Inspection on 31/08/06 for Salisbury Park (31)

This inspection was carried out on 31st August 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 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 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Salisbury Park (31) 11/06/07

Salisbury Park (31) 09/01/06

Salisbury Park (31) 21/07/05

Salisbury Park (31) 17/01/05

Salisbury Park (31) 12/05/04

Salisbury Park (31) 03/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Salisbury Park (31) 31 Salisbury Park Woolton Liverpool Merseyside L16 0JT Lead Inspector Lynn Sharples Key Unannounced Inspection 31st August 2006 09:45 Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 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 Park (31) DS0000025164.V298611.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 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 Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Salisbury Park (31) Address 31 Salisbury Park Woolton Liverpool Merseyside L16 0JT 0151 722 9729 0151 722 9729 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) www.c-i-c.co.uk. Community Integrated Care Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th January 2006 Brief Description of the Service: 31 Salisbury Park is a care home registered with the CSCI to provide care and support to three adults with a learning disability. The home is part of the Community Integrated Care network of small homes. Salisbury Park is situated in the Woolton area of Liverpool and is close to local amenities, bus and rail routes. The care home is of a bungalow construction and all facilities for residents and staff are situated on one floor. The home is accessible for wheelchair users and is generally well maintained. The three residents who live at Salisbury Park were formerly resident in the companys home in Cardwell Road, Liverpool. They moved to Salisbury Park as it provided ground floor accommodation. The fees for the home are £390.18 per week. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home did not know about the visit and took place over two days, as the manager was not on duty on the first day of the visit. The manager and staff were spoken with and time was spent interacting with the service users. Files relating to the service users and the home were read and the premises toured. What the service does well: What has improved since the last inspection? What they could do better: The care plans should be reviewed regularly with the service users and their representatives. All appropriate activities should be risk assessed. The service users should have access to an occupational therapist and a learning disability Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 6 nurse. The service users should have regular access to a doctor and a chiropodist/podiatrist. A stock count should be kept of all medications. The staff team should receive training in physical intervention. The aids and adaptations used by the service users should be assessed by an appropriate professional and be safe. The staff should have two references and police checks on file. The staff team should have regular, recorded supervision meetings. 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. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and Service User Guide provides sufficient information for prospective service users to be clear about the services the home provides to meet their needs. EVIDENCE: The statement of purpose was reviewed in March this year and contains all the relevant details, as does the service user guide. The three service users at Salisbury Park had lived together in another of Community Integrated Care (CIC) homes in Cardwell Road Liverpool and had been there for some time. The move to Salisbury Park was agreed to provide ground floor accommodation for the service users one of who had a risk assessment in place around the use of stairs. Most of the staff from Cardwell Road moved to Salisbury Park with the service users. The transfer was completed over a period of time. Staff brought the service users to visit the home and to look around. They spent some time in the home and had meals there before moving in. The property was smaller than their former home but is more suitable for their needs. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 9 The service users care files contained an Assured Tenancy Agreement for Maritime Housing, who owns the property and a set of terms and conditions of residency provided by CIC. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 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 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. There is clear care planning in place to adequately provide staff with the information they need to satisfactorily meet service users needs. The lack of some risk assessments leaves the service users unprotected from harm. EVIDENCE: The home operates a key worker system and each service user has an Essential Lifestyle Plan (ELP) that provides holistic information regarding their assessed needs, likes/dislikes, and personal goals. In addition, service users have a care plan, which documents how individual needs are generally met. Care plans are clearly written in a simple and easy to understand style. One service user presents challenges to the service and the guidelines are not detailed or specific regarding what the actual challenging behaviour is and exactly what to do. It is important that these guidelines are reviewed with an appropriate professional to ensure that the service users challenging behaviour is addressed correctly. The ELPs have not been reviewed since January 2005. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 11 The care plans should be reviewed with the service users and their family/advocate and appropriate professionals at least annually. None of the three service users are able to communicate verbally and they do not have Makaton or other communication skills to convey their wishes. However, the staff team have developed an understanding of body language and gestures that are unique to each service user and have recorded these in the care plans to help new and existing staff understand what the service user might be trying to say. The care plans also record what staff should do when a service user does not wish to comply with what they are trying to achieve. It was evident through observation that the staff team at the home respect the service user wishes and are expected to work with them to ensure they are supported safely. It is recommended that the service users have access to a local advocacy group to ensure that they can make independent decisions about their lives with assistance. The social inclusion and choice record would assist the staff identify what choices the service users make if it were filled in. Risk assessments are in place on the service users files and are reviewed regularly. They identify any particular hazards and give advice to staff on how they should be managed. These include: - environmental, health and handling risk assessments. One service user occasionally goes swimming and due to their medical condition should have a risk assessment. The risk assessment regarding challenging behaviour should be more detailed to include any physical intervention that is used. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 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): 12,13,14,15,16,17 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. Service users engage in community and leisure activities appropriate to their age. This ensures that the service users lifestyle aspirations are addressed. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: A weekly activity sheet was in place on each of the service users’ files. This forms the basis of activity but factors such as the weather and other events occurring in the home could mean that the programme would be changed. Daily records indicate that the service users access a variety of activities. The home has television, radio and music facilities and service users enjoy spending time in the garden when the weather is good, going for walks, going to the cinema and eating out in pubs and restaurants. One of the service users enjoys swimming. The home has its own minibus. Other activities recorded Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 13 included, help with shopping for food, visits to local places of interest, quiet times in the house and shopping for personal items. The staff team go with the service users to the local shops and use community facilities such as pubs and cafés. On the day of the visit the service users were going out later to finalise the details of their holiday abroad next month. One service user visits their family on a regular basis, visitors do come to the house and if necessary the service users can see their visitors in private. The staff team were observed interacting appropriately with the service users and treating them with respect. The service users spent time in the lounge and in their own rooms. There are menus displayed in the kitchen, but this is a guide, if service users want alternatives this can be accommodated. The social inclusion and choice record in the care files records what the service users have eaten that day. The menus were varied and nutritious. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome is poor. This judgement has been made using available evidence including a visit to this service. The service users receive the appropriate personal support in the way they prefer and require. The lack of specialist support means that the service users are at risk of harm. The lack of records of visits to the doctors means that their health needs appear not to be met. EVIDENCE: Care plans identified the ways in which personal care tasks should be undertaken for individual service users. They also identified what staff should do if a service user was unhappy about a particular task being carried out. Service users should receive additional, specialist support and advice from occupational therapy regarding the aids and adaptations in the bathroom and a nurse regarding challenging behaviour and physical intervention. It is recommended that the home seek advice from a continence nurse. The service users’ files contained sections for staff to record contacts with health care professionals. All the service users have a Health Action Plan. All of the service users had been registered with a local doctors practice, however the records indicate that the doctor has not seen them for over twelve months. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 15 The manager said that they had been to the doctors but the staff had failed to record these visits. It is important that the service users are offered a minimum annual health check. There were records of visits to the dentist and to the optician where appropriate. The last visit to the chiropodist was in March this year, it is recommended that the chiropodist be consulted about the number of visits the service users need each year. None of the service users would be able to manage their own medicines. A check of medicines kept in the home identified that those supplied in “ blister packs” were being managed appropriately. The medication administered “when necessary” of paracetamol did not have a stock count; this was discussed with the manager who said that this would be rectified. The staff are to receive medication training in December this year. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The home has a documented complaints procedure to ensure service users views are listened to and acted upon. Systems are in place to ensure that service users are safeguarded from abuse and harm. The lack of physical intervention training leaves the service users at risk of harm. EVIDENCE: The home has a detailed policy and procedure with regard to the protection of vulnerable adults and the procedure for whistle blowing by staff. There have been no complaints since the last and the visit CSCI has not received any complaints. The staff demonstrated an awareness of how to ensure service users were protected from abuse and the staff team have received training in adult protection. The staff and the manager discussed the physical intervention used with one service user where they “guide” a service user. The staff place their hands on the service user and “guide” them and this constitutes physical intervention and, therefore, staff require training in a specific technique and the care plans and risk assessments need amending accordingly. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 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): 24,26,27,29,30 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The home overall provides a safe well-maintained environment that meets service users needs and allows them to live in safe, comfortable surroundings. The lack of aids in the bathroom leaves the service users at risk of harm. EVIDENCE: The home is a three-bedroom bungalow situated on a small estate of private properties in the Woolton area of Liverpool. The home is well decorated and is fitted out in a comfortable domestic style. There is a programme of redecoration and the lounge has been redecorated. Service users are accommodated in single rooms. All three bedrooms have been individually redecorated this year and the damaged furniture has been replaced. Two of the rooms have not been personalised with pictures/photographs and do not have a light shade on the main light in the room. All the bedrooms are lockable and had the keys to the rooms in the doors. It is recommended that these are stored securely and highlighted in the care files where they are kept. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 18 There are two shower rooms with a toilet one is usually used by the staff and guests. One relative commented that the men should have access to a bath, this was discussed with the manager and it is recommended that the home write to the parents to explain why the home only has a shower. The bathroom used by the service users is in need of redecoration. The service users use a shower chair to assist them to have a shower; the chair has not been assessed by an appropriate professional and does not appear to be the correct chair. The service users use the shower pole to get up from the chair, this is an unsafe practice and they could fall and injury themselves, an appropriate professional should advice the home about the correct aids to use in the bathroom, as a matter of urgency. A separate utility room holds a washing machine and tumble dryer but a second tumble dryer has been fitted in the kitchen because neighbours complained of the noise from the existing appliance, during the night. The home was clean and free from malodour on the day of the visit. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 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): 32,33,34,35,36 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The recruitment practices are inadequate and appropriate checks are not carried out, hence the service users are put at risk. The staff training provided does not ensure that the staff team are equipped to meet the needs of the service users. EVIDENCE: Three of the six staff team have the NVQ level 2 and one is waiting to start the course. The staff on duty demonstrated a good understanding of the service users needs and specific medical conditions of the service users. They were observed spending time with the service users and interacting appropriately. There are usually two members of staff on duty during the day and one waking night staff. There is a low sick record and the staff team know the service users well. There are regular team meetings that are recorded. The staff are fully aware of the communication used by the service users. An examination of a sample of staff records indicated that most staff had two references, enhanced CRB checks, statements of terms and conditions on their Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 20 personnel file. Two staff files that were examined only had one reference on file and one member of staff did not have an up to date police check. All staff have a training and development plan. The staff spoken with said that they have received training in adult protection, food hygiene, first aid and manual handling in the last twelve months. Not all the staff have received 5 days training in the last twelve months. It is recommended that the staff receive training in epilepsy, administering rectal diazepam and person centred planning training. The staff team have received at least two or three formal recorded supervisions in the last twelve months. The staff spoken with said that they had recently had supervision but it was not regular, but that the manager was approachable. It is important that the staff receive regular recorded supervisions to enable the translation of the home’s philosophy and aims into work with individuals. The staff teams work with individuals should be monitored and support and professional guidance offered. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 21 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 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The record of self-review by the registered provider is good and provides the home with adequate quality assurance. EVIDENCE: The manger is not registered with CSCI but they are waiting to be interviewed this month and they have started their NVQ 4 award. They have worked with the current group of service users for some considerable time. The staff team said that the manager was approachable and supportive. The home carries out regular quality assurance audits and the Service Manager visits the home monthly and also carries out a thorough audit of service users’ health and welfare, accidents, risk assessments both personal and environmental, staffing levels and other issues. The use of an advocate would assist with the feedback from service users. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 22 The home has been visited by a fire officer a tour of the building confirmed that it was free from hazards. Risk assessments were in place and staff were aware of their responsibilities to maintain a safe environment. The staff team attend fire drills on a regular basis. Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 X 29 2 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 X 3 X 3 X X 3 X Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 24 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 14 Requirement The registered person must ensure that the care plans are reviewed regularly with the service users and their representatives. The registered person must ensure that the all appropriate activities are risk assessed. Timescale for action 02/10/06 2. YA9 13 02/10/06 3. YA18 12 The registered person must 02/10/06 ensure that the service users have access to an occupational therapist and a learning disability nurse. The registered person should ensure that the service users have regular access to a doctor and a chiropodist/podiatrist. The registered person should ensure that a stock count is kept of all medications. The registered person must ensure that the staff team receive training in physical intervention. The registered person must ensure that the aids and adaptations used by the service users have been assessed by an DS0000025164.V298611.R01.S.doc 4. YA19 13 02/10/06 5. YA20 13 02/10/06 6. YA23 13 02/10/06 7. YA29 14 09/10/06 Salisbury Park (31) Version 5.2 Page 25 appropriate professional and are safe. 8. YA34 19 The registered person should ensure that the staff have two references and police checks on file. The registered person must ensure that staff team have regular, recorded supervision meetings. (This requirement remains unmet timescale 06/03/06) 09/10/06 9. YA36 18 (2) 09/10/06 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 YA7 Good Practice Recommendations It is recommended that the service users have access to a local advocacy service to assist them with making independent decisions. It is recommended that where appropriate the service users have an assessment by a continence nurse. It is recommended that the service users bedrooms are individually personalised and have a light shade over the main light in their bedrooms. It is recommended that the bedroom be redecorated. It is recommended that the home’s manager consult with a suitably qualified specialist regarding the shower chair. It is recommended that all the staff have an individual training and development assessment and profile and at least five paid training and development days (pro rata) per year. It is recommended that the staff receive training in epilepsy, administering rectal diazepam and person centred planning. 2. 3. YA18 YA26 4. 5. 6. YA27 YA29 YA35 7. YA35 Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Salisbury Park (31) DS0000025164.V298611.R01.S.doc Version 5.2 Page 27 - 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. 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