Inspection on 16/10/06 for Prudential Care Home Ltd

This inspection was carried out on 16th October 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Prudential Care Home Ltd 13/10/08

Prudential Care Home Ltd 27/02/06

Prudential Care Home Ltd 01/08/05

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

CARE HOME ADULTS 18-65 Prudential Care Home Ltd 7a Grant Terrace Castlewood Road London N16 6DS Lead Inspector Yemi Adegbite Unannounced Inspection 16th October 2006 09:40 Prudential Care Home Ltd DS0000061208.V316059.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 Prudential Care Home Ltd DS0000061208.V316059.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. Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prudential Care Home Ltd Address 7a Grant Terrace Castlewood Road London N16 6DS 0208 211 1957 0208 211 7406 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) Prudential Care Home Ltd Mr John Gerard Kearns Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registration is for 4 adults, both sexes, with enduring mental health problems with forensic psychiatric histories and/or subject to sections 37/41 of the Mental Health Act 1983, MH. 27th February 2006 Date of last inspection Brief Description of the Service: 7a Grant Terrace is an end of terrace building situated in a quiet residential area with good access to public transport. The home has easy access to a wide range of local facilities and amenities. The home is registered to provide services for four adults with a forensic mental health history who are not assessed as yet ready to live independently. Staff at the home support residents to regain and retain independent living skills that will enable them to move into supported accommodation. All referrals to the home are as a result of Care Programme Approach meetings and the home does not accept emergency referrals. The home offers both short-term and long-term placements. Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a weekday morning and was conducted with the full assistance of the service users, senior support staff and the registered provider. The purpose of this inspection was to monitor the progress of the home in implementing the requirements of the last inspection and to assess the service against key elements of the National Minimum Standards. The home provides care and support to four service users who have a history of mental health illness. The inspector spoke with two service users who said that they were happy at the home and that the manager and staff were supportive and approachable. One service user was still in bed whilst the other service user chose not to speak to the inspector. During the course of the inspection, the inspector sampled service users files as well as the policies and procedures of the home and toured the premises. The service was found to be operating in line with the National Minimum Standards (NMS) and to be providing a service, which meets the needs of the service users. The inspector would like to take this opportunity to thank the staff, registered provider and the service users for their assistance with this inspection. What the service does well: Staff offer individual care to service users in a homely environment. Service users spoken to by the inspector commented that they liked living at the home and that staff were friendly and helpful. The home obtains relevant information from other professionals as part of the referral process. It also carries out its own assessments on potential service users. All service users have care plans in place and are involved in the development of these. These are regularly reviewed and updated to meet the changing needs of service users. The home offers a very high standard of accommodation, which contributes to the relaxed and positive atmosphere in the home. Service users also benefit Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 6 from individually furnished private room and other facilities required by the NMS. 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. The summary of this inspection report can be made available in other formats on request. Prudential Care Home Ltd DS0000061208.V316059.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 Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home gathers appropriate information and carries out its own assessments for prospective users. EVIDENCE: The member of staff on duty during this inspection was able to talk knowledgeably about the process and discuss how the assessment and admission process is managed. The inspector saw evidence of a prospective service user visiting on a trial basis during the day of this inspection. The inspector sampled the personal file for the most recent service user admitted on the 3/5/2006. Case tracking evidenced that the home obtains appropriate referral information including reports and assessments from other professionals. The home also carries out its own assessment as part of the admission process and does not accept emergency admissions. A statement of terms and conditions of occupancy was available in each service users file. It was also positively noted by the inspector that service users are given a Resident Personal Pack, which includes: resident’s charter, philosophy of care and guideline on the complaint procedure. Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 9 Both the statement of purpose and the service user guide (called the residents handbook) are available for prospective service users and their relatives. These provide sufficient information to allow an informed choice. Prudential Care Home Ltd DS0000061208.V316059.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home develops an individual plan for each service user, which is adequately reviewed. Service users are encouraged and supported to make decisions about their lives and are consulted about issues that affect them. Confidential information is stored and handled appropriately. EVIDENCE: The senior support staff present during the inspection stated that service users have allocated key workers with evidence of key work seen on file. All four service users have an individual care plan in place. The inspector read two care plans, which were found to be up to date with relevant issues such as maintaining mental health, care needs and service users environment. Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 11 The care plans sampled by the inspector had been signed by service users to evidence their participation in their development and evidenced the involvement of other professionals during CPA meetings. The inspector saw evidence of detailed comprehensive risk assessments for most activities undertaken by the service users. These include actions taken to minimise risk and are agreed with the service users e.g. self-medicating. Service users are able to come and go freely in the house and to access local facilities independently or with support. The service user spoken to during the inspection stated that they are issued with keys to their bedrooms and are offered advocacy services when required. The member of staff spoken to during this inspection stated that service users are involved in the day to day running of the home with issues affecting their daily living discussed during the service users meetings The inspector saw evidence that service users are encouraged to make decisions about their lives with assistance as needed. For example, cross tracking of files evidenced a service user making decision in regards to reduction of his medication, reasons for this request and outcome was adequately documented. Additional evidence was seen of another service users making decisions in regards to the choice of his glasses. Service users are also encouraged to maintain their personal space, preparation of drinks, meals, and tidying up of their environment with support. Service users manage their own finances however, the staff on duty stated that the home has adequate policy in place for the assistance of service users who might be unable to manage their finances. The home has a policy about confidentiality and staff were aware of this. Prudential Care Home Ltd DS0000061208.V316059.