Inspection on 02/10/07 for Rushey Mead Manor

This inspection was carried out on 2nd October 2007.

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

Rushey Mead Manor 05/10/09

Rushey Mead Manor 07/04/09

Rushey Mead Manor 14/01/09

Rushey Mead Manor 10/09/08

Rushey Mead Manor 12/12/06

Rushey Mead Manor 03/05/06

Rushey Mead Manor 18/10/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Rushey Mead Manor 30 Coatbridge Avenue Rushey Mead Leicester LE4 7ZS Lead Inspector Stephen Benson Unannounced Inspection 2nd October 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000064260.V349058.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. DS0000064260.V349058.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rushey Mead Manor Address 30 Coatbridge Avenue Rushey Mead Leicester LE4 7ZS 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) 0116 2666606 0116 2660708 Midland Healthcare Ltd Vacant Care Home 40 Category(ies) of Dementia (17), Mental disorder, excluding registration, with number learning disability or dementia (17), Old age, of places not falling within any other category (40), Physical disability over 65 years of age (5) DS0000064260.V349058.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No one falling within category OP may be admitted into Rushey Mead Manor where there are 40 persons of category OP already accommodated within this home. No one falling within category PD(E) may be admitted into Rushey Mead Manor where there are 5 persons of category PD(E) already accommodated within the home. No person to be admitted to Rushey Mead Manor in categories MD or DE when 17 persons in total of these categories/combined categories are already accommodated in this home. No person to be admitted to Rushey Mead Manor in categories OP, PD(E), DE or MD when 40 persons in total of these categories/combined categories are already accommodated in this home. No person who requires nursing care are to be admitted into Rushey Mead Manor in categories OP, DE, MD or PD(E) when 20 persons in total of categories/combined categories are already accommodated in this home. 12th December 2006 5. Date of last inspection Brief Description of the Service: Rushey Mead Manor is registered to accommodate forty older people in need or residential or nursing care. The home has a multicultural resident group and the staff team is also multicultural. Both English and Asian diets are catered for. There is a small temple and chapel situated in the building. Accommodation is on three floors with a lift and stairs for access. There are thirty-eight single bedrooms and one double bedroom. Two of the single bedrooms and the double bedroom have ensuite facilities. There are five lounges, two dining rooms, and one smoking room. The home is situated close to Leicester City Centre with good transport links and other local amenities. The weekly fees range from £331.00 to £550.00 depending on care needs. Further information about the home is available in the brochure and service user guide. The acting manager welcomes any telephone enquiries and a copy of the latest inspection report is available in foyer. DS0000064260.V349058.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2007 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The visit centred on looking at the key National Minimum Standards for older people. The site visit lasted for 5 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the acting manager, senior care staff, the duty nurse, staff on duty and care practices were observed. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the service does well: Prospective new residents are assessed in their current surroundings to make sure that the home is able to meet their needs. Care plans clearly describe how resident needs are to be met and a care plan is written where a need is identified. Arrangements are made to discuss care plans with residents in their own language. This ensures that staff know how to meet residents’ needs. Staff will contact healthcare professionals to see to the healthcare needs of residents and their health is monitored through observation and regular health checks. Medication is given out following the recommended safe procedures to make sure that residents are not put at risk when being given their medication. Staff are trained to respect the privacy and dignity of residents and know good practices for doing this. This ensures that residents’ privacy and dignity are promoted. Residents are able to take part in a variety of activities, which are representative of both British and Asian cultures. There are regular opportunities for residents to observe their religious beliefs within the home and at places of worship. DS0000064260.V349058.R01.S.doc Version 5.2 Page 6 Routines in the home are flexible to take into account the wishes of the residents, including how and where they spend their time so residents retain control over their lives. Catering arrangements within the home are organised to meet the needs of Asian and British residents by having two separate kitchens and menus. There is always at least 3 care staff and a nurse on duty during the day and regular training is provided. There is always someone on duty who can speak the residents first language. New staff can only start work when the required checks have been carried out, including a satisfactory Criminal Records Bureau or Protection of Vulnerable Adults check. Regular checks and tests are carried out on the building and equipment to protect the health and safety of residents. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. DS0000064260.V349058.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 DS0000064260.V349058.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): 3 and 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents are fully assessed prior to moving into the home to ensure that their needs can be met. The home does not offer an intermediate care service. EVIDENCE: A care file for a recently admitted resident was seen and this contained a pre admission assessment, which was dated 2 days prior to the resident moving into the home. There was also an admission checklist in the front of the file confirming when each part of the admission procedure had been completed. The information gathered in the pre admission assessment covered a variety of needs including moving and handling. The acting manager said that she goes out to assess any prospective resident to see if their needs can be met within the home. The acting manager said she DS0000064260.V349058.R01.S.doc Version 5.2 Page 9 contacts the prospective resident’s family and social worker. The acting manager said she had been out to assess four prospective residents since she took up post. Staff said that they are told about any new admission and that they are able to read the care file. Staff said that feel well prepared and know what they need to do before the resident moves in. The recently admitted resident was not feeling well enough to be spoken with. There is no arrangement made for the home to provide an intermediate care service. DS0000064260.V349058.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 and 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ health, personal and social needs are documented and met by care practices in the home. EVIDENCE: A sample of three care files were seen and these contained a range of information, including communicating and socialising, mobility, personal care and administering a peg feed. There were also risk assessments for things such as tissue viability, nutritional intake, manual handling, falls and use of bed rails. Care plans and risk assessments were reviewed every month. One resident was assessed as being at risk of skin damage had a care plan prepared for this. DS0000064260.V349058.R01.S.doc Version 5.2 Page 11 There was a lot of information contained in the care plans, and there were clear descriptions, for example stating a resident requires two staff to operate the hoist. There were references seen in care plans to maintaining choice and promoting privacy and dignity. The acting manager said that the nurses put the care plans together and that she caries out a final check on them. The acting manager said that she discusses care plans with the residents with assistance from a member of staff who speaks their language. Staff said they will check any information out with the nurse on duty and they refer to care plans to find things out and see if there have been any changes. A resident told a member of staff who translated into English that staff talk to her about the care she receives and that she has a bath every Sunday and Thursday, which is when she wants to have them. There was a record made in a section of the care file of any medical appointments. Recent entries included seeing a doctor and a dietician. A senior care described the arrangements for all routine health checks and these are recorded in a separate file. There was a letter seen from a doctor authorising the home to take blood glucose readings for one resident. The acting manager said that they have close contact with the local doctors and that staff are expected to promote residents well being by making sure they are clean, well fed, using glasses and hearing aids where needed. Staff said that they will refer any concerns to the nurse who will call the doctor if needed. A resident told a member of staff who translated into English that staff ask her how she is feeling and that she can see a doctor if she wants to. The nurse on duty was seen giving out morning and lunchtime medication and following the correct practices. The acting manager said that medication reviews are carried out and that only nurses administer medication. The acting manager said that she checks the Medicine Administration Records to make sure they are properly filled in. The Medicine Administration Records were seen and no gaps were noted. They nurse on duty said that she always watches residents take their medication and that no one in the home self medicates. DS0000064260.V349058.R01.S.doc Version 5.2 Page 12 A resident told a member of staff who translated into English that she likes to take her medicines and they never run out. Staff were seen relating appropriately to residents and using the residents’ first language. Two staff were observed hoisting a resident and they explained throughout what they were doing and joked when they finished ‘there you have landed’. The acting manager said that respecting residents privacy and dignity is included in the induction programme for new staff. The acting manager said that she also spends time observing staff practices and feeding back to them. Staff described good practices to promote residents’ privacy and dignity and protect their modesty. Staff said that they always explain to residents what we are going to do. DS0000064260.V349058.