Inspection on 28/09/05 for Salisbury Court

This inspection was carried out on 28th September 2005.

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

Other inspections for this house

Salisbury Court 05/11/08

Salisbury Court 28/11/07

Salisbury Court 13/02/07

Salisbury Court 07/03/06

Salisbury Court 08/02/05

Salisbury Court 02/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Salisbury Court Off Barnoldby Road Waltham Grimsby North East Lincs DN37 0BS Lead Inspector Christina Bettison Unannounced Inspection 28th September 2005 09:30 Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 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 Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 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. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Salisbury Court Address Off Barnoldby Road Waltham Grimsby North East Lincs DN37 0BS 01472 821634 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) Royal Mencap (Housing & Support Services) Ms Ruth Adamson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2005 Brief Description of the Service: Salisbury Court is care home providing personal care and accommodation for 6 adults with learning disabilities some of who also have associated physical disabilities. New Era Housing Association owns the building. Mencap provides staffing and support. The home is located in the village of Old Waltham. It is close to local shops and amenities and there is a regular bus service from the village to nearby Grimsby and Cleethorpes. The home is a detached dormer bungalow in a quiet residential area. All accommodation for service users is provided on the ground floor with the staff sleep-in room/office and shower/toilet on the first floor. The six bedrooms are for single occupation and each has a wash hand basin. The home has a bathroom with an Aqua Nova assisted bath and toilet, a shower room with wheelchair access and toilet and a separate toilet. There is a combined lounge/dining room and adjacent kitchen and a separate laundry room. The gardens are easily accessible to the service users and there is a car parking area. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3 hours and was an unannounced inspection. Staff files, care records, policies and procedures, staff lists and training records were all examined. 2 of the staff, the registered manager and the service manager were spoken to. The service user that was at home on the day of inspection was met and care practices and interactions were observed. What the service does well: What has improved since the last inspection? All people living at the home now have a statement of terms and condition to make sure that they know what they are entitled to. Each person living at the home now has a plan, which guides staff on how their needs could be managed. People living at the home are cared for by staff that promote their dignity and respect and ensure stability and consistency in the care and support that it is provided to meet people’s needs. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 6 All staff who help people to take their medication should receive training in order to do this, this has now happened which will help to make sure people living at the home are safe. All staff should receive basic training in how to meet peoples needs this has now happened meaning that all the people living in the house are cared for by staff that are trained to do their job properly. The manager now has a plan for when they will redecorate and replace things in the home; this means that people are now living in a home that it is safe, comfortable and well maintained. 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 Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 7 contacting your local CSCI office. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 8 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 Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 9 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): 2,5 The service users at Salisbury court have lived there for a long time and the staff team are well aware of their needs. EVIDENCE: There had been no new service users (who would have had their needs assessed) come to stay at Salisbury Court since the previous inspection. There was an outstanding requirement from the previous inspection to obtain the assessments from the local authority, the manager informed the inspector that although they have written to the local authority to obtain a copy of the Community Care Assessments for the service users that live at Salisbury court they had not received them yet. However the inspector was satisfied that the staff at the home are aware of the service users needs and this was reflected through the service user plans. Since the previous inspection all service users had been issued with a statement of terms and conditions and a licence agreement with New Era housing association. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 10 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 Service users have a detailed individual plan however the lack of monitoring and review compromises this leading to service users needs maybe not being met. Service users are supported to take risks as part of an independent lifestyle; any areas of risk were clearly documented. EVIDENCE: Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 11 Three care files of service users were examined as part of the inspection. Specialist care plans had been obtained, for example the learning disability community nurse had developed a care plan for a service user with epilepsy. Service users’ likes and dislikes were identified and each had a moving and handling assessment. Since the previous inspection the home had introduced new service user plans that were more comprehensive however the ones examined had not been updated for some time and for one service user whose needs had significantly changed, this was not reflected in the plan. Risk assessments had been completed for service users. Service user plans referred to risk assessments but did not specify which one. There was evidence that care plans had been reviewed by the home but annually. The registered person must ensure that individual care plans are reviewed with the service user, significant professionals and family, friends and advocates as agreed with the service user at least every six months. This remains an outstanding requirement. Reports following annual reviews held by social services were in the files. The service users individual plans gave details of all family contacts and agencies involved in the service user’s care. Support workers and relatives said that a key worker system was in place. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 12 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): EVIDENCE: None of these standards were assessed at this inspection, however the inspector was informed that only two of the service users had been provided with a holiday this year as part of the basic contract price therefore this remains an outstanding recommendation. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 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): 19,20,21 The service users physical and emotional needs are met, by the provision of a wide range of healthcare professionals and outside agencies. EVIDENCE: Three service users care files were examined as part of the inspection process. In all of the files there was evidence that contact with GP, dentist, optician, audiologist, chiropody, community nurses and therapists and consultants was being facilitated on a routine basis for service users. The registered manager explained to the inspector that one service user had been having some health problems and that the staff had been supporting her to access health provision, decisions had been taken regarding her ongoing health care in consultation with her parents however there were no records in the care file to support and evidence this and the service user plan had not been updated to reflect her changing needs and support required, see NMS 6. The home has policies and procedures for the administration of medication and since the previous inspection the majority of staff have received appropriate Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 14 training for the administration of medication. Some service users required the administration of invasive medication on occasions, the majority of the staff had received training for this and there was some refresher training planned for the 7/11/05. From observations it was apparent that staff promoted service users dignity, privacy and respect. Staff were observed to behave in an appropriate manner towards service users. The service user group at the home were of a relatively young age and the home had not had to deal with aging, terminal illness or death of a service user. Individual care files examined and manager interviews did not evidence that the service users or their relatives had been consulted about their wishes concerning terminal illness and death. As identified at the previous inspection the registered person must ensure that consultation regarding this takes place and is recorded, this remains an outstanding requirement. There was a corporate policy and procedure regarding terminal illness and death. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 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 Complaints made to the manager of the home are not handled appropriately and relatives are not confident that their concerns will be listened to, taken seriously or acted upon. Mencaps internal Protection of Vulnerable Adults policies and procedure give incorrect guidance therefore strategies are not in place to ensure that service users are protected from abuse, neglect and harm EVIDENCE: At the previous inspection, discussion with relatives had highlighted that some of the relatives concerns did not appear to have been addressed and resolved. Therefore the inspector had advised that the manager keep a record of all complaints however minor they may seem and a record of all action taken to resolve the issues. The complaints record and discussion with management identified that all concerns/complaints are still not being recorded therefore the inspector was unable to ascertain if the complainants were satisfied with the action taken. The manager must ensure that relatives are given an opportunity to comment as to whether they are satisfied with the action taken and response to their concerns. This remains an outstanding requirement. The home had a copy of the Multi agency Protection of Vulnerable Adults (POVA) policy and guidelines. The home also had a copy of the Mencap corporate POVA policy however the inspector was concerned that this policy stated “ in all cases of abuse consideration will be given to instituting an Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 16 internal investigation” this does not link with the multi agency guidelines and must be reviewed and amended. This was highlighted as a requirement at the previous inspection and therefore remains an outstanding requirement. Staff had received “protect me” training. There was a policy in place for physical intervention and for whistle blowing. The registered manager did not act as appointee for any of the service users. The home did manage the day-to-day finances for the service users. At the previous inspection some of the relatives raised a concern that service users were expected to pay for staff’s taxi on occasions. e.g. where a service user needed picking up from the day centre to attend a GP appointment the service user was expected to pay for the journey where the staff member needed to go from Salisbury court to the day centre to meet the service user or alternatively where the staff left the service user and returned to Salisbury court. This was highlighted as unacceptable practice; the manager informed the inspector that this practice had ceased immediately following the previous inspection. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 17 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): 24,30 The bungalow is well decorated and well maintained and the gardens well looked after with seating areas enabling service users to enjoy the outside space, however wear and tear of communal furniture compromises this. EVIDENCE: Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 18 The home is situated in the centre of Old Waltham close to local amenities and bus routes. The home continued to provide the same average living space as at 31st March 2002 and details of room sizes were given in the home’s statement of purpose. All accommodation for service users was provided on the ground floor and accessible to wheelchair users. The inspector found the environment to be cheerful and odour free. The rooms were well decorated with service users bedrooms reflecting individual needs and choice, however the furniture in the communal areas was showing signs of wear and tear and would benefit from replacing. The kitchen was well equipped and the cooker had a safety guard. Since the previous inspection the registered person had produced a maintenance and renewal programme for the fabric and decoration of the premises, which included timescales for the replacement of carpets and redecoration of bedrooms. Sofas and carpets had been cleaned and a new TV and video had been purchased. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 19 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): 32,33,35,36 The deployment and number of staff available is not sufficient to meet the needs of the service users. Improvements in the training programme at the home have resulted in a staff team that works positively with service users to improve their quality of life, however the lack of NVQ qualifications is of concern. EVIDENCE: Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 20 The home continued to provide the minimum staffing levels as agreed prior to April 2002. Staff were responsible for domestic and cooking duties as well as service user care. Since the previous inspection the service manager had completed a staffing review. The calculation was completed using Residential Forum guidance and excluded overhead hours. The total hours provided was given as 307.5 hours and included 17.5 hours of the registered manager working as a carer. The total hours provided also included the hours for domestic and non-care tasks that were also the support workers responsibility. On the day of inspection 2 staff were observed as spending 1 1/2 hours undertaking cleaning tasks and said they would prefer to spend the time taking service users out. The