Inspection on 20/09/06 for Sandylee House

This inspection was carried out on 20th September 2006.

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

The inspector 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

Sandylee House 04/11/09

Sandylee House 28/05/08

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Sandylee House 54 Stafford Road Uttoxeter ST14 8DN Lead Inspector Mrs Mandy Brassington Key Announced Inspection 20 September 2006 09:30 Sandylee House DS0000067055.V302584.R02.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 Sandylee House DS0000067055.V302584.R02.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. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sandylee House Address 54 Stafford Road Uttoxeter ST14 8DN 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) 01889 568414 01889 568414 Dunstall Enterprises Limited Mr John Matthew Wade Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection This was the first inspection of the home. Brief Description of the Service: Sandylee is a care home for six people with learning disabilities and complex needs. The home was registered in April 2006 and is a modern detached building on the outskirts of Uttoxeter. The location of the home enables easy access to public transport. The centre of Uttoxeter is within walking distance where there is a range of facilities for leisure and shopping. The home has three floors; on the ground floor, there is the shared living accommodation. There is a lounge, a large kitchen with dining facilities, games room with a full size Pool table and a large conservatory and utility room. The garden area has decking and a range of garden furniture. There is a farm to the rear and neighbours do not overlook the property. There is a driveway to the front and side of the property for six cars, and a double garage with plumbing and electrics fitted. There are two large en-suite bedrooms on the first floor, and two rooms have the use of a shared bathroom. On the second floor, there are two large ensuite rooms. All rooms have been furnished and decorated to a high standard and individuals have been able to personalise the bedrooms according to personal interests. The property is suitable for the needs of service users with learning disabilities and complex needs. The home is owned by Dunstall Enterprises Limited and is managed by Mr John Wade. Mr Wade informed the Commission for Social Care Inspection on 26 September 2006 that the fee level for Sandylee is between £1,000 and £3,000 per week. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was an unannounced key inspection and therefore covered all of the core standards. The inspection took place over 7 hours by one inspector who used the National Minimum Standards for Younger Adults as the basis for the inspection. Prior to the inspection visit, survey information has been obtained from the service user and relatives. One comment card was received back from the service user. Feedback has been included within this report. A tour of the home was undertaken. The inspection included an examination of records, indirect observation, discussions with two service users, the manager, and the staff on duty. Case tracking of two care plans was undertaken. Three staff records were examined and observation of daily activities took place. The inspector ate lunch with the service user and visited a Church Coffee morning with the service user and staff. As a result of this visit, five requirements and two recommendations were made. This was considered to be a good inspection. What the service does well: Since the registration of the home in April 2006 the manager has demonstrated a commitment to providing a quality service tailored to individual’s needs. The home provides individuals the opportunity to live a socially inclusive lifestyle within a supportive environment. Individuals are able to access a variety of work and leisure pursuits, and are able to maintain relationships with family and friends. The staff at the home have a friendly and professional approach, and privacy and dignity are upheld within the home. Staff were heard offering choice and enabled the service users to make decisions in their daily lives. Being small in registration, the home is able to provide a homely and friendly environment and the physical environment exceeds the National Minimum Standards. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 6 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. Sandylee House DS0000067055.V302584.R02.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 Sandylee House DS0000067055.V302584.R02.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, 4, 5. The quality in this outcome area is ‘excellent’. This judgement has been made using available evidence including a visit to this service. The home provides detailed information regarding the service provided in easy read and symbols to enable individuals to make an informed choice about the home. EVIDENCE: The home submitted a detailed Statement of Purpose and Service user guide prior to registration. These documents are available in pictorial format to support individuals to gain information regarding the home. At present, the home accommodates two individuals. Inspection of records demonstrated each person had received a comprehensive Care Management Assessment and had an opportunity to visit the home prior to moving in. Discussion with one individual revealed they visited the home with a family member on several occasions when the home initially opened prior to deciding to move into the home. The manager reported that each individual has been issued with a contract detailing the terms and conditions of occupancy. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10. The quality in this outcome area is ‘good’. This judgement has been made using available evidence including a visit to this service. Plans of care record up to date information regarding daily activities and areas of risk, to ensure individuals are able to take responsible risks in the home and the community, and develop their independence. EVIDENCE: Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 10 Each service user had a comprehensive plan of care that contained personal information and a detailed plan of care for activities associated with daily living. Where a risk had been identified, the plan recorded the degree of risk and any action required to minimise risk. The home accommodates two individuals at present. One person has lived in the home since it has opened and the plan of care has recorded daily activities and developments since admission. A Support meeting had been conducted, which identified how the individual viewed the current situation, any concerns, activities or skills the individual would like to gain or be involved with. The care plan was discussed in detail with the individual. The plan did not contain evidence of service user involvement; the individual confirmed some parts of the