Inspection on 23/01/06 for Robinia Care Homes Ltd (Solna Road)

This inspection was carried out on 23rd January 2006.

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 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Robinia Care Homes Ltd (Solna... 04/09/06

Robinia Care Homes Ltd (Solna... 13/10/05

Robinia Care Homes Ltd (Solna... 22/02/05

Robinia Care Homes Ltd (Solna... 07/09/04

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

CARE HOME ADULTS 18-65 Robinia Care Homes Ltd (Solna Road) 35-37a Solna Road London N21 2JE Lead Inspector Brian Bowie Unannounced Inspection 23rd January 2006 08:45 Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.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 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. Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Robinia Care Homes Ltd (Solna Road) Address 35-37a Solna Road London N21 2JE 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) 020 8360 8900 020 8360 7555 marionbaker@robinia.co.uk The Robinia Care Group Ltd Marion Lucy Baker Care Home 11 Category(ies) of Learning disability (11), Physical disability (5) registration, with number of places Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate eleven service users of either gender who have a learning disability. Five of these service users may also have a physical disability. They may only be accommodated in the rooms on the ground floor. Date of last inspection 13th October 2005 Brief Description of the Service: 35-37a Solna Road is registered to accommodate eleven adults between the ages of 18 and 65 years who have a learning disability. Five of the eleven people may have a physical disability as well as a learning disability. The ground floor of the home is wheelchair accessible. The home is operated by Robinia Care Limited. The home has been operating for eleven years and was taken over by Robinia Care Limited in 2001. The home is situated in a quiet residential area with access to local shops and buses. The home comprises two semi-detached houses joined together, with five bedrooms on the ground floor and six on the first floor. The residents attend day services and take part in activities organised by the home. All residents have a learning disability, some have additional disabilities such as epilepsy, physical disability and a mental illness. The stated aim of the home is to provide a warm homely environment for eleven adults which respects their independence, protects their status and encourages their individuality, growth and community integration. Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced so nobody at the home knew the inspector would be coming and lasted 6 hours. The inspector looked around the building, met with the deputy manager, spoke to the 5 of the residents who were at home and interviewed a member of care staff. A variety of records, including care plans and health & safety documents, were looked at. A pharmacy inspector also visited and looked at the home’s policies and procedures in relation to medication. The overall impression from the inspection was of a home that is providing a good standard of care within a friendly, homely and supportive environment. What the service does well: What has improved since the last inspection? The bathroom on the ground floor has been refurbished and adapted so that it better meets the needs of residents. A food store has also been renovated. The home is fully staffed and is able to run without the use of agency staff. As a result the home has continued to provide high quality care to the people living there. Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 6 What they could do better: 12 areas for improvement, including 6 relating to medication, are identified at this inspection: • A local medicines’ policy to be available to cover the procurement of medication as well as telephone numbers of local medical and nursing staff to ensure that medication is always available to service users when required. All medication obtained or received for service users in the home to be documented and signed for on the administration charts. The administration of all medication administered by staff must be signed for on a medication administration chart or non administration coded as to the reason for non administration at the time of administration. The home to work with the supplying pharmacist to ensure that all discontinued medication is deleted from the service user’s administration chart. The medication history for each service to be kept up to date. The home to ask the service users’ GPs to sign the list of ‘homely remedies that can be administered to the service user for minor ailments for up to 48 hours without consulting the GP. The medicine cupboard to lock securely and to be attached to the wall. The medication not supplied in the nomad boxes for each service user to be put in separate containers in the cupboard. The room temperature where the medication is stored to be monitored and recorded daily and maintained at 25oC or below. A refrigerator for the storage of medication to be available for use if required. The storage conditions for rectal diazepam to be adhered to. The identified resident’s consent to the use of their shower to be recorded. The company recruitment procedure to include verification of references and a copy of this procedure sent to CSCI. An effective and inclusive process for reviewing and improving the care at the home to be implemented. . The findings of the fire servicing check on 23/01/06 to be acted on and CSCI notified. DS0000010657.V279012.R01.S.doc Version 5.1 Page 7 • • • • • • • • • • • Robinia Care Homes Ltd (Solna Road) • The identified cleaning cupboard to be kept locked when not in use. The deputy manager at the home emphasised that she is keen to work closely with CSCI to raise standards further at the home in order to continue to provide the best possible quality of life for the residents. 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. Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The home is good at assessing and meeting the needs and wishes of residents. EVIDENCE: No new residents have moved into the home since the inspection in February 2005. At that inspection the inspector saw that the needs of a new resident had been carefully assessed and that his family were fully involved in identifying his needs and wishes before he moved to the home. From discussion with staff and residents it is clear the home responds to and meets the changing needs of residents. Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Residents benefit from having staff who respond to their changing needs. EVIDENCE: The inspector discussed care plans with the deputy manager and two of the residents and looked at another resident’s plan. The member of staff interviewed had a good understanding of the needs of residents. Residents spoken to indicated that their needs and wishes were being met, with one saying: ‘They look after us. The staff are nice to me.’ Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 Residents have a good quality of life with opportunities to learn new skills, follow their own interests and develop new ones. EVIDENCE: Each resident has a weekly plan of activities. The majority of people go to a day centre during the week either on a full or part time basis. The other residents follow an individual programme of activities organised by Robinia Care locally or by the staff at this home. There is plenty of opportunity for personal development, learning new skills and following a variety of interests. The home organises for residents weekly drama therapy, reflexology, cookery, community awareness activities, an art class as well as a variety of leisure activities. Observation on the day of the inspection together with feedback from residents indicated that they take part in a wider range of activities. The home has continued to maintain a high standard in this area. Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 The home is good at responding to and meeting the health needs of residents. The residents are usually protected by the medicines’ policy and procedures but more care needs to be taken with ensuring that all the documentation is kept up to date. EVIDENCE: At the time of the inspection one resident was in hospital. Their care plan and records were looked at. At their last review it had been noted by the social worker that the home was continuing to meet the health needs of the resident. The records showed that the individual was having regular checks with a range of health professionals. Staff at the home had liaised closely with the individual’s family so that the resident continued to be properly supported whilst in hospital. On the day of the inspection a resident had complained of feeling unwell and this had been promptly followed up by staff who arranged an appointment that day with the GP. The pharmacy inspector made the following comments: The company’s medicines’ policy is complete but there is no local policy on the procurement of medication. According to the staff, none of the service users Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 13 are capable of giving informed consent but there are signed multidisciplinary reviews for each service user which include their current medication. None of the service users are administering their own medication. No signed record for the receipt of medication was available. [Requirement made] The documentation for the administration of medication was generally satisfactory except that two gaps were found in the administration record where it was unclear as to whether the medication had been administered or had been refused by the service user. The medication profiles kept for each service user were not completely up to date. Service users sometimes had their own medication such as vitamins which the GP was aware of and the staff had been asked to administer. There was, however, no record of this administration by staff. [Requirement made]. On the administration charts some discontinued medication had not been removed by the pharmacist. [Requirement made]. There were clear instructions in the home on the use of rectal and oral diazepam. Training in the handling of medication and the use of rectal diazepam had taken place last year. More medication training was being organised for this year. The home does have a list of ‘homely remedies’ but this has not been signed by the service users’ GPs. [Requirement made] The medication cupboard is kept in the hall, the temperature of which is not monitored to ensure it remains at 25oC or below. It is also not fastened to the wall. [Requirement made]. At the time of the visit the area was below 25oC. The medication cupboard was quite untidy with the service users’ medication mixed up together and also it would not completely lock. Also no medication refrigerator was available for use if required. [Requirement made]. The home keeps rectal diazepam which needs to be stored in a cool place. No Controlled Drugs were being kept at the time of the visit. Service users were attending day centres but no medication was required during the time they were at the day centre. Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The home has good procedures in place to safeguard monies belonging to the residents. EVIDENCE: A sample of financial records was looked at to see if residents are adequately protected against any risk of financial abuse. These records are up to date, accurate and satisfactory. The finance officer in Robinia Care responsible for residents’ finances was spoken to in order to clarify the new arrangements in place at the home. Residents now have their own accounts into which their benefit monies are paid, including the Christmas bonus, as previously required. Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,29 The home is well looked after and comfortable which helps residents to feel relaxed and at home. Residents benefit from having specialist equipment in the home which promotes their independence and safety. EVIDENCE: One of the residents showed the inspector around the home and took pride in pointing out how she had made her bedroom her own with family photos and other personal items. The home is well decorated and furnished, with a good standard of cleanliness achieved. Those residents who have a physical disability have appropriate equipment to help them such as a ceiling hoist and walking aid. The ground floor bathroom was in the process of being refurbished. As previously required this is being carried out in line with the guidance from the occupational therapist. As a result the residents will benefit from a bathroom which is better adapted to their needs and safer to use. Whilst this bathroom was being refurbished some residents were using the en suite shower in the downstairs bedroom of one of the other residents. This person had been Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 16 happy for others to use their shower while the bathroom was unavailable. However this had not been recorded. The manager must ensure that this is done to provide evidence that this resident had been happy for others to be using her shower. Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 Staff in the home are sufficiently experienced, competent and qualified to meet the individual needs and wishes of the current group of residents. Improvements need to be made in recruitment practice in order to protect residents. EVIDENCE: There is a stable staff team who benefit from a comprehensive training programme. Most staff have completed or are currently undertaking NVQ Level 3 training in the care of adults. Staffing levels vary according to the needs of residents. Staff receive regular supervision. Staff interviewed showed that they had a good understanding of the needs of the residents and a commitment to good practice. As a result residents get the benefit of being supported by staff who are aware of what they need and how to get these needs met. One resident said: ‘The staff are good at helping me.’ A requirement had been made at previous inspections that Robinia must ensure a thorough check of the authenticity of staff references before a new person commences employment. The absence of relevant staff files meant that it could not be verified whether this requirement had been met. Robinia Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 18 Care must therefore provide evidence that action has been taken to remedy this failing in the recruitment procedure. Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Residents benefit from a well run home. The health and safety of residents and staff is promoted. However safety procedures need to be efficient at all times. The process in the home for reviewing and improving the quality of care needs to be strengthened. EVIDENCE: The manager has completed her Registered Managers’ Award training. Both the manager and deputy have worked at the home for many years and have built up considerable experience and expertise in running the home well. Feedback from both residents and staff was positive about what it is like both to live in and work at Solna Road. There is a happy atmosphere in the home as a result of the good relationships staff have developed with residents. Residents’ meetings are held two-monthly and give residents an opportunity to make suggestions about how the home is run, including outings to be made and activities in the home. However there was insufficient evidence that in the home there is a thorough process for reviewing and improving the service Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 20 which focuses on the views and wishes of the residents’ themselves and other key parties, such as families and professionals. The monthly regulation 26 visits and the self-assessment done on the day of the inspection are not sufficiently critical to provide evidence that Robinia Care and the home have a robust process for evaluating the service provided at Solna Road. The registered persons must make sure there is an effective and inclusive process for reviewing and improving the care at the home. Some health and safety issues were inspected. As previously required fire doors are not blocked open and staff had been reminded about this at a staff meeting. The routine servicing of the fire equipment took place on the day of the inspection and identified some possible faults in the home’s electrical systems. The manager must ensure that these faults are put right and CSCI notified of the action taken and outcome. A cleaning cupboard which is to be locked when not in use was seen to be open. The manager must ensure this cupboard is kept locked when not in use. Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.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 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 3 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 X 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 3 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 4 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 2 X 3 X 2 X X 2 x Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 22 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 YA20 Regulation 13 (2) Timescale for action The registered persons must 17/02/06 ensure that a local medicines policy is available to cover the procurement of medication as well as telephone numbers of local medical and nursing staff to ensure that medication is always available to service users when required. The registered persons must 17/02/06 ensure that all medication obtained or received for service users in the home is documented and signed for on the administration charts. The administration of all medication administered by staff must be signed for on a medication administration chart or non administration coded as to the reason for non administration at the time of administration. The registered persons must 17/02/06 work with the supplying pharmacist to ensure that all discontinued medication is deleted from the service user’s DS0000010657.V279012.R01.S.doc Version 5.1 Page 23 Requirement 2 YA20 13 (2) 3 YA20 13 (2) Robinia Care Homes Ltd (Solna Road) administration chart. 4 YA20 13 (2) The registered persons must 17/02/06 ensure that the medication history for each service is kept up to date. The registered persons must ask 17/02/06 the service users’ GPs to sign the list of ‘homely remedies’ that can be administered to the service user for minor ailments for up to 48 hours without consulting the GP. The registered persons must 17/02/06 ensure that the medicine cupboard locks fully and that the cupboard is attached to the wall. The medication not supplied in the nomad boxes for each service user should be put in separate containers in the cupboard. The registered persons must 17/02/06 ensure that the room temperature where the medication is stored must be monitored and recorded daily and maintained at 25oC or below. A refrigerator for the storage of medication must be available for use if required. The storage conditions for rectal diazepam must be adhered to. The registered persons must 10/02/06 ensure that the identified resident’s consent to the use of her shower is recorded. The registered persons must 10/02/06 ensure the company’s recruitment procedure includes DS0000010657.V279012.R01.S.doc Version 5.1 Page 24 5 YA20 13 (2) 6 YA20 13 (2) 7 YA20 13 (2) 8 YA7 12 (4) (a) 9 YA34 19(4)(c) Robinia Care Homes Ltd (Solna Road) verification of references and send the CSCI a copy of this procedure. Timescale of 30/01/06 not reached. This requirement is restated and compliance expected within the timescale given. 10 YA39 24 (1), (2), (3) The registered persons must 28/02/06 ensure there is an effective and inclusive process for reviewing and improving the care at the home. The registered persons must 17/02/06 ensure that findings of the fire servicing check on 23/01/06 are acted on and CSCI notified. The registered persons must 10/02/06 ensure that the identified cleaning cupboard is kept locked when not in use. 11 YA42 13 (4) (a) 12 YA42 13 (4) (a) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Robinia Care Homes Ltd (Solna Road) DS0000010657.V279012.R01.S.doc Version 5.1 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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