Inspection on 06/03/07 for Rock Grove (34)

This inspection was carried out on 6th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 but made no statutory requirements on the home.

Other inspections for this house

Rock Grove (34) 06/10/05

Rock Grove (34) 06/07/05

Rock Grove (34) 16/03/05

Rock Grove (34) 04/11/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOMES FOR OLDER PEOPLE Rock Grove (34) 34 Rock Grove Old Swan Liverpool Merseyside L13 2DY Lead Inspector Helen Carton Key Unannounced Inspection 6th & 14th March 2007 09:30 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 Rock Grove (34) DS0000025168.V287927.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. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rock Grove (34) Address 34 Rock Grove Old Swan Liverpool Merseyside L13 2DY 0151 220 8267 0151 702 5566(HO) sandra.clark@pss.org.uk www PSS.org.uk Personal Service Society 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) Mr John Murphy Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The manager requires to undertake relevant management training to NVQ level 4 or equivalent in line with the NMS 34.3 and 34.5. The maximum number of service users to be accommodated at any one time is three (3) 6th October 2005 Date of last inspection Brief Description of the Service: 34 Rock Grove is a care home providing personal care and accommodation for three older people who have learning disabilities. The home is part of The Shared Living Project (SCOPE), which is managed by Personal Services Society (PSS). The home is located in the Old Swan area of Liverpool and is close to shops, pubs the post office and other amenities. The home is a purpose built bungalow, which was first registered in 1996. The bungalow has three bedrooms, a shower room and bathroom. There is a good size lounge with a separate kitchen dinette area. The home has a small front and larger rear gardens both are well maintained and easily accessible. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A site visit was made to the home as part of the key inspection the inspector spent approximately six hours in the home. Time was spent with residents and observing the day-to-day routines of the home. The inspector looked around the building to assess its suitability to provide a comfortable, safe and homely environment for the enjoyment of all residents. A selection of records kept by the home where looked at and the inspector also checked the requirements made at the last inspection to see if they had been completed. The main focus of the site visit and the inspection process was to understand how the home was meeting the needs of the residents and how well staff were themselves supported by the management of the home. This was to make sure they had the skills, training and support to provide the best care to residents. What the service does well: What has improved since the last inspection? What they could do better: The home and PSS who run it need to review their involvement in how residents’ monies are spent and also how they charge to live at the home. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 6 During the site visit the inspector looked at records and found on occasions residents were not treated with respect and supported properly when they were experiencing difficulties with their emotions. Also that decisions and plans for the future are being made for residents with little input from them or their families or supporters. Some safety checks have not been carried out particularly on the electrical wiring throughout the home, this could potentially leave staff and residents at risk. 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. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 7 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 Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 8 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): 1, 2, 3, & 4 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home’s statement of purpose and service user guide provides good information about the services and the values of the organisation however the practices with regard to financial dealings with residents do not reflect them. The manner in which the registered persons deal with residents’ financial arrangements with regard to their accommodation charges is not transparent. EVIDENCE: The home’s statement of purpose provides detailed information about the services the home and the organisation that runs it can provide. It details the organisations values including dealing honestly, openly and supporting residents to make informed choices and decisions in their daily lives. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 9 Examination of the residents’ contracts raised a number of issues of concern; residents are being identified as tenants and are paying different amounts of rent. All residents pay a weekly charge of £34.45 towards food and house keeping and a further charge for their personal care needs. The inspector asked for further information from the organisation about the way in which fees are calculated and collected from residents living at the home. These issues are being dealt separately from the inspection process. However the registered persons are advised to ensure all financial dealing with residents who live at 34 Rock Grove is transparent and fair. That all financial records’ are open to scrutiny and have a clear audit trail to the persons responsible for decision-making. There have been no admissions to the home since the last site visit. However documentation shows detailed assessments have been carried prior to people moving into the home. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The care plans provide good information about how the staff team can best support residents with their care needs however this is not reflected in all the homes care practices. EVIDENCE: Care plans have been developed for the three residents who live at the home the inspector looked at all three plans and discussed the following issues with the manager: Where necessary behaviour support plans have been produced to enable the staff team to support individual residents who may be presenting with inappropriate or aggressive behaviours in the safest and most appropriate way. Examination of daily records indicate staff are not supporting residents in a consistent way in line with the information held in support plans and behaviour management plans. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 11 Examination of the care plans showed detailed plans regarding how residents wish to be cared for if they become very ill or die. The inspector discussed the need to ensure these plans indicate the wishes of the residents as far as possible and seek the views of their relatives or supporters. The care plans provide detailed information about the health care needs of residents and clearly shows when health care professionals’ such district nurses’ are supporting them. The inspector examined a sample of residents’ medication and the corresponding Medication Administration Record (MAR) sheets. They were securely stored and had been safely administered and accurate record had been kept. As detailed earlier in this section of the report issues regarding the use of appropriate and respectful language in daily recording were raised with the manager during the site visit. The inspector discussed the need to promote positive report writing and foster non-judgemental attitudes within the staff team. