Inspection on 16/05/07 for Riverside

This inspection was carried out on 16th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Riverside 03/08/09

Riverside 02/02/06

Riverside 24/06/05

Riverside 30/11/04

Riverside 19/04/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Riverside Westbury Sherborne Dorset DT9 3QZ Lead Inspector Gloria Ashwell Key Unannounced Inspection 16th May 2007 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 DS0000020488.V337121.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. DS0000020488.V337121.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverside Address Westbury Sherborne Dorset DT9 3QZ 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) 01935 812046 F/P 01935 812046 Riverside Nursing Home Limited Mrs Judith Alison Maidment Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places DS0000020488.V337121.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person (as known to CSCI) under the age of 65 may be accommodated to receive care. 2nd February 2006 Date of last inspection Brief Description of the Service: Riverside is located on the outskirts of Sherborne, within level walking distance of the town centre. The home is owned by Riverside Nursing Home Ltd; the director and responsible person is Mr Farhad Pardhan. The home is registered to provide residential nursing care to a maximum of 39 people. A registered nurse is on duty throughout each 24-hour period. Mrs Judith Maidment is the registered manager; she is a trained nurse with extensive experience of nursing in a residential setting. Accommodation is on the ground and first floors and provides 25 single and 7 shared bedrooms, a lounge/dining room on the ground floor, conservatory, first floor lounge and an additional visitors area. A passenger lift provides level access to all parts of the home. A section of ground floor corridor is slightly sloped, to overcome the necessity for stairs between the original building and a later constructed extension. Assisted bathroom and toilet facilities are provided and most bedrooms have en-suite toilets. Laundering of clothing and household linen is carried out within the home at no additional cost to residents; items requiring dry cleaning are charged additionally because it is necessary to send them out of the home for this service. A hairdresser visits the home each week; there is an additional charge for this service. Fees are charged weekly; at present fees range between £600 and £750 (for the larger bedrooms) per person. DS0000020488.V337121.R01.S.doc Version 5.2 Page 5 Information regarding the subjects Value for Money and Fair Terms in Contracts can be obtained from the web link: www.oft.gov.uk A report entitled Care Homes in the UK - A Market Study is available on web link http:/www.oft.gov.uk/NR/rdonlyres/5362CA9D-764D-4636-A4B1-A65A7AFD347B/0/oft780.pdf DS0000020488.V337121.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a statutory inspection required in accordance with the Care Standards Act 2000. The inspection was unannounced; the inspector arrived at 10.30 on 24 April 2007, toured the premises and spoke to residents and staff. The next visit took place by arrangement with the registered manager at 10.00 on 16 May 2007 when documentation relating to care provision and the premises was discussed and examined. The duration of the inspection (both days combined) was 6 hours. During the inspection, particular residents were ‘case tracked’; for example, for evidence regarding Standards 3, 7 and 8, records relating to the same resident were examined, and the resident spoken with. Additional information used to inform the inspection process included the reports periodically sent to the Commission by the provider organisation. During this inspection compliance with all key standards of the National Minimum Standards was assessed. Since the previous key inspection a random inspection took place on 8th and 20th September 2006 to investigate concerns arising from an Adult Protection enquiry regarding the care of a particular resident by an agency nurse. The investigation was led by Dorset County Council; the outcome of the investigation was that the allegations were substantiated and requirements regarding care records and staff employment procedures were issued. What the service does well: Riverside is an attractive home providing excellent nursing care to residents. The home is clean, well maintained, safe and homely. Bedrooms are pleasant, clean and well decorated. The staff have a positive attitude and will adapt their work routines to meet residents’ individual preferences and choices. Residents reported that everyone at the home was very friendly and felt that the home operated around their needs. “It’s a very good atmosphere and that is so important”. “The staff are all so kind”. “They look after me very well”. Residents all stated they are happy with the care provided by staff. DS0000020488.V337121.R01.S.doc Version 5.2 Page 7 The staff are sensitive and caring and this assists with helping to maintain the calm and pleasant atmosphere in the home. Care records are maintained to a good standard. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000020488.V337121.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 DS0000020488.V337121.