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers service users the opportunity to participate in daily living tasks. Staff takes into account the preferences of service users when planning the menu and a varied well balanced diet is provided. EVIDENCE: The staff on duty during the inspection stated that service users are encouraged to participate in the day to day running which includes cooking, cleaning of their environment and decision making in regards to activities, this statement was further confirmed by the service users. Evidence of appropriate risk assessments were in place in regards to activities undertaken for the safety and wellbeing of service users. Service users are currently not engaged in continued education or paid employment. However, the senior staff on duty stated that the home would Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 13 offer support and encouragement to service users willing to participate in these activities. Staff stated that service users are encouraged to attend the local MIND group and access local facilities including the gym, cinema and the shops. Evidence of events and activities sheet was seen which detailed activities undertaken by service users. Throughout the course of the inspection the inspector observed that service users choose when to be alone or when to join in with the other service users and staff and witnessed positive interaction between service users and the members of staff on duty. It was also positively noted that staff observed service users privacy by ensuring that they knock and wait for an answer before entering their bedrooms. Service users were observed to have unrestricted access to all the communal areas of the home including the staff office. The inspector saw evidence of the meals provided which reflects the cultural and individual preferences of the service users. Service users are offered a choice of daily meals, which is then recorded on the menu sheet. However, it was noted that the daily meals were not recorded from the 17th-19th of October 2006. The inspector observed that there was fresh fruit available and adequate foodstuff. However the inspector saw three jars of expired jam in the fridge. The staff on duty stated that visitors are welcomed into the home and service users are encouraged to maintain contact with their family and friends. Some service users are registered on the electoral roll. Prudential Care Home Ltd DS0000061208.V316059.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. 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 are given choice as to delivery of care. There are policies and procedures in place for management of medications and for safe handling. The home promotes service users physical wellbeing, and its medication practices protect them. EVIDENCE: It was positively noted that a requirement issued in the previous inspection report in regard to the competence of staff administering medication has now been met. The registered provider stated that all members of staff have undertaken in-house training on medication procedure with evidence seen of three members of staff having further training with Boots on the 25/07/06. The senior staff on duty stated that service users are generally self-caring however, promoting and support is sometimes offered when required. The inspector was satisfied through indirect observation that the staff are flexible with regards to meal times, bedtimes and activities (one service user Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 15 was still in bed at the time of the inspection, another was in his bedroom whilst the third service user was downstairs in the lounge watching TV and interacting with staff). Service users are registered with the local encouraged to attend regular check-ups as and dentist and opticians appointments seen on supported to attend appointments with other care. general practitioner and are when required with evidence of files. Service users are also professionals involved in their There is an organisational policy and procedure, which covers all aspects of medication handling and administration. The senior member of staff spoken to during the inspection was knowledgeable about correct medication practices. Cross tracking of staff training files indicated that staff have undertaken the inhouse BVS training in regards to administering medication. Medications are appropriately stored in individual locked cupboards in the office and records relating to all aspects of medication handling were well kept with adequate auditing practise in place. The inspector evidenced that the medications available corresponded with those listed on the MAR sheet. Prudential Care Home Ltd DS0000061208.V316059.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. In-house training and guidance is provided to staff in the recognition, prevention and reporting of abuse. EVIDENCE: There is a clear complaints procedure which includes details of the responsible individual and the Commission should service users wish to raise concerns in regards to the service they receive or staff members. The inspector viewed the homes complaints log and noted that there had been no complaints recorded since the last inspection. Service users spoken to during the inspection stated that the manager and members of staff are approachable and their views and concerns are listened to and would be dealt with appropriately. The inspector looked at the home’s adult protection procedure, which was found to be satisfactorily written. This includes definitions of the different types of abuse service users can experience and makes appropriate reference to adult protection guidelines for staff to follow should they have any adult protection concerns. There is a separate whistle blowing policy. The staff on duty demonstrated a good understanding of his responsibilities to report any adult protection concerns. The responsible person stated that all members of staff have been trained in-house and assessed in regards to adult protection issue. Prudential Care Home Ltd DS0000061208.V316059.