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home supports residents to engage in appropriate leisure activities however further work is needed to ensure residents are supported and enabled to make decisions and positive choices in their daily lives. EVIDENCE: The home has produced activity plans, which reflect the activities that each individual resident enjoys and are mindful of their age and physical abilities. Residents care plans detail information about residents religious beliefs and how these are to be included in their funeral arrangements. However discussions with the manager and knowledge of the communication methods of the residents indicates assumptions have been made. The home does not appear to have verified the information with family members or supporters. The manager was advised to ensure residents choice and involvement in decision- making. To support this process the home should engage with residents’ family members and supporters. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 13 Each resident has a menu sheet that is filled in after each meal this allows the manager to monitor the likes and dislikes of residents and ensures residents are offered healthy eating options. Questionnaires completed by relatives of the residents indicate they are happy with the care and support provided to their relatives. The following comments are taken from the completed questionnaires: “I must just say that I am extremely happy with the care of my cousin at 34 Rock Grove. The staff are really helpful, kind and welcoming and A has been happier and physically better than they have been for some time”. “My sister and I are very pleased with the care B receives we turn up unannounced and we find the house is always clean and homely and B is always smart and well kept. We find most of the staff friendly and sociable and make us feel welcome when we visit”. Residents attend a variety of social and leisure activities that are age appropriate such as luncheon clubs and tea dances. The inspector discussed with the manager and members of the staff team residents’ annual holidays. Each year residents have been supported to have at least one annual holiday usually consisting of three or four day breaks. However discussion with the manager and members of the staff team indicate when staff members accompany residents they are only paid for their actual shift and not for the hours worked. This system will reduce the opportunities for residents to go on holidays’ as staff members may be unwilling to accompany them. The registered persons are advised to review this practice to ensure residents’ options are not limited by this practice. Issues regarding how residents are being supported to make positive choices and decisions about how they live their lives and how they receive the support and care they need are detailed earlier in this report. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 & 18 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home’s systems and practices do not protect residents from abusive or neglectful situations. EVIDENCE: The home and the Commission have not received any complaints about the service since the last site visit. Discussions took place with the manager with regard to producing a complaints’ and complements log to be held in the home to help him monitor the positive functions of the home and those that require attention. Information gained from completed questionnaires indicate, overall residents and their relatives and supporters know whom to contact if they are concerned about anything. Issues regarding the lack of transparency and fairness with regard to the fees charged to residents for living at the home are raised in an earlier section of this report. As detailed earlier, issues regarding poor and oppressive practices within the home have been raised. The inspector advised the manager to ensure through the assessment of outcomes for residents the staff team understand and work Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 15 to the organisation’s value base and adhere to nationally recognised good care practice. Particularly with regard to respecting and valuing the people they are supporting and protecting them from abusive or neglectful practices. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good providing residents with an attractive, safe and homely place to live. EVIDENCE: The home has a kitchen/dining room and a good size lounge all communal areas are nicely decorated with the lounge furniture being comfortable. One resident has purchased a specialist chair for the lounge to make their time in the lounge more comfortable. A new leather sofa and chairs have been purchased since the last site visit. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 17 Two residents invited the inspector to look around their bedrooms they were pleasantly decorated and furnished. Both rooms were homely in appearance and reflected the residents’ personalities and interests. The home has a shower room and a long bath to offer residents choice in their personal care needs. Examination of records indicate appropriate safety checks are made at the required intervals on equipment used by the staff team to support residents such as lifting hoists, washing machine and the drier. The home was clean, tidy and homely and met the care and physical needs of the residents living there. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home employs sufficient staff to meet the needs of residents however specialist training needs to be provided to ensure they are aware of the conditions that service users may develop as they get older. EVIDENCE: Examination of the rota and discussions with the manager and members of the staff team indicates there are sufficient staff members on duty at any one time to meet the needs of the residents. Issues of poor and oppressive care practices are raised earlier in the report with particular regard to staff not following the guidance and instructions detailed in care and behaviour support plans. Ensuring residents are appropriately and safely supported while presenting with inappropriate or aggressive behaviour. The organisation does not hold full staff files as all recruitment files are held centrally at the organisation’s head office. However this arrangement has not been formally agreed with the Commission the registered persons are advised to write formally regarding this issue. Examination of the information held at the home resulted in the inspector making arrangements to view the staff files Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 19 at the CSCI Liverpool office. Examination of the staff files indicated the organisation has a robust recruitment and selection process. Examination of a selection of staff training files indicate the staff team are able to access a range of training including National Vocational Qualifications (NVQ), first aid and medication. The inspector advised the manager to seek out specialised training to enable the staff team to support residents with specialised needs safely and appropriately. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 & 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The management and administration processes of the organisation and within the home do not protect and safeguard residents. EVIDENCE: The registered manager has worked at the home for a number of years and has recently completed NVQ level 4 Manager Award. Prior to the site visit the inspector attempted to contact the home via a mobile phone the call was not accepted. During the site visit the inspector noted the office phone was a pay phone the inspector discussed this issue with the manager who confirmed the phone line would not accept withheld numbers. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 21 This included the dispensing pharmacists telephone number. A cup of change is kept by the phone, which is used to make calls. The inspector advised the manager this was unsafe practice as it relied on sufficient change being available to enable the staff team to make calls on behalf of residents or to maintain a safe environment for them. Issues regarding the manner in which the organisations deals with residents’ finances particularly regarding the payment of fees is detailed earlier in the report. Discussion with the manager indicates two of the residents have purchased a specially adapted car, with no documents supporting this arrangement. The manager told the inspector both residents’ families had been involved and were happy with the arrangement, as they were both getting out more. The inspector advised the manager this could be viewed as financial abuse as no parties are currently legally protected within this arrangement. The manager was advised to involve independent advocacy and to ensure there is a legal agreement to safeguard all parties. The registered persons are advised to review who is to be involved in decision making when large amounts of residents monies are being spent and the records required to be kept. Much of the policies, procedures and documentation within the home refer to residents as tenants. The registered person are advised to ensure the home operates as a care home reflecting the rights and legally biding contractual arrangements of residents living in a care home registered with CSCI. Examination of the electrical wiring safety certificate showed it was not current with the wiring of the home requiring to be retested in November 06. The manager told the inspector he had contacted the owner of the property on a number of occasions regarding this issue and was waiting for a date for the work to be carried out. The inspector advised the manager to resolve this issue as a matter of urgency. The home carries out regular health and safety checks with regard to work practices and environmental issues such weekly kitchen safety checklist completed and the contents of the first aid box checked weekly. The inspector noted the registered provider does not carryout Regulation 26 visits and document them. The registered persons are advised these visits and reports are a legal requirement and a copy of the report must be available at the home. Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 1 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 2 11 1 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 1 18 1 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 2 1 1 3 X 2 Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP2 Regulation 5 Requirement The registered persons must ensure contractual arrangements between themselves and residents are equitable and transparent. With particular regard to fees paid for services to be provided. The registered persons must ensure the staff team provide care and support to residents in line with the guidance and instructions detailed in care and risk management plans. With particular regard to the support offered during incidents of challenging or inappropriate behaviour. The registered persons must ensure resident rights as citizens are respected. With particular regard to being treated with respect and in a dignified manner when being supported with their personal care needs. The registered persons must ensure residents their relatives and supporters are involved in plans for their future care DS0000025168.V287927.R01.S.doc Timescale for action 30/05/07 2. OP8 12 06/03/07 3. OP10 12 06/03/07 4. OP11 12 30/06/07 Rock Grove (34) Version 5.2 Page 24 particularly regarding the support to be provided at times of serious illness. Also arrangements made for funeral services. 5. OP14 12 The registered persons must ensure the staff team support residents to maximise their capacity to exercise personal autonomy and choice. With particular regard to residents being central to decision making in their daily lives and plans for the future such as holidays. The registered persons must ensure the staff teams and senior managers care practice promote and support residents’ legal rights. Particularly regarding accessing advocacy services to ensure residents receive best value for services provided. The registered persons must ensure the homes practices safeguard residents from abuse and neglect. With particular regard to safeguarding residents from psychological and financial abuse. The registered persons must ensure staffing information detailed in schedule 4 of The Care Homes Regulations is available in the home for inspection. This requirement remains outstanding. 9. OP30 18 The registered persons must ensure specialised training is provided to the staff team to enable them to support residents in the safest and most DS0000025168.V287927.R01.S.doc 30/05/07 6. OP17 12 30/05/07 7. OP18 13 30/05/07 8. OP29 17 30/05/07 30/07/07 Rock Grove (34) Version 5.2 Page 25 appropriate manner. With particular regard to conditions related to older people who have a learning disability. 10. OP34 12 The registered persons must 30/06/07 ensure their financial dealings with residents are equitable and transparent. With particular regard to how fees are calculated and collected from residents. The registered persons must 30/05/07 ensure where residents monies have been used to purchase an expensive item such as a car. There are clear records which detail who has been involved in the decision-making and that it provides best value for residents. The registered persons ensure appropriate safety checks are made on facilities and equipment used or relied upon by residents. With particular regard to carrying out the required safety check on the home’s electrical wiring system within the stated timescale. The registered persons must ensure Regulation 26 visits are carried out and reports are produced. With a copy left in the home for examination by representatives of the organisation and CSCI. The registered persons must ensure there are appropriate telephone facilities available to assist in the management of the home. 30/05/07 11. OP35 12 12. OP38 13 13. OP38 26 30/05/07 14. OP38 16 30/05/07 Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 26 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 Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Rock Grove (34) DS0000025168.V287927.R01.S.doc Version 5.2 Page 28 - 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!