CARE HOMES FOR OLDER PEOPLE
Portelet House Residential Care Home 22 Grand Avenue Southbourne Bournemouth BH6 3SY Lead Inspector
Jo Palmer Unannounced 27 June 2005 10:30 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. Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION
Name of service Portelet House Residential Care Home Address 22 Grand Avenue, Southbourne, Bournemouth, Dorset, BH6 3SY 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) 01202 422005 01202 433362 Portelet Care Ltd Mr Jean Alain Henri Moocarme CRH 14 Category(ies) of DE(E) - 14 registration, with number MD(E) - 14 of places Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION
Conditions of registration: In addition to registered places a day care service of up to 7 hours per day may be provided for one person in the categories MD(E) DE(E). Date of last inspection 26 August 2004 Brief Description of the Service: Portelet House is a care home for up to 14 older people with mental disorders who also have need of personal care. The home also offers respite care and day care. Portelet House is part of Portelet Care Ltd. The Proprietors are Jean Alain Henri Moocarme and David Lallana. Mr Moocarme takes an active role in the running of Portelet House and is registered as the manager. Portelet House is located in the centre of the Southbourne area of Bournemouth. It is a short walk to the cliff top, sea views and also to the shops and local community facilities. Portelet House is a double fronted detached converted property. There is a paved area to the front of the house and off street parking is available. At the rear of the home there is an enclosed courtyard / garden. Service user accommodation is over 3 floors with a 2-person passenger lift that enables easy access around the home. There are 10 single rooms and 2 double rooms available. Eight of the single rooms and both double rooms have en suite facilities.The home has a comfortable lounge, adjoining dining area and conservatory, overlooking the rear garden.
Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection on 27th June 2005 lasted for three and half hours. Mr Moocarme, the registered manager and joint proprietor and Ms Pearman, assistant manager were present and provided necessary information and access to records. The inspection was carried out as part of the routine schedule of inspection of this service. Some of the key National Minimum Standards were reviewed. The inspector spoke with five residents; three care assistants, Mr Moorcame and Ms Pearman, toured the premises and examined relevant records. No visitors were present during the inspection. What the service does well:
Prospective residents or their representatives have sufficient information about the home to enable them to decide whether Portelet House is a suitable place for them to live. Prior to agreeing to move to Portelet House, residents needs are assessed to further determine the suitability of the home although where emergency admissions are made, this is not possible. Portelet House provides a specialist service to persons with mental health needs; residents therefore have varying levels of dependency. It was evident in recorded information held and in speaking with staff and residents, that there are effective support structures and systems in place to enable people living in the home to have their needs met by staff at the home and with support from other members of the multi-disciplinary team. Staff spoken with demonstrated an inherent respect for residents and it was evident that resident’s dignity is maintained during personal care routines and in the manner in which staff speak with them. Whilst social calendars were not examined, residents care files demonstrated the opportunities they have to participate in social and leisure activities with their families or with staff at the home. Complaints and protection procedures are held accordingly and demonstrate the home’s commitment to resolving any issues raised promptly and sensitively. There have been no complaints or incidents reported. The home’s environment is clean, comfortable and well maintained although comment has been made in the next section of this report regarding one of the bathrooms. Bedrooms seen provide varying degrees of personalisation with residents able to bring in items of furniture, ornaments, pictures etc to make
Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 6 them feel more at home. The lounge and dining room are comfortable and provide a homely atmosphere; a sun lounge provides alternative seating. There is a consistent group of staff employed and staff morale is high. Staff commented that there are always sufficient numbers of staff on duty; no agency staff are used. The manager confirmed that the language students who come to the home for work placements contribute well to the home and working environment. Staff are employed using safe recruitment procedures to ensure they are ‘fit’ for the role of carer and staff training opportunities are good. There is also a good staff supervision structure. The home is effectively managed and staff spoken with confirmed that management arrangements support good practice and communications. Resident’s interests are safeguarded with appropriate procedures for record keeping; the home does not involve itself with management of any residents personal finances. What has improved since the last inspection? What they could do better:
