Inspection on 31/07/06 for Redwood Care Centre

This inspection was carried out on 31st July 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Redwood Care Centre 26/11/08

Redwood Care Centre 29/08/07

Redwood Care Centre 13/06/05

Redwood Care Centre 28/04/05

Redwood Care Centre 07/10/04

Redwood Care Centre 24/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Redwood Care Centre 179 Epsom Road Merrow Guildford Surrey GU1 2QY Lead Inspector Cathy Clarke Key Unannounced Inspection 31st July 2006 11:00 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 Redwood Care Centre DS0000059510.V308303.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. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redwood Care Centre Address 179 Epsom Road Merrow Guildford Surrey GU1 2QY 01206 752552 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) www.careuk.com Care UK Community Partnerships Limited Mrs Rosalyn Gaye Hampson Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The age/age range of the persons to be accommodated will be: OVER 65 YEARS OF AGE 50 beds providing nursing care for elderly people from the age of 60 years, of which 20 beds may be used for intermediate care. Additionally, one named service user in the age category between 60 and 65 years of age in the intermediate beds for the duration of his stay as per letter dated 9th March 2006. 13th June 2005 Date of last inspection Brief Description of the Service: Care Uk is owned and operated by Care UK Partnerships LTD. The service is situated in Merrow, close to the town of Guildford. The service is a ground level building comprising of 5 units named Oak, Elm, Birch, Cedar and Ash. The main concourse is called Maple. The accomodation is arranged in 50 single occupancy bedrooms, 30 for long term nursing care residents and 20 beds catering for delivering intermediate care. There is ample communal and quiet space throughout the premises. The gardens are well maintained with parking places to the front and rear of the premises. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced inspection of the Commission for Social Care Inspection (CSCI) year April 2006 to 2007 using the new ‘Inspecting for Better Lives’ (IBL) process. Lead Regulation Inspector Cathy Clarke was assisted throughout the inspection by Mrs Rosalyn Gaye Hampson registered manager and Amanda Gilbert deputy manager representing the establishment. The IBL process involves a pre-inspection assessment of service information from a variety of sources initially helping to prioritise the order of inspections and identify areas that require more attention during the inspection process. A new Inspection record is compiled from details received from a preinspection questionnaire from the home and notifications of significant events known as regulation 37. Comments and complaints received and previous inspection reports are all considered for inclusion prior to the inspection visit. For more details of ‘IBL’ please visit the Commission for Social Care Website details can be found on the last page this Inspection report. The inspector was with staff and residents at Redwood for a period of 8 hrs. This time was spent sampling resident’s care need assessments, care plans, medication processes, contracts, and talking to residents and staff. Staff files were inspected for evidence of good practice in the following areas: recruitment, allocation of staff skills, daily rotas and training. Service users prefer to be known as residents and will be referred to as such throughout this report. The cost of services range from 695.00 per week for continuing care to £823.00 and these fees are reviewed on an annual basis. Not included in these costs are personal items such as: toiletries, social activities, hairdressing, and dry cleaning. The inspector would like to thank the manager, deputy manager and staff of Redwood for the hospitality shown during the inspection. What the service does well: The manager and staff work well together and contribute to maintaining the independence of residents. The service responds quickly to regulatory requirements and works positively with the Commission for Social Care Inspection. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 6 The following are comments received from service users and their family in the form of letters or cards: “We the family would like to thank you and your staff for the care you gave to our mother during her stay we did appreciate it”. “Thank you so much for the care you showed my mother during the eight days she was in your care”. “She felt so ill and tired but I know you did what you could for her”. “Thank you from family for the care given to (B) he was always very content whilst in your care”. “Thank you and gratitude and appreciation from the family concerning the very kind and dignified way you all have shown in nursing our mum”. “She has come on leaps and bounds and we are sure it has been your patience and kindness”. “The staff and doctors have achieved such a good recovery for her”. What has improved since the last inspection? Improvements since the last inspection include: • • • • • All requirements from the previous inspection have been met. The computerised system for care planning and the recording of data for each individual resident has now been fully implemented. The service has an activities co-ordinator from Monday-Friday and at weekends when organised events are on. A manual handling train the trainer course has been provided for the activities co-ordinator and she provides in-house training for all staff. The home has held a jumble sale, and summer fete, and they are getting some gardening done for residents. An area has been dug over in the middle of the garden for vegetables. Training and development has improved and an annual training plan is in place. The conference room has been set up with all of the required training equipment. Training needs analysis is being undertaken for all staff and this informs the training plan. The staff team is starting to gel more and team building has been key in achieving this aim. • • What they could do better: Staff must sign medication records at the time of administration. The GP must sign any dosage changes made to medication. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 7 Although residents do not access the sink in the bathroom and toilet it must be adjusted to 43 degrees to ensure safety. The two night sisters are to be trained to provide supervision for staff. A full employment history must be added to all recruitment records post 26th July 2004. It is recommended that the registered manager complete NVQ Level 4 Registered Managers Award by the end of 2006. 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. Redwood Care Centre DS0000059510.V308303.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 Redwood Care Centre DS0000059510.V308303.