Inspection on 12/01/06 for Ridgegate

This inspection was carried out on 12th January 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

Ridgegate 13/08/08

Ridgegate 21/08/06

Ridgegate 16/08/05

Ridgegate 23/08/04

Ridgegate 07/04/04

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 Ridgegate Ridgegate 88 Doods Road Reigate Surrey RH2 0NR Lead Inspector Helen Dickens Announced Inspection 12th January 2006 10:00 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 Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 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. Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ridgegate Address Ridgegate 88 Doods Road Reigate Surrey RH2 0NR 01737 242926 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) ridgegate@sweethaven.biz Governors of Ridgegate Home To Be Confirmed Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 Brief Description of the Service: Ridgegate is a large house in a pleasant residential area in Reigate, Surrey. It is run by The Governors of Ridgegate Home and is registered with the Charity Commission. The accommodation is arranged on four floors, reached by a staircase or the lift. Residents all have single rooms, and some have ensuite facilities. There is a large comfortably furnished lounge on the ground floor, and two smaller lounge areas (one containing a small library) are available for residents to use. The kitchen and dining room are on the lower ground floor. There is car parking to the front of the property and Ridgegate owns its own minibus. Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over five and a half hours and was the second inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. The inspection was carried out by Helen Dickens, Lead Inspector for the service. Rosemarie Bowering, the new manager, represented the establishment. A partial tour of the premises took place. The inspector spoke with 4 residents at length, and met most of the others who were at home on the day of the inspection. Two staff were interviewed and a number of documents and files were also examined as part of the inspection process. A pre-inspection questionnaire and a number of returned comment cards from relatives, residents and professionals dealing with the home, were also used in compiling this report. The inspector would like to thank the residents, staff and manager for their time, assistance and hospitality. What the service does well: What has improved since the last inspection? Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 6 Since the last inspection all six requirements made have been met. The home has applied for a variation of their conditions of registration to accommodate the changing needs of one resident; risk assessments have been reviewed; and the home has obtained a copy of the Surrey multi-agency procedures for the protection of vulnerable adults, and up-dated their own policy. All the decorative issues highlighted were completed in a timely fashion and water temperatures in outlets available to residents are now controlled and monitored. Two of the three recommendations have also been completed, and work has started on the third, replacing the old lift. The new lift, when finished, will not only provide access to all floors in the property, but will take residents straight down to the garden, and a porched area will be constructed around the outside entrance to the lift. As a result of the new building layout on one side of the building, one resident will gain a personal sitting room adjoining her bedroom. A recent environmental health officers visit made some recommendations and the home have already done most of these well within the time allowed for compliance. Staff have started assisting with activities for residents in the afternoon when there are no regular activities planned. This may involve doing the crossword with residents, or just talking to residents. New plants and cushions have been purchased for the lounge with the advice of residents. The small carers office upstairs has been relocated to the ground floor and is now more suitable for care staff to work in. What they could do better: On the day of the inspection two Immediate Requirements were made concerning recruitment procedures, and these are discussed later in the report. The home was asked to review hand washing facilities and the locks on toilet doors. Some hot water outlets were not hot at all and the manager was asked to look into this. There were a few decorative matters needing attention including what looked like a damp patch on one wall, and the laundry floor needing a repair to make it impermeable and readily cleanable. A gas safety check had been carried out and the home deemed safe, but a small number of recommendations had been made and these had not yet been carried out – on noticing this oversight, the maintenance man then arranged for this work to be done straight away. Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 7 Despite their best efforts, the home have not been able to book a date for a visit from the community pharmacist regarding the administration of medication – this now needs to be done as soon as possible. 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. Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 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 Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 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): EVIDENCE: Please see the previous report for an assessment of these standards. Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9 and 10 Resident’s care plans at this home are well done which should ensure that they receive the necessary support in a timely manner. Arrangements for the administration of medication are good. Residents are treated with dignity and respect at Ridgegate. EVIDENCE: The templates used for care planning at this home are in the form of booklets, and the three examined contained a good overview of residents needs and had been reviewed within the last month. Risk assessments were now improving and residents had signed to say that they had agreed to their care plan. The new manager has carried out an audit of care plans and will continue to work to ensure the current arrangements meet the relevant National Minimum Standards, as well as the home’s own policies and procedures. Medication is managed by designated staff members who take responsibility for ordering and collecting medication. The home uses blister packs provided by a community pharmacy. Three administration records were checked and there were no unexplained gaps; each record contained a photograph of the resident and their medication profile. Staff who are trained to give medication had added their specimen signature to the list at the front of the medication records. Training is up-dated annually. The medication cupboard was kept Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 11 tidy and securely locked. In order to fully comply with this Standard, the home must arrange for a visit from the community pharmacist – the staff have made several attempts to arrange a date but have been unsuccessful – this matter is now more urgent and a Requirement will be made in this regard. Residents at this home were seen to be treated with dignity and respect; staff were observed to always knock on bedroom and toilet doors before entering, and to address residents courteously. It was noticeable at lunchtime how the staff made themselves available in a discreet way, to assist those residents who needed help at the table. Arrangements for personal care and visiting protect resident’s privacy, and there are no shared rooms at this home. The manager has arranged for a decorative curtain to disguise gloves and aprons which are stored in one communal bathroom; this better promotes the dignity and privacy of residents, and looks much less institutional than the previous arrangements. Two toilet door locks needed some attention and the maintenance man repaired these immediately. Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 12 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 and 15 Residents at this home have good opportunities for social, cultural and religious activities, and daily routines are flexible to meet resident’s needs. EVIDENCE: Residents at this home have a variety of social activities to suit all tastes. On the day of the inspection some residents were enjoying the music to movement class which is a regular weekly activity with a qualified EXTEND tutor. She was knowledgeable about resident’s preferences and abilities, and said she really enjoyed coming to this home because of the residents. On her annual questionnaire from the home she also remarked that she liked the way staff joined in with the exercises. Other regular activities from the monthly programme include keyboard entertainment, piano music sessions, video afternoon (with choc ices supplied), church services and beauty therapy. As mentioned in the ‘improvements’ section above, there are now activities on every afternoon, including the weekend. In addition the home has a ‘shop’, which is open twice per week, and its own minibus, to provide outings for residents. The home is currently compiling a scrap book, with the help of residents, relatives and staff, about the history of the building and particularly in the days when it was a school. Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 13 Routines at this home can be flexible to meet resident’s needs and the best example was one resident with very particular needs who only went downstairs for ‘special occasions’. Meals were served in the resident’s room and staff spent time chatting with this resident to ensure companionship was available. Residents interviewed were happy with the food on offer at Ridgegate, one gentleman saying he was ‘getting larger’ as he liked it so much. The dining room in the basement was brightly furnished and offered a congenial environment for resident’s mealtimes. Staff were on hand to offer assistance where necessary. The food sampled on the day was tasty and well presented and the cook was knowledgeable on resident’s dietary needs. Special diets could be catered for and the cook gave some examples of this. The kitchen was clean and tidy and this is covered in more detail in the health and safety section at the end of this report. Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 14 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 and 18 Resident’s complaints are taken seriously and they are protected from abuse. EVIDENCE: Residents are given a copy of the complaints procedure when they first come to this home but a compliments and complaints book is also on display in the entrance to the home, together with paper and pen, and a ‘blue box’ for posting any comments or complaints. One complaint was received about the lift and this was dealt with according to the home’s procedures. Residents can also highlight issues at the regular residents meetings, or via the annual quality assurance questionnaire, as well as informally with the home’s staff. Residents are protected from abuse by the home’s own policies and procedures which have been up-dated since the last inspection, and by training for staff (6 having had training in the last 12 months). The home has obtained a copy of the February 2005 Surrey multi-agency procedures for the protection of vulnerable adults and purchased a booklet for staff summarising the subject in a format which is more accessible to staff. The manager was asked to ensure that the home’s up-dated policy, and the new booklet, dovetailed with the local Surrey procedures to avoid confusing staff. Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 15 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 and 26 The home provides a safe and comfortable environment for residents and is generally clean and hygienic throughout. However, further work needs to be done to meet this standard in full. EVIDENCE: The location and layout of the home are suitable for its stated purpose and there is a documented programme of maintenance and renewal. Previous requirements relating to maintenance have all been actioned in a timely fashion. A recent environmental health officer’s report made some recommendations which have mostly been remedied well before the deadline set. On the day of the inspection the home was free from offensive odours and the home employs sufficient domestic staff to keep the premises clean and tidy. Laundry facilities are sited separately from the kitchen and the machines have sluicing facilities. The home have an anti-bacterial hand gel placed discreetly in the main hall so that visitors to the home can cleanse their hands as they arrive. However, to meet this Standard in full the home needs to review this Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 16 Standard and ensure they comply with each aspect, especially regarding communal hand washing facilities throughout the home. Several shared toilets had a bar of soap and a terry towel for resident’s use. Whilst these might be suitable in resident’s own bedrooms, they are not recommended in communal hand washing facilities. The home must also ensure that the laundry floor is impermeable and easily cleanable, as set out at 26.4, and investigate and take remedial action regarding the suspected damp patch identified during the inspection. Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 17 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): 28,29 and 30 The home exceeds the minimum standards for staff training and staff are trained and competent to do their jobs. However, the home’s recruitment practices do not currently protect residents and this needs to be remedied as soon as possible. EVIDENCE: The National Minimum Standards for NVQ qualifications set down a minimum of 50 of care staff having NVQ 2 or above. At this home 11 of the 17 care staff have either NVQ2 or 3, or a current nursing qualification. A further seven staff have registered for NVQ training starting this month. There are good records of staff training at this home and a programme is in place to ensure staff are properly prepared to carry out their work. In-house training during the past 12 months has included fire safety, first aid, and manual handling. The home also uses training videos and distance learning. Induction training is compulsory for all new staff and the checklist regarding completion of each section is signed off by the manager. From staff files sampled the home’s recruitment procedure includes an application form and a standard reference request form, there was also a contract and supervision record. Recruitment practices at this home need to be reviewed. One staff member had not had their name checked against the protection of vulnerable adults register before starting work at the home. This needs to be remedied as soon as possible and an Immediate Requirement was made. In addition, some criminal records bureau checks at this home were Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 18 found to be ‘Standard’ as opposed to ‘Enhanced’ disclosures. A second Immediate Requirement was made and these issues discussed with the manager. The application form for prospective staff asks only for employment history over the last ten years; the regulations require a full employment history, and the exploration of any gaps in employment. The home must review its recruitment to ensure they comply with all aspects of the Standards and Regulations. Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 19 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): 33,35 and 38 This home is run in the best interests of residents and their financial interests are protected by the home’s procedures. The health and safety of residents and staff are promoted at Ridgegate. EVIDENCE: There are effective quality monitoring systems in place at this home including regular resident’s meetings, and meetings for staff, annual audits and questionnaires for residents, staff, relatives and other stakeholders such as GPs and district nurses. The new manager has just carried out an audit of the home’s care plans to ensure compliance with care standards and their own inhouse policies and procedures. The home is visited by an ‘Independent Advocate’ for residents, and his details and photograph are displayed prominently in the hallway. The quality audit file at the home is very well done with sections on the outcome of meetings and actions taken, a copy of the latest health and safety audit and progress with any issues raised, (and a copy of the kitchen audit), a copy of planned maintenance and renewal, and records Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 20 of faults and accidents. The home has been awarded the Investors in People quality mark. Residents at this home manage their own money, or have help from friends or relatives, or have made Enduring Power of Attorney arrangements. Those residents/relatives who choose to deposit money with the home for hairdressing etc have this money kept individually with proper records of all transactions. Two of these were sampled and the cash amount balanced with the record of transactions. There is a lockable facility for residents to store valuables. Health and safety is well-organised at this home and the maintenance man takes responsibility for the day to day work required. The manager has a book where she notes work which is waiting to be done, and there is also a plan of maintenance and renewal. There is a health and safety audit of the home, the individual residents rooms, and the kitchen. There is a record of accidents and incidents, and evidence of monitoring these. The home has the Health and Safety Executive book on health and safety in care homes among its policies. The hazardous substances cupboard was securely locked on the day of the inspection and there were no hazardous substances around the home. There was evidence of routine maintenance and servicing for example the bath hoists (which had been serviced the day before), a gas safety inspection, and a legionella safety certificate on file. The environmental health officer’s recent visit to the kitchen had highlighted some issues but the home had remedied most of them already, well within the timescale allowed. The CSCI inspector found the kitchen to be clean and very tidy and the cook was regularly monitoring fridge, freezer and food temperatures. The cook also keeps a sample of each days food in the fridge incase there are issues raised later. There were a small number of health and safety matters which needed addressing including ensuring the recommendations made by the gas safety inspector are carried out, and ensuring residents on the upper floors have hot water for washing their hands etc. The requirement to review hand washing facilities generally throughout the home was highlighted earlier in the report. The manager was also alerted that a worn landing carpet needed monitoring and trimming, and another area of the stair carpet was beginning to wear and needed to be kept under review. The toilet in the hairdressing room does not have a cover and this should be reviewed for when it is being used as a salon. Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 X 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 4 X 3 X X 2 Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 22 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. 1. Standard OP9 Regulation 13(2) Requirement The home must arrange for a visit from the community pharmacist regarding advice on the administration of medication at Ridgegate. The home must review its facilities for hand washing in communal bathrooms and toilets as discussed in this report. The laundry floor should be repaired to ensure it is impermeable and readily cleanable as set out in this Standard. The home must investigate and take remedial action regarding the damp patch, as discussed with the manager. The home must ensure that all staff have a POVAfirst check before they begin working in the home. Immediate. The home must ensure that Enhanced CRB checks are carried out on all staff who work at the home as per the Regulations. Immediate. The home must review its recruitment policies and DS0000013762.V266831.R01.S.doc Timescale for action 12/02/06 2. OP26 13(4)(a) (b)(c) 13(4)(c) 13/01/06 3. OP26 12/02/06 4. OP26 23(2)(d) 12/02/06 5. OP29 19(1)(b) 12/01/06 6. OP29 19(1)(b) 12/01/06 7. OP29 19 19/01/06 Ridgegate Version 5.1 Page 23 8. 9. OP38 OP38 13(4)(a) (b)(c) 13(4)(a) (b)(c) practises to ensure compliance with Regulation 19 (as amended), and Standard 29. The recommendations by the gas 26/01/06 safety inspector should be carried out as soon as possible. The home must ensure that 19/01/06 residents on the upper floor have hot water available for hand washing etc. 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 OP18 OP38 Good Practice Recommendations The home should ensure that its own policy, and the new leaflet for staff, dovetails with the Surrey multi-agency procedures for the protection of vulnerable adults. For the safety of residents and staff, and until the refurbishments are fully completed, the home should keep under review the worn carpet on the landing, and the carpet on the stairs which is beginning to wear. The home should review the toilet facility in the hairdressing room with a view to keeping it covered whilst the room is being used as a salon. 3. OP38 Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 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. Extracts may not be used or reproduced without the express permission of CSCI Ridgegate DS0000013762.V266831.R01.S.doc Version 5.1 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!