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 and 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have opportunities to satisfy their social, cultural, religious and recreational interests and needs through opportunities provided within the home, the local community and being able to maintain relationships. Residents are helped to exercise choice and control over their lives and receive a culturally appropriate wholesome and balanced diet. EVIDENCE: The provider employs two activities coordinators to organise activities within the home but they were not on duty during the visit. There are both British and Asian television channels available and there are facilities for residents to practice their faith. Asian residents are able to join in singing faith songs three times a week. DS0000064260.V349058.R01.S.doc Version 5.2 Page 14 The acting manager said that care staff will organise some activities such as drawing and there is a regular music to movement session, which has both Asian and British music. Staff said that they provide activities for residents including throwing a ball, jigsaws, dominoes and bingo. The acting manager said that both Divali and Christmas are celebrated in the home. The acting manager said that visitors are welcome to the home and when a resident goes out they are always accompanied by someone who can speak their language. Some resident use the local library. Staff said that some residents go out to worship, some to their temple and a local church. Staff said that resident go to local shops and on trips into town. A resident told a member of staff who translated into English that she speaks to her sons regularly on the phone. Residents were seen using various areas of the home and moving around freely. One resident told staff he wanted to move to another room and was assisted to do so. The acting manager said staff are expected to provide choices for residents where possible. The acting manager said they had created a separate lounge and dining room for Asian residents to use but they said they preferred to use the communal ones so continue to do so. Staff said that residents are able to choose their own routines, it is there home they can do as they like. A resident told a member of staff who translated into English that she doesn’t like to go out so stays in the home. There are two separate kitchens in the home, each having their own menu. One is a vegetarian Asian one the other English. The Asian menu included a variety of curries with ricer and homemade chapattis and nans. Lunch today was aubergine and potato curry, dhal, chapatti and pickle. The English menu consisted of meat and vegetable meals including a roast joint on Sundays. Lunch today was minced lamb, mashed potato, green beans and white cabbage. A choice of melon or yoghurt was offered to all residents for pudding. A senior care said that white British residents can have Asian meals if they want to and some Asian residents who eat meat will have part of the English menu. DS0000064260.V349058.R01.S.doc Version 5.2 Page 15 Residents were seen eating lunch and appeared to be enjoying it. Assistance was provided to those who could not at themselves in an appropriate manner. The Asian meal was sampled and this was well cooked and full of flavour. A resident told a member of staff who translated into English that the food is very good, there is always plenty. Another resident said, “I think the food here is very good”. DS0000064260.V349058.R01.S.doc Version 5.2 Page 16 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 and 18 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are not managed properly to help improve services for residents. Staff have a limited understanding of safeguarding adults and may not respond appropriately placing residents at risk. EVIDENCE: There is a complaints procedure and a book to record any complaints in. There was 1 complaint recorded since December 2006 about a missing chain. There have also been two complaints referred to the provider to investigate that were sent to us concerning staffing levels and cleanliness, The acting manager said information about these were held at head office and had not been transferred into the complaints book. Staff said that the residents are happy with the care they receive, but if they did have a complaint made to them they would pass it on to the nurse on duty or the acting manager. A resident told a member of staff who translated into English that if anything isn’t right she speaks to a member of staff. DS0000064260.V349058.R01.S.doc Version 5.2 Page 17 There have been two safeguarding investigating following allegations made, and a Social Services Manager had notified me previously that neither of these were upheld. The acting manager said that staff have been provided with training on safeguarding adults and this as shown on the staff training matrix. Staff were not clear about some of the terminology used in safeguarding adults such as whistleblowing. A resident told a member of staff who translated into English that she was always treated nicely. Another resident was heard telling a member of staff that another resident had hit her on the back yesterday. The member of staff dealt with this as an allegation of abuse and followed the Safeguarding adults procedures. DS0000064260.V349058.R01.S.doc Version 5.2 Page 18 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 and 26 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home