Inspection on 27/07/05 for Poldhu

This inspection was carried out on 27th July 2005.

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

The inspector 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

Poldhu 11/12/07

Poldhu 23/11/06

Poldhu 28/11/05

Poldhu 01/02/05

Poldhu 02/09/04

Poldhu 13/05/04

Similar services:

Fairfields Country Rest Home

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

The Garden House

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

CARE HOMES FOR OLDER PEOPLE Poldhu Poldhu Cove Mullion Helston TR12 7JG Lead Inspector Stephen Baber Unannounced 27 July 2005 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 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. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Poldhu Address Poldhu Cove Mullion Helston TR12 7JG 01326 240977 01326 240799 info@swallowcourt.com Swallowcourt Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Acting manager Mrs Tina Howard. New manager is commencing employment in August Care Home 63 Category(ies) of Old age, not falling within any other category registration, with number (63), Physical disability (20), Terminally ill (26) of places Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: One resident suffers with mental health problems and for the purposes of registration the home has a variation whioch has been approved to continue to accommodate the resident. Date of last inspection February 2005 Brief Description of the Service: Poldhu has a spectacular site on the Lizard Peninsular. It is registered under the Care Standards Act 2000 and Care Homes Regulations 2001 to provide accommodation and care with nursing to a maximum of 63 people. Poldhu also offers respite care to prospective residents. Poldhu also provides free transport to the residents that live in the home. Residents bedrooms are spread out throughout the home and have been completely refurbished to a high standard. There are 54 rooms in total of which 40 have ensuite facilities. 6 are double and 13 single and one double room do not have ensuite facilities but toilets and bathrooms are located near to the bedrooms. Communal accommodation is spacious and a finished to a high standard.Rooms have been personalised and reflect the individuality of the occupants. To the front of the home is a very spacious, light and airy conservatory which has been equipped to a very high standard.The dining room is light and airy and provides a high standard of furnishings and fittings and residents said how comfortable and satisfied they are with the accommodation.There is a new 13 person shaft lift which travels to all three floors and aids and equipment throughout to make life easier for the more dependent residents. There is excellent doctor back-up with weekly surgeries held at the home and the nursing and care staff are very good at networking all health care professionals to provide a high standard of care in very comfortable surroundings. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the unannounced inspection as part of the homes annual inspection programme. The inspection took place over two weekdays on the 27th and 28th July 2005 and 15 hours was spent over the two days talking with residents, relatives and staff. A new manager designate has been appointed and commences employment in August 2005. In the interim period the deputy manager has managed the home and was present throughout the two-day inspection. The following activities were also carried out: • Inspection of policies and procedures, records, including assessment information and care plans • Discussion with the acting manager of the home on how it operates on a day-to-day basis • Inspection of the building • Observation of the daily life of the home . The inspection report shows that the management and staff continue to manage a well run home. Residents and their relatives said that they felt that they are well cared for and the service was responsive and flexible to their needs at all times. The relatives confirmed this and further added that staff were courteous and hospitable. The statement of purpose and service users guide set out the homes objectives in relation to privacy and dignity. Records in the home were well maintained, up to date and professional in their content. What the service does well: Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 6 Prospective residents and their representatives are provided with opportunities to visit the care home as part of their decision making process. Each prospective resident is also provided with written information about the care home. The standard of health care provided is to a high standard. The current residents stated that they are very satisfied with the care provided and the manner in which the staff undertake their duties. Care planning and dependency scoring tools and risk assessments processes are in operation on a day-to-day basis. High standards are maintained in the administration of medication. A new recreational coordinator is in place and she has talked with all residents and put in place detailed programmes to suit all residents. Visitors to the home stated that they are made to feel comfortable by the staff and are always given a cup of tea and can have a meal with their relatives. Service users are offered a choice of well-balanced meals and waiting staff whose job is to wait on the tables. They offered support in a dignified and positive manner. Residents were very complimentary about the food provided and the dining room was equipped to a high standard so that residents can enjoy their meals. The premises are maintained both internally and externally to a very high standard in both décor and furnishings. Throughout the home there was evidence of appropriate equipment for staff to use and aids and adaptations for the more dependant service user. The company employ two training managers who are responsible for the training and supervision of all staff. Each member of staff has a training portfolio and is trained to meet service users needs. New staff are provided with induction training and there is an overall training programme for the staff group. This inspection was positive and Swallowcourt Ltd is an organisation that wants to achieve a high quality of care to all its residents. What has improved since the last inspection? Swallowcourt are constantly investing in their homes to provide a high standard of care and a qualitative experience for all residents who have to come into care. The excellent work being undertaken by the recreational manager means that the social, leisure and cultural needs of all the residents allows residents to make choices in everything they do. In contrast other residents who are ill and want a level of privacy and independence from others are given support by the recreational manager to access the quiet lounge or a space for religious observance. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 7 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. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 8 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 Standards Statutory Requirements Identified During the Inspection Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 1,2,3,4,5. Management has prepared detailed written comprehensive information about the facilities and services provided. Prospective residents are given a copy of the information to help them to make an informed decision about the care home. Prospective residents and their representatives are also able to visit the care home as part of the decision making process. Contracts are made available to all residents and their representative. Each prospective resident has an assessment of their needs, which ensures all needs are taken account of and support is provided in the manner preferred by the resident. EVIDENCE: The care home has in place an informative statement of purpose and service users guide that details the facilities and services provided. The Service User Guide is currently being revised and updated. New service users are assessed by management to ensure residents needs can be met and where appropriate the representative of the resident is part of this process. It is recommended that residents and their representatives are encouraged to sign and agree the information that is being written on them. Prospective residents and their relatives or representatives also have the Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 10 opportunity to visit the care home to help decide if this is a suitable place for them to live. The home has a flexible approach about the visiting arrangements. Three files were case tracked. The assessments covered residents everyday functioning including the risk of falls. It is also recommended the resident’s preferences and choices in a number of areas are set out and a signed agreement for checks at night should also be put in place. Relatives and the residents said they were satisfied with the arrangements that were in place when they moved in. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 7,8,9,10. Care planning arrangements set out the actions, which need to be taken by staff to ensure that all aspects of the health, personal and social needs of residents are met. Good arrangements and back up are in place to support residents when they are unwell and to access health services. Medicines are well managed. The Statement Of Purpose, which is available and understood by staff sets out the privacy and dignity of residents and how they will be met. EVIDENCE: From discussion with residents, their representatives, staff and inspection of documentation it was evident that individual care needs are identified and met appropriately. From inspection of residents files, and in discussions with the acting manager and managing director more work is going to be carried out by the staff in encouraging residents and their representatives to express their views in the formation recorded in the care plans. Staff confirmed that they are more involved in the review and care planning of the individuals care plan. The managing director stated that the company are looking at corporate training in the development of the care planning process. A very positive feature of the home is how well they network all professionals with the aim of providing a high standard of health care to the residents. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 12 Records of all health professional visits are recorded in detail. Good medication arrangements are in place to protect residents. All residents spoken with stated that staff ‘at all times’ displays a high standard of respect in their daily interactions with them. Residents and relative’s stated that staff ensure that their privacy and dignity and this was observed by me at the inspection when residents were toileted and got ready for a shower and care to those ill in bed. The company want to establish this corporate approach with policies and procedures and staff training in this area of care, which will commence, from induction and through to NVQ training. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 12,13,15. Leisure and Social activities are well organised and provide stimulation and interest for residents living in the home. Visiting arrangements are flexible and visitors to residents are positively welcomed. Meals are appealing, wholesome and nutritious to suit individual needs and to provide residents with a balanced diet. The residents have a pleasing dining room with meals served in an unhurried manner to enable them to have a pleasant dining experience. EVIDENCE: The aim of the home is to provide the residents with a qualitative experience to and to empower them to have the opportunity for informed choice to optimise a fulfilled and satisfying life. This is an area that has greatly improved and residents and their relatives talked with me about how much it is enjoyed. The recreational manager has talked with all residents and taken into account a wide variation in preferences and capacity with the result that every opportunity is made to meet individual needs. Poldhu welcomes family and friends at any time as long as this accords with the wishes of the service user. This is stated in the statement of purpose. Residents can entertain visitors in their own rooms or the communal rooms. Residents reported that the arrangements for visiting were fine and the management and staff helpful in this. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 14 The residents made consistently positive comments about the quality and content of the food and the standard of catering. The menu records a varied and wholesome diet. A range of choices is provided for breakfast, which is taken at the residents preferred time. The main meal is served at midday. I sat with the residents in the dining room to have lunch. The dining room is spacious and furnished to a high standard with small tables that seat up to four and tables have clean linen tablecloths and napkins. The variety of meals was well presented and appetising, and was enjoyed by the residents. The residents were unrushed and waiting staff provided appropriate individual attention with the care assistants offering help to service users who required more assistance. Meals can be taken in the dining room; other service users prefer to eat in their own rooms. Management complete nutritional screening assessments. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 15 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 standard(s) 16 and 18. Residents and their relatives are confident that they know the complaints procedure and that their complaints would be listened to and acted upon. There are measures in place to protect vulnerable residents from abuse but these should be strengthened and improved. EVIDENCE: The company have a complaints procedure, which is a clear and accessible procedure, which includes the stages, and timescale for the process and that all complaints are dealt with promptly and efficiently. Residents said to me that they knew how to make a complaint and the staff are clearly aware of the action they are required to take if any complaints are made or any concerns arise about a residents protection. All staff are familiarised with the policy and procedure on complaints and compliments. The home has a written policy for the protection of vulnerable adults from abuse, which is in the process of being updated. Management must also obtain copies of local multi-agency procedures and those of the various placing authorities in respect of residents who have been placed there from other authorities. All staff should receive regular in-house ongoing and access to external multi agency training in adult protection to safeguard and protect residents from harm. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 16 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 standard(s) 19,20,21,22,23,26. Recent substantial investment has significantly improved the appearance of the home creating a comfortable and safe environment for residents living there and their relatives or representatives. The overall quality of the furnishings and fittings is to a very high standard and enables the residents and their relatives to enjoy a pleasing and pleasant environment to live in. The grounds are well maintained, attractive and areas have been established that are safe for residents to use. EVIDENCE: Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 17 I talked with most of the residents and visiting relatives about the individual rooms and accommodation. The feedback given to me was that Poldhu provides a high standard of accommodation, décor and furnishings. A group of maintenance men have a continuous redecoration and maintenance programme which includes looking after the grounds. This is to ensure that that all parts of the home are presented and maintained to a high standard. Detailed records are maintained but this practice differs in other homes thus deviating from the corporate approach. Poldhu have a 13-person lift, which has access to all parts of the home. There are two lounges and entrance area where residents can relax. Bedrooms have been upgraded to provide a high standard of accommodation. Residents said they enjoy their rooms, which they can personalise to their individual taste. Poldhu has a fully equipped laundry room and a laundress is employed full time to launder resident’s clothes. The residents commented that they were satisfied with the way their personal clothing is laundered. There are suitable bathing and toileting facilities throughout the home, which have been equipped to a high standard. Aids and adaptations were evident to assist with mobility and transfers. There were sufficient sluicing facilities in the home and protective clothing, paper towels and hand washing facilities are provided for staff. The grounds and views are spectacular and areas have been created for residents to access and to be safe weather permitting. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30. There are suitable trained nurses and care assistants employed in sufficient numbers at all times to meet the needs of the residents. Selection and recruitment procedures are in place to protect vulnerable residents from abuse but these should be strengthened and improved. Satisfactory arrangements are in place to select suitable staff in order that a quality service can be provided to residents EVIDENCE: The residents and their families and friends were very positive about the manner in which the staff undertake their duties and the care they provide. The staff group have a wide range of skills and abilities to meet the assessed needs and recorded needs of the residents at all times and are clearly committed to providing a qualitative experience for all residents. The magnitude of the job of ensuring that all staff training, development and supervision is down to the training manager. Each member of staff has an individual portfolio and all staff training is recorded in this portfolio, which commences from induction. The training manager explained her recent meetings with external bodies to access training and specialist training for the staff. We discussed supervision and ensuring that all staff receives bi-monthly supervision so that residents know that they are in good hands. Each member of staff has a training and development portfolio Staff files were sampled and evidenced that required information was not always in place. A review of the recruitment and selection policies and practice Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 19 must take place to ensure that residents are supported and protected by the homes recruitment practices. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36,37,38 Quality assurance systems are in place to review the services that Poldhu provides and identify any areas for improvement. Management ensure that the home is maintained to a safe standard for those residents and visitors who live or visit the home. The home is well run and organised for the benefit of the residents. Residents are encouraged to contribute and comment on the manner in which the home is run through its quality assurance and residents meetings. This provides residents with the opportunity to improve the services and facilities provided. Staff are well managed and supported in their duties by the management which results in an enthusiastic workforce who work positively with residents to provide a positive quality of life. EVIDENCE: Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 21 The deputy manager is managing the home in the interim period until the manager designate commences employment in August 2005. The residents and staff are really looking forward to meeting him. The managing director sees most of the residents and their relatives daily. Her support to the management team and staff is commendable and her open manner encourages residents and their relatives to contribute and comment to the management and running of the service. Residents commented about the confidence they have in the management and the manner in which the home is organised to take account of their views, preferences and choices. The Responsible Individual submits a monthly report about the services and facilities provided as required by regulation 26. The records of fire detection and prevention were in good order I talked with the head of maintenance and worked through all the maintenance records he maintains on the home. Inspection of Poldhu’s various documentation and maintenance certificates confirmed that they are demonstrating ‘Due Diligence’ and the health, safety and welfare of residents is being promoted and protected. With reference to Health and Safety systems of control including risk management and operational controls should be reviewed in line with the corporate approach and be reflected in up to date policies and procedures. Records held by the home are stored in a confidential manner and in line with The Data Protection Act 1998. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 x 15 4 COMPLAINTS AND PROTECTION 4 3 3 3 3 x x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x x x x 3 3 2 Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 23 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 18 Regulation 13(6) Requirement The Adult Protection policies and procedures must be reviewed to reflect current practice and all staff must receive ongoing training in adult protection to protect residents from harm. A review of the recruitment and selection procedures must take place to ensure all details required by regulation are in place. A review of Helath and Safety policies and procedures must be implemented to ensure risk management and operational controls are in place in line with the corporate approach Timescale for action 30th January 2006 2. 29 Sch 2 Reg 19 30th January 2005 30th January 2005 3. 38 12 and 13 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. 2. Poldhu Refer to Standard 1 7 Good Practice Recommendations The Service User Guide should be up to date and avialable to residents and their representatives. Residents agreement for night time checks should be put in place and residents and their represenatives should be D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 24 encouraged to contribute and sign the care plan. Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell PL25 4AD 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 Poldhu D52-D04 S8920 Poldhu V224460 270705 Stage 4.doc Version 1.40 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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