Inspection on 19/06/07 for Rapkyns Care Centre

This inspection was carried out on 19th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Rapkyns Care Centre 15/11/05

Rapkyns Care Centre 29/07/05

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Sutton Lodge Nursing Home

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Rapkyns Care Centre Guildford Road Broadbridge Heath West Sussex RH12 3PQ Lead Inspector Mrs A Taggart Unannounced Inspection 19th June 2007 09:00 Rapkyns Care Centre DS0000061920.V338693.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 Rapkyns Care Centre DS0000061920.V338693.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. Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rapkyns Care Centre Address Guildford Road Broadbridge Heath West Sussex RH12 3PQ TBC 01403 276757 rapkyns@sussexhealthcare.org.uk 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) Dr Shafik Hussien Sachedina Ms Pauline McCann Care Home 41 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of people accommodated should not exceed 41 at any one time. 15th November 2005 Date of last inspection Brief Description of the Service: Rapkyns Care Centre is a spacious purpose built residential care home, located in separate bungalows, catering for forty-one adults with physical and learning difficulties. The home provides nursing care for younger adults aged 18 to 65 years. All the bedrooms are single occupancy, each with en-suite facilities, and each unit has its own sitting and dining room. The bungalows are separated by an activity centre, which includes an I.T. room, a swimming pool, a craft area and a video/cinema room. There is a central water feature, with sensory gardens to the back of the activity centre. Rapkyns Care Centre is equipped with all the latest technological aids, including an audio loop system, track hoisting, a hydrotherapy pool and four sensory rooms. Telephone points and internet access is available for residents who wish to have a computer in their room, and environmental controls are available for residents wishing to access them. The entire home is wheelchair accessible. Current fees are £1,800 to £2,200 per week. Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In preparation for the visit an Annual Quality Assurance Assessment (AQAA) was sent to the service and was completed and returned to the Commission and survey forms were sent to service users, their families and professionals involved with the home. The last two reports were read and a planning document was completed using information gained from any relevant documentation and correspondence regarding the service. Ten surveys were returned and all made positive comments about the service provided. The unannounced visit was carried out at 9.30am and lasted for 4.5 hours. We spent time with the people living in the home and the staff team on duty and also we observed staff practice. Four care plans with supporting documentation were tracked with any relevant issues being discussed with the manager or staff team. We were able to see residents in the communal areas and also some private bedrooms were seen. We looked at maintenance records for the building and the fire book. The main meal of the day was seen being prepared and we were able to view the menus and food records. We spoke with six members of staff and also tracked staff recruitment and training files and the home’s medication system. Records for the running of the business were seen including Registered Providers visit reports, the complaints book and the home’s quality assurance process and all were in good order. The Registered Manager Mrs. McCann was present and received feedback following the visit. What the service does well: Rapkyns Care Centre provides a high standard of accommodation and support for the young people who live there and the outcome of observations made during the visit was that service users smiled and laughed a lot and showed their pleasure both in the activities they were undertaking and with the staff who work with them. The staff were very attentive and aware of the needs of the people they are supporting and were also aware of differing communication signals when people needed attention. To ensure that individual needs are met, the home carries out robust preadmission assessments and works with families and other professionals to ensure that active person centred care plans are in place. Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 6 The people living in the home receive good healthcare support and have opportunities for personal development and access to their local community. There is a dedicated and well-trained staff team in place and trained nurses are available on each unit at all times. A quality assurance process in place, which includes the views of the people living in the home, their families and other professionals, and comment cards and the staff on duty were complimentary about the skills and commitment of both the staff team and the registered manager. 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 Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Rapkyns Care Centre DS0000061920.V338693.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 Rapkyns Care Centre DS0000061920.V338693.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): 1 2 4 and 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is good information available regarding the facilities provided in the home and to ensure that individual needs can be met, comprehensive and robust admission procedures are in place. EVIDENCE: The home has detailed information available about the service provided and this had recently been updated to reflect the changes made to the environment. In order to ensure that the home can meet individual needs, comprehensive pre- admission assessments are carried out, service users, their families and other professionals are involved in the process and a structured transition to the home over a number of months is carried out. There were several rooms being made ready for young people to move into and in all of them families had brought pictures and belongings to personalise the rooms in order to ensure that people felt secure on arrival. Accommodation can be provided for families to help new service users to settle in and a web-cam link can be used to enable people to keep in touch. Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 10 Contracts detailing the terms and conditions of residency are in place and are held on personal files. Rapkyns Care Centre DS0000061920.V338693.