Whilst care planning and assessment records in this home are very good and demonstrate how personal, physical and mental health and welfare needs are met, it has been required that where a person is in receipt of wound care, a contingency plan is developed for the resident to ensure the dressing remains viable. The home must ensure that, between the nurse’s visits, the wound site is managed appropriately when bathing the resident or if the dressing should become damaged or soiled. Information on correct procedures for this care plan should be obtained from the visiting district nurse to ensure good care outcomes for residents. When carrying out an assessment for the purposes of establishing whether the home is suitable for meeting a person’s needs prior to their being admitted, a record should be held demonstrating where the information obtained came from if the resident is unable to clearly articulate their own needs. In the event of an emergency admission where pre-admission assessment is not possible, information should be recorded demonstrating how the referring agent established that Portelet House was the best place for the persons needs to be met and a brief outline of those needs must be recorded. One of the bathrooms in the home would benefit from a deep clean to ensure lime-scale staining is removed from the bath and the bath sealant should be repaired. The wallpaper in this bathroom needs replacing. A recommendation of the previous report is repeated, as it was not assessed during this visit. An
Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 7 assessment of the premises should be undertaken by a person qualified to do so, to establish the extent of the disability equipment needed to meet residents needs and to assess access around the home. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 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 Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 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, 3 and 4. Standard 6 is not applicable. The home’s Statement of Purpose and Service User Guide provide detailed information for residents about the care and services provided at Portelet House. The emergency admissions process does not always enable the home to assess a persons needs or establish whether those needs can be met at Portelet House. EVIDENCE: Mr Moocarme confirmed that the Statement of Purpose and Service User Guide have been reviewed since the last inspection and now reflect the home’s correct charges. Portelet House accommodates residents with varying degrees of confusion and disorientation, many of whom lack capacity to make decisions regarding their care; the availability and relevance of the Statement of Purpose and Service User Guide to residents was not discussed. Two emergency admissions have taken place since the last inspection; examination of their care records did not demonstrate any pre-admission
Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 10 knowledge of their care needs. Standard 3 and regulation 14 require that no person be admitted to the home unless their needs have been assessed and the home has acknowledged that these needs could be met by the service provided. In the circumstances of emergency admissions, it is acknowledged that Portelet House is providing a good emergency service in taking vulnerable people to a place of safety, however there should be a written record of the information obtained by the referring agent regarding the person’s care needs. Ms Pearman confirmed that a new assessment format has been designed for purposes of assessing residents whose admission is planned, a blank form was seen and noted to cover relevant areas of needs assessment although it was recommended that a space be provided in which to identify the source of the information obtained. Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 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 and 10 As a specialist service providing care to persons with mental health needs, the home offers a good support structure and evidence of how the health and welfare needs of residents are met in the home with support of effective multidisciplinary team practices. Residents are respected and their right to privacy is supported. EVIDENCE: Care files for four residents were examined which demonstrated that an admission assessment is undertaken when the resident arrives at the home or shortly afterwards, these however were not dated and there was no evidence from where the information was obtained. These assessments provide basic information regarding the resident care needs. Each resident’s file also held a more detailed assessment of needs and covered all aspects of the person’s health and welfare. These assessments are reviewed regularly. Following the initial assessments, care plans are drawn up identifying how the residents care needs are to be met. Care plans follow a checklist format with a separate sheet used to detail an account of how each need is to be met by staff. Of those care plans examined, each demonstrated an understanding of
Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 12 the resident’s needs in respect of their personal care, physical and mental health and social and leisure needs showing respect for their individuality. For one resident who was receiving wound care from a district nurse there was no care plan available advising staff of what action to take, if necessary, should the dressing become dislodged, wet or soiled. For instance, this resident had a plan of care in place relating to her bathing requirements and it was evident that staff at Portelet House assist the resident with a bath appropriately. The plan did not mention corrective action that would be necessary to ensure the wound site did not become wet or the dressing damaged. In such instances, a contingency plan is needed with advice from the district nurse sought on the correct action necessary to manage the wound. Daily records respectfully record the activities and daily routines of each resident giving a good account of their life in the home. Daily records refer to