Inspection on 22/07/08 for Shandford

This inspection was carried out on 22nd July 2008.

CSCI found this care home to be providing an Excellent service.

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

Shandford 05/10/06

Shandford 23/11/05

Shandford 21/06/05

Shandford 02/02/05

Shandford 12/10/04

Shandford 26/01/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Shandford 31 Station Road Budleigh Salterton Devon EX9 6RS Lead Inspector Teresa Anderson Unannounced Inspection 10:00 22nd July 2008 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 Shandford DS0000022028.V364820.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. Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shandford Address 31 Station Road Budleigh Salterton Devon EX9 6RS 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) 01395 443326 becky@shandford.wanadoo.co.uk www.shandford.com Shandford Residential Care Home Limited Miss Susan Marie Bissett Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th October 2006 Brief Description of the Service: Shandford Care Home is a large detached property in the coastal town of Budleigh Salterton. It is owned by a not-for-profit organisation and is overseen by a voluntary committee. Personal care and accommodation is provided for up to 25 residents who have needs relating to old age. The home is situated within pleasant and level gardens a short walk from the sea front and town centre. There are some local shops and a large public green nearby. There are two lounges, one on each floor and a dedicated dining room. There is a 6-person passenger lift and parking is available. Shandford has been extensively modernised and extended since it was first acquired in 1958. It has recently undergone further improvements to extend the lounge and dining room and to add a treatment room, an assisted bathroom and a sluice. 18 of the 25 bedrooms now have ensuite facilities. Current fees range from £350.00 to £430.00 These fees do not include items such as toiletries, newspapers and hairdressing. Information about this home, including reports, is available direct from the home and from their website www.shandford.com Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This unannounced inspection took place as part of the normal programme of inspection. It was undertaken over one day. During that time we (the commission) spoke with some people who live here, a visitor, the manager and office manager, two members of care staff and with the cook. The care and accommodation offered to three people living here was inspected closely. This gives an overview of how peoples needs are being met and helps us to understand the experiences of people using the service. We also observed the care and attention given by staff to people living here. We saw all the communal and service areas of the home and some bedrooms. Before the site visit the manager provided information about the home that we have used to inform this inspection. We sent surveys to residents and 5 were returned and to staff and 4 were returned. We also asked for comments from health and social care staff who visit the home. Feedback and comments are included in the report. Records in relation to assessment, care planning, medication, staffing, training, recruitment and residents monies were inspected. What the service does well: Shandford is a care home that provides a friendly and well-managed service. People living here describe is as ‘home from home’, where they are safe, listened to and treated with respect. The home is clean and safe throughout and the people who live here feel proud of their home. The gardens are well kept and there are seating areas where people sit in the fine weather. The home has an excellent website which provides up to date information about the home and events taking place. In addition the home provide a written guide which is easy to read and accurate. Care planning and delivery is aimed at providing individual care and at promoting health as well as meeting needs. Feedback from health and social care professionals is very positive. People living here say their needs are well met by ‘golden staff’. We found that staff are well trained and supported to meet the needs of people living here. There is a strong emphasis on individual care and on treating Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 6 people with dignity and respect. Medications are well managed and people are supported to manage their own medicines if they wish. People living here benefit from a varied social programme that includes singalongs, quizzes, yoga, a church service, visiting theatre groups and outings. There is a photographs album recording all these events, and which can be used to help those people with memory problems to chat about their lives. People say the food served here is good and that it meets each person’s individual preferences. The food is nutritious and varied and presented in an attractive way. Neither the commission nor the service have received any complaints about this service. People tell us their grumbles and requests are dealt with immediately and effectively. People are kept safe from harm by ‘kind staff’ and by a manager who is familiar with, and who uses, locally agreed safeguarding procedures and who has good staff supervision procedures in place. 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. Shandford DS0000022028.V364820.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 Shandford DS0000022028.V364820.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): 1, 2, 3, 4 and 5. This home does not provide intermediate care. Quality in this outcome area is excellent. People who consider coming to live here have excellent information about the home and undergo thorough assessments to make sure their needs can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys all the people who responded say they had enough information about the home. The also say they have a contract. We looked at some of these and found them to be clear and updated when and if necessary. Each person who considers coming to live here is assessed prior to moving in. We saw that these assessments provide staff with good information about each person and their needs. We also saw that additional information is collected from health and social care staff that helps to inform the plan of care. Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 9 Following this assessment, each person is written to informing them about whether their needs can or cannot be met. We spoke to some people and they say they, or their representative, visited the home and that they liked the atmosphere and the staff. They say their impression was that the home was ‘relaxed’. One person said this gave them a feeling of security and well-being. People say that their first impressions of the home were right and that they made a good decision coming to live here. This service provides a comprehensive guide to the home. There is also a website which is updated weekly. This includes photographs of important or recent events. Relatives report they are sent copies of these photographs and that they can use the information they see to talk about when visiting their relatives or friends. Shandford DS0000022028.V364820.