Inspection on 14/02/06 for Rosewyn House

This inspection was carried out on 14th February 2006.

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

The inspector 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

Rosewyn House 29/10/09

Rosewyn House 19/03/09

Rosewyn House 28/03/07

Rosewyn House 21/09/05

Rosewyn House 18/11/04

Rosewyn House 11/05/04

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 Rosewyn House Alverton Terrace Truro Cornwall TR1 1JE Lead Inspector Lynda Kirtland Unannounced Inspection 14th February 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rosewyn House DS0000009132.V267529.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 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. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rosewyn House Address Alverton Terrace Truro Cornwall TR1 1JE 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) 01872 279107 01872 279107 Mr William Percival Dawes Mr Gregory Brian Murrell Mrs Jennifer Eileen Spargo Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st September 2005 Brief Description of the Service: Rosewyn House provides care and accommodation for up to twenty service users of either sex over the age of sixty-five years. Mr Dawes and Mr Murrell, the registered providers, own the home. Mrs Spargo is the registered manager of the home. Rosewyn is set within well-kept grounds, secluded and in walking distance of the centre of Truro. Rosewyn is a large old house, which has been extensively refurbished under the present ownership. The house has two floors with access to the first floor via a wide staircase or lift off the main entrance hall. Eighteen rooms are for single occupancy and there is one shared double room. None of the rooms have en-suite facilities although most of the single rooms are fitted with a washbasin. There are 9 toilets within the home conveniently situated for service users. There is a call alarm system in all rooms. Communal rooms are furnished and decorated to a high standard. The sitting room is large and divided into several areas, which is useful for service users who wish to sit quietly. The dining room is set out with small table to seat up to four people at each table. Service users are encouraged to continue their personal interests within and outside the home. Outings are arranged on a regular basis. Hairdressing is available for all service users within the home. Health services, including G.P., and Dentistry are arranged as required. Chiropody and hairdressing are both arranged on a regular basis. Visitors are welcomed at any time, suitable and convenient to service users. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited Rosewyn Residential Home on the 14 February 2006 and spent five hours at the home. This was an unannounced visit. The purpose of the inspection was to gain an update on the progress of compliance to the requirements that were identified in the last inspection report dated 21 September 2005. As the majority of standards were assessed as meeting the national minimum standards at the last inspection this visit focused on the outstanding standards not assessed. These were in relation to health care, leisure, complaints, staffing and some management areas. On the day of inspection 18 service users were resident in the home. The methods used to undertake the inspection are to meet with a number of residents, staff, the registered manager and registered provider to gain their views on the services that Rosewyn offer. Rosewyn records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. What the service does well: Residents commented that Rosewyn provides good quality care and accommodation. Residents are provided with information to assist them in making an informed choice before making a decision to live at the home. An introduction to the home is planned with the resident. Residents commented that the welcome to the home was a positive experience and ‘relieved anxiety’ about moving into a care home. The home undertakes pre admission assessments and care plans ensuring that care needs are identified and plans how to address them. All residents said that they felt that they were consulted about their care needs which staff met. Residents commented that they have access to health care and felt that all their health needs were met to a ‘good’ standard. Residents confirmed that there was a varied and stimulating programme of activities that is provided by the home and local community. Activities are displayed to promote this service and encourage others to participate. Residents felt their visitors were welcomed to the home. Residents were satisfied with the quality and provision of food. Residents and staff stated that if there were any issues they felt able to approach the registered manager directly and that their ideas would be listened to and where appropriate acted on. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 6 A quality assurance system seeks residents, their representative and staff views about the services that Rosewyn provides so that they can monitor if there are any areas of improvement needed. The latest quality assurance system showed a high satisfaction from all about the services and facilities that Rosewyn provide. Residents and staff commented that there are sufficient staffing levels on duty. The staff team have worked at the home for some length of time that has provided consistent care to residents. Residents made various comments about staff such as; they are ‘kind’ and ‘caring’. Health and inspection checks along with statutory inspections from fire and Environmental Health Inspection demonstrate that the registered provider maintain a safe environment for all who live, visit or work at the home. What has improved since the last inspection? The last inspection identified three requirements and four recommendations. All the statutory requirements have been complied with. The home has installed paper towels in staff facilities to promote infection control: all recently recruited staff have CRB and POVA clearance before they commence employment at the home and all records in the home adhere to the Data Protection Act and continue to be stored in a confidential manner. Of the four recommendations, three have been complied with in full: All staff have a copy of the GSCC Code of Professional Conduct: The registered manager has ensured that all medication is now signed for after administration and individual medication pots are used for residents to minimise cross contamination of medication; and the adult protection policy has been amended to show staff what process to take when a allegation of abuse has been received, training in this area has been applied for. It is acknowledged that the home is actively attempting to achieve its target of 50 of staff achieving a minimum of NVQ level 2 in the home, as this is ongoing, this recommendation has bee re notified. The registered provider and deputy manager continue to access training for staff to update their care practices. They are aware of the changes needed in induction programmes and are responding this. They have also purchased information form Croners to assist in the training needs of care staff. Since the previous inspection the registered providers have continually financially invested in the homes décor and furnishings both internally and externally. New carpets, furnishings, window replacement and kitchen equipment have been purchased. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 7 There have been extra activities over the Christmas period that residents spoke positively about. The level of activities in the home remains at a level that is satisfactory to the residents. 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. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected EVIDENCE: This section was assessed as meeting the national minimum standards at the previous inspection in September 2005. The inspector noted in discussions with residents newly admitted to Rosewyn that this experience was positive for them and they could not think of any improvements needed to be made in this area of care. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9, 10 Health care needs are met to a good standard. Medication records are accurate and stored safely. Medication must be administered to the person it is prescribed too. The staff at the home builds positive relationships with residents that are based upon the residents dignity and privacy. EVIDENCE: As care planning and health needs were inspected in detail at the previous inspection this was not assessed on this occasion. However from the inspector’s discussion with residents, their representatives and staff it was noted that residents remain satisfied that their care and health needs are met to a ‘good’ standard. A previous recommendation in respect of medication records was identified at the last inspection. Therefore a medication round was observed. It was noted that the member of staff administering medication undertook this in a competent manner, and signed records correctly. Designated staff are all trained to intermediate level of safe handling of medication. The home has a contract with the local pharmacist to ensure that medications are ordered, administered, stored, disposed of correctly, and will provide a audit of their Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 11 practice. A tablet count tallied with the medication records. From inspection of the medication, storage was satisfactory. The controlled drugs were all accounted for, stored appropriately and records completed accurately. The medication sheets were completed satisfactory. Staff were aware of what medication should be stored in the fridge. The only issue raised is that due to the layout of the building Rosewyn is unable to use a medication trolley and therefore use a safe medication box to store and carry medication around the home. However due to its size this means that medication prescribed for a number of residents i.e. lactulose, paracetamol and Senna are ‘stock pooled’ and administered in this manner. This is not acceptable as the medication is prescribed for individual residents and must be administered to that individual only. The inspector discussed with the management team other options in how to address this, which they will look into with their pharmacist. All residents spoken with stated that staff display a high standard of respect in their daily interactions. Residents stated that staff ensure that their privacy and dignity is maintained and could not see how this area of care could be improved. The inspector noted that the atmosphere of the home and residents appeared to be relaxed. Residents commented staff were ‘kind’. Residents confirmed that they have a choice as to when to rise/ retire to bed, receive their mail unopened, have access to a private phone and can receive visitors in private. In addition the inspector observed staff interacting with residents in a professional manner at all times, alongside a sense of humour when appropriate. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 A varied and nutritious diet is provided to all residents in a relaxing atmosphere. EVIDENCE: As the other standards were assessed as met at the previous inspection these were not looked at in detail. However from discussions with residents and their representatives all confirmed that Rosewyn continue to provide a programme of activities and their visitors are welcomed at the home. Residents made positive comments to the inspector in the variety, quantity and quality of food provided. Some made comments such as ‘the food is excellent’ and commented on choices of food. They can also choose where to have their meals, either in their room or in the dining area. The dining area was observed to be a relaxed and social occasion. The registered manager confirmed that the cook was on a catering course on the day of inspection and that some staff is attending the basic food hygiene course next month. An Environmental Health Inspection recently occurred (December 05) and raised no issues. Due to the absence of the cook and recent Environmental Health Inspection the paperwork in respect of food was not inspected on this occasion. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Rosewyn has an appropriate complaints and whistle blowing policy. Residents, their representatives and staff are confident to raise any concerns. A satisfactory adult protection policy is in place and staff have good knowledge of adult protection issues. EVIDENCE: Rosewyn has completed policies in respect of the complaints procedures. Rosewyn and CSCI have not received any complaints about the home. From the inspectors discussions with residents and their representatives all stated that they had no concerns about the care or facilities that were provided by the home. Staff likewise commented they had no current concerns. The majority felt able to approach the management team if they had any concerns. Rosewyn has an adult protection policy. Since the last inspection the recommendation to amend this has been complied with and the homes adult protection policy sets out the process of what staff should do if an allegation of abuse is received ensuring that the correct process is followed. The registered manager is attempting to get staff to attend the Cornwall Multi disciplinary adult protection course; it is acknowledged that this is difficult to gain places due to high demand. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20,21,22,24,25,26 Rosewyn provide a good standard of décor and furnishings creating a comfortable and safe environment for those living there and visiting. EVIDENCE: From a tour of the home it was evident that Rosewyn continuously update and invest in the homes décor and furnishings. Rosewyn have a continuous redecoration and maintenance programme to ensure that all parts of the home are presented and maintained to a good standard. Residents and their representatives all commented that they are pleased with the homes presentation and quality of furnishings. Rosewyn has a large attractive garden area, which is accessible to residents. Views of the garden are seen form around the home. Some residents confirmed that they spend time in the garden in the warmer weather. Rosewyn has a lift, which allows access to all parts of the home. There is a main lounge area that is divided into two sections: a quieter section and a section where residents can watch TV. Therefore residents and their Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 15 representatives can choose where to sit. There is a main attractively decorated and laid out dining area that was