residential forum guidance suggests a minimum of 326.03 care hours. The registered person should give consideration to implementing the recommendations from the internal staff review; • • • Staffing levels to be increased in line with the guidance from the Residential staffing forum. Domestic staff to be employed to enable care staff to staff more time with the service users as apposed to undertaking domestic tasks. The registered manager to be supernumerary to the rota and not undertake care tasks to enable more effective management of the home. The manager said that the home had relief staff who could be brought in to give extra staffing for planned activities. There was no indication that staffing levels were ever unsafe however as identified at the previous inspection relatives interviewed stated that the staffing levels limited the amount of activity outside the home for service users. Turnover of staff was average with two staff having left the home since the last inspection. The posts have been advertised and when all satisfactory clearances have been received the staff will commence employment. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 21 Staff were observed to be approachable and communicate effectively with the service users. Staff spoken to appeared motivated and said that they enjoyed their work. The registered manager reported good relationships with GPs, Community Learning Disability team and other agencies. The home had only 1 staff out of 14 with NVQ level 3 in care and 1 staff with a HND in social care. The registered manager should ensure that 50 of all care staff in the home achieves NVQ level 2. Individual training needs were identified at staff supervision and the registered manager had an annual training plan for the home. There was no evidence of a dedicated training budget for the home as this budget was held centrally. The area manager told the inspector that staff received at least five paid training and development days a year (pro rata). A record of training for the staff team was examined and this now showed that all staff were up to date with their mandatory training, and this now included infection control. Training records examined and staff interviewed showed that training provided had been linked to needs of the service users for example; person centred awareness, communication and protect me. Staff meetings and staff supervision enabled managers to brief staff and receive feedback. There was a policy regarding staff supervision. A supervision programme had been started but the frequency was not as high as the six-times a year as required by this standard, therefore this remains an outstanding requirement. Staff had been issued with a staff handbook, which contained copies of the home’s grievance and disciplinary procedures. All staff had either had an annual appraisal or one was planned. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 22 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 The management of the home is satisfactory overall, but the lack of an electrical hard wiring certificate could potentially place service users at risk. EVIDENCE: Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 23 The registered manager had worked at Salisbury Court for several years and she is working through the NVQ 4 in care and management and hopes to complete it by August 2006. The inspector was shown the Mencap organisation’s 5 year plan “Vision for Change” 2004-2009 and since the previous inspection an annual development plan for Salisbury Court has been developed which includes action to be taken and timescales. The majority of requirements identified at the last inspection had been met. New timescales have been set for those still outstanding, however the inspector issued an immediate requirement notice in respect of the electrical hard wiring certificate. This had been outstanding since 31/3/05 and needs to be urgently addressed. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 24 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 2 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 2 2 x 3 2 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Salisbury Court Score x 3 3 2 Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 2 x DS0000002910.V256820.R01.S.doc Version 5.0 Page 25 yes Are there any outstanding requirements from the last inspection? 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 YA6 Regulation 15 (2) Requirement The registered person must ensure that individual plans are reviewed with the service user, significant professionals and family, friends and advocates every six months and service users plans updated to reflect changing needs. (Timescale not met) 2 YA7 12 (3) The registered person must demonstrate that any limitations on service users rights or choices are made in their best interest, through the assessment process and are documented in the individual service user plan. (Timescale of 31/8/05 not met) 3 YA21 12 (2,3,4) The registered person must consult service users or their relatives regarding their wishes in the event of terminal illness and death. (Timescale of 31/8/05 not met) The registered person must keep a record of all concerns/complaints and a record of all action taken to DS0000002910.V256820.R01.S.doc Timescale for action 28/09/05 31/01/06 31/01/06 4 YA22 22 28/09/05 Salisbury Court Version 5.0 Page 26 5 YA23 13(6) resolve the issues. The manager must also ensure that relatives are given an opportunity to comment as to whether they are satisfied with the action taken and response to their concerns. The registered person must ensure that the Mencap corporate policy/procedures for the Protection of vulnerable adults is reviewed and amended to ensure it links with the multi agency guidelines in respect of alerting, referral and investigation. (Timescale of 31/5/05 not met) The registered person must replace the furniture in the communal areas that is showing signs of wear and tear. The registered person should ensure that at least 50 of care staff have achieved NVQ level 2 in care. The registered person must implement the recommendations of the staff review to ensure that staff working hours enables service users full range of needs to be met. The registered person must ensure that the frequency of staff supervision is a minimum of six times a year (pro rata for part time staff). (Timescale not met) The registered person must obtain a certificate to evidence that the water is free from the legionella bacteria. The registered person must provide evidence that the home’s fixed electrical appliances have been inspected and tested in line with the 31/01/06 6 YA24 13 31/03/06 7 YA32 18 31/03/06 8 YA33 18 31/03/06 9 YA36 18 (2) 28/09/05 10 YA42 13 28/09/05 Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 27 recommendations of the Institute of Electrical Engineers and the Health and Safety Executive. (Timescale of 31/03/05 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 YA14 Good Practice Recommendations The registered person should provide service users with the option of an annual seven-day holiday as part of the basic contract price. Salisbury Court DS0000002910.V256820.R01.S.doc Version 5.0 Page 28 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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. 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