Inspection on 19/04/06 for Rosemont Road, 62

This inspection was carried out on 19th April 2006.

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

Other inspections for this house

Rosemont Road, 62 23/11/05

Rosemont Road, 62 13/06/05

Rosemont Road, 62 12/01/05

Rosemont Road, 62 19/08/04

Rosemont Road, 62 15/10/03

Rosemont Road, 62 21/05/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Rosemont Road, 62 Acton London W3 9LY Lead Inspector Sarah Middleton Unannounced Inspection 19th April 2006 10:00 Rosemont Road, 62 DS0000027741.V286816.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 Rosemont Road, 62 DS0000027741.V286816.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. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rosemont Road, 62 Address Acton London W3 9LY 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) 0208 752 1165 00000000000 Ealing Consortium Limited Mr Leigh Pain Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2005 Brief Description of the Service: 62 Rosemont Road is a home registered for three service users with learning disabilities and additional physical disabilities. All three of the service users are wheelchair users. The home opened in 1994 and is situated in a quiet residential area of Acton. The shopping centres of Ealing and Acton are within easy access. The home is owned by a housing association and managed by Ealing Consortium Ltd. The house is a semi-detached property on two floors. There is a lift between the ground and first floor. A lounge, dining room, kitchen, laundry and assisted bathroom are all located on the ground floor. The first floor has three bedrooms and an office. There are wide corridors suitable for wheelchair users. The garden to the rear of the property has recently been improved for the service users to access. The staff team consists of the Registered Manager and a team of support workers. They provide twenty-four hour care and support with regard to personal care and practical tasks. The home has one waking night member of staff working during the night period. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. The inspection was between the hours of 10am-3.20pm. The Inspector carried out a tour of the home and inspected service user plans, staff files and maintenance records. One service user and two members of staff were spoken with as part of the inspection process. There were no visitors at the time of the inspection. It must be noted that it is sometimes difficult to ascertain the views of service users with learning and communication needs. All, but one of the twelve previous requirements had been met and two new requirements were made following this inspection. All of the key Standards were inspected. What the service does well: What has improved since the last inspection? The home had met eleven of the twelve previous requirements and had worked hard to improve standards. Service users care plans were up to date and reviewed on a regular basis. The maintenance problems with the lift and central heating had been resolved after several months of ongoing issues. Now the lift is fully operational and enables one of the service users to maintain some level of independence as they can open and close the door themselves. Medication systems were robust with no errors identified at the time of the inspection. Training had been provided for staff on the protection of vulnerable adults. The carpet, in a service users bedroom had been cleaned. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 6 Staff employment files were available as the Registered Manager was present for the inspection. Systems were in place to review the quality of care offered in the home and service users views had, where possible, been obtained. The health and safety and servicing records viewed were all up to date, protecting the welfare of those living, working and visiting the home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 7 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 Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 8 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, 4 & 5 Service users are assessed prior to admission to ensure the home can meet their needs. Prospective service users and their representatives are encouraged to visit the home in order to allow them to make an informed choice. Service users have an agreement that outlines who is to fund the placement. EVIDENCE: There have been no admissions into the home since the last inspection. The last service user admitted had assessments sent to the home from the care management team. The Inspector viewed a blank pre-admission assessment, this covered various subjects such as the prospective service users mental health needs, abilities and likes and dislikes. The Registered Manager confirmed they would be involved with any prospective service user and their representatives prior to them visiting and moving in to the home. The last service user admitted into the home had visited the home several times in order for them to meet the other service users and members of staff. The Registered Provider has devised an agreement that is for each service user outlining the funding and monitoring of the services. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 9 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, 7 & 9 The personal and social needs of the service users had been identified and were being met. These were detailed offering staff satisfactory information to help them successfully support the service users. Staff encourage and support service users to make decisions throughout their daily lives. Risk assessments were in place and up to date for some service users, however for one service user not all risks had been recorded. This must be available to safeguard the service user and potentially members of staff. EVIDENCE: Individual service user plans were available and samples were viewed. Overall these were detailed and outlined how the service users’ identified health, personal and social care needs would be met. Service user plans were up to date and reviewed on a monthly basis. Every six months there is a main review to ensure care plans accurately reflect service users needs. Personal care needs assessments clearly outlined the support and encouragement service users need from members of staff. Daily records were viewed and these detailed the care provided. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 10 Staff spoken with described how they encourage and promote service users to make decisions in their daily lives. For example service users choose activities they want to take part in, clothes they wear and the meals they eat. Staff gave scenarios for each of the three service users regarding how they might communicate to staff if they like or dislike what is being offered to them. Service users are not able to manage their own finances. The lift, which had ongoing maintenance issues, had now been fixed and the service user able to open and close the lift door independently was once again able to do so. Staff supervise this activity to ensure there are no problems. Risk assessments were viewed. On one service users file these were detailed and had been reviewed in May 2005. The Registered Manager confirmed that these are reviewed on a yearly basis or whenever there is a change in need. The Inspector noted on another service users file that risk assessments were not in place regarding the personal care and interactions male members of staff should be aware of when supporting this service user. This was discussed with the Registered Manager and a requirement was made for this to be put in place. Rosemont Road, 62 DS0000027741.V286816.