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 8 and 9 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The staff team have detailed, comprehensive information available about the needs and wishes of the people they support, risk assessments are in place to ensure that people can be involved in activities safely and regular reviews are carried out to record changes to the care plans EVIDENCE: For each person living in the home a care plan is in place that has been devised using information gained from the pre-admission assessment and life history gained from families, advocates and other previous placements and schools. The plans give the staff team comprehensive information regarding the support needs of each person and are active person centred plans presented in pictorial form using photographs, pictures and symbols. The plans include detailed information about all aspects of individual’s lives including family history, likes and dislikes, information on cultural identity and diverse communication methods. Risk assessments, future goals and wish lists Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 12 for future development are also included and the plans and are regularly reviewed and updated. When people first come to live in the home a six-week transition period is carried out and observations are documented on a daily basis in order to monitor progress and identify personal preferences and lifestyle choices. The staff members on duty were very aware of the contents of care plans and an effective key worker system ensures that daily records and other relevant information is regularly updated. Rapkyns Care Centre DS0000061920.V338693.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): 11 12 13 15 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users living in the home have access to a wide variety of developmental and social opportunities both within the home and in the local community. The home supports people in an individualised, person centred way in order to develop people’s skills and confidence. A variety of fresh, home cooked meals are also provided but their presentation could be improved. EVIDENCE: From looking at records and spending time in the home it is clear that people enjoy a wide variety of activities and outings. Each of the separate units in the home has an activities area, some people enjoy woodwork or drama sessions and there is also a separate activity and craft room. Each unit also has a sensory room and the home has a swimming pool and two hydrotherapy pools. People also attend local colleges and day centres and access horse riding, use of community facilities including the local pub and parks and people also said Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 14 that they liked shopping. Religious and cultural needs are also addressed and people are supported to attend church or prayer meetings. The home has a mini bus to facilitate outings and holidays and the manager said that another was on order. Four service users also have their own cars. Lots of parties, barbeques and celebrations are also regularly held and during the visit people were making banners and cards to celebrate a birthday. Families and friends are made welcome at any time and invited to all social occasions. Many service users have large screen televisions, sensory equipment, computers and computer games in their rooms and the home has Internet access. One person explained that they had enjoyed a lie in until late in the morning because they had chosen to stay up late the night before using their play station. Observation during the visit showed that people are treated with kindness, dignity and respect and were very animated and happy when interacting with staff members. A variety of fresh home cooked meals are available and individual likes and dislikes are recorded. Specialist diets are catered for and meals are also provided that support people’s ethnic identity. “Meals feedback sheets” are completed on a regular basis by families and service users to monitor that people are happy with the food provided. During the visit the chef was preparing pureed meals for some people but was processing all of the meal together instead if individually presenting separate foods. This was pointed out to the manager Mrs. McCann who said it would be addressed immediately. Rapkyns Care Centre DS0000061920.V338693.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 and 21 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. In order to meet the individual healthcare needs of the people they support, the home has detailed guidelines in place to inform the staff team, regular observations are undertaken to identify changing needs and other healthcare professionals are involved. Trained nurses are available at all times and medication is well managed. EVIDENCE: Care plans contain detailed information regarding the healthcare needs of each person and are regularly reviewed and updated. The people living in the home have complex healthcare needs, use diverse methods of communication and are wheelchair users. To address their individual needs plans are in place for each element of care provided including personal care agreements, specialist equipment to be used and preferred routines. There are also pro-active plans in place to deal with emergency healthcare issues should they arise. Plans are also in place regarding how emotional needs should be addressed and records show that for some people this was listening to the music they like Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 16 or contact with their families. Aromatherapy and reflexology sessions are also carried out on a regular basis. Records show that the home works with a variety of healthcare professionals including dieticians, speech and language therapists, psychologists and local doctors and specialist support is also provided by the community learning disability team. Comments from a Care Manager involved with the home said that although a good standard of care is provided, regular visits from a GP are made and well trained staff are always on site, timescales for responding to other professionals could be improved. Trained nurses are on duty in each unit at all times and daily records show that regular healthcare checks are in place. A high level of observation by the staff team is undertaken and changing healthcare needs are recorded and communicated to ensure continuity of care. Each unit has a medication room in which medication is kept in a locked cabinet. The home uses a Dosette system supplied by a local pharmacist and only trained nurses administer medication. Medication was checked in one unit and found to be in good order. Medication Recording Sheets were current and matched the Dosette boxes. One controlled medication was checked and found to be correct. The home has recently gained the Gold Standard Certificate in Palliative Care and policies and procedures are in place regarding supporting end of life care. Rapkyns Care Centre DS0000061920.V338693.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are recorded and acted upon in a timely manner and the home’s policies, procedures and staff training are designed to protect people from risk of abuse. EVIDENCE: There is a complaints procedure in place, which is also provided in an accessible format using pictures and symbols. Records show that two complaints have been made in the last year. Both have been recorded and responded to by the manager in a timely manner. The staff team have undergone training in the protection of vulnerable adults from abuse and the staff spoken to during the visit were aware of their responsibilities, one person said, “We discuss abuse issues at staff meetings and have all attended training. If I suspected any abuse I would report it straight away to the manager”. Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 18 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 28 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Rapkyns Care Centre provides a very high standard of accommodation both in communal areas and private bedrooms. Specialist equipment is provided throughout the home and high standards of hygiene are maintained EVIDENCE: Rapkyns Care Centre provides a very high standard of accommodation and an attractive, comfortable, purpose built home for the people who live there. Recently a further units have been added and the home can now accommodate forty-one people. Each unit has a lounge area with attractive and homely furnishings and also a dining/kitchen area and a sensory room. All are open plan, light and airy and accessible to wheelchair users. Specialist baths are also in place and there is a craft centre, swimming pool and two hydro pools. Service user’s private bedrooms have been personalised to suit their individual interests and hobbies and each room has a large ensuite wet room with hoist Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 19 tracks built into the ceilings to facilitate easier movement and promote safety. Many people have televisions, computers, sensory equipment and communication aids in their rooms and rooms are also decorated to individual taste. The extensive landscaped gardens have recently been improved to include a raised patio area and pond with raised flowerbeds and tables, chairs and umbrellas. Mrs. McCann said that there was a plan in place to also include a wheelchair accessible woodland walk and poly tunnels to provide service users with opportunities to grow their own vegetables. The whole of the home was bright cheerful with lots of service users art work and photographs on display and people expressed that they were very happy in their surroundings. One person said, “ I am happy here, I like going out shopping, I like my room and having curry for dinner”. Specialist equipment was well maintained and gloves, aprons and hand wash gel was available to address infection control. The home was clean and hygienic throughout. Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 20 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): 31 32 34 35 36 Quality in this outcome area good This judgement has been made using available evidence including a visit to this service. A qualified, competent and caring staff team supports the people living in the home. The system for recording training could be improved for monitoring purposes. EVIDENCE: There were sufficient numbers of staff to support the needs of the people currently living in the home. Each unit has a trained nurse and three carers and in addition to this there are cleaners, drivers, activities staff, gardeners and a physiotherapist. The hours of the manager and deputy are in addition to the staffing rota. The records of two long standing and one fairly new staff were seen. All staff members had job descriptions and terms and conditions of employment. The job descriptions were appropriate to the role of candidates and set out the ethos of the home for encouraging independence with support for service users. Current PIN numbers were recorded for trained nurses. One new recruit said how helpful it had been beginning to work with the client group with only two service users in one unit, as it had enabled her to Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 21 establish a good relationship and gain understanding of the people’s individualised methods of communication. The staff on duty confirmed that they generally had supervision on a six weekly basis but this had not happened recently as the manager had been away on extended agreed leave. Staff did however say that they received daily/weekly support from their trained staff supervisors and regular team and unit meetings are held. Mrs McCann said that she had only just returned to work and had a supervision plan already in place. Records show that new staff receive a structured induction and receive mandatory training and training in working with the specific needs of people with a learning disability. However the current system of recording training and identifying when updates are needed is not clear and Mrs McCann said that she would review the system. Staff members interviewed and observed during the visit displayed competence and confidence in their working environment and displayed knowledge of the needs of the people they are supporting. Service users were seen to interact positively with the staff on duty and were relaxed and happy in their company. Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 22 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 38 39 and42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well managed and records for the running of the business are current and in good order EVIDENCE: The Registered Manager Mrs. McCann is a Registered Nurse and also holds the Registered Managers Award. The staff on duty at were very complimentary about Mrs .McCann’s management style and said that she was supportive and accessible. One staff member said, “I have worked here since the home started and did my adaptation as a registered nurse here. The manager ensures that we work to high standards and have clear goals about what we are trying to achieve to support people. Staff meetings are held every two months and we also have supervision and unit meetings”. Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 23 Sussex Health Care carries out an annual quality assurance process, which involves sending out questionnaires to elicit the views of users of the service, families and professionals involved with the home. Replies are collated and published and Mrs. Mc Cann said that outcomes are used to inform the future development of the service. Monthly Regulation 26 Registered Provider’s visits are also carried out and reports are kept on file in the home. Records regarding health and safety were seen including the fire book. The weekly checks were current and in good order and fire training had recently been held and recorded for all staff. Mrs McCann confirmed that requirements from the fire service following the building of the new unit have now been fully met. Maintenance records such as electrical appliance testing and equipment tests were all current and in good order. Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 24 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 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 X 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 X X 3 x Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations Rapkyns Care Centre DS0000061920.V338693.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Rapkyns Care Centre DS0000061920.V338693.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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