Inspection on 25/01/07 for Roscarrack House

This inspection was carried out on 25th January 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Roscarrack House 16/12/08

Roscarrack House 14/02/06

Roscarrack House 30/08/05

Roscarrack House 06/01/05

Roscarrack House 27/07/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

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 Roscarrack House Bickland Water Road Budock Falmouth Cornwall TR11 5BP Lead Inspector Ian Wright Key Unannounced Inspection 25th January 2007 10:45 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 Roscarrack House DS0000009125.V328469.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. Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roscarrack House Address Bickland Water Road Budock Falmouth Cornwall TR11 5BP 01326 312498 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) roscarrack@talktalk.net Mr David Edwards Mrs Maureen Edwards Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2006 Brief Description of the Service: Roscarrack House provides care for 19 elderly people. The home is situated on the outskirts of Falmouth in large grounds with extensive views over the open countryside. The home is approached by a long drive with car parking available. Accommodation is on two floors with a stair lift provided. The majority of bedrooms have en suite facilities that include a toilet and washbasin. There is suitable wheel chair access. The registered providers are Mr and Mrs Edwards. Mr M. Gibbs the manager of the home supports them. Suitably qualified and experienced care staff provide personal care within a relaxed, friendly atmosphere. A copy of the full inspection report is available in the hallway, and it is suggested a copy is requested from management or CSCI if required. The range of fees at the time of the inspection is £330 to £430 per week. There are additional charges e.g. for hairdressing, chiropody, and newspapers etc. Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place in seventeen and a half hours over two days. All of the key standards were inspected. The methodology used for this inspection was: • To case track five service users. This included, where possible, meeting and discussing with the service users their experiences, and inspecting their records. • Discussing with seven staff their experiences working in the home. • Discussion with other service users and their representatives. • Observing care practices. • Discussing care practices with management. • Inspecting records and the care environment. Other evidence gathered since the previous inspection, such as notifications received from the home (e.g. regarding any incidents which occurred), was used to help form the judgements made in the report. What the service does well: What has improved since the last inspection? What they could do better: Although medication procedures are judged as adequate, there is a need to improve the administration and recording of some medication. Training for staff is also adequate but there is a need for some improvement so it meets regulatory standards. Health and safety precautions are generally adequate, but some improvements are necessary e.g. electrical testing of the electrical circuit is now over due, and portable electrical appliances need to be tested annually. There should also be evidence the boiler is serviced annually although the manager has said this was completed in the last year. Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 6 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. Roscarrack House DS0000009125.V328469.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 Roscarrack House DS0000009125.V328469.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): 2,3 Quality in this area is good. The judgement has been made using available evidence including a visit to the service. Service users are issued with a copy of terms and conditions of residency or a contract, so they are aware of their rights and responsibilities. The pre admission assessment procedure is good, and enables the registered provider to ascertain they can meet the needs of service users, before admission is arranged. EVIDENCE: A copy of the home’s statement of terms and conditions of residency / contract was inspected. An individualised copy of this document was on most service user files, although absent from one. The manager said this had been issued when the service user was admitted. A copy should be obtained if this is available. The registered provider assesses service users before they are admitted. The registered provider said service users or their relatives could visit the home before formal admission is arranged. Some service users remembered an assessment was completed before admission was arranged. Copies of assessments were available for inspection in service user files. Some of these Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 9 could be a little more detailed, and the registered persons should ensure they are always dated. Roscarrack House DS0000009125.V328469.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 Quality in this area is generally good, however some improvements are required to the medication system. The judgement has been made using available evidence including a visit to the service. All service users have a care plan, and there is evidence that these are reviewed. This helps to ensure service users’ care needs are suitably met. Healthcare support seems appropriate so service users can be assured they will receive suitable support from medical practitioners. The operation of the medication system is only adequate. Improvements are required to administration procedures, recording and training. This will ensure service users medication is handled to a higher standard although it is currently adequate. Issues regarding the diverse backgrounds of service users appear suitably addressed. Service users have said they feel they are treated with respect and dignity. EVIDENCE: There is a copy of a care plan in each service user file. Staff said care plans were accessible to them. Care plans are reviewed monthly. Some service users the inspector spoke to were aware they had a care plan, but others were not. Service users however said care is delivered to a good standard, and staff did their best to meet their needs. Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 11 Service users said they were satisfied with the healthcare support they received. This includes visits from GP’s, district nurses, chiropodists, dentists and opticians. Recording of dentist, optician, chiropodist involvement should be improved e.g. on a dedicated sheet in each care file, so staff can track when service users last had appointments. The registered provider has a satisfactory medication policy. Medication is administered via the monitored dosage system. The medication system was inspected and needs improvement. For example: • Some medication had been administered and not signed for • Some medication had been signed for but did not appear to be administered. • Guidelines for medication to manage behaviour or calm anxiety, such as diazepam and Lorazepam, should be developed for individuals concerned. Numbers of tablets should be monitored, and there should be a record why dosages are administered. • A bottle of lactulose was not labelled, and management need to be sure that this is not being used communally. • One service user has an injection every three months. This should be recorded on