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of accommodation is very high. Service users bedrooms are homely and comfortable and reflect their individual preferences. EVIDENCE: The home provides high standard accommodation to the service users, which includes private bedrooms and spacious communal areas. The home is situated within walking of Stamford Hill High Road where many shops and other amenities are located. The inspector was satisfied that the premises are suitable for the stated purpose and it is accessible to service users. The service users bedrooms inspected were of adequate size with sufficient light, heat and ventilation. The rooms looked personalised and contained facilities required in line with the NMS. However it was stated by the service user spoken to during the Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 18 inspection that the stool in his bedroom is uncomfortable and not adequate for its purpose. It was positive to note that service users had extra facilities such as fridges in their bedrooms. However the responsible person must ensure that adequate risk assessment is undertaken and all fridges in the service users bedrooms are checked periodically to ensure that health and safety needs of service users are met. The inspector also noted that the fridges in both rooms inspected were dirty. The home was observed to be clean, comfortable, pleasantly maintained and free from any offensive odours. Prudential Care Home Ltd DS0000061208.V316059.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, & 36 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. There is a stable staff and management team who know the service users and their needs well. However, the home must ensure that all members of staff are supervised six times per year. The home must also ensure that appropriate references are obtained before staff commences employment. EVIDENCE: In addition to a registered manager, the home employs a deputy manager, one senior support worker, three permanent care staff and seven bank staff. There is one member of staff plus a member of management on duty throughout the day and one waking night staff with an on call emergency procedure in place. However it was disappointing to note that only one member of staff was on duty at the start of the inspection until 12.15pm when another member of staff was found to cover the shift cancelled the previous day. Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 20 The senior support staff spoken to during the inspection confirmed that staff receive regular training and are aware of the policies and procedure of the organisation ensuring the protection of service users. Evidence of staff induction and training certificates were seen on staff files with staff undertaking training such as health and safety, administering medication, mental health and adult protection. Evidence of the staff minutes indicated that staff meetings are held regularly, with issues such as training, policies and organisational issues discussed during these meetings. Cross tracking of staff files evidenced that appropriate references were not obtained from previous employers before staff commences employment. The inspector looked at the supervision records for care staff and the deputy manager. It was noted that supervision records were not up to dated and not conducted in line with the National Minimum Standards which states that staff must be supervised six times per year. The registered manager advised the inspector that of the ten care staff three have obtained NVQ level 3 which is below the NMS which specify that 50 of care staff in the home should have achieved NVQ level 2 by the year 2005. Prudential Care Home Ltd DS0000061208.V316059.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 42, & 43 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from a generally well run home. However, appropriate steps must be taken to comply with all relevant health and safety requirements. EVIDENCE: The registered manager and the deputy manager both have many years of management experience working with people with mental health issues. The inspector discussed with the responsible person the importance of the home having quality assurance, which should include the views of the service users, relatives and other professionals. Additionally there was no evidence to indicate that the home possesses a business plan. Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 22 There was no evidence to indicate that the home had monthly un-announced inspections carried out. However, the responsible person stated that he was in the process of employing a consultant to undertake this task. The inspector advised the responsible person that these visit must be carried out with report made available for inspection. The inspector was satisfied that service users rights and best interests are safeguarded by the homes record keeping policies and procedures. Records reviewed during the inspection were well maintained, up to date and accurate. It was the view of the inspector that the health and safety of service users and staff is promoted by the home. The Inspector sampled a range of health and safety records that the home is required to maintain and found these to be appropriately maintained. The home also carries out fire call point and fire drill tests with records seen indicating that these are all in working order. The Inspector viewed the homes accident and incident logs and found these to be in order. Prudential Care Home Ltd DS0000061208.V316059.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 3 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 3 25 2 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 2 35 X 36 1 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 X 12 3 13 2 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 3 3 X 2 Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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. 2. Standard YA17 YA26 Regulation 13. (1)(c) 16. (2)(C) Requirement The responsible person must ensure that out of date food is discarded. The responsible person must ensure that comfortable chairs are provided in service users bedrooms. The responsible person must ensure that at least 50 of the work force has undertaken NVQ qualification in care. The responsible person must ensure that appropriate references are obtained from previous employers before staff commences employment. The responsible person must that the home: (a) Develop a quality assurance and monitoring system. (b) Develops a business plan. The responsible person must ensure that a qualified electrician should only carry out the testing of all portable appliances. The responsible person must ensure that monthly visits are conducted and reports are made DS0000061208.V316059.R01.S.doc Timescale for action 29/12/06 29/12/06 3. YA32 18. (1)(a)(c) 19(1)(c) 31/01/07 4. YA34 29/12/06 5. YA39 24 31/01/07 6. YA42 23(2)(c) 31/01/07 7. YA43 26 31/03/07 Prudential Care Home Ltd Version 5.2 Page 25 available for inspection. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA17 YA42 Good Practice Recommendations The registered manager should ensure that an accurate and complete records of meals provided is maintained at all times. It is recommended that fridges in service users bedrooms be periodically checked with adequate risk assessment undertaken to ensure that the safety and wellbeing of service users are met. Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Prudential Care Home Ltd DS0000061208.V316059.R01.S.doc Version 5.2 Page 27 - 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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