Inspection on 04/04/07 for Seton Hall

This inspection was carried out on 4th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Seton Hall 27/10/05

Seton Hall 31/05/05

Seton Hall 20/01/05

Seton Hall 14/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Seton Hall Ord Road Tweedmouth Berwick upon Tweed TD15 2UT Lead Inspector Anne Urwin Brown Unannounced Inspection 4th April 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seton Hall Address Ord Road Tweedmouth Berwick upon Tweed TD15 2UT 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) 01289 306391 01289 306391 shirley.mcdougal@setoncare.org.uk Seton Care Ltd Mrs Shirley Isabella McDougall Care Home 48 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (2), Old age, not falling within any other category (36) Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two identified persons under 65 years with dementia can be admitted for periods of respite. The total number of residents should not exceed the total registered. 27th October 2005 Date of last inspection Brief Description of the Service: Seton Hall provides residential care for up to forty-eight elderly people about a mile from the centre of Berwick upon Tweed. Bus and train links are available in Berwick town centre and a local bus service passes the drive entrance. The home is operated by Seton Care Ltd, a subsidiary of Berwickshire Housing Association. The accommodation is provided on two floors and there are very pleasant views of the surrounding area. The home is situated within its own grounds and has a short drive from the main road. Ample parking is now available. Day care is provided by separate staff from Mondays to Fridays. The Statement of Purpose is regularly reviewed and is available at the home. Information for prospective residents is also available. Copies of the last Inspection Report and Statement of Purpose are available in the front entrance hall at the home or on request to the home. Fees are £389.24 per week and the only additional charges are for newspapers and hairdressing. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on (date). • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & other professionals. The Visit: A key unannounced visit was made on 4th April 2007. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit (Delete if not applicable). We told the manager/provider what we found. What the service does well: Staff provide consistent individual care for service users based on good care planning and recording systems. Service users’ likes and dislikes are well known to staff. One service user said “the staff know what I need help with and are all kind and helpful.” Service users live in a homely, comfortable and well-decorated environment. Their rooms are highly personalised. There is a settled staff team and there are good communication systems in place. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 6 Staff said that they feel well supported by the manager and that there are good training opportunities. New staff receive appropriate induction training and are well supported by existing staff. This level of training and support means that staff are able to provide good, consistent care to residents. There is a good variety of food provided. Service users said they were very happy with the quality and quantity of food provided. The quality assurance system is effective in highlighting quality issues. The views of those living in the home are actively sought and acted upon. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2, 3 and 6 were inspected. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each person is supplied with a contract that clearly describes the conditions of residence and the rights of people living at the home. Peoples’ needs are thoroughly assessed before they move into the home and they are assured that these will be met. Intermediate care is not provided. EVIDENCE: An individual contract is in place for each person when they come to live in the home. The contract provides clear information about what is provided at the home and the service people can expect. One person who had recently come to live at the home said that he was aware he had a contract and had signed it. He said his social worker, family and staff had explained what was in the contract and he was clear about what support Seton Hall provided. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 9 Individual records inspected contain comprehensive assessments of need that is used to draw up individual care plans. Essential information about next of kin and professional contacts was available. People living in Seton Hall said that when they came to stay staff knew what their needs were. On person said that a staff member had visited them before they came to live at the home and they had discussed with them what help they needed. Care management assessments were also available. Staff said that they have enough information about peoples’ individual needs before they are admitted to the home. Intermediate care is not provided at Seton Hall and records confirmed this. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals’ health and personal care needs are identified within a care plan. Peoples’ health care needs are appropriately met. The home’s policies and procedures for dealing with medicines protect those living at Seton Hall. People are treated with dignity and respect and their right to privacy is upheld. EVIDENCE: Care plans based on individuals’ assessed needs are in place and these are regularly updated when needs change. Information is comprehensive and well recorded. Reviews of care plans are recorded and these happen at appropriate intervals. Risk assessments for falls and other needs are regularly reviewed. People living at the home said they were satisfied with the quality of care provided. One person said “staff know what I need help with and they come when I call for them.” Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 11 One visiting professional said in the questionnaire “they are extremely caring staff and both people living in the home and their families appreciate it.” Staff are involved in reviewing plans and showed a good understanding of individual needs during the inspection. Service users’ health care needs and any specific treatments are clearly recorded. All contact with the doctor, district nurse and other health care professionals is available in individual records. Risks for falls prevention, nutritional needs and skin care are regularly assessed and recorded. Service users said that the staff are aware of their health needs. They said they get support to attend appointments. Two service users said they were satisfied that they can access the health services that they need. One health professional said in the questionnaire that “staff work hard to individualise the care they give to suit each patient.” Another said that this is an excellent care home and staff followed treatment plans well. Medication policies are in place and those staff administering medicines have received accredited training. No one currently keeps control of his or her own medicines. Until recently one person kept his own medicines, but has recently requested staff take control of these. An appropriate risk assessment is completed for people who wish to administer their own medicines. The pharmacist visits every three months to check the stock of medicines, storage arrangements and the systems in place. The manager is currently reviewing the system used for administering medicines with a view to introducing a monitored dosage system. Two people said that they are happy with staff keeping their medicines as they feel this is safer and one person said he “knew that he will get the right things at the right time and that had been a problem at home.” People living in the home said that they felt that staff respect them and treat them very well. Staff were seen knocking on residents’ doors and speaking respectfully to service users. There was a relaxed atmosphere in the home. Staff induction training includes reference to privacy and dignity. Staff guidance is available about privacy and dignity and includes information about promoting equality and diversity. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 were inspected. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The lifestyle in the home suits peoples’ preferences and expectations with varied routines and activities. People living at Seton Hall are able keep in contact with family, friends and the local community with support from staff where necessary. Service users have control over their lives. The dietary needs of service users are well catered for with a balanced and varied selection of food. EVIDENCE: People living at Seton Hall said that they are able to make choices about their daily routines, like when they get up, go to bed and what they do with their time. Individual routines are identified within care plans. There is a programme of activities and information about this is available on the notice boards in the home. People coming to live in the home receive a welcome pack that describes regular activities and outings organised. Staff said that they are able to spend time on an individual basis with service users. In questionnaires people said that they are happy with the support provided by staff. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 13 The atmosphere is homely and people are encouraged to make choices about how they spend their time. There are videos, music tapes, newspapers and books available. One service user said she enjoyed spending time in her room. People living in the home said that they have regular visitors and this was evident from the Visitors Book and from seeing visitors coming in during the inspection. Two people said that they could see visitors in their own rooms or in the public areas of the home. Information is available for relatives about visiting and this is made available before a resident is admitted. One relative said that staff are welcoming and they enjoy visiting the home as there is a relaxed atmosphere. People are encouraged to continue to manage their finances for as long as they are able. They are encouraged to bring in furniture, ornaments and pictures from their previous homes. Rooms are personalised and reflect peoples’ interests and taste. People are encouraged to follow their own religion and local ministers visit the home regularly. The menu shows that a varied diet is provided that offers choice at each mealtime. Peoples’ likes and dislikes are recorded and the cook regularly consults with them about the food. The food served during the inspection was well cooked and presented. There is choice about where food is served so that people can choose to have their meals in their room or in the dining rooms. People living in the home said that the food is very good and that they have plenty of choice as well as being able to make suggestions for the menu. Staff showed that they were aware of individual needs and provided assistance with feeding in a sensitive manner. Questionnaires returned all gave positive feedback on the food. Staff have completed Food Hygiene training. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were inspected. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Complaints are listened to and acted upon. People living in the home are protected from abuse and they feel confident about raising issues. EVIDENCE: Guidance is available for dealing with complaints that includes an appeal process if people are unhappy with the outcome of a complaint. People living at Seton Hall said that they knew how to make a complaint and that they felt able to speak to the manager or the staff if they have any concerns. During the inspection it was evident that there was an open culture where people felt able to raise issues with staff. All complaints made and the actions taken in response to them were fully recorded. The home reviews the number and nature of complaints and uses the information in the quality assurance process. Policies and procedures provide clear guidance to staff about protecting vulnerable people and the action to be taken in the event of any allegations being made. People using the service are made aware of what abuse is and the safeguards in place for their protection. Access to external agencies is promoted. Staff were clear about the procedures to be followed if an allegation is made. Staff training has been provided in Protection of Vulnerable Adults. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20, 21, 22 and 26 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Seton Hall provides a safe, well-maintained homely environment for the people living there. There are sufficient appropriately equipped bathrooms and toilets to meet the needs of the people living at Seton Hall. Specialist equipment is available to maximise peoples’ independence. There are comfortable and safe indoor and outdoor communal facilities. The home is clean, pleasant and hygienic. EVIDENCE: Maintenance systems are in place and records are available of work carried out. The home is well decorated and furnished in a homely style. The garden is well maintained and parking is available to the side and front of the home. There is a shaft lift fitted to help people get to the first floor. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 16 All public areas of the home are well furnished and decorated. Separate areas are available on each floor for people who want to smoke. The arrangements for lighting are appropriate to residents’ needs with low level lighting available for reading and other activities in sitting areas and bedrooms. All questionnaires returned said that people found the home clean and fresh. People said that they were very comfortable and happy with the accommodation. They said they are able to move around the home easily and staff assist them when they need help to meet their needs. One person said she enjoyed spending time in her room, but went to join other service users for meals. Bathrooms and lavatories are equipped to meet the needs of the people living at Seton Hall. Individual records show that appropriate assessments are carried out where there is a need for specific aids or adaptations to meet people’s needs. A sluice is available on each floor. Hand washing facilities are available in each lavatory. People living at Seton Hall have access to all public and private areas of the home. Records showed that a physiotherapist or other appropriate professional has undertaken individual assessments that led to equipment or aids being provided for individuals. There are grab rails and other aids in corridors, bathrooms and lavatories to suit peoples’ needs. Call system points are fitted throughout the home as necessary. All rooms have windows for ventilation. Central heating is fitted and the temperature can be adjusted. Radiator guards are fitted to protect people living at the home. Tests are carried out annually on all electrical equipment and a gas safety check has been done in the past year. Thermostatic controls are fitted to all hot water outlets. The emergency lighting system has been replaced since the last inspection. The laundry is well equipped and washing machines have appropriate washing cycles for dealing with soiled linen. Written guidance is in place for the control of infection. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are sufficient to meet the assessed needs of the people living at Seton Hall, size, layout and purpose of the home. Staff have the skills to meet the needs of those living in the home. The staff recruitment procedures support and protect people. Staff are trained and competent to do their jobs. EVIDENCE: The rota showed that staffing levels are adequate to meet peoples’ needs. People living in the home said in questionnaires and during the inspection that there were enough staff on duty at the home. One person said that staff “come promptly when she rings for them and are always happy to help her.” Staff said that there are enough staff to cover the rota and that arrangements for covering holidays and sickness work well with people usually working extra hours when necessary or by relief staff providing cover. At night there are two waking night staff on duty and those living in the home said that they find this sufficient for their needs. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 18 Twenty-four staff have completed national qualifications in care. Staff have achieved a level of sixty-nine per cent of trained staff and this is well above the minimum requirements. Staff are committed to training and recognise the importance of gaining recognised qualifications. Staff recruitment policies and procedures are in place to protect people living at the home and records show that these are followed. Appropriate reference and Criminal Records Bureau checks are carried and evidence of these were in individual records. Training in the past year included Promoting Continence, Mental Health, Dementia, Protection of Vulnerable Adults, Handling Medication, National Vocational Qualifications at Level 2 and 3. Staff said that new staff receive appropriate induction training and records confirm this. They also said that there have plenty of opportunities to access training. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, and 38 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a home that is run and managed by a person who is appropriately experienced and qualified in caring for older people. The home is run in the best interests of those living there and an annual development plan was available. Service users’ financial interests are safeguarded. The staff are well supported and receive regular supervision from senior staff. Systems are in place to protect those living at the home and staff from health and safety hazards. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager is experienced in managing a care home. She has completed national qualifications in care and management leading to the Registered Manager’s Award. The manager regularly undertakes updating training. Her line manager left about six months ago and while a replacement was appointed this person was unable to take up the appointment. Recently another person within the organisation has undertaken line management responsibility for Seton Hall. Arrangements have now been made for regular supervision sessions. Staff said that they feel well supported by her. People living at Seton Hall said that they regularly see the manager and feel able to talk to her at any time. Three people said that they would speak to the manager if they had any problems. Systems are in place for regularly checking out the quality of the service using questionnaires and audits. An annual development plan is in place for Seton Hall and is currently being updated. People living at Seton Hall were very satisfied with the quality of care provided for them and this was clear from speaking with them and from questionnaires submitted before the inspection. Guidance is in place for staff about handling peoples’ money that protect those living in the home. The records of transactions of money held are kept in good order. The manager regularly checks the money held for individuals against the records. Samples of money were checked and balanced with the records. Arrangements for the safe storage of money are satisfactory. Training in moving and handling, first aid, fire safety, food hygiene and infection control is provided at regular intervals. Records showed this and staff said that they receive this training. Records showed that regular checks are made of electrical equipment and the central heating system. Risk assessments are in place for safe working practices. Staff said that they receive appropriate induction training and records are in place to confirm this. Records of fire alarm tests, servicing of fire equipment and the alarm, fire training and emergency lighting are kept in an appropriate manner. Full details of accidents are kept. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 4 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 3 3 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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 OP31 Good Practice Recommendations The manager should receive regular supervision throughout the year. Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Seton Hall DS0000051545.V330131.R01.S.doc Version 5.2 Page 24 - 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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