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, 13, 15, 16 & 17 Service users take part in activities that interest them and stimulate and occupy their time. Service users, with staff support, access local community resources. Visiting is encouraged for service users to maintain contact with family and friends. Service users rights are respected by the staff team and form part of everyday life. The meal provision offers service users choice whilst balancing this with providing service users with healthy meals that provide the nutrition and healthy diet they need to maintain optimum health. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 12 EVIDENCE: Social activities are in place and the service user spoken with said they enjoyed going to the day centre. All three service users living in the home attend different day centres on different days of the week. By having this variation each day, often service users receive one to one support, which was evident during the inspection. Hydrotherapy has just been identified for one of the service users and this will form part of their weekly activity programme. Service users access local facilities such as the local pub and cafes. Staff stated that many of the local people recognise and speak with the service users. The home has its own transport, however, where possible, staff access public transport with those service users who feel comfortable and interested in using this. Family contact is encouraged and supported where necessary. One service user is taken by staff to visit their family members whilst another receives regular visits by their family. Service users are not able to open or understand their own personal mail and so this is opened by staff. Staff were seen throughout the inspection to interact with service users in a sensitive and caring manner. Staff respect service users decisions to join in an activity or not and as noted earlier in the report, service users communicate to staff in various ways if they are unhappy with something that has been suggested to them. Communication might be verbal, or through noises and sounds or hand/body gestures. Menus were seen and these were devised by staff with contributions from service users. One member of staff said the menus were being reviewed to show them in a more pictorial format. Menus incorporated service users preferences and aimed to offer a healthy balanced diet. Staff described how each service user takes part in different tasks around mealtimes. Staff encourage service users to help with stirring meals, or washing up. The kitchen is adaptable and the cooker hob, sink and work tops can all be lowered to be more accessible to the three service users who all use wheel chairs. The kitchen was clean and tidy at the time of the inspection. Fridge/freezer temperatures had been taken on a regular basis and were within an appropriate range. A service user asked said they liked the food offered in the home. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 13 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): 18, 19 & 20 Service users receive personal support in the way that they prefer and need to maintain good personal hygiene. Service users health needs are monitored by staff and external health professionals meet specialist health needs. Medication systems are robust and safeguard service users welfare. EVIDENCE: Service users receive assistance with their personal care needs. One service user has guidelines in place regarding when male members of staff support them with their personal care. These guidelines are known by the whole staff team and those spoken with were aware of the guidelines and why they were in place. Staff respect service users preferences for who assists them with personal care whilst ensuring that this is the most appropriate choice for both the service user and members of staff. Staff described the routines some service users like when receiving personal care, demonstrating the knowledge and awareness staff have of service users choices and likes. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 14 Health needs are clearly evidenced on individual care plans. On the day of the inspection a Physiotherapist was due to visit a service user, however they cancelled the appointment. This is a routine visit to promote the service user’s well being and to encourage flexibility and suppleness. Service users also see Dentists, Opticians and any other relevant health professionals. Samples of medication administration records were tracked and had been completed correctly. Each service user has guidelines to describe the support they need to take their medication. New members of staff work through a medication competency document to ensure the Registered Manager feels the member of staff has the knowledge and skills necessary to administer medication unsupervised. The Inspector suggested to the Registered Manager that this document is used for all staff to promote staff to keep up to date and informed about administering medication and subjects relating to this area. Service users do not self medicate and there were no controlled drugs stored in the home at the time of the inspection. Medication was stored in a safe and secure cabinet. The local Pharmacist carries out a regular audit of medication in the home. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 15 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): 22 & 23 Service users, if able, can feely make complaints and feel their views would be listened to. Systems were in place for the protection of vulnerable adults. EVIDENCE: The home has a complaints procedure and the Inspector viewed the two recent complaints, these had been successfully dealt with and were now closed. One service user is verbal and can voice their feelings and comments to staff. However two service users are non-verbal and it is more difficult to assess how they would make a complaint to staff. Staff, as noted earlier, are able to distinguish when a service user is happy/unhappy, but this might not necessarily give staff the details of a complaint those service users might wish to make. The service user spoken with was able to say they would speak with the Registered Manager if they were unhappy about something. Staff have recently received training on the protection of vulnerable adults, (POVA) and staff were aware that any POVA concerns must be reported to Management. There have been no POVA investigations since the last inspection. Service users finances were not inspected at this inspection. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 16 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, 26 & 30 The home offers service users a welcoming place to live in. It is bright and the décor is bold and individual. However there were areas that require repainting. Service users bedrooms provide adequate space for service users to relax in. The home was clean and tidy, however staff must receive training on health and safety and infection control to ensure they have the up to date knowledge and skills to meet the needs of the service users. EVIDENCE: The Inspector carried out a tour of the home and overall the home was being maintained satisfactorily. The carpet in one of the service users bedrooms had been cleaned and the central heating was working. Due to wheelchairs being used throughout the home the paintwork, in particular skirting boards were marked and scratched, a requirement was made that the décor must be monitored and paintwork must be kept to a good standard. The Registered Manager understood the home was due for decoration from the housing association, but was not certain when this would happen. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 17 Samples of service users bedrooms were viewed. These were spacious and individual. One service user chooses to have a picture/photo board to remind them who is working with them and what activities are planned for the days ahead. One service user’s bedroom will be painted in the near future. Service users are supported to choose the colours they would like in the home. Service users are encouraged to take part in some of the laundry tasks, such as bringing clothes to the laundry room. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 Service users are supported and cared for by a competent staff team. Service users benefit from a staff team who work well together and communicate effectively to each other in the interests of the service users. Robust recruitment procedures are in place and protect the safety of the service users. New staff receive an induction to the organisation and the home. Training is available although there were areas where staff had not received recent training on particular relevant subjects. This must be addressed in order for all staff members to be informed of up to date information and procedures to safeguard service users and staff. EVIDENCE: The staff team is small and work closely together in the interests of the service users. Those observed spoke respectfully to service users and were able to communicate with them in a positive way. The majority of staff are studying for an NVQ. New staff are inducted into the organisation and the home and then initially study the Learning Disability Award Framework, before proceeding on to an NVQ. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 19 The home currently has two support worker vacancies, although these have been filled and the Registered Manager is waiting for the necessary checks to be carried out before the prospective support workers can commence working in the home. Regular relief or agency workers have been used to fill the vacant hours but staff did not see this as a problem. Overall staff felt they worked well together and met regularly as a team. The staff employment files viewed contained completed application forms, medical declaration, 2 references, Criminal Record Bureau checks and photographs. The Inspector viewed the induction the newest member of staff had gone through. When asked this member of staff said the induction had been detailed and the induction into the home had been slow and thorough. They had observed and worked in a supernumerary capacity until they felt confident to work alone. Staff receive training on all the mandatory subjects such as first aid, fire safety and choking. Other additional subjects such as equal opportunities and disability awareness are also offered. Staff had not received health and safety training and one member of staff was overdue to receive training on moving and handling, this is a re-stated requirement. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Service users and staff benefit from a well run home and the Registered Manager maintains a visible presence in the home. Systems are in place to review various aspects of the home and where possible service users views are obtained and considered when looking to improve the quality of life and standards within the home. The health and safety and servicing records were up to date and protected the welfare of the service users, staff and visitors. EVIDENCE: The Registered Manager has worked for several years in the home and has the Registered Managers Award, the A1 NVQ assessor’s award and is currently in the process of studying the NVQ level 4 in care. Staff spoken with said the Registered Manager had an open and approachable style of managing the home. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 21 Systems are in place to review the quality of care offered in the home. Customer, (service user) satisfaction surveys had been carried out and regular monthly Regulation 26 visits had been completed and reports had been forwarded on to the CSCI. In addition the Registered Manager completes a monthly quality assurance report, which is then sent on to their line manager, this covers areas such as staff vacancies, medication systems and policies and procedures. Discussions took place with the Registered Manager regarding having an overall report to summarise all the current systems that are in place, making it more accessible for service users and the inspection process, this was made a recommendation. Samples of the servicing records were viewed and the testing for Legionella, Portable Appliance Testing, Gas Safety record and fire equipment were all up to date. Fire drills had been held at regular intervals, with different members of staff and at various times of the day. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 3 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 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 YA9 Regulation Requirement Timescale for action 05/05/06 2. YA24 3. YA35 12(1)(b)13(4)(b) Risk assessments must be in place for all potential hazards/risks to both service users & others. 23(2)(d) The home must address the 01/08/06 areas of the home that need painting, in particular the skirting boards. 18(1)(c)(i) The Registered Person must 01/08/06 ensure that staff receive training in areas relevant to the work they are to perform, for example on Infection Control/ Health & Safety. (Previous timescale 31/03/06 not met) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA39 Good Practice Recommendations An overall summary report should be available to ensure the quality assurance review findings and any action taken DS0000027741.V286816.R01.S.doc Version 5.1 Page 24 Rosemont Road, 62 are accessible to service users and the Inspector. Rosemont Road, 62 DS0000027741.V286816.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST 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 Rosemont Road, 62 DS0000027741.V286816.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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