Inspection on 06/02/07 for Prospect House

This inspection was carried out on 6th February 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Prospect House 12/01/09

Prospect House 23/02/06

Prospect House 29/09/05

Prospect House 06/01/05

Prospect House 30/06/04

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

CARE HOMES FOR OLDER PEOPLE Prospect House Prospect Street Cudworth Barnsley South Yorkshire S72 8HE Lead Inspector Sue Turner Key Unannounced Inspection 6th February 2007 10:15 X10015.doc Version 1.40 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 Prospect House DS0000018267.V325083.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 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. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prospect House Address Prospect Street Cudworth Barnsley South Yorkshire S72 8HE 01226 780 197 01226 780 197 none None Amocura Limited 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) Miss Donna Louise Wood Care Home 33 Category(ies) of Dementia - over 65 years of age (33) registration, with number of places Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The DE(E) unit may accommodate service users aged 60 years and above. Staffing levels must be maintained at, at least the minimum levels required by the April 2002 published Residential Forum, Care Staffing in Care Homes for Older People. The registered manager will work four days a week supernumerary. Date of last inspection 23rd February 2006 Brief Description of the Service: Prospect House is a purpose built care home providing accommodation and personal care for 34 persons. The home cares for older people with a mental disorder. Accommodation is on two floors, served with a passenger lift. Car parking is provided at the front and rear of the home. There is an enclosed patio sitting area at the back of the home, which has benches and garden furniture with pots of bedding out plants for users to enjoy. The home is situated in the centre of Cudworth village, four miles from Barnsley. Within a short walk of the home, there is a busy High Street with a full range of amenities, which include a post office, supermarkets, cafes, an optician, a pharmacy, the local health centre, places of worship and a park. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors carried out this inspection, which was unannounced and took place over 4 hours from 10.15 am to 2.00 pm. An inspection of the environment was undertaken. Records were examined, including: 3 care plans, complaints, staff recruitment and training, menu and fire records. All the Commission for Social Care Inspection (CSCI) key standards were checked. Interactions between staff and service users were observed. The inspectors spoke with a proportion of the staff on duty (8), 8 service users and one relative. Discussions with the homes senior carer in charge and the area manager also took place. Prior to the site visit the manager completed a pre inspection questionnaire. A copy of the previous inspection report was displayed and available in the foyer of the home. What the service does well: All service users spoken to said that they were happy and felt safe living in the home. They said that the staff were very caring and helpful. Observations of the interactions between the staff and service users were positive and responsive. Service users consistently added comments such as ‘ I like it here and the foods good’, ‘staff are smashing and can have a bath when I want’, ‘and the food is very good even though I haven’t got much appetite’. One relative said that the care at Prospect House was ‘very good’ and her relative was ‘well looked after’. A friendly, calm and welcoming feel was evident in Prospect House. Service users sat comfortably in lounges or their own rooms, while others chose to walk freely around the home. The home was in the main clean and tidy. Lounge and dining areas were domestically furnished and felt “homely”. No unpleasant odours were noticeable in the home. Menus seen were varied and healthy. A number of service users required assistance at mealtimes, staff offered this in a friendly and discreet manner, sitting with them and giving them the time and attention they each needed. Staff said they were encouraged to attend training on various care topics and that there were good training opportunities available to them. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Decisions made about individual service users plan of care must be recorded in full and staff must regularly monitor and review this. Procedures must be changed so that meals are: Served at times convenient to service users, A substantial alternative to the set meal is provided Liquidised and soft diets are served in an appealing manner, Condiments are made available to all service users. A requirement was made at the last inspection for improvements to be made in the recruitment process. There were still some aspects of this requirement that had not been met, insufficient references; discrepancy in information and for one student there was no recruitment information on site. A small amount of repair work was required to make the home more appealing and the temperature in the home required re adjustment to ensure the comfort and health of those living in, visiting and working in the home. The kitchen was in need of repair work to be undertaken and must be thoroughly cleaned. The minutes of staff, service user and relative meetings were not available on site. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 7 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. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3. Standard 6 is not applicable to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user assessments prior to admission took place. These enabled staff to be aware of individual service user needs to ensure that they could be met. This home does not provide intermediate care services. EVIDENCE: Three care plans were checked and these contained assessments of the service users’ needs. The assessments were formulated into a plan of care for each person. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. In the main the service users health, social and personal care needs were well documented in the care plans. Specific details relating to two service users were not recorded meaning that their individual needs were not being fully met. A range of health care professionals visited the home to assist in maintaining the health care needs of service users. Service users themselves said that the care they were receiving was good and added other positive comments. One relative said that they felt the needs of their relative were being met. Medication storage and other procedures protected the service users health and welfare. In the main service users privacy and dignity was maintained. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 11 EVIDENCE: Three service user care plans were checked. The service users health, social and personal needs were well recorded and there was evidence that relatives were involved in drawing up or the evaluating of the care plans. The care plans identified that a range of health professionals visited the home to assist in maintaining the service users health care needs. Staff interviewed showed a good knowledge of the service users health and social needs. One service user was seen sat in a chair with no stockings, slippers or shoes on. Staff said that her feet were swollen and they couldn’t fit her shoes on. The inspector asked if ‘wider’ shoes could be provided and staff said that they had tried this but the resident kept taking them off. Staff said the service users husband was aware of this and said she could walk around without shoes. When asked if the ladies feet ought to be elevated or if she should be laid on her bed, staff said that they had tried this but she would just keep getting up. Whilst the inspectors made other observations, the lady remained asleep in her chair and didn’t attempt to move. The inspectors checked the service users care plan and the only reference made about the care of the ladies swollen feet was that she had been prescribed diuretics by the GP. One service user said that she couldn’t hear properly, when asked if she had a hearing aid staff said yes but they didn’t put it in because she kept removing it. The inspectors believe that staff had not ‘thought through’ ways in which they could address these two issues to fully meet the needs of the service users and ensure their dignity. All service users spoken to said that they were happy and felt safe living in the home. They said that the staff were very caring and helpful. Observations of the interactions between the staff and service users were positive and responsive. Service users consistently added comments such as ‘ I like it here and the foods good’; ‘staff are smashing and can have a bath when I want’ One relative said that the care at Prospect House was ‘very good’ and her relative was ‘well looked after’. Some service users were not able to say whether they felt that they were being well cared for; these service users were well dressed in clean, age appropriate clothing and attention had been paid to hair and nail care. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 12 Medicines were securely stored around the home in locked cupboards. Medicine Administration Records (MAR) were adequate. Medicine Administration Records (MAR) checked were completed with staffs’ signatures. Staff said they had received medication training. Service users and relatives spoken with said that the staff were respectful and friendly. They commented on the hardworking and kind nature of the staff team. The inspector saw staff consistently treating service users in respectful and friendly way. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users were able to make some choices about daily living and about social activities. The home had an open visiting policy, which assisted in maintaining good relationships with service users representatives. Meals served at the home were of a good quality. Service users on liquidised and soft diets were not served meals that looked appealing and ensured their dignity. ‘Real’ choices were not available at lunchtime and for some service users the meal served was not at times convenient to them. Condiments were not made available to all service users. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 14 EVIDENCE: Service users were seen to be able to get up and go to bed when they chose. Relatives were also seen freely visiting the home and were made to feel very welcome. A friendly, calm and welcoming feel was evident in Prospect House. Service users sat comfortably in lounges or their own rooms, while others chose to walk freely around the home. Some activities were occurring during the inspection. Staff were sat individually with some service users talking to them or involving them in throwing a soft ball. Service users said they enjoyed the activities they were they participating in. Staff were making an effort to provide a stimulating environment for the service users. Service users said that the quality of food served was good and that staff provided them with drinks frequently throughout the day. At lunchtime there was only one option available, catering staff said that if a service user didn’t like what was on offer they could be provided with an alternative, which would be a sandwich or jacket potato. A substantial alternative choice should be available to ensure that all service users are receiving at least one ‘hot’ meal during the day. In the dining room the inspectors viewed the lunchtime experience for the service users as a very positive and pleasant event. Lunch was served in a pleasant relaxed manner and service users were sat at tables, which had been nicely set. The inspectors observed that a number of service users required help with feeding. These residents were served their lunch at 11:30 am and had eaten breakfast between 8:30 and 9:00am. In order for service users to fully benefit and appreciate their main meal of the day, lunch should be served later. A substantial number of service users required a liquidised or soft diet, although this was catered for, the potatoes, vegetables and meat had been liquidised together, which looked unappetising and unappealing. In one dining room condiments were not made available or offered to the service users. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints procedures were in place to enable service users and relatives to feel confident that any concerns they voice will be listened to. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home, so helping to ensure residents are protected from abuse. Service users were not fully protected due to the home not ensuring that full information regarding a student placed at the home had been received before their commencement. EVIDENCE: Complaints procedures were displayed in the home. Service users and one relative said that if they had any concerns that they would feel comfortable in talking to the staff and they knew that the problems would be dealt with immediately. The inspector checked the homes complaints file. A small number of complaints had been received, all of which had been investigated and dealt with appropriately and within the timescales agreed. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 16 Staff interviewed had received training on adult protection and were aware that there were procedures in place to report any concerns. A student on placement from collage was working in the home. The home did not have a copy of the persons CRB or any other information relevant to her/him. The area manager spoke to the collage who had undertaken all checks and agreed to bring this to the home on the day of the inspection. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 24, 25 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The location and layout of the home was suitable for its stated purpose. Communal areas appeared comfortable and were safe for service users. Service users bedrooms met individual’s needs in a comfortable and homely way. The temperature in the home was not maintained at a comfortable level and could affect the health and welfare of the service users. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 18 EVIDENCE: The home was in the main clean and tidy. Lounge and dining areas were domestically furnished to an adequate standard and felt “homely”. One chair seen was soiled and marked. No unpleasant odours were noticeable in the home. Bedrooms checked were comfortable, homely and personalised. Bed linen checked was clean and in a good condition. In two bedrooms seen the drawers were broken. On the day of the inspection a number of visitors commented about how hot it was in the home. The thermostat read 28.8 degrees. The area manager contacted the maintenance worker who visited the home and altered the thermostat. Staff said that the temperature in the home was not always maintained at a comfortable temperature and the home had received a previous complaint from a relative who was concerned about the temperature in her husband’s bedroom. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 19 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff were employed in sufficient numbers to meet the service users needs. Recruitment procedures did not fully promote the protection of service users. Staff had completed training in various subject matter, to ensure that they have the competences to fully meet the service users needs further training in caring for people with dementia should be undertaken. Staff undertook induction training to ensure they had the skills needed to carry out their duties. EVIDENCE: The manager stated that agreed staffing levels were being maintained and the staff rota identified agreed staffing levels had been met. Staff said staffing levels were adequate. Service users said there was always a member of staff available when they needed them. One Relative said that staff were very visible around the home when they visited. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 20 The required 50 of care staff had achieved their level 2/3 NVQ qualifications. The recruitment records of 2 recently employed staff members were checked. The staff had provided employment histories and Protection Of Vulnerable Adults (POVA first) checks had been made. Enhanced Criminal Record Bureau (CRB) checks had also been obtained for the staff members. For one staff member there was only one reference on file and the file did not include a photograph. Neither file had copies of the person’s identity in. Staff said they were encouraged to attend training on various care topics and that there were good training opportunities available to them. As the home is registered to care for people with dementia further training in this would be beneficial. Staff interviewed said that when they started work they received induction training in the first two months of their employment. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 21 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was a positive style of management in the home, which benefited everyone living in, working in and visiting the home. Minutes from meetings were not available and will be checked at a future inspection. The kitchen was in need of a thorough clean and could pose a health and safety risk to service users. Service users monies were safely handled, which ensured that finances were accurate and safeguarded. Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 22 The homes policies and procedures promoted the health, safety and welfare of service users and staff. EVIDENCE: The manager is experienced in the care of people with dementia and has achieved her Registered Managers Award. The manager was on annual leave on the day of the inspection. The senior carer, in charge, was very helpful during the inspection process. The area manager also visited and actioned a number of requirements on the day. Staff spoken to said that service user, relative and staff meetings did take place, however the minutes of these meetings could not be found. The responsible individual visited the home on a regular basis, a report was written following the visits. A copy of the responsible individuals monthly report has always been sent to the local office of the CSCI. Three service users monies were checked. Receipts, records and money all tallied and all were kept securely. The manager confirmed on pre inspection information that the fire officer last visited the home on 09.11.06. All fire equipment was last checked on 05.12.06 with the exception of the alarm, which was tested each week. Fire records were checked, all staff had undertaken fire training and the last fire drill was on 14.12.06. Gas, electrical and moving and handling equipment had all been checked as required. The Environmental Health Inspector last visited in July 2004. The inspectors checked the kitchen and found it to be in need of a thorough cleaning. Some repair work was needed around the tiles and floor coverings and the ‘bins’ housing dry food supplies were in need of a thorough clean. The cooker, work surfaces and the floor had spillages and stains. Prospect House DS0000018267.V325083.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X 2 2 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 X X 2 Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP8 Regulation 12 Requirement Service users health needs must be monitored and reviewed on a regular basis. Any decisions or changes made to the individuals care must be fully recorded in their care plan. Liquidised and soft diets must be served in a manner, which is attractive and appealing. An alternative to the set meal at lunchtime must be provided. Meals must be served at times convenient and beneficial to service users. Condiments must be available at each meal. Copies of the full checks undertaken for any student working at the home must be available on site. The broken drawers in service user bedrooms must be repaired or replaced. A comfortable temperature must be maintained in the home at all DS0000018267.V325083.R01.S.doc Timescale for action 06/02/07 2. OP15 16 06/02/07 3. OP18 19 06/02/07 4. 5. OP24 16 23 23 01/03/07 06/02/07 OP25 Prospect House Version 5.2 Page 25 6. 7. OP26 OP29 16 19 times. The soiled chair must be cleaned or replaced. Staff must not commence employment without the receipt of two written references (Previous timescale of 21/04/07 not met) All staff files must include: Proof of identity and a photograph. 06/02/07 06/02/07 8. OP33 24 9. OP38 16 Minutes of service user, relative and staff meetings must be taken. These minutes must be available on site for quality assurance and inspection purpose. Suitable arrangements must be made to ensure that satisfactory standards of hygiene are maintained in the care home. 06/02/07 06/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP29 Good Practice Recommendations A better method of recording and filing information on staff members’ files would provide a more efficient and effective record. Further training in dementia care would increase staff members’ knowledge and awareness of the needs of service users with dementia. 2. OP30 Prospect House DS0000018267.V325083.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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. 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