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive information is available for prospective residents prior to their admission to the home. Contracts are in place and issued to all residents. All prospective residents are assessed prior to admission and this forms part of the ongoing process of assessment within the home. Intermediate care is provided and staff work with residents to maximise their ability to regain their independence. EVIDENCE: There is a Foyer pack available for all prospective residents including a brochure on the home with pictures of some of the facilities, this gives general information on the home the lay out of the building, where it is situated in the surrounding community and has a map for visitors. A residents guide is included in the pack which goes into more detail, including sections on Religious, Cultural and spiritual needs, a residents charter of rights, fire Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 10 precautions, complaints, and compliments as well as information on the assessment unit. A room pack includes information such as the Statement of Purpose, which includes the aims and objectives of the home, the complaints procedure, details of staffing within the home and the contact details of the Commission for Social Care Inspection. A contract is issued to each individual resident. A pre-admission assessment is completed for all new residents. Intermediate care is offered and the purpose of the assessment unit is to provide an opportunity for ongoing assessment of physical, health and social needs. The aim of the unit is to rehabilitate residents to the most appropriate destination taking into account their assessed needs and levels of independence. Residents spoken to have stated that they have enjoyed their stay on the assessment unit and have been working towards going back home. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are comprehensive care plans in place. The service works closely with local health care professionals and physiotherapists, occupational therapists and care managers are located on the premises. There are policies and procedures in place for the safe administration of medicines; audits are in place to identify any errors in recording on medication records. Residents spoken to were happy in the home and felt that they were treated with respect. EVIDENCE: Each resident has what is called “Resident of the Day” where his or her temperature, pulse, blood Pressure, urine, and weight is recorded on a monthly basis. The registered manager informed the inspector that the Waterlow scoring system (for measuring tissue viability and used to assess the level of risk of residents forming pressure sores) on the nursing units is the computerised system as this follows the correct format. A paper system is used on the Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 12 assessment units. Risk assessments are in place for residents and stored on the database. A daily diary note is kept for each resident; this identifies care provided, any changes and the name of staff making each entry is recorded on the database. The home works closely with local health and social care facilities including, the Health Protection Agency, Environmental Health, Surrey County Council, Local GPs, Opticians, Chiropodists, and District Nurses. They also have contact with the Tissue Viability Nurse, Respiratory Nurse, Continence Nurse, Diabetic Nurse, Urology Nurse and a Nurse Assessor. The home works with three Physiotherapists an Occupational Therapist and the Intermediate Care Liaison officer who are all based in the service. Discussion was held with one of the physiotherapists and a care support worker on strategies used to maintain the independence of residents. Medication is stored in two parts of the home in medication rooms. Medicines are stored in either a trolley or in the controlled drugs cabinet. On the day of inspection it was the changeover day and the deputy manager was auditing drugs and medication practices. Two drugs charts sampled were missing signatures and the deputy manager had contacted the staff member concerned to discuss the reasons for the error. There is a list at the front of the MAR charts identifying the staff on duty so that they can easily be identified. Controlled drugs medication administration records were checked and tablets counted as correct. Medication records for nursing care units were checked as correct. Drugs were being administered to residents at the time of the inspection sampling exercise. The deputy manager counted medicines as correct at the time of inspection. A Community Pharmacist has visited the home on 26th July 2006 to undertake an audit of medication practices. The report highlighted a need for the GP to sign any dosage changes made. A number of residents were spoken to during the inspection and all had enjoyed their stay. One resident who had lost her confidence following a fall at home was much more positive in her outlook after a period on the intermediate care unit and was looking forward to going back home soon. Another felt that she was gradually getting better. Other residents had enjoyed their stay and stated that they were well looked after and that staff were lovely. Please see requirements section of this report. Redwood Care Centre DS0000059510.V308303.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have confirmed that they enjoy their lifestyle in the home and have a variety of activities that they can undertake. Family and friends can visit whenever they wish. Positive comments were received from residents regarding the meals provided in the home. EVIDENCE: There is an activities co-ordinator on duty Monday-Friday and at weekends when there are organised activities planned. During the inspection the inspector observed a group of residents in discussion with the activities co-ordinator who seemed to be actively engaged in a conversation about driving. Another resident was doing a very large jigsaw puzzle. Residents in one unit were knitting. Other activities enjoyed by residents include: arts, crafts, games, exercises, flower arranging, cake making, visiting musicians, bell ringing, church services, coffee mornings, and visits from local schools. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 14 Each Unit has a laminated picture of the menus kept on the wall of each unit. This is particularly helpful for those residents who have had a stroke and have communication difficulties as a result. A weekly choice of menu is undertaken and staff confirm with residents individually on the day whether this is their preferred choice of meal. One resident spoken to liked the sausages for lunch and another commented that he liked the meals and that there is always a choice. Redwood Care Centre DS0000059510.V308303.