Inspection on 29/10/07 for Rivercourt Project Short Breaks

This inspection was carried out on 29th October 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rivercourt Project Short Breaks 13/11/06

Rivercourt Project Short Breaks 30/01/06

Rivercourt Project Short Breaks 15/03/05

Rivercourt Project Short Breaks 11/10/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Rivercourt Project Short Breaks 17 Rivercourt Road Hammersmith London W6 9LD Lead Inspector Jacqueline Derbyshire Key Unannounced Inspection 29th October 2007 09:00 Rivercourt Project Short Breaks DS0000035441.V348944.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 Rivercourt Project Short Breaks DS0000035441.V348944.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. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rivercourt Project Short Breaks Address 17 Rivercourt Road Hammersmith London W6 9LD 020 8563 8683 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) angela.mooney@lbhf.gov.uk London Borough of Hammersmith and Fulham Ms Angela Joan Mooney Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13/11/06 Brief Description of the Service: Rivercourt Road is a registered care home providing short breaks for adults with a learning/physical disability and/or challenging behaviours. The home provides short breaks for people living with their families and each person can stay at the home for up to 12 weeks each year. The London Borough of Hammersmith and Fulham Social Services Department manages the service. The service now also has placements from outside of the locality. The home is located in a residential area, close to the shops and transport links of Hammersmith Broadway and Chiswick. The property is fully accessible to people with limited mobility. All five single rooms have an ensuite shower and toilet and a passenger lift provides access to rooms on the mezzanine and first floors. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Monday 29th October 2007; the Inspector spent 3.30 hours visiting the home. The Inspector spoke with two people staying at Rivercourt Road and two members of staff; the Care Services Manager was not on duty at this site visit. The Inspector did liaise with the Manager via telephone to have access to information. The Inspector checked the care records of two people; all medication and finance records were looked at and were seen to be well recorded. All of the bedrooms were looked at and all communal parts of the home. The home provides an excellent standard of accommodation as the whole home has had a refurbishment in 2006. The home was seen to be clean and tidy. Six of the eight requirements that were set 13/11/06 have been met; six new requirements have been made from this visit. The weekly placement cost is from £704.00 to £1000.00. The Inspector will make reference to the Annual Quality Assurance Assessment (AQQA) throughout this report. What the service does well: What has improved since the last inspection? The Inspector looked at one residents care plan that was very informative and up to date. The Inspector was informed that there is a waking night and sleeping member of staff on duty at all times. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 6 The Inspector looked at information concerning an individual with swallowing problems whose medication has to be given in a yogurt. Letters from the GP and Speech therapist were on file giving the relevant medical information that recommends this procedure. The Manager sent the Inspector information regarding recruitment for staff at Rivercourt Road as 11 of the 12 staff currently working there are from agencies. The high numbers of agency staff used has to be looked at by the local authority, as this service requires very skilled trained staff. The Manager told the Inspector that there is always a member of staff on duty that is first aid qualified. The Manager has placed the photocopier in the dinning room/kitchen area, as it is too large to go into the staff office/sleep in room. What they could do better: The local authority has to have a recruitment drive to employ in house staff for Rivercourt Road that promotes continuity of care. The loose wires in two bathrooms have to be boxed up, as the requirement from 30/01/06 stated under health and safety. This work has to be completed by the 31st December 2007. The Manager has to make sure that all information is up to date on emergency placements as one resident had been at Rivercourt Road for a week, and no information was in place including a care plan and risk assessments. The Inspector looked at the complaints file that had no information in place, in discussion with a member of staff they did not know where the relevant information was and were not aware of where to record a complaint. The Inspector looked at records that did not have a date recorded on them, the Manager must make sure all records have the date recorded. A sanitary bin for female staff should be available in the staff toilet. The Manager must make sure all staff has food hygiene training and that out of date food should be thrown away. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Rivercourt Project Short Breaks DS0000035441.V348944.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 Rivercourt Project Short Breaks DS0000035441.V348944.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): Standard 2. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service has taken in an emergency placement with an assessment from the local authority that shows the care needs of the individual. There was no information written after being at the home for a week. EVIDENCE: The Inspector looked at the information on an individual who had been sent to live at the home as an emergency placement. The Inspector saw records from the local authority social worker informing the Manager of the persons needs. The Inspector spent time with the resident who told the Inspector that the home was nice and staff were ok. There was no information in place for the resident completed by the staff at Rivercourt Road to show how they were going to meet the resident’s needs. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A care plan was not in place for an emergency placement, showing how the home was going to meet their needs. The Individual did not have any risk assessment completed when clearly there were risk areas. EVIDENCE: The Inspector looked at two residents files, one had a very comprehensive care plan and one who had been on an emergency placement for over a week did not have a care plan. The Manager did liaise with the Inspector regarding the care plan that was not in place, stating they were very busy but it had now been completed. The care plan that was in place had a lot of information linking into the daily routine of the individual. There was a communication passport in the persons file that was very informative showing the individuals likes, dislikes their family and what activities they enjoyed doing. In discussion with one of the residents they told the Inspector they liked the home and the staff were ok. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 11 One of the residents made them self a drink in the kitchen with a member of staff supervising them saying “this is how I like my tea”. The two files checked, one had risk assessment records in place that linked into the care plan for any risk areas and how the staff were eliminating or minimising the risk. There was no risk assessment in place for the individual on the emergency placement. The Inspector was aware that there are risk areas that require an assessment, in discussion with one of the staff they told the Inspector that they support and monitor the individual at all times making sure they were safe. There is a need for the Manager to complete a risk assessment for this person whilst they are residing at Rivercourt Road. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Records show that residents are encouraged to continue their education and training activities whilst staying at Rivercourt short break service. Records show that all residents are regularly taken out into the community to use the local facilities and amenities. The people using services are fully encouraged and supported to continue with their relationships with family and friends. EVIDENCE: The Inspector looked at two residents files and care needs assessments. One file contained a lot of information regarding information about the resident’s likes, dislikes, hobbies and leisure interests. One file as written throughout this report had very little detail. The Inspector did look at daily records for this person and there was information written daily about what activities the person had done including shopping for new clothes, eating out, and going for walks. The Inspector was told by the resident that they liked to go out. The services own assessment ensures that service users bring any favourite games or music with them when they stay. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 13 Staff told the inspector that arrangements are always made to ensure that day services continue while a resident stays at the short break service. The Inspector was told that some of the residents are also supported to continue their college placements. Both of the of the residents was being taken out for lunch and a walk on the day of the inspection. Daily care notes completed by staff show that service users are supported to take part in activities in the home and the wider community. Regular use is made of local pub, cafes and the cinema, as well as local parks. Details of resident’s family, friends and other important people are recorded as part of the home’s referral and assessment procedures. Contact details of all significant people are clearly recorded and daily care notes show that friends and relatives visit residents while they are using the short break service. One of the people staying at the home has regular visits by her mother. In discussion with the staff the Inspector was told that they do not do big weekly shopping for food but shop regularly for the food requested by the residents as they have different people with different cultural and religious dietary needs, there are also people that require special diets. The staff go out to the shops daily with residents as residents enjoy going shopping for their food. In discussion with one of the residents the Inspector was told they liked the food provided. Records of what residents had eaten were looked at and discussed with the staff; records show that both residents are being monitored at present for food and fluid intake for different health reasons. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is responsive to the varied and individual needs and preferences of the people who use the service. On the day of this site visit one individual had full care given as written in their care plan and one individual had support in assisting them to be independent in this area. EVIDENCE: The Inspector saw information on both individuals residing at Rivercourt Road, referrals to the service are made as part of a multi-agency referral process and each file contained background information and reports from health and social care professionals. The Inspector saw reports from social workers, occupational therapists, physiotherapists, psychologists and speech and language therapists. The reports each contained useful information and guidance for staff. In discussion with the staff on duty at this site visit it was clear that different levels of support are required from monitoring to full care support. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 15 All of the people who stay at Rivercourt Rd will be registered with their own GP and any other healthcare visits that take place at their home will continue at Rivercourt Rd whilst they are there. The Inspector looked at the medication records kept at the home that were well recorded and accurate. At the last inspection the Inspector observed medication being given in food that is classed as disguising. Clear guidelines and information from the persons Doctor and Speech and language therapist is now in place to inform staff why it is necessary, with guidance, for that person as the medication could not be given any other way. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The procedure for taking a complaint was not known to staff and there were no complaint forms in place to record any complaints the home might receive. EVIDENCE: The Inspector looked at the complaints file that had no complaints recorded in the last 12 months. In discussion with the staff on duty the Inspector asked what forms would be completed if they received a complaint, staff were not sure of the complaints procedure and no available forms could be found. The Manager must make sure all staff working at Rivercourt Rd are familiar with the complaints policy and procedure and are trained to take a complaint if required. There was no information in place to show there have been any protection alerts at the home in the last 12 months. The Inspector looked at the finances of the two people staying at the home, the records were correct with receipts in place for any financial transactions made with the resident or on their behalf. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24,28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The shared areas provide a choice of communal space with opportunities to meet relatives and friends in private. EVIDENCE: The Inspector had a full tour of the home and all areas were seen. Each bedroom has an en-suite bathroom; there is a requirement that wiring under two sinks has to be covered by the end of 2007. All areas of the home are tastefully decorated and have good furniture and fittings in all areas. The home was seen to be very clean and tidy in all areas. The Manager has to put in place a sanitary bin in the staff toilet. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 18 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): Standards 32,33,34 and 35. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. There is a high reliance on agency staff. The service has a poor recruitment procedure that has to be looked at by the local authority as the employer. EVIDENCE: On the day of the Inspection there were 2 staff on duty the Manager was not available on the day of this site visit. The Inspector looked at rotas and sufficient staff was scheduled to be on duty on all shifts. There is a need for the organisation to recruit to the vacancies as there are 11 agency staff working on a rota basis at present at the home. The Inspector did liaise with the Manager after this site visit and was sent information on the difficulties they have experienced in recruiting staff, however as the last recruitment drive was April 2007 a new recruitment drive should be happening. The only in house person working at the home at present is the Manager. The Manger sent the Inspector information showing that all agency staff has to have a full Criminal Records Bureau (CRB) Disclosure with relevant training and experience including first aid, food hygiene and challenging behaviour. All recruitment is completed by the Human Resources team and the procurement team. The Inspector was not able to check any staff information, as the Manager was not available on the day of this site visit. There is a welcome pack in place for new staff and agency staff that was very informative. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 19 The Manager has completed NVQ level 4 in December 2006; the Manager keeps a training and development schedule for herself and the Annual Quality Assurance Assessment (AQQA) states that the Manager undertakes regular training courses to update her knowledge. As there is a large number of agency staff used at present the Manager must check that all staff used are up to date in mandatory training, experienced and qualified with the relevant training and development in place. The Inspector discussed training with the two staff on duty that had not attended any training since starting work at the home in May and July 2007. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 20 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): Standards37, 39, 41 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Manager is qualified and competent to run the home; they are aware of and work to the basic processes set out in the NMS. EVIDENCE: The Manager has worked with the council for 21 years and is very experienced having been the Manager at Rivercourt Road since 2001. The Manager writes in the (AQQA) that Rivercourt Road is a home that can offer a respite service to people with very complex needs that have not been able to have a service from any other home. The Manager is promoting the home to external local authorities for people with complex needs. The Inspector looked at records in the two residents files and some records did not have a date on them, the Manager must check that all records have a date on them. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 21 The Inspector was given the dates for all Health and safety checks in the (AQQA) that show they are all up to date. The fire alarm, water temperatures and fridge freezer temperatures were looked at by the Inspector and were well recorded with no issues. There was an issue of an out of date lettuce and vegetables in the fridge, the staff spoken to at this inspection told the Inspector they had done food hygiene training. The Manager must make sure all staff are aware that out of date food must be disposed of. The Inspector had a full tour of the home as written and there are two bathrooms that have not had the wiring under the sinks boxed in for health and safety reasons. This works must be completed by the 31st December 2007 as this requirement was originally set 30/01/06. The Inspector was not able to go through the Quality assurance procedure at the home and has requested a collation summary of the annual quality assurance report for Rivercourt Road is sent to the CSCI. Rivercourt Project Short Breaks DS0000035441.V348944.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 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 x 2 2 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 3 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 1 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 2 x LIFESTYLES Standard No Score 11 x 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 x 3 x 2 2 x 2 x Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 23 Yes 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 YA6 Regulation 15 Requirement The Manager to make sure that all emergency placements have a care plan in place. The Manager to make sure that all emergency placements have risk assessments in place. The Manager to make sure that the complaints procedure is known to all staff working at the home. The relevant documentation should be in place for staff to complete. The Manager to make sure a sanitary bin is in place in the staff toilet. The Organisation to implement a recruitment plan for Rivercourt Road. Original requirement set 31/12/06 The Manager to check all records and documents have a date recorded on them. The Manager to make sure all staff working at the home have completed food hygiene training and out of date food is disposed of. DS0000035441.V348944.R01.S.doc Timescale for action 29/11/07 2 3 YA9 YA22 13 22 29/11/07 29/11/07 4 5 YA30 YA34 23 18 29/11/07 29/01/08 6 7 YA41 YA42 17 16 29/11/07 29/11/07 Rivercourt Project Short Breaks Version 5.2 Page 24 8 YA42 13 The Organisation to complete works in bathrooms covering wires as required by the CSCI 30/01/06. 31/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA39 Good Practice Recommendations The Manager to collate all quality assurance information for Rivercourt Road and produce an annual summary of the findings, a copy to be sent to the CSCI. Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Rivercourt Project Short Breaks DS0000035441.V348944.R01.S.doc Version 5.2 Page 26 - 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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