all aspects of the person’s care needs as assessed demonstrating how personal care routines, social and leisure activities including visitors, medical appointments, dental care, mental state and any significant events are managed. Daily records also demonstrate good support from the home in maintaining contact with members of multi-disciplinary teams including psychiatrists, social workers, and community psychiatric nurses. Staff spoken with demonstrated an understanding of the assessment, care planning and review process and talked of their contribution to it. Some care staff are now taking an active role in devising care plans and reviewing assessed needs to ensure they remain current. Residents spoken with confirmed that they are treated respectfully and with kindness, one resident stating that nothing seemed to be too much trouble. This same resident confirmed that she is able to make decisions regarding her daily routine and activities within the limitations of her mobility where she acknowledged that she requires assistance, which she stated, is always forthcoming. Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 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 and 14 Residents are able to enjoy self-determined activity as far as their health and general abilities allow, they are supported in maintaining contact with their friends, family and the local community and in making decisions about their lives in the home although this is not always documented. Activities organised by the home are well received. EVIDENCE: Daily care records demonstrate the extent to which each resident participates in social and leisure activities in the home and with visiting relatives and friends. Social care assessments are limited although do acknowledge the basic interests, hobbies and cultural beliefs of the residents. Residents at Portelet House require high levels of support and care and the majority are unable to express their feelings or views or make decisions about the care received and services available. Five residents were spoken with and although their capacity to engage in meaningful dialogue was limited it was evident that they were comfortable in their surroundings, staff were present and actively engaging with them, some were provided with magazines, one was listening to music and one was watching television. One resident who was able to articulate her feelings more did state that it ‘was like being on holiday’, there was sufficient stimulation and that she was able to go into the garden when
Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 14 she liked, this resident stated that although it wasn’t home, she ‘couldn’t fault it’. Care records demonstrated that residents maintain contact with friends and families and that residents receive frequent visitors. Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 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 Any person wishing to complain is directed through a written procedure detailing how their concerns will be addressed, they can therefore be confident that their complaints will be listened to and taken seriously. Procedures for responding to suspicions of abuse are held in accordance with Department of Health guidance, meaning that any allegations of abuse can be managed effectively EVIDENCE: The complaints procedure provides details of who to contact if a person wishes to complain, no complaints have been received by the home or the Commission, Ms Pearman demonstrated an awareness of ensuring that any complaints are appropriately managed and recorded. Adult protection procedures are in place; no incidents have been reported. Staff spoken with confirmed knowledge of these procedures. Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 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) 20, 21, 23, 24, 25 and 26. Standard 22 was not assessed, a recommendation of previous report is repeated. Residents live in a safe, comfortable, clean environment with their own belongings around them. Bedrooms, bathrooms and communal areas provide sufficient room for residents and communal space is sufficient for the size of the home. One bathroom would benefit from deep cleaning and maintenance. Facilities for staff to ensure against the spread of infection are appropriate, and residents clothing seen indicated a good laundry provision. EVIDENCE: Resident’s rooms were appropriately furnished and decorated and it was evident that residents are able to bring various personal items into the home including small items of furniture, ornaments, pictures etc. The home was suitably lit, ventilated and at a satisfactory temperature for the time of year and weather conditions. The day of inspection was exceptionally hot and sunny, the temperature in the conservatory was controlled by use of a portable air conditioning unit and window blinds. Ms Pearman confirmed that hot water
Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 17 temperatures are regulated to prevent accidental scalding. Radiators in resident areas are not guarded to prevent accidental scalding although it was evident that risk assessment had been undertaken appropriately to identify any action necessary to reduce or eliminate risk. Bathrooms and toilets are sited appropriately throughout the home and are accessible to residents. One bath was heavily lime-scale stained and the sealant between the bath and tiles at the tap end was stained and water damaged. An area of wallpaper in this bathroom was peeling. Hand washing facilities for staff are appropriately sited to aid against the spread of infection. The home’s laundry service was not examined although it was evident from meeting with residents that their clothing is clean and well maintained. Standard 22 recommends that the premises of care homes are assessed by a suitably competent person to establish the extent of the disability equipment required to meet resident needs in the home and to assess access arrangements to all parts of the home. This standard was not assessed; the recommendation of the previous report is therefore carried over for the next inspection. Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 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, 28, and 29 The deployment and number of available staff is sufficient to meet the needs of the residents. Procedures for the recruitment of staff are robust and staff training is a priority. There is good communication about available learning opportunities and the statutory obligations of staff to undertake mandatory courses. These good practice of staff management ensure residents are cared for by a skilled and competent workforce. EVIDENCE: Standard 30 was not assessed as it was confirmed that there have been no new permanent staff appointed since the last inspection. Several students have been placed by a local language school for up to three months, the school provides educational support in English and core skills in care and students are encouraged to undertake project work whilst placed at the home. Mr Moorcarme confirmed that some of the projects undertaken have provided significant studies for the home to use to improve their practices. For the language school students, all recruitment information is obtained by the school prior to making the placement. On files examined, copies of the student’s references and criminal records checks were held along with their CV. One other staff files examined for a member of staff who has been employed for some time demonstrated that all relevant information is held. Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 19 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 31, 32, 35 and 36 The management arrangements of the home support good care practices for residents; the role of the current registered manager needs to be better defined to ensure residents continue to benefit from an efficient administration. The manager is supported well by senior staff in providing clear leadership throughout the home with staff demonstrating an awareness of their roles and responsibilities and receiving regular supervision in all areas of their practice. Resident’s financial interests are safeguarded. EVIDENCE: Mr Moorcarme is a director of the registered provider company and is also registered to manage the home on a day-to-day basis, which he does with the support of the assistant manager, Ms Pearman. Ms Pearman is currently undertaking a management qualification, which she is due to complete shortly.
Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 20 Mr Moorcarme discussed his proposal to put Ms Pearman forward for registration as manager enabling him more time as managing director. There is currently no managers job description and it will be recommended that prior to Ms Pearman taking on the role of manager, a job description is produced which clearly outlines the responsibilities of the role, at the point of registration, Ms Pearman will also be requested to produce evidence of her management qualification. Staff spoken with confirmed that management arrangements for the home are open and transparent and that all senior staff are approachable if they have any queries or concerns about their roles or for support with issues relating to resident care. Those residents who were able to comment, also confirmed that the home was well run with a kind and supportive staff group. Mr Moorcarme confirmed that the home does not take responsibility for any resident’s personal finances stating that they all have representation with their affairs. Staff supervision records seen indicate that regular meetings take place between the staff member and their supervisor and that all aspects of practice and training needs are discussed and documented. Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 21 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x 2 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x
COMPLAINTS AND PROTECTION x 3 2 2 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x 3 3 x x Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 22 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 8 Regulation 15 Timescale for action Where a service user is in receipt 31 July of wound care from a district 2005 nurse, the home must establish a care plan identifying the action necessary should the dressing become damaged between the nurses visits. Requirement 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 3&4 Good Practice Recommendations The emeregncy admissions process should be revised to ensure that staff accepting a service user for emergency admission make certain that relevant information is taken from the referring agent prior to agreeing to the admission in order that the home can be confident they can meet the persons needs. It is recommended that when undertaking a pre-admission assessment, the source of the informaiotn obtained is recorded and all assessment records should be signed and dated. It is recommended that the bathroom is cleaned with appropriate products to remove lime-scale staining and that the sealant around the bath is repaired or renewed. The wallpaper should also be replaced or repaired.
D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 23 2. 3 3. 21 Portelet House Residential Care Home 4. 22 It is recommended that Portelet House premises are assessed by suitably qualified persons, including an OT. Portelet House Residential Care Home D55 S3973 Portelet House V220841 270605 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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