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents (or their representatives) are provided with information about Riverside and are encouraged to visit in advance of admission to establish their impressions of life at the home and the standard of available accommodation. Prior to admission, the needs of each proposed resident are assessed and the home then writes to prospective residents confirming the ability to properly care for them. EVIDENCE: The records of a recently admitted resident included details of pre-admission assessment which had been carried out by the registered manager when she visited the prospective resident who was at that time receiving care in a local hospital. DS0000020488.V337121.R01.S.doc Version 5.2 Page 10 In advance of making the decision to enter the home the resident and closest relative visited Riverside to view the premises and meet staff. The resident expressed unreserved satisfaction with all aspects of the home and this opinion was reiterated by the closest relative who was visiting Riverside during the first day of this inspection. Both noted the professional and kind manner of all staff and the general comfort and overall suitability of the home. DS0000020488.V337121.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is excellent. This judgment has been made using available evidence including a visit to the service. The standard of care is excellent and in accordance with a written plan of care for each resident ensuring that staff have sufficient information upon which to base their care practice. Residents health needs are met and all accidents are investigated. Medicines prescribed by doctors are safely stored and correctly administered. Residents are treated with respect and their privacy and dignity is protected at all times. EVIDENCE: Residents and their relatives believe they are properly cared for; comments received from residents included “this is a very good home”; “I wouldn’t want to be anywhere else” and “they’ll do anything for me”. DS0000020488.V337121.R01.S.doc Version 5.2 Page 12 Written comments made to the home during the first 5 months of 2007 numbered approximately 20 and were made by the relatives or residents no longer accommodated there (due to return to own home, or death). All were entirely favourable and included reference to the “experience and kindness” and “love and kindness” of the staff, and most particularly of registered manager Mrs Maidment. One letter stated “Thank you for making X’s last weeks so comfortable” and another stated “Thank you for your professionalism, care, concern, patience, help and guidance”. Care records of 4 residents were examined and contained risk assessments forming the basis for care plans and daily records describing the care of each resident. To ensure correct identification of residents, records contain a recent photograph of each resident. Medication administration records were properly kept indicating that residents receive prescribed medicines at the correct times and in correct amounts those wishing to do so can manage their own medicines in accord with a risk assessment process; none of the currently accommodated residents manage their own medicines. The handling of medicines is carried out by registered nurses. In the presence of staff residents appeared relaxed, confident and at ease; staff interactions with residents were of a friendly and considerate manner. DS0000020488.V337121.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. 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. The quality of daily life in the home is good with residents assisted to maintain as much independence as possible. The home properly promotes aspects of Equality & Diversity for service users and staff. Social and leisure activities are suited to the preference and ability of each resident. Residents are encouraged to maintain contact with the local community and visits by their friends and relatives are welcomed by the home. Residents are helped to exercise choice and control over their lives. Meals are appetising and of good quantity and quality. Most residents take meals in the large dining room on the ground floor; others receive them in their bedrooms. DS0000020488.V337121.R01.S.doc Version 5.2 Page 14 EVIDENCE: Recreational and leisure activities are provided for small groups or a one-toone basis and take place during each weekday. The home employs two activities organisers; the combined total hours worked each week is 44. A monthly magazine is produced, containing information about changes to staff, the premises and any aspect of the home, advising of planned improvements and of recreational and social activities. During the warmer months of the year there are occasional excursions; during April a trip took place to Shepton Mallet, at Easter the home was visited by the Sherborne Choir and on 11 May a coffee morning was held for the residents, their relatives and friends. On the first day of this unannounced inspection the inspector arrived in the midst of celebrations marking the success of one of the nurses who had run in the London Marathon; the home was decorated with bunting and the residents were enjoying champagne and chocolate cake. The abilities and preferences of each resident are assessed by the Activities Organisers to ensure the provision of suitable and enjoyable recreational and social activities. A written comment made to the home by the relative of a resident included the observation that the Activity Organiser “took the time to learn about X’s life and could therefore talk about the past; this helped enormously”. The home properly promotes aspects of