could be made more homely through improving the décor and furnishings. EVIDENCE: The décor of the home was of mixed standards, some areas were well decorated and others were in need of decoration. The acting manager agreed that some decoration is needed. There were a number of stains seen on some carpets and the acting manager said attempts to remove these have failed and contacted she contacted a contractor to come and clean them later in the week. Some of the carpets were worn and need replacing. DS0000064260.V349058.R01.S.doc Version 5.2 Page 19 Staff said that the layout of the building is suitable and they can carry out their duties. A resident told a member of staff who translated into English that she can get around the home in her wheelchair. Areas of the home seen were clean and staff were seen using protective clothing. Staff said they are encouraged to use a gel when washing their hands. A resident told a member of staff who translated into English that her commode is kept clean. DS0000064260.V349058.R01.S.doc Version 5.2 Page 20 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 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient and suitably trained staff employed at the home, ensuring that residents needs can be met. Residents are supported and protected by the home’s recruitment policy and practices. EVIDENCE: The acting manager has assessed the minimum staffing levels to be 4 care staff and a nurse in the morning, 3 care staff and a nurse in the afternoon and 2 care staff and a nurse overnight. In addition the home employs kitchen staff, handyman/gardener, activities coordinators and housekeepers. The provider employs male and female staff and they are of varying ages and from differing ethnic backgrounds. The acting manager said due to the number of different languages spoken in the home it is not possible for staff to speak all of these, but when planning the rota she ensures that there is always someone on duty that speaks the same language of each resident. The acting manager and senior care said which staff are able to speak which language and how they are then deployed to achieve this. DS0000064260.V349058.R01.S.doc Version 5.2 Page 21 Staff said that they felt there were enough staff on duty for them to complete their duties appropriately. A resident told a member of staff who translated into English that there are enough staff on duty and that when she presses her buzzer staff come and she is not left waiting. The staff training matrix showed that all care staff have either completed or are in the process of completing National Vocational Qualification level 2 and that training is taking place and up to date. Staff said they were working towards National Vocational Qualification level 2 and had recently had training in moving and handling and health and safety. Files for two recently recruited staff were seen and these showed the correct procedures had been followed, including obtaining a Criminal Records Bureau check and obtaining two references. DS0000064260.V349058.R01.S.doc Version 5.2 Page 22 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 and 38 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a lack of accountability due to not having a registered manager. EVIDENCE: There has not been a registered manager at the home for a long time, however the acting manager took up post in August 2007 and said she is in the process of completing the application form to become the registered manager. The acting manager has over 8 years experience and is currently working toward national Vocational Qualification level 4. DS0000064260.V349058.R01.S.doc Version 5.2 Page 23 The acting manager has held a relatives meeting and said these are going to take place monthly at the request of relatives. Issues discussed at the meeting included locks on doors, close circuit television, activities and fundraising. There is a system in place to manage residents’ personal allowances and a record is kept of all expenditure made, although there were some entries, which only had one signature rather than two. One resident signs herself. The acting manager said that all health and safety checks are carried out and there are contracts in place for the maintenance and servicing of equipment. DS0000064260.V349058.R01.S.doc Version 5.2 Page 24 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 2 17 X 18 2 2 X X X X X X 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 2 X 3 X 3 X X 3 DS0000064260.V349058.R01.S.doc Version 5.2 Page 25 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 2 Standard OP16 OP18 Regulation 17(2) 13(6) Requirement Timescale for action 01/12/07 3 OP19 23(2)(b) 4 OP31 18(1)(a) Records of any complaints made about the home must be kept on the premises. All staff must be familiar with the 01/12/07 procedures to follow to safeguard residents if there is any suspicion of abuse. This will ensure that staff know how to protect residents. There are areas of the home that 01/08/08 are in need of redecoration and some carpets need to be replaced to make it more homely for residents to live in. The home must be managed by 01/02/08 a registered manager so there are clear lines of accountability. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000064260.V349058.R01.S.doc Version 5.2 Page 26 DS0000064260.V349058.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 DS0000064260.V349058.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!