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has policies and procedures in place for complaints and the protection of vulnerable adults. EVIDENCE: There have been a number of complaints made to the home since the last inspection. These have been appropriately investigated and responded to within 28 days. Actions have been taken to resolve issues. There have been no “Safeguarding Adults” issues in the service since the last inspection. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a maintenance programme in place for the service and regular checks are made and measures taken to solve any problems that arise. The home is nicely decorated and has a homely feel. EVIDENCE: A full tour of the building took place. The hot water in one bathroom sink and toilet sink on Ash unit was extremely hot. Measuring 50 degrees. The manager has stated that this is checked monthly by the maintenance member of staff and adjusted accordingly. Records were seen verifying this practice. Staff did know that water should not be above 43 degrees and notices were on the walls warning staff to test the water before use. Staff questioned knew the correct temperatures for the water in service users rooms and in the bathrooms. Stated that they mix the water and do not go over 43 degrees. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 17 The manager stated that contacting the facilities management department would rectify this. There is not an immediate risk to service users as they do not use these facilities. Safety checks were in place and assisted baths have been maintained and checked by the relevant authorities. The home is very clean and there were no mal odorous smells. A cleaning log is kept for all rooms, which is signed by the member of staff. Please see requirements section of this report. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A skilled and competent workforce supports the home and there are training and development opportunities to further develop specialist skills. There are training and development facilities available within the home. EVIDENCE: Recruitment records sampled for six members of staff contained application forms, training records, identification, criminal record bureau checks and supervision notes. Recruitment records post 26th July 2004 must have a full employment history and any gaps in employment must be explored and any explanations recorded. This requirement was met before the end of the inspection. The two night sisters must be trained to provide supervision for staff. All other staff with this responsibility had been trained to do so. A staff handbook is available for all staff outlining information relating to their employment and relevant policies and procedures. Three staff spoken to during the inspection confirmed that they had all received training in POVA and fire safety. One member of staff has achieved NVQ Level 2 and 3 in Care and another has completed Level 2 NVQ Care. They all like working at the home and have received various training programmes. An annual training plan is in place and dates were recorded for manual Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 19 handling, supervision, continence, food hygiene, health and safety, and care planning. It is recommended that the registered manager complete NVQ Level 4 Registered Managers Award by the end of 2006 as planned. The service has a conference room with all of the required training equipment to enable them to offer in-house facilities for training and development sessions. Please see recommendations and requirements section of this report. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager ensures that the home is run in the best interests of the residents. Health and safety policies and procedures are in place. EVIDENCE: The registered manager informed the inspector that she has recently undertaken training on falls prevention. The Registered Manager has also undertaken a study into the cause of falls, especially those experienced by people with Dementia, this work is to form part of her NVQ Level 4 Registered Managers Award. The following are comments received from service users and their family in the form of letters or cards: “We the family would like to thank you and your staff for the care you gave to our mother during her stay we did appreciate it”. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 21 “Thank you so much for the care you showed my mother during the eight days she was in your care”. “She felt so ill and tired but I know you did what you could for her”. “Thank you from family for the care given to (B) he was always very content whilst in your care”. “Thank you and gratitude and appreciation from the family concerning the very kind and dignified way you all have shown in nursing our mum”. “She has come on leaps and bounds and we are sure it has been your patience and kindness”. “The staff and doctors have achieved such a good recovery for her”. Financial arrangements are in place for each individual resident. Each resident has a pouch in the safe and there is an upper limit of £100, this is to be used for the resident’s own private use, hairdressing, chiropody, toiletries etc. There is no “Power of Attorney” held by the home for any of the residents. The Benefits and Charging section of the Local Authority pays fees for the service directly to the Care UK Head Office. All policies and procedures have been reviewed and updated in October 2005. There is a log of all health and safety checks made in the home and weekly fire checks are carried out. There is a maintenance plan in place and a member of staff is responsible for these tasks. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 22 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 3 3 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 23 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. 2 3 Standard OP9 OP9 OP19 OP29 Regulation 13 (2) 13 (2) 23 (2) (b) 19 (5) (d) (i) 1-9 of schedule 2 18 (2) (a) Requirement Staff must sign medication administration records at the time of administering medicines. The GP must sign any dosage changes made to medication. The water in taps in all units must not exceed 43 degrees. Recruitment files must contain a full employment history. This requirement was met during the inspection. Night staff with the responsibility of supervising staff must be trained to do so. Timescale for action 30/09/06 30/09/06 30/09/06 30/09/06 4 OP30 30/11/06 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 OP31 Good Practice Recommendations It is recommended that the registered manager complete NVQ Level 4 Registered Managers Award by the end of 2006. Redwood Care Centre DS0000059510.V308303.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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