Equality & Diversity for service users and staff; ‘talking books’ are used by some residents with impaired vision and the first floor lounge has an induction loop system to assist residents with impaired hearing. More ramps are planned for the garden, to ensure safe access for residents with impaired mobility; one currently accommodated resident has an electrically operated wheelchair and another has one on order. Residents were relaxed and comfortable in the presence of staff; staff interacted well with residents and expressed enthusiasm for their work. Staff were heard talking to residents in a friendly and helpful way, encouraging actions of everyday living. The atmosphere throughout the home was very pleasant; suitably calm and peaceful yet cheerful and positive. Visitors are welcome at any time and a visitor spoken with during the inspection confirmed always being informed of any change in the residents condition. DS0000020488.V337121.R01.S.doc Version 5.2 Page 15 Residents said they were very satisfied with the quality, choice and quantity of food provided; one resident stated “The food is always good”. DS0000020488.V337121.R01.S.doc Version 5.2 Page 16 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. 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 home adheres to a policy/procedure for the prevention of abuse and all staff have received training in the understanding and prevention of abuse to ensure that they remain vigilant to protect vulnerable residents from such risks. The complaints procedure provides information on the procedure to follow to persons wishing to make a complaint and service users representatives know how to complain on their behalf. EVIDENCE: Residents and/or their representatives feel confident that if they had concerns or complaints they will be listened to and taken seriously. To ensure residents and their representatives have access to the complaints procedure it is included in the service user guide to the home and a copy is provided to each residents’ relative/representative. Residents know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. Comments received during the inspection included “They always try to do everything just right”. DS0000020488.V337121.R01.S.doc Version 5.2 Page 17 The home keeps records of all complaints received and investigated. The home has developed and implemented written policies and procedures for the protection of residents from abuse or neglect and provides all staff with training in the understanding of abuse and their role in protecting residents from abuse in its many forms, including neglect. Since the previous key inspection Dorset County Council led an investigation involving aspects of Adult Protection regarding the care of a particular resident by a nurse supplied to Riverside by an agency. The outcome of the investigation was that the allegations were substantiated and the conduct of the nurse has been reported to the Nursing & Midwifery Council (the registering body of nurses). DS0000020488.V337121.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Riverside is a well-appointed, suitably equipped and comfortable home. On the day of inspection the home was clean, pleasant and hygienic and there was evidence indicating that this is the usual standard of provision. EVIDENCE: Riverside is a partly traditionally built house, and partly purpose built extension. It offers good sized bedrooms, bathrooms equipped for the use of persons requiring assistance and comfortable communal rooms. Resident’s bedrooms contain a variety of personal items including wall-hung pictures, ornaments and fresh flowers. All rooms viewed by the inspector were very well maintained and individual in appearance. DS0000020488.V337121.R01.S.doc Version 5.2 Page 19 On the day of inspection the home was clean, tidy and comfortable throughout; there were no unpleasant odours. From discussion with service users there was evidence that this is the usual high standard; a visiting relative stated “It’s always very pleasant”. There is an ongoing plan of improvement and modernisation and prompt attention is afforded to faulty equipment to ensure the continued comfort and safety of service users. For example, on the first visit of this inspection the passenger lift was out of order and the supply of hot water unreliable but arrangements had already been made for the repair of the particular items, and this has been carried out before the second visit took place. It is intended to construct a conservatory for use as a dining room; the existing dining room will be altered to provide additional lounge facilities. The garden is scheduled for further improvement, including erection of a shed for use of the residents who enjoy growing plants. A new call bell system is to be installed during late May 2007. DS0000020488.V337121.