Inspection on 28/10/05 for Shaftesbury Rest Home

This inspection was carried out on 28th October 2005.

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

Shaftesbury Rest Home 13/11/08

Shaftesbury Rest Home 13/03/07

Shaftesbury Rest Home 24/01/06

Shaftesbury Rest Home 23/11/04

Shaftesbury Rest Home 14/05/04

Shaftesbury Rest Home 11/11/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Shaftesbury Rest Home 49 Shaftesbury Avenue Highfield Southampton Hampshire SO17 1SE Lead Inspector Chris Johnson Unannounced Inspection 28th October 2005 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Shaftesbury Rest Home Address 49 Shaftesbury Avenue Highfield Southampton Hampshire SO17 1SE 023 8058 4478 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) northoverresthomes@tiscali.co.uk Mr Roy Clive Northover Mrs Heather Northover Ms Paula Smith Care Home 17 Category(ies) of Dementia - over 65 years of age (17), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (17), Old age, not falling within any other category (17) Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents in the categories MD(E) and DE(E) not to be admitted under the age of 55 years 23rd November 2004 Date of last inspection Brief Description of the Service: Shaftesbury Rest Home is a care home providing care and support for 17 older people with care and support needs associated with old age, dementia and mental health. Mr and Mrs Northover have owned the home for the past eighteen years. Ms Paula Smith oversees the day-to-day management of the home. The home is situated in the residential area of Highfield and within walking distance of Portswood shopping centre. Accommodation is spread over two floors and comprises of nine single bedrooms and four shared rooms. Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over one day on the 28th October 2005. The purpose of this visit was to carry out an inspection of the home and follow up on requirements made at the last inspection. The registered manager assisted the inspector for the first part of the inspection and then due to other commitments the second half of the inspection was conducted with the assistance of the deputy manager. Written and verbal feedback was supplied to the manager on the 2nd November 2005. The findings of this report are based on a number of different sources of evidence including; a pre inspection questionnaire completed by the manager prior to the inspection, comment cards from residents a tour of the premises that included looking at service user’s bedrooms. Staff and care records were inspected. A group discussion was held with seven residents and several other residents were spoken with individually. At the time of this inspection there were thirteen residents living at the home. What the service does well: What has improved since the last inspection? All requirements and recommendations made at the last inspection have been dealt with. Residents have renewed contracts informing them of their rights. Carpets have been replaced and some areas of the home have been redecorated. The safety of the garden has been improved with the introduction of signs warning drivers to drive slowly and beware. Residents have a greater Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 6 opportunity to be involved in drawing up their care plans and efforts have been made to gain their views on the running of the home. 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. Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 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 Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4,5 and 6 The home operates a thorough admission and assessment procedure ensuring that they can meet peoples’ needs prior to them moving in. Service users and or their representatives are made aware of their rights and of the terms and conditions, including the cost of living at the home. EVIDENCE: Residents had been issued with revised contracts since the last inspection; detailing fee increases for the current financial year. Service users sign to say they that they agree with these conditions wherever possible. Relatives or a representative of the service users sign and agree contracts where it would not be appropriate to ask the service user to do so. The manager carries out thorough assessments prior to offering someone a place at the home. Assessments are carried in the home wherever possible as well as the person’s current accommodation such as hospital. Assessment tools are comprehensive and records of all assessments were available. The manager uses different assessment documents depending on where the assessment takes place. However it was not always clear whether the assessment had been at the home or elsewhere and the manager was advised Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 9 to make this clearer. It was also advised that care management assessments are obtained wherever possible. All residents spoken with said that they had the opportunity to visit the home, have a meal and see the room on offer before making a decision whether to move in. Residents also said that they considered that their needs were being met. Care management reviews are undertaken within the home with the involvement of the service user and or their representative. Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Support with personal and healthcare needs is well managed and offered in such a way as to promote service users privacy, dignity and independence. However an improvement is needed in ensuring that all needs are fully assessed and addressed. The current telephone facilities do not promote privacy. EVIDENCE: Each service user has an individual plan of care. These provide detailed information, with clear and specific guidance as to the level of assistance that service users require with their personal care needs. The information recorded in the care plans addressed service user’s abilities with regard to personal care and would suggest that service users’ independence is promoted. There was also evidence that wherever possible and appropriate residents had been involved in formulating their plans as previously required. Care plans did not however provide sufficient detail regarding service users’ mental health needs or how these were to be met. Although risk assessments had been completed some were not dated. It is important that all documents are dated in order to ensure that reviews take place on a regular basis. Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 11 Records were available to demonstrate that residents’ healthcare needs are monitored and they are given sufficient support to access healthcare as necessary. Residents said that they had access to a range of services such as GP’s, Dentists, Chiropodists and district nurses. Residents said that staff contacted healthcare support as and when they needed it and that it was dealt with for them. Medication is well and appropriately managed. Records are well maintained and policies and procedures are correctly followed. Residents reported that they received their medication at the correct time and frequency. Residents told the inspector that staff respected their privacy. This was supported by the guidance in care plans, the use of screens in shared rooms, door locks and observations during the inspection. Residents also have the use of another room should they wish to speak to visitors in private or to attend meetings in private. Currently the only phone available for residents and staff to use is situated in the kitchen. Residents are generally given privacy should they wish to make or receive a call. However, due to the location of the phone there could be times when this is not possible such as during meal preparation. Contrary to this, the homes Statement of Purpose states that residents’ privacy is guaranteed when using the telephone, it also states that, ‘ A telephone is available in the reception area’. One solution to this problem may be the addition of a cordless phone system. This would ensure privacy and could also provide a solution to the issue of summoning sleep in staff as discussed under standard 19 of this report. Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 and 14 Residents have the opportunity to engage in different activities, and make their own decisions about how they spend their time. EVIDENCE: Residents said that they considered that they had sufficient activities. Outside entertainment is brought into the home once a week and all residents spoken with said that they enjoyed this. Residents also have the opportunity to assist with light domestic chores within the home should they so wish. One resident said that he enjoyed helping to make drinks and load the dishwasher. Residents have the freedom and can choose how to spend their time. Residents said that staff did have time to sit and chat with them. All residents spoken with said that they could receive visitors as and when they chose. Some residents are able to access the local community unsupported and one said that he often visited the local shopping centre as it was within walking distance from the home. Residents have unrestricted access to all communal areas of the home. During a group discussion residents said that they liked the fact that they had been able to bring some of their own furniture and belongings with them. It was noted that a notice displayed in the lounge to inform residents of the activities was out of date and did not reflect what was currently on offer. It was advised that this should be removed and replaced as this can cause confusion and is not a true reflection of what activities were available. Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Satisfactory systems are in place for service users to address any concerns or complaints that they may have. EVIDENCE: There had not been any complaints made about the home since the last inspection. A complaints procedure is displayed within the home informing service users of their right to complain and how they can go about this. A copy is also supplied with the home’s Service User Guide. None of the residents spoken with were aware of the actual procedure although all said that they would speak to the manager should they have any concerns. One person commented, “She is a good listener”. It would however be advisable to discuss the procedure during a residents meeting. It was also advised that the home obtain a complaints record book should there be a need to record any complaints in the future. The proprietor visits the home monthly in compliance with Regulation 26 of the Care Homes Regulations. During these visits residents are talked with and any complaints are monitored. All residents spoken with said that they felt safe and well looked after in the home. Comments received included, “It is easy going, they listen to what we have to say” and “ We are well looked after”. Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,24,25 and 26 High standards of hygiene are maintained throughout the home and safety equipment is provided. The physical environment continues to be improved, however there remains scope for further improvement. The current system for summoning staff support at night needs to be improved. EVIDENCE: On the day of the inspection the home was clean and tidy. A cleaner is employed to work at the home on a part time basis and it was evident that standards of hygiene are maintained. Residents were all in agreement that their rooms were regularly cleaned and that they were happy with the standard of hygiene. Bedrooms contain sufficient furnishings and residents had been able to personalise them with their own belongings. Since the last inspection photographs of residents had been attached to their bedroom doors to assist with orientation. Adequate adaptations and equipment are available to meet the needs of the current service users. These include a passenger lift to enable service users to Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 15 access all floors; bath hoists to enable safe use of the bath and call bells were fitted in all bedrooms seen. Service users reported that staff responded to call bells promptly. The home is well maintained and the upkeep of the home is regularly monitored. Action plans are implemented to rectify any work that is identified as needing to be done. Requirements made at the last inspection regarding the safety of the garden had been met. However consideration should be made to installing gates between the drive and garden to minimise the risk to residents who are inclined to wander and to provide greater security to those living and working at the home. The home does have sufficient bathing facilities. Residents did comment that as there is only one toilet on the ground floor this meant that they either had to queue or use the bathroom on the first floor if the downstairs toilet was occupied. Access to the first floor is by way of a passenger lift and staff support is available. It would be advisable to consider whether another toilet could be installed on the ground floor. Some furnishings and carpets had been replaced since the last inspection and some areas of the home had been redecorated. The inspector did note that some of the chairs in the main lounge were very worn and will need to be replaced. Several of these chairs are vinyl. Whilst it is accepted that these are practical and assist with maintaining hygiene, they are do not provide a homely appearance. The current method for the waking night staff member to summon and contact the sleeping night staff person if they required assistance does need to be improved. A call bell is situated in the kitchen and this is linked directly to the staff sleep in room. This was in good working order and adequately loud to rouse the attention of the sleep in staff member. However due to the size and layout of the building this system is completely reliant on the staff member being able to access the kitchen. There is a risk that if a staff member were in another part of the building or in a resident’s bedroom they would be unable to raise the alarm. Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 and 29 Service users are provided with a consistent and reliable service. The staff team are caring and reliable. Staffing levels are maintained and the home has a good level of staff retention. Recruitment procedures need to be more robust to ensure that service users are not potentially put at risk. EVIDENCE: The home has a well-planned rota and provides a sufficient level of staffing to meet the needs of the current residents. All residents spoken with or who returned questionnaire were complimentary about the staff attitude and commitment to their jobs. All residents said that they were “friendly” and “helpful”. People also said that staff were understanding and obliging. The home benefits from having a high level of staff retention. Several members of staff have worked at the home for a considerable time. This proves beneficial to residents as they retain the same care workers and therefore receive a consistent and reliable service. Staff training remains ongoing. Currently four members of staff hold an NVQ level 2 qualification and four others are due to complete the course in November 2005. The home should achieve a 50 ratio of staff trained to this level by the end of the year. Both the manager and the deputy manager are currently undertaking a Registered Manager qualification. The recruitment records for a member of staff recruited since the last inspection were checked and found to be lacking. It was found that Criminal Records Bureau and Protection of Vulnerable Adults checks had not been Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 17 completed until three months after the person had commenced working at the home. In addition to this only one reference had been obtained. The manager said that she was aware of the correct recruitment procedure and that she had previously discussed this issue with the providers and had taken steps to ensure that this did not happen in the future. Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33, 34,35 and 38 The manager is accessible and sensitive to the needs of service users. The home is well managed and staff receive a good level of support. Health and safety is promoted. Systems are in place to safeguard service users finances. Some additional safeguards need to be introduced to ensure the safety of any other valuables looked after on service users behalves. EVIDENCE: The manager has worked at the home for several years and demonstrated a caring and sensitive approach to the needs of the residents. The manager is open and staff and residents reported that she was approachable and accessible. This is aided by, her working alongside staff and supporting residents with their needs. Requirements and recommendations from the previous inspection had been met within previously agreed timescales. Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 19 The management responsibilities are shared between the manager and a deputy manager whom has been recently appointed into the post. This appears to be working well and the rota has been structured to provide maximum management cover at any one time. Staff receive regular one to one supervision and this is well managed and planned and recorded appropriately. The home is regularly visited and monitored by the proprietors and reports are submitted to the Commission for Social Care Inspection as required. It would be advisable that during these visits samples of care plans and other relevant documentation are checked, in addition to what is currently being checked and that this is included in the report. This will assist with monitoring quality assurance. Quality assurance tools had been devised and implemented since the last inspection. This included the introduction of informal residents’ meetings and a comments book. A questionnaire was also being developed to ascertain the views of visitors and relatives and on the inspector’s advice this was being adapted to send to health and other professionals linked with the home. The home does manage and look after several residents’ money. This was found to be stored safely. Checks were made of several balances and all were correct and had been properly receipted and recorded. It was noted that other items of value such as cheque books, were being looked after. Records were not maintained for these and this will have to be done in the future. The home appeared to be safe and from inspection of the fire log book regular and thorough testing of the homes fire detection equipment had taken place. Residents and staff take part in regular fire drills and in conversation with one resident it was clear that they were aware of the fire evacuation procedures. Staff receive regular training in fire safety and a current fire risk assessment of the building was in place. There were no concerns as to the financial viability of the home. Improvements continue to be made to the physical environment and a current employers liability certificate was on display. Certificates were available to demonstrate that equipment and aids used in the home are regularly serviced and tested. Fridge and freezer temperatures are checked and recorded twice a day and all hazardous substances were stored safely. Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 20 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 2 X X 3 Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 21 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 OP7 Regulation 13 (4) Requirement Care plans must address mental health needs and provide clear guidance as to how these needs are to be met. That residents are provided with telephone facilities enabling them to make and receive private telephone calls at any time. In line with what is detailed in the Statement of Purpose. The manager must ensure that the person on waking nights is able to summon the assistance of the person undertaking sleeping in duty, wherever they may be in the building. An action plan must be submitted detailing the plans to replace the lounge chairs. Staff must not commence work at the home until all satisfactory checks have been made in line with the regulations. You must ensure that an accurate written record is kept of all valuables looked after for Service users. Timescale for action 28/12/05 2 OP1OP10 16 (2) (b) 28/01/06 3 OP19 23(3)(b) 28/11/05 4 5 OP19 OP29 16 (2) 19 (1) (b) 20/12/05 29/10/05 6 OP35 17(2) Sch 4 (9) 28/11/05 Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 22 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 3 Refer to Standard OP3 OP16 OP20 Good Practice Recommendations It is advised that care management assessments are obtained for any prospective resident whom is either fully or partially funded. It is advised that the complaints procedure is discussed and explained during a residents meeting. Consideration should be made to installing gates between the drive and garden to minimise the risk to residents who are inclined to wander and to provide greater security to those living and working at the home. Consideration should be given to whether another toilet could be installed on the ground floor. 4 OP21 Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Shaftesbury Rest Home DS0000011848.V252094.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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