the medication sheet, and the date when the next injection is due recorded on the medication sheet (and perhaps in the diary). The district nurse should sign the medication sheet if the medication is administered in the home. • Care should be taken to only keep a satisfactory supply of medication. For example there was some over stocking of diazepam. • Oramorph is administered to one service user occasionally. Guidelines should be recorded in the care plan regarding when this is used, and care should be taken to monitor the amount of medication administered and kept in stock. • Paracetamol tablets should be dispensed from monitored dosage system in consecutive order rather than erratically from the blister pack. Records show most staff have received formal training regarding the administration of medication, although a minority of staff do need to receive this training. Due to the errors outlined above it is essential management refresh staff regarding appropriate procedures to ensure these errors do not frequently occur in the future. Service users said they felt staff worked with them in a manner, which respected their privacy and dignity. Service users were positive about their care. Several service users described living in the home as ‘marvellous’ and staff as ‘wonderful’. Service users said personal care was provided to a good standard. Service users said care was delivered in the way they wanted. One person said personal care ‘could not be better.’ Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 12 The registered provider has a satisfactory policy regarding anti discrimination. There are currently no service users from ethnic minorities, although the manager said the home would be more than happy to accommodate service users from other cultures. The local population is predominantly Cornish, and from ‘White-UK’ background. Issues regarding sexuality, gender and disability seem to be suitably addressed. Roscarrack House DS0000009125.V328469.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 area is good. The judgement has been made using available evidence including a visit to the service. Routines and activities are to a good standard so service users can live a lifestyle that meets their needs. Visiting arrangements are flexible. Appropriate arrangements appear to be in place regarding the management of service user monies. Meals are provided to a good standard, so service users receive an appetising, wholesome and nutritious diet. EVIDENCE: Service users said they could get up and go to bed when they wished and routines are flexible to suit their needs. There has been some discussion within the staff team regarding the need for some very vulnerable service users to have assistance to get up early (from 6am) by night staff e.g. due to incontinence. If this is the case, suitable consultation should occur with the service user (where possible) and with their representatives. Decisions need to be recorded in care plans and reviewed as appropriate. The inspector observed staff working in an appropriate manner with service users. The morning routine of assisting service users to get up was unrushed and appears to take individual wishes and needs into consideration. There are some activities arranged by staff for example exercises, memory games and bingo. Some service users, the inspector spoke to, did not want to Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 14 participate in these activities, but felt their right was respected. These service users said they were quite happy to organise their own time, for example spending time in the lounge with others or in their own bedrooms. Some service users receive library books, and one service user has talking books from the Royal National Society for the Blind. The owners have also purchased a minibus for service users’ use. This has enabled service users to go out, for example, for a cup of tea or a drive around the coast. This seems an excellent activity, and one, which is offered by only a minority of homes. Some service users said they really enjoyed the opportunity to go out. A church minister visits the home to give communion to some service users. The home has a vegetable patch which service users can help with if they wish. The home also has extensive grounds, where service users can go for a walk. The garden includes a seating area, and a pond which service users enjoy. Service users said they could receive visitors when they wished. The inspector spoke to several relatives and friends of service users who were all satisfied with the care given at the home. Service users all said they were encouraged to make choices and did not feel there were excessive or inappropriate restrictions placed upon them. The manager said the home does not look after any service user monies, and service user monies are either maintained via individual solicitors or a service users relative. Although only some of the bedroom doors are lockable, service users said they felt their personal belongings were safe and secure in the home. Some service users said they had a lockable cash tin. Service users said they could bring in their own furnishings and personal belongings if they wished. Service users have their meals in the dining room, or in their bedrooms. The inspector shared lunch with service users on both days of the inspection. The food provided was to a good standard. Service users said if they did not like a particular dish an alternative was always provided, and this was evident at both meal times the inspector attended. All Service users said they enjoyed the food provided. A choice of a hot and cold evening tea is offered. Suitable records of menus and records of meals provided are maintained. Special diets (e.g. pureed meals) are provided if required. Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 15 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 area is good. The judgement has been made using available evidence including a visit to the service. The registered provider has suitable procedures regarding complaints and adult protection. Subsequently service users can be assured there are appropriate procedures to deal with any concerns or bad practice. EVIDENCE: The registered provider has satisfactory procedures regarding complaints and adult protection. Staff and service users showed some awareness of the procedures, and were able to say whom they would approach if they had a complaint or were concerned about abuse. The Commission for Social Care Inspection has not received any complaints regarding this service. Some staff have received training regarding prevention of abuse and adult protection, delivered by the county council. It would be beneficial if more staff could attend this training if opportunities become available. Staff and service users all said they had not witnessed any bad or abusive practices. All staff have Criminal Record Bureau check, and a Protection of Vulnerable Adults check (where applicable). Roscarrack House DS0000009125.V328469.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, 26 Quality in this area is good. The judgement has been made using available evidence including a visit to the service. Roscarrack House provides a pleasant, homely, clean and well-maintained environment for service users to live and feel at home in. EVIDENCE: The building was inspected. The building appears to be well maintained, clean, pleasantly decorated and homely. There are pleasant gardens, which service users can use. There is a large lounge and a dining room. Both are homely and comfortable. Bedrooms are individualised and comfortable, and most have an ensuite toilet. A stair lift is provided to assist service users to go upstairs. Decorations are to a good standard. Bathroom and shower facilities are to a satisfactory standard. Suitable kitchen and laundry facilities are provided. Cleaning staff are employed, and the home was clean and hygienic at the time of inspection. Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this area is generally good although some improvement is required regarding staff training. The judgement has been made using available evidence including a visit to the service. Staffing levels are satisfactory so service users can be assured that a suitable number of staff are available. Recruitment records are satisfactory so service users can be assured suitable checks take place when staff are recruited. Staff training needs some improvement, as there are some gaps in training required by regulation. This improvement will assure service users that staff have suitable skills and knowledge to cater for their needs. The registered provider has a good approach to ensuring staff have a national vocational qualification in care. Equal opportunities issues regarding recruitment and work practices seem satisfactory. EVIDENCE: Suitable staffing is provided. Rotas show at least three staff are on duty between 0800 and 1400, and two staff between 1400 and 2130. Rotas show sometimes additional staffing is provided. Two waking night staff are on duty between 2130 and 0730. Auxiliary staff such as a cook, cleaning staff, gardeners and maintenance staff are employed. The registered provider has a suitable approach to providing National Vocational Qualifications for care staff. The registered provider’s pre inspection questionnaire states currently at least 50 of staff have an NVQ 2 or 3. Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 18 Staff recruitment records are satisfactory. The registered provider has ensured current staff complete an application form. A Criminal Records Bureau check and Protection of Vulnerable Adults check (where applicable) are obtained. Two references have been obtained for most staff. One staff file was not available for inspection; the manager said it had been misplaced. However a CRB disclosure was available for this person. If the file is not found suitable records (where possible) e.g. employment history record, training records etc. for this person need to be developed. The inspector spoke to several staff regarding staff induction arrangements. Staff said they were shadowed on several initial shifts. There is suitable documented evidence of staff induction, although the manager said this was going to be developed further. Staff training records were inspected. Records of staff training are adequate, but training does require some improvement so it meets regulatory requirements. For example staff must receive training in the following areas; first aid (there must be one first aider always on duty), food hygiene (for all staff who handle food) moving and handling, fire and infection control training (for all staff). The registered provider’s approach to equal opportunities and anti discrimination is to a satisfactory standard. Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this area is good although some improvements are needed to ensure the health and safety standard is met. The judgement has been made using available evidence including a visit to the service. The registered provider is suitably experienced, skilled and qualified to manage the home. The registered provider has a satisfactory approach to quality assurance so service users can be assured there is a system to check the care they receive is of good quality. The registered provider does not handle service user monies. The management of health and safety issues needs improvement so service users can be assured they live in a safe environment. EVIDENCE: The registered provider has suitable experience, skill and knowledge to manage the home. On a day-to-day basis, Mr Malcolm Gibbs supervises care staff. Mr Gibbs is not registered with the commission as the manager, and this Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 20 is not necessary as long as the registered providers work on a full time equivalent basis at the home. The registered provider has a quality assurance policy. The registered provider has developed an annual development plan regarding any developments and improvements they intend to make to the service and the home. This seems satisfactory. The manager said he was aware of the requirement to report any untoward incidents or deaths to the Commission for Social Care Inspection. The registered provider does not look after any service user monies or act as an agent for service user government financial benefits. Service users or their representatives are responsible for their finances, and fees are paid via bank transfer. The registered provider has a health and safety policy. Records kept of checks required by regulation are adequate. For example there are suitable records for the testing of fire equipment and moving and handling equipment. Health and safety risk assessments are satisfactory and there is a suitable risk assessment regarding the prevention of Legionella. The manager said the central heating system had been serviced, and it was recorded on the pre inspection questionnaire that this was completed in August 2006. However no documentation was made available for inspection and it has been requested this is forwarded to the commission. The electrical hardwire circuit, according to the preinspection questionnaire, was last tested in October 2001, and it is therefore required this is retested, and a copy of the certificate forwarded to the commission. The manager said portable electrical appliances were tested in the last year. However no documentary evidence was available for inspection. Again this information needs to be forwarded to the Commission for Social Care Inspection. Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP9 Regulation 13 Requirement Timescale for action 01/03/07 2. OP30 18 3 OP38 13, 23 The registered provider shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Staff need to receive suitable training from a qualified professional to carry out these duties. (E.g. the issues highlighted in the report need attention and to be prevented in the future.) Staff must receive suitable 01/09/07 training as required by regulation, and according to the needs of service users The registered person shall 01/04/07 ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. (For example the hard wire electrical circuit must be tested every five years, portable electrical appliances should be tested annually, and the boiler / heating must be serviced annually. Suitable documentation must be available for inspection, and forwarded to the commission DS0000009125.V328469.R01.S.doc Version 5.2 Roscarrack House Page 23 where this has been notified in the report). 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 OP7 Refer to Standard Good Practice Recommendations Recording of dentist, optician, chiropodist involvement should be improved e.g. on a dedicated sheet in each care file Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Roscarrack House DS0000009125.V328469.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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