observed to be used well at lunchtime. There are two shared bedrooms; the remaining rooms are for single occupancy. All rooms inspected were clean and decorated to a good standard, were personalised and residents had the option to lock their rooms if they wish. Rosewyn have suitable laundry facilities. Residents commented that the laundry service is ‘good’ and did not raise any issues in this area. There are suitable bathing and toileting facilities in the home. Aids and adaptations were evident to assist with mobility and transfers. There were sufficient sluicing facilities in the home. Residents and their representatives were positive in their comments in how the home maintained cleanliness. From the inspectors observation this was confirmed. Previous requirement in respect of the environmental standards have been complied with: paper towels have been installed in staff toilets to promote infection control. On this visit the inspector observed some minor alterations that were needed to the environment as follows: that doors are wedged open, this must not occur due to fire risks: door next to the kitchen states ‘keep locked shut’ but was open – the instructions due to fire must be kept: residents must be given a choice if they want access to lockable storage space. Requirements to this effect have been made. It was also observed that in a couple of rooms energy light bulbs were in use, these must be reviewed as the resident must have immediate light when turning on the lights, the registered manager agreed to address this immediately and hence no requirement to this effect has been made this time. Likewise due to a recent leak in the ceiling in the toilet areas that is already being repaired, no requirement to this effect has been made. These will be reviewed on the next visit. In the main the condition and maintenance of the standard of décor and furnishings was to a high standard thought-out the home. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Suitable trained and experienced staffs are employed in sufficient numbers at all times to meet residents care needs. Recruitment procedures are robust to ensure that residents are protected in the home. The level of training in the home has increased to ensure staff are trained to undertake their work. EVIDENCE: On the day of inspection five care staff, an assistant manager, domestics, handyperson, laundress and registered manager were on duty. In the afternoons the ratio of carers reduces to two but with the same level of management cover. The registered manager stated that the staffing ratio during waking hours is aimed to be 1:7. At night there are one waking night staff plus a member of staff sleeping in and the registered manager on call. The assistant manager stated that the home has a carer’s vacancy to cover maternity leave only. Residents were satisfied with the level of staffing in the home and all were complimentary about the care and approach they receive from the staff team. From discussion with staff they all commented that they felt that there is sufficient staff on duty and that they ‘work as a team’. The inspector observed staffs that were competent in their work. Since the last inspection, more staff have achieved a minimum of NVQ level 2 or above with four additional staff currently in the process of completing this certificate. When this has occurred the staff team will have reached the target Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 17 of 50 of the staff group gaining NVQ qualifications. Some staff has completed first aid training. The previous requirement to ensure that all recently recruited staff has recruitment checks undertaken by POVA and CRB has been complied with. From inspection of recently recruited staff files they evidenced that appropriate employment checks have been completed. The recommendation to ensure that all staff has a copy of the General Social Care Councils Code of Professional Conduct has also been complied with. The assistant manager has liaised with local colleges to assist in the training of the staff team. This programme was inspected and is up to date with recent legislation and in line with Skills for Care/ TOPPS and the national minimum standards. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35,37,38 Quality assurance systems are in place to review the services that Rosewyn provides and identify any areas for improvement. Rosewyn must develop a policy in the administration of service users monies so that all are aware of the process of managing resident’s monies. Rosewyn ensure that the home is maintained to a safe standard for those who live or visit the home. EVIDENCE: The registered manager completed a quality assurance survey with residents, and relatives, and stakeholders in 2005. The results were overall satisfaction with the care provided. The registered manager stated that she is currently commencing the quality assurance survey again and will forward the findings to CSCI. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 19 Rosewyn does not have a policy in the management of service users monies, this needs to be implemented so that residents are aware of how their money is stored and in particular how it can be accessed. Residents are encouraged to manage their own monies and hold their own accounts. However they can agree to request that Rosewyn holds a small amount of monies on their behalf and store it safely. From inspection of residents monies records were accurate and tallied. A previous requirement to ensure that all records adhere to the Data Protection Act has been complied with as the home has amended how they record information in their handovers. All other records in the home adhere to Data Protection Act and confidentiality. From inspection of Rosewyn various documentation and maintenance certificates, this confirmed that inspections from the fire authority, environmental health had been completed. Equipment in the home had service records and Rosewyn have comprehensive policies in the remit of health and safety, Legionella and COSHH. Staffs have attended relevant training in the areas of fire, health and safety, manual handling and are booked to attend courses in infection control. As discussed in the environmental section earlier, the home must not wedge bedroom doors open and adhere to notices on doors when they request that doors are to be kept locked shut. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 2 X X 2 Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 21 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 17,Sch3 Timescale for action Medication prescribed for 30/04/06 individual service users must be administered to that individual only. A policy in the safe 30/05/06 administration of service users monies must be implemented and the policy then shared with staff. Fire doors must not be wedged 30/03/06 open. In addition doors marked ‘keep locked at all times’ must be adhered too. Requirement 2. OP35 12,20 3. OP38 13,23 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 OP28 Good Practice Recommendations A minimum of 50 of staff should be trained to at least NVQ level 2. Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Rosewyn House DS0000009132.V267529.R01.S.doc Version 5.1 Page 23 - 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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