Inspection on 18/12/06 for Prince Bishop Court

This inspection was carried out on 18th December 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

Prince Bishop Court 06/02/06

Prince Bishop Court 30/08/05

Prince Bishop Court 08/03/05

Prince Bishop Court 01/06/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Park View (15)

Craigmore House

1 Lanark Close

Sixth Avenue, 53-55

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

CARE HOME ADULTS 18-65 Prince Bishop Court 3 Eureka Terrace Tan Hills Chester Le Street Durham DH2 3PZ Lead Inspector Gavin Purdon Unannounced Inspection 18th December 2006 10:10 Prince Bishop Court DS0000007498.V319939.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 Prince Bishop Court DS0000007498.V319939.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. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prince Bishop Court Address 3 Eureka Terrace Tan Hills Chester Le Street Durham DH2 3PZ 0191 3718860 0191 371926 p-b-c@btconnect.com 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) Positive Approach Services Limited Mr Neil Hardy Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (2) of places Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The category LD(E) is awarded to allow continuation of care for those service users who have reached the age of 65 years. 6th February 2006 Date of last inspection Brief Description of the Service: Prince Bishop Court is a private sector care home for up to 12 adults with learning disabilities, 2 of whom may be over the age of 65. It is situated in the village of Kimblesworth, halfway between Durham City and Chester le Street. The premises consist of what were originally 2 adjacent houses, converted into 1 and extended to the rear. The home has some outside space to the side and rear, for parking and leisure use. Prince Bishop Court has ground and first floor facilities. It does not have a lift but is not intended for service users with additional physical disabilities. The home is divided into 2 units of 5 and 7 service users. This division supports better outcomes for the more dependent and more independent service users living at Prince Bishop Court. The current scale of charges ranges between £378.50 per week and £1,400 per week depending on the individual level of care required and the specific circumstances of the service user. These charges cover basic care services. There are no standard charges for additional services. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on Monday 18 December 2006. It is classed as unannounced, although the home did receive some short notice of the inspection taking place. The inspection itself lasted just over 5 hours. During the inspection there was the chance to meet with the home’s management team, 3 service users and one of the support workers of the home. There was also an opportunity to look at care, personnel, and health and safety records. 3 service users were interviewed in private, and other service users and staff were spoken to but only briefly. In advance of this inspection the home provided some detailed written information about the running of the service since the last inspection. 4 relatives and visitors of service users wrote to the inspector with their views of Prince Bishop Court, as did 5 service users. What the service does well: The management and staff listen to what people who want to live at Prince Bishop Court have to say. The management and staff find out how people want to live their own lives. A service user said, “ I looked at some places and they weren’t suitable for me because I can do a lot for myself. I can use the phone and that. Yes I have a key worker. Yes I have a care plan, but don’t need them as much as some people. I can do my own thing.” The management and staff help people make their own decisions. The management and staff help people make choices. The management and staff help people to be more independent if that is what they want. A service user said, “ I can make my own meals. Tomorrow I have my cookery to do. I’m doing toad in the hole. I have my own telly and come upstairs to watch it. You can go out with the staff, or go out and meet friends.” Prince Bishop Court is a good place to live, if people need a lot of help or just a little help. A service user said, “ It’s good here, better than I thought. I’m beginning to like it. I like the peace and quiet, the good food, and being able to go places myself.” Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 6 The management and staff know a lot about the different ways to help people who live there. Some service users said, “ You get helped here the way you want it.” Prince Bishop Court is a very handy place to live. It is very easy to get to other places for work, for college, or for trips out. A service user said, “ It’s great here. I go out to day care. I go out shopping. I go out every day. The staff are nice. They take you out. I go to Durham, to Newcastle. It depends what you want.” The management and staff at Prince Bishop Court know how to make sure people are safe in the home and outside of the home. Prince Bishop Court is well run. A lot of work goes into making sure service users are safe, happy, and have a lot of say about how they lead their lives. What has improved since the last inspection? What they could do better: Prince Bishop Court has its own plans for development and improvement of the service. Prince Bishop Court has good management arrangements, but wants to make these better by having a very senior manager to oversee their care homes owned by the company and to support the full time registered manager of the home. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 7 The layout of the home has been changed to make sure it really suits the different needs of service users living there. The owners want to improve arrangements even more for those service users who are most independent. There is a continued interest at Prince Bishop Court in what can be done 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. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential service users benefit from having their individual aspirations considered and by having their full range of needs assessed. EVIDENCE: 5 service users wrote to the inspector and said they were asked whether they wanted to live at Prince Bishop and were told about what it would be like living there. A service user said, “ I looked at some places and they weren’t suitable for me because I can do a lot for myself. I can use the phone and that. Yes I have a key worker. Yes I have a care plan, but don’t need them as much as some people. I can do my own thing.” The assessment process was discussed with the home’s management team. The discussion involved looking closely at the assessment documents of 3 service users. The discussion and documentation showed that admissions are not made to the home until a full needs assessment has been undertaken. The assessment is conducted professionally and sensitively and involves the individual, and their family or representative, where appropriate. Where the assessment has Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 10 been undertaken through care management arrangements, the service insists on receiving a summary of the assessment and a copy of the care plan. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, & 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People using the service benefit from having their needs and aspirations reflected in their individual plan of care. People using the service benefit from assistance to make decisions, where this is needed. People using the service benefit from the home supporting them to take risks in developing an independent lifestyle. EVIDENCE: A service user said, “ I can make my own meals. Tomorrow I have my cookery to do. I’m doing toad in the hole. I have my own telly and come upstairs to watch it. You can go out with the staff, or go out and meet friends.” Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 12 The development and use of care plans was discussed with the home’s management team, and with a member of the care team. The discussion involved looking closely at the person centred care plans of 3 service users. The care plans discussed and seen were developed following person centred care plan principles. Each service user has a plan that has been agreed with them. The plan is positive, easy to understand and covers all aspects of care and lifestyle. Service users and staff are closely involved in developing, following, and revising these plans. Staff have the skills and the numbers to make sure service users are genuinely involved in this process and have real opportunities to make decisions and follow them through. These plans are real working tools that people understand and use. The 3 plans seen and discussed were not preoccupied with problems. They were about how service users develop skills and work towards the things that they want to achieve in life. The plans do look in some detail, practically and carefully at how the needs and skills of service users are balanced with independence, aims, and choices. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, & 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from access to activities suited to the age, peer group, and cultural background, of those involved. Service users benefit from being part of the local community. Service users benefit from access to the full range of relationships, based on their age, peer group, and cultural background. Service users benefit from living in a home where individual and shared rights and responsibilities are recognised and promoted. Service users benefit from the home promoting healthy diets, and providing pleasant and homely surroundings for service users’ meals. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 14 EVIDENCE: A service user said,“ It’s good here, better than I thought. I’m beginning to like it. I like the peace and quiet, the good food, and being able to go places myself.” Another service user said,“ It’s great here. I go out to day care. I go out shopping. I go out every day. The staff are nice. They take you out. I go to Durham, to Newcastle. It depends what you want.” 5 service users wrote to the inspector and said they could make there own decisions about things and do the things that they wanted to do. Information in care plans and daily records about service user lifestyles was seen and the topic discussed with the home’s management team, with a member of the care team, and with 3 service users. There was evidence that the home works hard to identify and get access to individual education, employment, and leisure activities for service users and will support family contact and personal relationships that service users want. It was clear from the records and discussions that the home encourages service users to live an ordinary and meaningful life, in the home and in the community. Staff have the skills and are available to encourage, monitor, and assist service users to lead full and challenging lives if that is what service users want. The home tries to allow service users to have a real say in their own lifestyle. If a service user is overconfident about their skills or does not want to be involved in a potentially beneficial activity, then that is the starting point for the home. The home will not necessarily prevent a service user from doing something that they want to do and will not insist a service user does something they are uncomfortable with. The home helps service users to be independent and responsible and provides training encouragement and support, to do shopping, and plan and prepare meals. The development of 2 separate units in the home for service users who need less support and those who need more has helped improve the comfort and convenience of service users at mealtimes and at other times. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support in ways they benefit from and require, and which suits them as individuals. Service users benefit from having both their physical and emotional needs recognised and met. Service users benefit from being helped to retain, and administer their own medication where this is practical and are protected by the home’s arrangements for dealing with medication. EVIDENCE: 5 service users wrote to the inspector and said they were cared for in the way they wanted to be cared for. Information in care plans and daily records about service user personal and healthcare support was seen and the topic was discussed with the home’s management team, with a member of the care team, and with 3 service users. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 16 Support for service users is detailed in care plans and provided in a way that is flexible, consistent, and responds to the different needs of service users. The preferences of individual service users are taken seriously and support is provided in a skilled and sensitive manner. The person centred plans seen for 3 service users clearly recorded their personal and healthcare needs and were very well detailed about how these would be provided for. The home works closely with healthcare professionals. Healthcare needs are well managed and flexible support provided in a way the service user is comfortable with. The medication storage arrangements and the medication records of 3 service users were inspected. The home has an efficient and well-controlled system. In terms of promoting independence and developing new skills some service users are encouraged to have some control over their medication Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from having their views known and acted on. Service users benefit from the protection provided by the home. EVIDENCE: 5 service users wrote to the inspector and said they had someone to speak to if they were not happy about something, and knew how to make a complaint. Complaints and protection were discussed with the management team, with a support worker and with 3 service users. The home has clear procedures for dealing with complaints and protection issues, but it also puts a big emphasis on service user views being heard and taken notice of. There is good communication and regular contact between service users, staff, and management, to assist this. The home is genuinely interested in knowing what service users think, what they are happy with and not so happy with. They want to know what is working well and what needs to change. The home seeks this information informally and formally through open everyday discussion, and through questionnaires and discussions between management, key workers and service users. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 18 Training has taken place on how to protect vulnerable adults. This was training for support workers, but also training for managers in how to take complaints forward using the POVA system. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a homely, comfortable, and safe environment. Service users benefit from a clean and hygienic home. EVIDENCE: 6 service users wrote to the inspector and said Prince Bishop Court was a nice building to live in. The environment of the home was discussed with the management team, a support worker, and with 3 service users. Various facilities in the building were looked at, some of them with the registered manager, and some with 2 service users. More work has been done since the last inspection to divide the home into 2 units and make better provision for the individual and smaller group requirements and lifestyles of service users. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 20 The redesign, redecoration, and improvement of many facilities means service users can have more privacy independence and discrete attention to their care needs. Service users have had a big say in redecoration and choosing samples. The registered manager pointed out a number of individual improvements, including new units in the kitchen and a redesigned laundry. Improvement work is still underway, and the improvements made so far are substantial. The environment has been altered, not to increase the size of the home, but to make it better suited to the needs of the residents living there. The home looks clean, bright, and comfortable. There are good standards of hygiene and cleanliness supported a proper schedule of daily and weekly cleaning tasks and practices. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, & 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well skilled and qualified staff group. Service users benefit from the protection of thorough staff recruitment procedures and practices. Service users benefit individually, and as a group from the support of welltrained staff. EVIDENCE: 5 service users wrote to the inspector and said that they liked the way staff treated them. Staffing arrangements were discussed with the management team, with a support worker, and with 3 service users. Some key staffing records were also looked at. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 22 The high percentage of staff with the NVQ qualification in Care, to at least Level 2, has increased from 80 to 85 . The remaining 15 are currently working towards the qualification. Management and staff said that these workbased achievements were thorough and genuine, and that staff had a real opportunity to gain the award because of the good working and management arrangements in the home. The personnel records for the most recent member of staff, were looked at, covering their recruitment and selection. These contained all the necessary checks on identity and suitability to work closely with vulnerable adults. Support workers are well trained, well organised, and a large enough team to meet the joint needs and individual needs of service users in a flexible, and well informed, and well managed way. Training is tailored to the staff role, and part of an organised training and development plan for each staff member. Joint and individual needs are met through thorough briefings and handovers, and shift leaders ensuring goals are thought about and acted on daily. The home runs with 4 support staff throughout the waking day, with 1 waking and 1 sleeping member of staff on nights. Care staff provide cooking and cleaning support. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 23 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, 39, & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a strong management team that helps ensure the home is well run. What service users think about the home and what they want from it does influence the conduct and progress of the service there. Service users are protected by the home’s arrangements to ensure their health wellbeing and safety. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 24 EVIDENCE: 5 service users wrote to the inspector and said staff listened to what they had to say about things. The management and running of the home were discussed with the management team, a support worker, and in general with 3 service users. The home has a strong staff team, with a registered manager, a deputy manager, and the responsible individual (the person representing the registered owner), working closely with senior staff, support workers, service users, and people outside of the home. The management group is a strong presence that provides leadership, advice, and direction for the home. Service user views are central to the process of planning, conducting, and revising the way the home operates. This runs through from care plans to quality questionnaires. Service user views are asked for on what they think about their present care, and how they want to live in future. The home has a well-developed health and safety policy. A member of staff has been trained and designated make sure the home meets health and safety legislation, and that practice and compliance is regularly and properly monitored. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 26 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. 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. 1 Refer to Standard YA39 Good Practice Recommendations The home should continue with its very positive plans to further develop the range of its residential services, based on the different needs and known wishes of its individual service users. Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Prince Bishop Court DS0000007498.V319939.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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