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and maintenance of the good condition of the premises. Recruitment practices ensure the protection of residents from potentially unsuitable staff. Staff receive appropriate training and are competent to carry out their jobs. EVIDENCE: Staffing levels are provided in accordance with the assessed needs of residents to ensure that at all times sufficient staff are available to properly meet their needs. All staff spoken with during the inspection were enthusiastic about their work and felt that they provided a good standard of care to residents and are properly supported by the management and training provision. The records of two recently employed staff members were examined and found to contain all essential information including written references, an interview DS0000020488.V337121.R01.S.doc Version 5.2 Page 21 assessment, health details, evidence of identity and of induction training. Criminal Records Bureau (CRB) disclosures are obtained for all staff in advance of employment. There is an enthusiastic approach to staff training; all staff receive training in core subjects including fire safety, moving and handling, food hygiene and emergency aid and staff are supported and encouraged to attend training in subjects relevant to their work and professional development. The home exceeds the standard for at least 50 of the care staff to hold an NVQ in care or a nursing qualification. To ensure that the home remains abreast of current expectations it is recommended that all staff receive training in the understanding and promotion of equality and diversity. Further information about staff training can be obtained from the following websites: www.picbdp.co.uk This is the Partners in Care web site providing of information about funding streams for training including NVQ, Life skills and Leadership & Management. www.skillsforcare.org.uk This is the Skills for Care web site with downloadable knowledge sets and learning logs for: Dementia, Infection Control, Medication and also Workers not involved in direct care. They identify learning outcomes and are designed to be used alongside the Common Induction Standards, also available from this web site. They count as underpinning knowledge towards NVQs and link to the Health & Social Care National Occupational Standards. www.traintogain.gov.uk This is a programme and funding stream supported by the Learning and Skills Council and Business Link, who provide a skills brokerage role. DS0000020488.V337121.R01.S.doc Version 5.2 Page 22 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. 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 home is well managed and suitably staffed, and provides a good quality of life to the residents. The home operates a quality assurance system to ensure that the opinions of service users are known and acted upon. Residents and their representatives are satisfied with the home and feel staff care for them well and put them at their ease. The home does not manage the finances of residents. The premises and equipment are properly maintained in good condition. DS0000020488.V337121.R01.S.doc Version 5.2 Page 23 EVIDENCE: Mrs Maidment is the registered manager of the home; she is a trained nurse with extensive relevant experience who is well regarded by residents and their relatives/visitors, staff and health and social care professionals and has excellent professional skills. The home has extensive ongoing systems for quality assurance; satisfaction surveys are periodically issued, an internal audit system is operated, there are monthly residents meetings and the home adheres to a service users charter. To ensure continuity of approach the home operates in accord with a selection of policy and procedure documents which are regularly reviewed to ensure they remain relevant and accurate. The home does not manage the finances of residents. Trained nurses are on duty in the home at all times. Staff trained in emergency response are on duty in the home at all times; all staff receive periodic training in fire safety. All staff are supervised and each has a personal profile containing records of appraisal ensuring that performance standards are monitored and training needs are identified, in the interests of providing good care to residents. Records are kept of all accidents and include clear and comprehensive details of investigation and consequent actions to minimise risks of recurrence. The home operates a system for the periodic audit of all accidents to ensure that all identified risks are properly managed and minimised. It is recommended that to ensure the continued safe usage of bed rails (in accordance with risk assessment and care planning documentation and processes) a record is kept of all staff trained in the assessment, installation and periodic safety checking of this equipment. With the exception of one resident for whom one of the owners of the home is the appointee the home does not manage the finances of residents. During the inspection a sample of records regarding equipment servicing and maintenance, including those regarding fire safety equipment were examined and confirmed that regular safety checks take place. The home has recorded a Health & Safety risk assessment of the premises and working practices. DS0000020488.V337121.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 DS0000020488.V337121.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP30 OP38 Good Practice Recommendations It is recommended that, in line with current expectations and ongoing staff development, all staff receive training in the understanding and promotion of equality and diversity. It is recommended that to ensure the continued safe usage of bed rails (in accordance with risk assessment and care planning documentation and processes) a record is kept of all staff trained in the assessment, installation and periodic safety checking of this equipment. DS0000020488.V337121.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 DS0000020488.V337121.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!