Inspection on 01/08/06 for Primrose House

This inspection was carried out on 1st August 2006.

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

The inspector 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

Primrose House 12/01/06

Primrose House 03/12/04

Primrose House 17/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Primrose House 19 Sandhill Court Farnborough Hampshire GU14 8EP Lead Inspector Mr Rodney Martin Unannounced Inspection 1st August 2006 09:30 Primrose House DS0000059611.V304770.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 Primrose House DS0000059611.V304770.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. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Primrose House Address 19 Sandhill Court Farnborough Hampshire GU14 8EP 01252 514795 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) jhon@dsl.pipex.com Mrs Juliana Hon Mrs Juliana Hon Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12 January 2006 Brief Description of the Service: Primrose House is a six bedroom detached house in a cul-de-sac in a quiet area of Farnborough. It is accessible to the local shops and public transport. Mrs Juliana Hon is both the registered provider and the registered manager. The home is registered to provide care and accommodation to six service users who have a learning disability. The home comprises of six single bedrooms, with four provided with en suite bath or shower facilities, a sitting room, dining room, kitchen and laundry facilities. The home also has a garden providing additional recreational space. Primrose House encourages service users to achieve a fulfilled and varied lifestyle. The current fees are £775.67 to £1064.21 per week. This information was obtained during the visit to the home on 1 August 2006. There are no additional charges, as the cost for day service and social activities are included in the weekly fee. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 9.50am and 1pm. An opportunity was taken to look around the home, view records and talk to two service users, who were in the home during the visit and Mrs Hon, the registered provider and manager. On the day of the visit five service users were accommodated. Since Primrose House opened in 2001 the home has not been full. The last resident was admitted in September 2004 and Primrose House still has a vacancy. The manager reported that although the home had received referrals for admission they were turned away because, from the assessment, the home was not appropriate to meet their needs. Two service users were staying with parents and another service user was at Reading Road day centre, on the day of the visit. On arrival, the manager was planning to take the two remaining service users out, and so there were no staff on duty, but the manager agreed to stay to assist the inspector complete the inspection. In line with the Commission’s policy, all the key standards were inspected on this occasion and the three previous issues identified at the last inspection, all relating to staff training, were followed up. The home was found to be meeting these. What the service does well: The home provides a safe environment for residents, where there is a feeling of spaciousness within the home. Primrose House is light, bright and there is a pleasant atmosphere within the home. Residents are looked after by dedicated and caring staff, who are suitably supervised and trained. The home is managed efficiently and service users benefit from a well run home with their views being sought on the running and development of the home. The home enables residents to participate in appropriate activities, including access to community services and provides flexibility over meal times. There is continuity of care and residents support needs are met within Primrose House. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Primrose House DS0000059611.V304770.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 Primrose House DS0000059611.V304770.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Primrose House’s admission procedure ensures that prospective service users have opportunities to visit the home. The home has a system of assessment, which identifies prospective service users needs and how they will be met. Service users assessed needs and aspirations are met within Primrose House and are supported to maximise their potential. EVIDENCE: Mrs Hon previously ran a three-bedded care home and brought three residents with her when Primrose House was opened as a registered care home for six service users in 2004. To date the home has admitted five residents. The last service user was admitted in September 2004. Primrose House is currently accommodating five female residents, whose ages range from twenty to fiftytwo years. Primrose House has a settled resident group. The manager reported that although the home had received referrals for admission they were turned away, even though Primrose House had a vacancy, because, from the assessment, the home was not appropriate to meet their needs. Referrals come via Hampshire or Surrey Social Services with the care manager approaching the home to find out if there is a vacancy. Following receipt of Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 9 the referral assessment the manager then visits the prospective service user, wherever they are residing. If the prospective service user is appropriate for the home they would then make subsequent visits to Primrose House, including meals and meeting the other residents. The manager reported that a recent application was discussed with the residents, who had a say in whether the prospective service user came to the home or not. Although the home was able to meet the prospective service user’s needs the family made alternative arrangements. From discussion with the two service users and a sampling of residents’ files, individual aspirations and needs are clearly identified, based on the wishes of residents. Relevant risk assessments were in place as well as appropriate measures to manage any potential challenging behaviour and minimise risks for residents. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can make decisions about their lives with assistance as needed. There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet service user’s needs. EVIDENCE: Each resident has a comprehensive file, which is indexed for ease of reference; which includes important relevant information; the service users plan detailing the resident’s general abilities with a complete details of the care required. The care plan detailed the needs of the resident with their personal care, health, finance, laundry, nutrition, communication, housework, cooking, anxiety management, shopping and road safety. The file also contained various risk assessments, the service user’s activities chart and medical appointments. The plans were easy to read and some had pictures as well as words to further assist service users. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 11 Staff are actively encouraged to help service users make decisions in promoting independence. Individual choices are documented in the service users plan. Service users are able, with support, to voice their choice of meals at the weekly meeting. They are also involved in their reviews. A separate activities’ plan for each service user was available, indicating that service users participate in an extensive list of activities. Risk assessments and manual handling assessments are carried out as part of the referral procedure. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to engage in a variety of activities in the home and the community, enabling independence, development and choice. Service users have good relations and support from friends and family. Meals are well managed, creative and provide daily variation and interest for the residents living in the home. EVIDENCE: Day services/activities and the resident’s social life is part of the care plan. Each resident has a timetable of activities, with a full programme for each one. One service user attends Farnborough College five-days a week. One service user attends Reading Road day centre for one day and another service user, five days, where they can enjoy self care, gardening, yoga, music, sensory and drama et cetera. There is also bowling, shopping, attendance at Camberley education centre for music appreciation and a personal improvement programme [PIP]. There are also in-house activities such as laundry, Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 13 shopping, cooking and help with activities of daily living. There are also evening activities with attendance at the Gateway Club, television, going out to pubs for a meal, music and exercise. Mrs Hon has a seven-seater car and is able to take all the residents out, if required, as currently none of the staff have a driving licence. One resident goes to the local C of E church every Sunday. The home had a barbecue on 18 July 2006, which was well attended by friends and family members. All the residents, bar one, have regular contact and visits from family members. The home has tried, unsuccessfully, to involve an advocacy scheme for this resident. On the day of the visit, two service users were staying with parent(s). All the residents enjoy going to Butlins, at Bognor Regis, in October. Two residents have family holidays in Norfolk and Devon. There are regular day visits to Hayling Island and other places of interest such as Paultons Park, Marwell Zoo et cetera. Over the Christmas holiday all service users, bar one, go home to visit their families. The remaining service user enjoys being part of the extended family of Mrs Hon and spends Christmas Day with her. All service users can express a view about meals and the week’s menu is planned on Sunday for the forthcoming week. The home shops on a regular basis as all the residents enjoy going out shopping. The residents enjoy eating out and the home is able to facilitate this for them. Residents go out every weekend to either their favourite pub in Aldershot or a Kentucky Fried Chicken place. The inspector had a snack with the two residents, on the day of the visit. They confirmed they enjoy their food. The menu indicated that meals were well balanced and nutritious. Residents enjoy pasta, curries, lasagne, pizzas and pasties. The home is complying with the new food hygiene legislation that came into force on 1 January 2006. Primrose House has a documented food safety management system. The environmental health officer visited the premises and the home was awarded a ‘four star’ certificate to ‘demonstrate your commitment to high standards of food hygiene’. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ physical and emotional needs are being met, with evidence of good support from health care professionals. The home has clear arrangements in place ensuring the medication needs of residents are met. EVIDENCE: There are risk assessments on file for each service user, including the management of epilepsy et cetera. The residents are registered with Alexandra House surgery in Farnborough but have different GP’s within the practice. The manager reported that there is very good support from the GP’s. There is currently no district nurse involvement. A consultant psychiatrist is involved with some residents. The manager is able to take residents to the surgery for medical appointments. Residents are able to go to the dentist with staff or support from the manager. Community eye care comes to the home. Residents are supported to attend local hairdressing salons. All service users are on some form of medication. The home operates a monitored dosage system. Various individual cassettes were found to be correct. The medication administration record [MAR] sheets were satisfactorily recorded and there was a photograph of each resident for ease of recognition. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 15 None of the residents are able to self medicate or are on a controlled drug. The drugs’ cabinet was found to be clean and tidy. The MAR sheets for the two service users who were away had been given to the family’s to complete, along with their medication. All staff have received medication training. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure and adult protection procedure, to safeguard and protect residents. EVIDENCE: The home has a complaints book. There have been no complaints recorded and the Commission has not received any concerns, complaints or allegations. Primrose House has a complaints procedure, which is also in a pictorial format. It was confirmed that service users and their families are aware of the complaints procedure. However, from the annual questionnaire, comment cards and letters to Primrose House there was much praise for the care given to the residents and for the relaxed atmosphere within the home. The home has all the relevant documentation relating to adult protection. Additionally all staff have received in-house training on abuse, ensuring that residents are safeguarded from abusive practices. All the residents have a bank account, as well as a cash account, held by the home. Mrs Hon is appointee for three service users. The financial records and money of residents were checked and were satisfactory. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A very good standard of accommodation is provided ensuring residents live in a homely, comfortable and safe environment. EVIDENCE: A tour of the building was completed. Primrose House is double-glazed throughout and has an enclosed rear garden, ensuring a safe environment for service users. There is a patio area, with garden furniture for residents to enjoy sitting outside. There is a feeling of spaciousness within the home. Primrose House is light, bright and there is a pleasant atmosphere within the home. Since the last inspection the four bedrooms upstairs have been decorated, new carpet laid and each bedroom has an en suite toilet, bath or shower provided. The two bedrooms on the ground floor share a bathroom. The manager reported that plans are in hand to provide en suite toilet facilities and a bath or shower to these two rooms. The home has a separate lounge, large kitchen, which includes dining space. There is access from the dining room into the enclosed rear garden. There is a Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 18 bathroom with toilet and separate shower on the ground floor. Primrose House provides sufficient communal space for up to six service users. The home has various hi-fi, television and video equipment. Each resident has a single bedroom, which are different. Residents have personalised their rooms with their own possessions and electrical equipment. The two residents in, on the day of the visit, showed the inspector their room. Primrose House currently has one vacant bedroom. The office is situated on the ground floor and contains the staff sleep-in bed. The laundry room is situated away from the kitchen and food preparation. Residents are encouraged to help with their own laundry. Control of Substances Hazardous to Health assessments [COSHH] policies and procedures are in place, to ensure that staff and residents’ health and safety is promoted. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Residents are well supported by a sufficient, well-trained and consistent supervised staff team, who offer continuity of care. EVIDENCE: Primrose House employs eight care staff. One carer was recruited since the last inspection. The manager reported that the home has a full compliment of staff. On the day of the inspection the manager was on duty for two service users and was planning to take them out into Farnborough but agreed to stay in to assist in the inspection process. Staff members were due to come on duty at 3pm and so the inspector did not meet any of the staff. The inspector viewed the file of the new staff member, which contained the necessary checks for employment, including a criminal records bureau check [CRB], an application form that included a sign declaration under the Rehabilitation of Offenders Act, Protection of Vulnerable Adults [PoVA] check, proof of identity, two written references and a health questionnaire ensuring that residents are protected. Staff have many years experience in this field of work and have received training such as first aid, fire safety, food hygiene, risk assessments, health and safety, adult protection, specific learning disability training based upon O’Brien’s five service accomplishments [competence, respect/status, choice, community presence and community participation] as Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 20 well as LDAF training [learning disability award framework which provides a clear pathway for a worker’s training and development from the day they begin to work in the learning disability field]. All staff have a comprehensive induction training programme. Apart from the core training subjects mentioned above staff have received external training in the care of medicines, advanced food safety [12.5.06] as well as in-house training on diabetes, epilepsy et cetera, with the use of training videos. Two carers have obtained NVQ level 2 [national vocational qualification] and three carers have nursing qualifications. There was evidence that staff had received regular supervision. Questionnaires and comment cards indicated that there is a good relationship between the staff and residents. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Primrose House is a well run home by a qualified and experienced manager, who provides effective leadership. Residents’ rights and interests are safeguarded and protected by the home’s policies and procedures and health and safety measures. EVIDENCE: The registered manager is also the owner with the skills and experience to manage the home. She is a registered nurse and has obtained the assessors award. The service in Primrose House is based upon O’Brien’s five service accomplishments of competence, respect/status, choice, community presence and community participation. There was evidence that the home is striving to fulfil these accomplishments in Primrose House. There are regular service user meetings to gain the views of service users and minutes of these meetings are kept. As noted in the lifestyle section [standards 11 to 17] residents enjoy a full range of activities as well as going Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 22 out for meals and social events. The residents have been together for a minimum of two years and have gelled well together as a group. Relevant records were satisfactorily maintained. The fire logbook was inspected and fire safety equipment had been tested and serviced regularly, where appropriate. Staff have received fire safety training and the home has had twelve fire drills so far this year, ensuring residents know what to do in the event of a fire. The home has the new accident book and the last incident took place last year, on 10 August 2005. Portable electrical appliances were last tested on 24 November 2005. Questionnaires were sent out to service users, relatives, social services and health service professionals as part of the home’s quality assurance system. The health, safety and welfare of residents is promoted and protected by the manager ensuring that Primrose House is a safe environment to work in, by staff having received appropriate training. Relevant assessments have been carried out. Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Primrose House DS0000059611.V304770.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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