Inspection on 29/05/07 for Poppy Lodge

This inspection was carried out on 29th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Poppy Lodge 07/11/06

Poppy Lodge 01/12/05

Poppy Lodge 23/06/05

Poppy Lodge 04/11/04

Poppy Lodge 13/07/04

Poppy Lodge 30/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Poppy Lodge 633 Church Road Yardley Birmingham West Midlands B33 8HA Lead Inspector Kulwant Ghuman Key Unannounced Inspection 29th May 2007 09:30 Poppy Lodge DS0000017128.V334857.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 Poppy Lodge DS0000017128.V334857.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. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Poppy Lodge Address 633 Church Road Yardley Birmingham West Midlands B33 8HA 0121 628 3718 F/P 0121 628 3718 poppylodge@yahoo.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) Mrs Saeeda Younus Mrs Saeeda Younus Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years Date of last inspection 7th November 2006 Brief Description of the Service: Poppy Lodge is currently registered to provide accommodation, care and support for 4 people with learning disabilities. The Registered Manager is also the owner of the Home. At the present time, all of the people living in the home are male. The property is a large detached house situated in the residential district of Yardley in Birmingham. A range of local amenities and community facilities are available close by, and the house is well served by public transport. On the ground floor there is a through lounge / dining room which gives access to the rear garden through patio doors. There is a large kitchen: adjacent to this is a sizeable lean to, which houses the laundry facilities. There is a downstairs bedroom with en-suite bathroom, and a separate toilet. Upstairs there are three single bedrooms. One has a wash hand basin and access to a toilet and bathroom on the first floor. The other two bedrooms have en-suite facilities of toilet, wash hand basin and shower. The main office is based on the first floor. At the front of the house is a goodsized drive offering off-road parking. To the rear of the property is a large private garden. At the time of this inspection there was a double storey extension being built on at the side of the home where the laundry facilities had previously been sited. The laundry facilities were currently sited on the patio area at the back of the home. The fees at the home range from £352 to £789 per week. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this key unannounced inspection over a day during May 2007. Before the inspection the home had provided the CSCI with information by way of the pre-inspection questionnaire. Surveys completed by the people living in the home, their relatives and one professional also provided the inspector with information on which to base the inspection. The inspector was able to speak with the manager and one member of staff and three of the people living in the home, looked around the building and sampled some records. There had been no complaints and no adult protection issues raised about the home since the last inspection. What the service does well: What has improved since the last inspection? The has been some redecoration in the home and new carpet fitted in the lounge/dining room. The maintenance records were accessible and all fire testing was up to date. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 6 Staff had taken training in how they should safely give medicines to the people living in the home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There would be appropriate consultations with the people living in the home before anyone else moved into the home. EVIDENCE: No new people had come to live in the home. The inspector spoke with the manager about the importance of ensuring that anyone moving into the home would be introduced to the other people living in the home and be offered short stays over a period of time. The manager was well aware of the need for the right individual to move into the home so that the other people living in the home remained happy too. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and health care needs of the individuals living in the home were met to their satisfaction. EVIDENCE: The care files of two of the people living in the home were sampled. The home was using a person centred care plan. The care plans contained some very good information about the individuals including background information, profiles and details on how their needs were to be met. One of the files showed very clearly how the individual was to be assisted in the morning and showed that the dignity and privacy of the individual was being preserved. Goals had been identified for the individuals. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 10 There were monthly evaluations in place that identified what had been good during that month and what had not gone so well. The staff needed to be mindful regarding some of the language used, for example, ‘they had behaved well this month’. This can give the impression that the individuals are treated like children rather than adults. There were risk assessments in place and the majority of these identified where they linked into the care plans. One of the files showed that the individual suffered from epilepsy and the staff needed to ‘watch for signs of the fit and follow the procedure to handle the fit’ however, there were no clear guidelines available for the staff to follow. Where individuals living in the home had manual handling needs there needed to be a manual handling assessment in place to safeguard both the individual and any staff assisting them both in the home and when on trips outside of the home. The people living in the home were quite well aware of the help they needed and how the staff would assist them. It was recommended that the manager asked the people living in the home to sign the plans after it had been explained to them to show that they were aware of the plans for their care. The files evidenced that the people living in the home had been enabled to make choices about who would manage their medicines, whether they had keys to their bedrooms and the front door of the home. One of the people living in the home was able to tell the inspector about how he had been helped by the manager to lose weight and how the nurse was very pleased with his progress. Some of the people living in the home were able to access transport individually and others needed assistance to go out. One of the individuals was going to spend a few days with a relative at the time of the inspection and informed the manager of his going and details of when he would be returning. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home led stimulating and fulfilling lives that kept them in touch with relatives and the local community. EVIDENCE: Each of the individuals living in the home had a plan for their daily activities. At the time of the inspection two of the individuals went out on a regular basis to college and day centres and were developing their skills. They people living in the home regularly went to the pub, the cinema or on shopping trips with the manager. Three of them liked to go bowling but the other didn’t and a member of staff stayed in the home when he didn’t go. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 12 Contact with families was encouraged. During the inspection a visitor came to the home and one of the people living in the home went to stay at the home of a relative for a couple of days. Another of the individuals discussed with the inspector the possibility of him going to Ireland to visit relatives. One of the people living in the home also told the inspector about relationships he had developed outside the home. The people living in the home were involved in daily living tasks such as laying the table and clearing up after meals. Examination of the menus showed variety and meals were discussed in meetings between the people living in the home and the staff that worked there. The inspector discussed with the manager the fact that there were always corned beef sandwiches on the menu at lunchtimes. This was to meet the needs of one particular individual who would eat sandwiches with other fillings as long as there were some corned beef sandwiches available. The people living in the home said they were happy with the food available and they could choose foods when they went shopping. On the day of the inspection the stocks of food in the home were quite low. The manager told the inspector that she was due to have gone shopping that day. One of the staff and one of the people living in the home told the inspector that there were always plenty of biscuits and fruit in the home. Due to the building works in the home the freezer was located in the adjoining property so this food supply was not examined. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 13 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 adequate. This judgement has been made using available evidence including a visit to this service. People living in the home were provided with personal care in a sensitive manner and their health care needs were met. Some improvements were needed to the management of medicines in the home to ensure that the individuals received their medicines as prescribed. EVIDENCE: The majority of people living in the home were able to undertake responsibility for their personal care but where assistance was required this was provided appropriately. Health care action plans were in place and reviewed on a monthly basis. There was good liaison with other people involved in the care of the individuals living in the home. The health care needs of the people living in the home were being met. The manager assisted individuals to attend appointments at the hospitals, doctors Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 14 and clinics as required. There was good evidence on the files of the health action plans and the follow up appointments that had been attended for any ailments. The individuals were being weighed on a regular basis. One of the people living in the home had not been very well and had been displaying some challenging behaviours. The manager was involved in multidisciplinary meetings to find solutions to the issues arising. Since the last key inspection the home had changed to a different supplier of medicines. The home was now using a monthly monitored dosage system. During an audit of the medicines available in the home some inconsistencies were identified that showed that people living in the home did not always receive their medicines as they had been prescribed. At the time of the inspection the home was in the second day of the monthly medication cycle. One person whose level of phenytoin had been increased during the previous month had not had the increased dosage supplied for the current month. The home had failed to identify this error and had not contacted the GP for clarification of the dosage. The previous supply of additional phenytoin had not been completed despite the fact that the bottle said the medication was not to be stopped until instructions were given by the Doctor to do so. In addition it appeared that three capsules of this medication had been given without a record of when it was given. The quantities of this medicine had not been recorded when received into the home. The medication for another individual whose medication levels were being changed due to changes in behaviour were not being recorded as being received into the home. There were two gaps on the medication administration record (MAR) for one medicine, one gap for another and two medicines were not recorded as having been given for one week. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 15 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 people living in the home were safeguarded by the home’s policies, procedures and practices. EVIDENCE: There were complaints and adult protection policies in place and found to be suitable. The manager needed to ensure that the policies were in a format that could be easily understood by the people living in the home. The people living in the home said they would know who to tell if they were unhappy. Relative’s surveys said they would be able raise concerns but had not had cause to do so. Observations between the staff and the people in the home indicated that there was good communication between them. The inspector discussed with the manager the need to record any grumbles that were raised by the people living in the home to provide further evidence that their views were taken seriously and acted on. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 16 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): 24,25,27,28,29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is kept clean and tidy whilst improvements are made and once decorated and refurnished a good quality environment will be available to the people living there. EVIDENCE: The building works that were in place at the time of the last inspection had not been completed due to the unavailability of the builders. New contractors had been appointed and were due to begin work imminently to complete the extension. The garden at the front of the home was in a state of disarray due to the building works being undertaken. The manager needed to be mindful of the safety of the people going in and out of the home. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 17 There was a lounge/dining room that was comfortably furnished with new carpet and decor. At the end of the dining room there were patio doors leading to the rear garden. The garden area was not inspected during this inspection. There was one bedroom on the ground floor but this was not inspected during this inspection. On the first floor there were three bedrooms that were all individualised with the belongings of the individuals occupying these rooms. One of the people living in the home told the inspector that he had chosen the colour of paint in his bedroom and that he had also chosen the colour of the carpet to be laid once the building work had been completed. Two of the bedrooms had en-suite facilities consisting of toilet, wash hand basin and shower. The third did not have an en-suite facility but this had been planned as part of the building works being carried out. Additional equipment to help with mobility was available including tripod and wheelchair. The home was clean and hygienic. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 18 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): 31,32,34,35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home were in the safe hands of staff who knew their needs and who were knowledgeable about the tasks they needed to undertake. There were good interactions between the staff and the people living in the home. EVIDENCE: There was always one member of staff on duty in the home. There was a member of staff allocated specifically to domestic tasks. Additional staff were made available when a resident did not want to get involved in the activities organised. The staffing levels will need to be adjusted when the registered numbers in the home are increased. The file of one new member of staff was sampled and all the appropriate documentation was found to be in place. The member of staff was spoken with and confirmed that she had undertaken a three-day induction where she got to know the needs of the people living in the home and how to assist Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 19 them. She was undertaking an induction programme that met with the requirements of the Skills for Care competencies. Some of the staff had already achieved NVQ level 2 training and some had begun NVQ level 3. Fifty per cent of the staff had achieved the required NVQ level 2-qualification requirement. All the staff had undertaken food hygiene training but for some this needed to be updated along with manual handling training. First aid training had been arranged and due to be undertaken on 31.5.07. The staff had also undertaken fire and adult protection training. The people living in the home were in the safe hands of staff who knew their needs and who were knowledgeable about the tasks they needed to do. There was some formal supervision for staff and some meetings however, due to the small staff group there was daily contact with the manager and each other so that they were always aware of events that had occurred in the home. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 20 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): 37,38,39,40 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was managed in a way that put the people living in the home at the forefront of all decisions and their welfare and safety were a priority. EVIDENCE: The observations between the staff, visitors and the people living in the home on the day of the inspection were seen to be very good. The daily routines were suited to their needs. The manager was very well aware of the needs of each individual person and had a good rapport with the staff. She accepted the findings of the inspection and took equal responsibility for things that happened within the home. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 21 The manager was very proactive in maintaining the rights of the people living in the home and balancing them with her duty to protect and safeguard them. The health and safety of the staff and people living in the home were safeguarded as evidenced by the maintenance of equipment in the home and liaison with other agencies such as the West Midlands Fire Service. Safety checks were being carried out on a regular basis on the fire equipment and hot water temperatures were being checked on a regular basis. There was no evidence available in the home that the electrical hard wiring system had been checked although the inspector was informed that the individual had been into the home. The manager was undertaking some audits against the national minimum standards. She needed to prepare a report at the end of the audits to determine what could be improved and how. The manager was assisting some of the people living in the home to manage their monies. The records balanced however, the documentation was being updated once a month. It was advised that the records were updated more frequently. The manager also needed to ensure that there were two signatures for all expenditures. The manager provided transport for the people living in the home and had agreed the charges with the relatives and the individuals. The manager provided transport to medical appointments, the weekly bowling trip and trips to the pub free of charge. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 22 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 2 3 X 4 X 5 2 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 3 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 X 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 3 3 3 3 X 3 X Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 YA9 Regulation 13(4)(c) Requirement The registered person must ensure that strategies are in place for the management of all risks identified for the individuals living in the home. The registered person needed to ensure that moving and handling assessments are undertaken for the people living in the home. This will ensure that the people living in the home are safe. The registered person must ensure that the medication is administered as prescribed, adequate records maintained and any changes in medication checked with the prescribing person. There must be a clear audit trail for all medicines received into and leaving the home. Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 24 Timescale for action 01/07/07 2. YA20 13(2) 01/07/07 3. YA24 13(4)(c) This will ensure that the people living in the home receive their medicines as required. The radiator in the corridor was found to be too hot and must be guarded. (Not assessed at this inspection.) The staff must receive updated training in food hygiene and moving and handling. This will ensure that the staff are aware of current good practice. 01/08/07 5. YA35 18(1)(a) 01/08/07 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. Refer to Standard YA1 YA5 Good Practice Recommendations The statement of purpose must be updated to reflect the changes made in the home. Provide facility in residents’ contracts for countersignature by relative or other independent person, where resident is unable to sign. Outstanding from the previous inspection The complaints procedure should be in a format that is easily understood by the people living in the home. The manager must ensure the carpets are replaced and the re-decoration of the home is completed. Outstanding form previous inspection. A quality assurance system based on the needs and comments of the people living in the home should be developed. There must be two signatures for all expenditures made on behalf of the residents. 3. 4. 5. 6. YA22 YA24 YA39 YA40 Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Poppy Lodge DS0000017128.V334857.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!