plan had been carried out including the support meeting. A detailed record is reported three times a day; this is done independently of the service user. Discussion with the individual revealed they would like to take a more active role in the daily diary; this was discussed with the manager. It is required that the home record service user or their representative’s involvement and for individuals to take an active role in the care planning and recording process. One individual had moved into the home the month of the inspection. A plan of care was available and the manager reported that this was reviewed each week to ensure it reflected the current situation and met the needs of the individual. One individual stated they were supported to make decisions about their life and encouraged to take risks as part as an independent lifestyle. Decision making process covered areas of choosing meals, activities, liaisons with family and personal finances. Discussion with staff confirmed that individuals were supported to take an active role in their care. Discussion with staff demonstrated a good knowledge of the need to maintain confidentiality, and staff files contained a signed copy of the homes Confidentiality Policy. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17. The quality in this outcome area is ‘good’. This judgement has been made using available evidence including a visit to this service. Service users lead a socially inclusive lifestyle and are able to have access to a wide variety of leisure activities and work placements. EVIDENCE: Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 12 The home has been registered for six months and during this time, two individuals have moved into the home. One individual moved into the home the month of the inspection. The home is managed to support individuals to have a socially inclusive lifestyle and where possible to take the lead role in their own care. One individual attends a Day Service provision to ensure continuity of care from the family home, and one individual is supported by care staff in the home in a range of activities. Discussion with the individual revealed a preference for the current Day provision, as it was flexible. Since moving to the home, the individual has maintained close contact with family members and the local church. On the day of the inspection, the inspector accompanied the individual to a Church Coffee morning. From observation, it was evident that the individual had continued to play an active role in Church events, Social Activities and Church services. The service user reported on the previous day a ‘Beetle Run’ had been organised at the Church hal, and he had visited local places of interest through Day trips organised by the Church, including a Flower Show and visiting Derbyshire. Staff reported where individuals stay at home during the day, activities are conducted in the community in line with preferences, and in the home individuals are supported to develop living skills. One service user reported that he is now able to make his evening drink, make his breakfast, wash the crockery after meals and participate in the shopping. Discussion with staff revealed an awareness of local services and facilities and individuals used local shops and leisure venues. Comments from a service user regarding the lifestyle and the home included; ‘The staff help me to look after myself’ ‘I can do what I want here’ ‘I’ve really enjoyed to hard work here, I’d like to do lots more’ [in relation to physical maintenance tasks in and around the home] The manager stated service users are able to receive visitors on a flexible basis and able to spend time at the family home. There are no restrictions on visiting. On the day of the inspection, the main meal was served at lunchtime and consisted of Cottage Pie with a choice of desserts. One service user reported that he is able to choose his meals and is to start preparing his meals. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. The quality in this outcome area is ‘good’. This judgement has been made using available evidence including a visit to this service. Plans of care record how the home is meeting personal and health care needs. The systems for the health monitoring were good and arrangements were in place to ensure all identified needs were being met. EVIDENCE: Plans of care recorded the level of support each individual required, where an individual is independent in relation to personal care, staff ensure tasks are carried out with prompts. Staff used appropriate forms of communication throughout the inspection, discussing items with individuals and demonstrated a positive attitude. One individual has a Picture board to support communication. Staff had a good knowledge of the plans of care and needs. The plans of care recorded individual’s health needs, details of appointments and outcomes. Inspection of storage systems and records demonstrated medication is stored appropriately in a locked cabinet in the office, and the MDS System is used. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 14 Inspection of two staff records demonstrated staff have received training to safely administer. No homely remedies were kept on the premises. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 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. The quality in this outcome area is ‘good’. This judgement has been made using available evidence including a visit to this service. Service users have access to a complaints procedure and are aware of how to make a complaint and confident concerns will be addressed. EVIDENCE: One service user reported that he is responsible for his money. He has a personal Bank account and is responsible for withdrawals. He demonstrated a detailed knowledge of banking procedures. Discussion with the service user revealed he would like a lockable facility to keep excess monies; this was discussed with the manager who agreed this would be provided. One service user demonstrated he was aware of how to make a complaint and would report any concerns to the staff or the manager and was confident this would be dealt with. Discussion with staff revealed a good knowledge of the Vulnerable Adults Procedure and Whistle Blowing Procedure. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30. The quality in this outcome area is ‘excellent’. This judgement has been made using available evidence including a visit to this service. The home provides a high standard of accommodation and facilities and has been decorated and personalised by the service users. EVIDENCE: Sandylee is located in a residential area on the outskirts of Uttoxeter and accommodation is provided on the three floors, the bedrooms are accessed solely by stairs. The home was registered in April 2006 and as the property is four years old, it complies with current building regulations. The location of the home enables easy access to public transport. The centre of Uttoxeter is within walking distance where there is a range of facilities for leisure and shopping. On the ground floor, there is the shared living accommodation. There is a lounge, a large kitchen with dining facilities, games room with a full size Pool table and a large conservatory and utility room. The garden area has decking and a range of garden furniture. There is a farm to the rear and neighbours do Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 17 not overlook the property. There is a driveway to the front and side of the property for six cars and a double garage with plumbing and electrics fitted. There are two large en-suite bedrooms on the first floor, and two rooms have the use of a shared bathroom. On the second floor, there are two large ensuite rooms. All rooms have been furnished and decorated to a high standard and individuals have been able to personalise the bedrooms according to personal interests. One individual reported that he had viewed the available bedrooms prior to moving into the home. He had purchased electrical equipment and personal items to furnish his room. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36. The quality in this outcome area is ‘adequate’. This judgement has been made using available evidence including a visit to this service. The home needs to ensure robust recruitment procedures are in place to ensure the welfare of service users. EVIDENCE: The home’s shifts are flexible to suit the needs of the service users, though are generally across three day shifts. There is one staff member working on the early shift and two people working the late shift. At present, there is one waking night staff and one member of staff sleeping in. The manger stated that the Staff roster is to be kept under review according to the needs of the individuals and the number of service users living in the home. The home has provided a relatively stable staff team with additional shifts being covered by the staff team. Discussion with staff revealed there was a good team approach with good communication and flexible working. Staff were aware of individuals needs and how to support the service users. Inspection of two staff records revealed one staff record did not contain an application form and there was only one reference on file, and one file did not Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 19 include proof of identity. The manager reported that photographs had been taken but were not available as Identity cards were being produced. Criminal Record Checks had been undertaken in all instances. A review of the recruitment practice is required to ensure there are robust recruitment practices and all information as required in Schedule 2 is obtained prior to employment. It is recommended that the application form be reviewed to clearly indicate the dates of employment, in order that any gaps in employment can be investigated. Copies of staff supervision were made available and staff confirmed they received formal supervision monthly with the manager. The manager reported that the home is committed to developing the skills of the staff and aims for all staff to have the opportunity of gaining an NVQ Qualification. Staff records revealed that staff have received training for First Aid, managing behaviour, Epilepsy, Food Hygiene, Medication and Fire Training. Further training has been booked for Epilepsy, First Aid, Abuse, Food hygiene and managing behaviour for staff in October. Staff have not received any training for moving and handling, it required that this be provided. Staff complete an induction programme and initially work in a supernumerary role. A copy of the induction manual is kept on file. It is recommended that staff evidence the induction has been completed. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42 The quality in this outcome area is ‘good’. This judgement has been made using available evidence including a visit to this service. The manager is committed to provide a quality service for all the service users and develop staff skills. EVIDENCE: The manager demonstrated a commitment to developing a quality service and provide individuals with opportunities to develop within the home. He is committed to providing suitable training to ensure the staff have up to date knowledge and are competent in their role. Staff commented they feel valued and part of a close team and they would have no hesitation approaching the manager who is supportive and addresses any concerns. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 21 The health, safety and welfare of staff and service users were protected. Appropriate Gas, Electrical checks and Fire Safety were carried out as part of the registration process. Records demonstrated that: Hot Water Tap temperatures are taken weekly. Fire Alarms have been tested weekly and emergency lighting monthly. The last Fire drill was recorded on 30 August 2006. First Aid Boxes are checked weekly. A water sample was tested on 23 August 2006. Shower heads are sanitised monthly. Gas Safety certificate was issued September 2006. The Provider has carried out monthly unannounced visits to the home. The appropriate insurance certificate is in place alongside the homes registration certificate. The need to develop a comprehensive Fire risk assessment was discussed with the Manager. This is to be carried out by a competent person and is to include an Emergency Contingency Plan. The home is to develop a plan for ultimate evacuation to a place of safety and consider the needs of the service users and staffing levels. Due consideration is to be given to access alternative accommodation and emergency contact numbers. This plan is to be reviewed regularly and updated to reflect any changes. Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 2 4 3 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 2 27 4 28 4 29 4 30 4 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 4 14 3 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 2 X Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 15 (1)(2) Requirement Timescale for action 14/11/06 2 3 YA26 YA34 4 5 YA35 YA42 To evidence service user involvement and/or their representative with plans of care and reviews 16 (2)(c) To provide a lockable facility for personal finances 19 All staff files to contain a copy of (1)(a)(b)(i) identity, photograph, application and 2 references as detailed in Schedule 2 18 (c)(i) To provide moving and handling training 23 (4) To develop a comprehensive Fire risk assessment and emergency contingency plan. 14/10/06 14/10/06 30/11/06 14/11/06 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 2 Refer to Standard YA34 YA35 Good Practice Recommendations To review the application form to include months for previous employment Staff to evidence completion of induction Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Sandylee House DS0000067055.V302584.R02.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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