane Kirby Le Soken Essex CO13 0EW Lead Inspector Neal Cranmer Key Unannounced Inspection 16th November 2006 09:30 Peterhouse DS0000017909.V302287.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 Peterhouse DS0000017909.V302287.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. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Peterhouse Address Sneating Hall Sneating Hall Lane Kirby Le Soken Essex CO13 0EW 01255 861241 01255 861241 sneating@btinternet.co.uk 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) Reverend Graham Beresford Edwards Reverend Graham Beresford Edwards Care Home 11 Category(ies) of Learning disability (11), Physical disability (11) registration, with number of places Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home accommodates eleven people with learning disabilities who may also have physical disabilities. 20th December 2005 Date of last inspection Brief Description of the Service: The home is situated in a semi-rural location, offering extensive outdoor space. The home benefits from having its own occupational therapy suite situated in the courtyard from the main house. Accommodation is provided on two levels. A large communal lounge with access to extensive grounds is available. Bathrooms and toilets have been adapted to meet the needs of service users who require the use of wheelchairs. The home provides transport to facilitate the accessing of local community based activities. Fees for residing at the home range between £727.44 to £1050.95 per week, there are no additional charges made by the home, this information was provided in the Pre-Inspection Questionnaire, which was submitted, to the Commission on the 23/10/2006. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, which took place over a period of two days in November 2006. During the first day of the inspection the inspector was supported by Ms Marion Ryan who is known as an expert by experience and her supporter Karen West Whylie from Barking and Dagenham Centre for Independent Integrated Inclusive Living. As a service user, Ms Marion Ryan has an expert opinion on what it is like to receive services for people who have a learning disability and her comments are included throughout this report. They spoke with one service user and observed a number of others; in addition they spoke to, and observed a number of staff working in the home. The inspector spoke to six members of the care team, across the course of the two days, in addition service users care plans and risk assessments were inspected, as were staff recruitment files and training records. Observation of care practice was also undertaken. Twenty-four of the forty-three standards were inspected, of these, one was exceeded, fifteen were met, three were partially met, and four resulted in recommendations for best practice being made. What the service does well: Service users continue to be supported in an environment that is homely, and are able to freely access communal areas in safety. Some service users continue to be encouraged to take part in daily activities within the home e.g. making beds, collecting dirty laundry and being involved in a variety of tasks in the kitchen, dependant upon their individual abilities. The expert by experience commented that she was pleased to note that service users had a degree of choice about when they wished to go to bed, and that service users have key workers, and supported by both male and female carers. The service user spoken with reported that ‘staff looked after them very well’. The expert by experience reported that service users indicated that they felt safe in the home, and that there were locks on all the doors. The expert by experience reported that the home supports service users to spend time with their families whenever possible. The expert by experience reported that most staff appeared friendly, with some being particularly good in respect of their interactions with service users, Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 6 whilst others appeared most of the time to be to busy, one service user spoke of having a particularly good relationship with their key worker, seeing them as friends. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 8 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 Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 9 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. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Service users being admitted to the home can expect that their needs will be assessed prior to admission to the home. EVIDENCE: There have been no new admissions to the home for a number of years, therefore it was not possible to view any admission records. However the home has a proforma to be used for all future admissions to the home, which covered the following areas: • • • • • • • • • Details of the service users next of kin Details of the referring agency Service users medical history History of any operations Service users method of communication Dental history Personal care needs Activities that the service users enjoys Details of important relationships. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 10 The home’s admission of future service users will continue to be monitored through future inspections. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Service users assessed and changing needs are reflected in their plans of care. Service users who are able can expect to be supported to make decisions about their every day lives with assistance. Service users can expect to be supported to take risks as part of developing their independence. EVIDENCE: Three service users care plans were sampled, all contained copies of the service users plans of care, which all had review dates set, daily records were tick charts which related specifically to activities that service users had carried out throughout the day, other records relating to the service user’s day were completed and held in a central diary record within the home. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 12 The level of needs of the service users residing at the home are varied, with most having quite complex needs, only one service user residing at the home was able to make any informed decision about their every day life. The expert by experience spent some time talking with the service user who spoke of a desire to help out in the garden, but indicated that they were not permitted to do so, discussion between the expert by experience and the service user indicated that service users do have some degree of choice about when they wish to retire to bed, although times for getting up were a little more structured with service users being supported by staff to get up between the hours of 07.30 and 09.00, for breakfast at 09.00. All three files sampled contained evidence of risk assessment activity being undertaken which looked at the nature of the risk, the level of risk to the service user or others, the measures in place to minimise the level of risk, and the probability of the identified risk presenting in the first place. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 13 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 Adequate. This judgement has been made using available evidence including a visit to this service. Service users can expect to be supported to take part in activities within their local communities but cannot be assured that activites within the home will always be peer and age appropriate. Service users can expect to be supported to maintain links with their families and friends. Service users cannot be assured of there being a choice of meals available to them. EVIDENCE: Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 14 During discussion with one service user the expert by experience discovered that they had a part time job for which they were paid £7.50 per week, the expert by experience was concerned that this was not enough payment, and was further concerned to be told that their might be occasions when payment might be withheld e.g. if the service user failed to get up. As mentioned previously the needs of many of the service users are very complex. It was noted by both the inspector and the expert by experience that service users were being supported with a variety of activities during the time that they were there, however both noted with some degree of concern that many of the activities were of a childish nature, and not age or peer appropriate, stating that many of the books and toys were for babies! The home has its own occupational therapy room for the use of service users. However discussion between the expert by experience and service users indicated that it is not used much. Discussions with staff indicated that service users accessed the community in a number of different ways, for example Shopping, going for meals out, visiting the cinema, going to the local pub occasionally, visiting the local leisure centres, and attending places of worship. However this was not fully supported by the discussion had with the expert by experience who reported back that service users never went to restaurants, and only occasionally visited pubs, and could not remember the last time they visited the cinema, service users did however mention attending the Gateway club and other clubs. The home has an open door policy on the receiving of visitors, and actively supports service users to maintain links with their families and friends, through the sending of cards and letters, which service users key workers support them with. Service users are free to choose where they receive their visitors. The expert by experience reported that service users had spoken of spending time with their families, particularly on special occasions, one service user spoke of staying in contact with their family via the telephone. Meals are provided three times daily at least one of which is hot. Discussion with the home’s cook indicated that service users do not have any choice about the meals provided by the home. This was reiterated during discussions with the expert by experience when service users said they do not have any choice. The expert by experience was concerned during observation of service users to note that one service user indicated the wish for a drink, and was left waiting for over an hour. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 15 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. Service users can expect to be supported with their care needs in a flexible way that meets with their individual requirements. Service users can expect that their emotional and physical health care needs will be well met. The home’s medication practice was safe and assured promotion of service users health. EVIDENCE: Service users each have designated key workers, who one service user spoke of having an especially good rapport with. Service users spoke of having a choice about when they wished to go to bed, and some slight degree getting up in the morning. Service users are supported to meet their personal care needs in private and in a dignified manner. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 16 All service users are registered with a General Practitioner, and there was evidence of service users accessing local generic healthcare facilities such as Opticians, Dentists and Chiropodists. Service users also have access to specialist healthcare support provided by the Primary Care Learning Disability Trust such as Consultant Psychiatrists and Psychology. The management of medication was found to be of a good standard, being dispensed by a measured dosage system or named containers, the home does not maintain any controlled medicines. All staff receive training through the home’s own induction process, which includes observed practice. In addition a number of staff have completed distance learning packs. The home’s medication records were sampled and found to be in order. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 17 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 Adequate. This judgement has been made using available evidence including a visit to this service. The home has in place robust policies and procedures for managing complaints and adult protection issues, and staff of well aware of both, however some concerns over recent months give concern for how these policies and procedures are implemented. EVIDENCE: The home has a complaints policy, which clearly lays out the actions to be followed in the event of a complaint being made. Since the previous inspection of the home one complaint has been made to the home. The home held the information relating to the complaint, but their was no complaints log of the complaint being received which evidenced a clear audit trail of the investigation process. All staff members are provided with a copy of the home’s complaints policy during their induction. Discussion with a number of the staff team during the course of the inspection evidenced that they were well aware of the home’s complaints policy. However following the most recent complaint about the home, staff were split on their view of how the manager supported the complaints process. Since the previous inspection to the home there have been two adult protection referrals, both of which were appropriately reported to the relevant agencies. The home’s policy on adult protection is robust, and all staff have either received or are in the process of receiving training in this area. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 18 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, 25 and 30. Quality in this outcome area is Poor. This judgement has been made using available evidence including a visit to this service. Service users cannot be assured that all of the furnishings and fittings in the home are of a good standard. On the day of the inspection not all areas of the home were free from unpleasant odours. EVIDENCE: During the course of the inspection both the inspector and the expert by experience noted that areas of the home were looking quite tired and worn, and a lot of the furniture provided was rather old, and in a number of cases in a particularly poor state of repair. The expert by experience also commented that the home lacked any pictures, particularly of service users themselves, and felt that this did not help to give the home a homely feel to it. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 19 The expert by experience was also particularly concerned to see a small Wendy House situated in the corner of the lounge. This was discussed by the inspector with a member of staff further who stated that one particular service user loves it and uses it frequently to sit in, both the inspector and the expert by experience felt the home needs to explore the appropriateness of this further, and perhaps look at other alternatives for example the expert by experience felt that the service user should have their own shed in the garden. A number of service users residing in the home are sharing bedrooms. There was little evidence to indicate that any of the service users had been able to make an informed choice about whether they wished to share or not. In one particular case two of the service users sharing a room both had some incontinence issues, which the home had worked hard on to minimise, however this was felt to not be appropriate, in as much that it raised issues about service users privacy and dignity. This matter was discussed with the registered manager during the course of the inspection. As indicated above during the course of the inspection there were areas of the home where it was noted that there were some unpleasant odours emulating Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 20 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. Service users can expect to be supported by a team of staff who are competent and appropriately qualified. Service users can expect to be protected and kept safe by the home’s staff recruitment practice. Service users can expect to be supported by a team of staff who are appropriately trained to meet their needs. EVIDENCE: A significant number of the care team are qualified at N.V.Q level 2 or above, and since the previous inspection of the home staff have received training in the following areas: safe handling of medicines, moving and handling, adult protection, and administration of invasive medicines. The home does not employ any trainees under the age of eighteen. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 21 The home’s recruitment practice was looked at through the viewing of three staffs recruitment records. All the records seen contained the necessary documentary evidence required under regulation; nothing seen indicated any concern that the home’s recruitment practice was not sufficiently robust enough to safeguard the needs of service users. The three staff files sampled evidenced that staff had received training in a number of areas since the previous inspection to the home, these are identified in the above paragraph. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 22 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, 38, 39, 42 and 43. Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. Generally service users can expect to benefit from being supported in a relaxed and friendly atmosphere, however staff dynamics within the home are currently not good. The home has in place a mechanism for reviewing and keeping under review the quality of its service provision. Service users can expect that their health and safety will be promoted and protected by the home’s practice. The home is managed in a competent and accountable fashion. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager is qualified at N.V.Q level 4 in management and is very close to completing their N.V.Q level 4 in care. The manager has significant previous experience in care and is also the registered manager for the home’s sister home, which is situated nearby, and has overall responsibility for the management and running of the two homes. Discussion with staff indicated that the majority of staff felt that the registered manager provided staff with a sense of leadership and direction, although recent events that had occurred in the home had left staff with the view that things were not managed in a way that was open and transparent, this had appeared to totally de-stabilise the team dynamics, although at the time of the inspection there was no evidence to suggest that this was having any direct impact upon service users, the registered manager spoke of looking at ways in which this might be improved. The home has in place a comprehensive process for reviewing the quality of its service provision, which ensures that it seeks the views of the following interested stakeholders: Service users and or their representatives, parents or other interested parties, visiting professionals, and church groups. In assessing the home’s safety the following safety certificates were viewed and found to be current and in order: • • • • • • • • • • Boiler service record Weekly record of hot water checks Records of visits from fire officer Fire alarm test record Emergency lighting test record Record of fire instruction Record of last fire drill Visual inspection record of all 1st floor fire escapes Visual inspection record of all fire doors Portable appliance test record. The home now has a business plan, which is open and available for inspection, which included financial records. The home has public liability insurance in place, which was current. Lines of accountability within the home appeared to be well understood by the staff team. Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 24 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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 2 26 X 27 X 28 X 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 2 3 x x 3 3 Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA17 Regulation 16 (i) Requirement The registered person must provide, in adequate quantities, suitable service users require wholesome and nutritious food which is varied and properly prepared and which is available at such times as may be reasonably. The registered person must ensure that the premises are kept in a good state of repair both externally and internally. They must also ensure that all parts of the home are kept clean and reasonably decorated. The registered person must ensure that professional relationships with staff are maintained and any concerns or complaints received are managed. The registered person must make provision for the home to be kept free from offensive odours. Timescale for action 28/02/07 2. YA24 23 (b,&d) 28/02/07 3 YA38 5 (a) 30/11/06 4. YA30 16 (k) 28/02/07 Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 26 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 YA12 Good Practice Recommendations It is strongly recommended that the registered person explore a range of other activities that maybe provided to service users within the home that are age and peer appropriate. It is recommended that the registered person look at ways in which to explore with their staff team how they may assure them that complaints made about any aspect of the running of the home are seen and believed, to be handled in an open and transparent way. It is recommended that the registered person explore ways for enabling service users to be involved in making choices about the food that they receive. It is strongly recommended that the registered person look at ways in which service users who are sharing bedrooms, maybe facilitated to having their own. 2. YA22 YA38 3. 4. YA17 YA25 Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 27 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 Peterhouse DS0000017909.V302287.R01.S.doc Version 5.2 Page 28 - 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!