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): 7, 8, 9 and 10. Quality in this outcome area is good. People living here have their health and care needs anticipated and met through good planning and delivery of care. They are treated respectfully and as individuals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys all the people who responded say that they always receive the care and support they need from staff. In addition they report that when medical and nursing care is needed that staff quickly make a phone call to ensure they get this support. We looked at some care plans and found them to contain all the information staff need to meet peoples needs in an individual way. Each month care plans are reviewed with the person they relate to. Mostly these are carried out meaningfully. However, we noticed that on a very few occasions that some Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 11 staff had not taken into account all the information relating to that person which, had they done so, might have resulted in a change to the plan of care. We saw that referrals are made to healthcare professionals when needed. Healthcare professionals told us that staff here communicate well with them and that they always follow the advice given to a high standard. When we spoke with staff they demonstrate a good understanding of the information in care plans and are familiar with peoples care needs. When asked to describe the care they give to named individuals they described how they deliver the care in a way that not only meets each persons needs but which is also delivered in a way that takes into account each persons preferences and idiosyncrasies. This shows that people are treated and respected as individuals. Staff report that they have enough information about the people they care for. They say they always get a really good handover before they start work, which keeps them up to date with people and their needs. They say that communication between staff is generally good. We looked the way medicines are managed. We saw that people who are able to do so manage their own medicines, or part of this, if they wish. We found that medicines are stored safely and securely and that records are up to date. We counted some medicines and found that they correspond to the records of how many there should be. We saw that medicines that need to be kept refrigerated are in a dedicated fridge and that the temperature of this is recorded. We noticed that the fridge does not have a lock on it but noted that it is always kept in a locked room and that only eye drops are currently being kept in here. We spoke to people living here about how staff respect their privacy. They say that staff knock on bedroom doors before entering and that they ‘know when to turn their eyes away’. We saw staff generally being respectful, polite and yet friendly. For example we saw staff providing support in a way and at a pace that suits each person and we saw staff respectfully and patiently listening to and responding to someone who was having a conversation that was very hard to understand. Shandford DS0000022028.V364820.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): 12, 13, 14 and 15. Quality in this outcome area is good. People are supported to continue making choices about their lives and to stay in touch with their friends and relatives. The food served here is nutritious and much enjoyed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys people say there are always or usually activities they can join in with. When we spoke with people they talked with pride of the things they had done. One person told us about the quizword game they had won, another told us how the mayor had visited the home and another showed us a photograph of a visit by donkeys from the local donkey sanctuary. People told us that they have yoga classes and that an entertainer comes in, and that they have a good ‘sing songs’ arranged by the committee. In addition outings are arranged to local venues such as the seafront and local garden centres, and a theatre group has put on productions in the home. Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 13 We saw in the most recent photograph album that there had been a party to celebrate one person’s 100th birthday. Photographs of this and other events are also on the website. Staff say that they have time to spend with the people who live here and that people often enjoy sitting and having a chat about local and national events. There is a large television in the lounge which people can watch easily and there are areas in the lounge where people can for example sit and chat, read or knit. The home has a ‘ladies committee’ who are very highly regarded by the people who live here. These people visit the home, chat with people living here, help to organise events and outings and provide a shopping service. Some relatives are sent photographs of events so that they can keep in touch with what is happening, and the administrator receives emails on behalf of the people living here and passes these on. Everyone we spoke with told us how much they enjoy the food. They say that it is well cooked and that although the cooks are cooking for everyone that they know what each person likes. People say the food is always nicely presented and that there is plenty of variety. They say that they are always offered seconds. People also told us that they make choices about how they spend their days. For example, they decide what time to get up, go to bed, what to wear and what and where they eat. They decide where they sit and who they socialise with. Many people living here have developed friendships with other residents and enjoy chatting with them. Shandford DS0000022028.V364820.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): 16 and 18. Quality in this outcome area is excellent. People are kept safe from harm; they are listened to and their views and requests are acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys all the people who responded say that staff listen and act on what they say. They say they know who to talk to if they are not happy and how to make a complaint. People spoken with say they have no complaints at all. They say that any ‘minor grumbles are very few’ and are acted upon immediately. The commission has not received any complaints about this service. We spoke to staff about what they do if people make a complaint. They say that this home receives few complaints. However, any requests such as for less sugar in the sugar bowl, are acted upon ‘because it is important for that person’. Staff have received training in safeguarding people and show a good understanding of what abuse is and what to do if they suspect or see this. The manager has had cause to use safeguarding procedures and did so swiftly and appropriately. She has arranged for extra supervision and training for one member of staff. Her handling of this and good record keeping resulted in a Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 15 speedy resolution involving an issue where the member of staff was not suitable to work with older people. People say they feel ‘completely safe’ and well cared for. They say staff are always kind and helpful. Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 16 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): 19, 20 and 26. Quality in this outcome area is good. People live in a homely, clean and safe environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since Shandford was first used as a care home in 1958 it has been extensively modernised. 18 of the 25 bedrooms now have ensuite facilities. Bathrooms have been upgraded to make bathing for people with mobility problems easier. A sluice has been installed to help promote infection control. Redecoration and replacement of carpets and furniture is ongoing, helping to ensure the home is well furnished and cared for. The manager reports that some fire doors are being upgraded (even though this is not required by law) and that some new armchairs have been ordered. Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 17 We noticed that the carpet in the downstairs lounge needs some attention as it has developed a crease that may be a trip hazard. The manager has agreed to address this immediately. The garden is tidy and has seating areas for people to sit out in. At the last meeting people asked for replacement parasols and the manager is arranging this. In surveys and when we spoke with people, they say the home is always clean and fresh and that the cleaners work hard to keep it this way. They say the home always ‘looks nice’ and it’s ‘nice for the visitors and we are proud of where we live’. Staff were observed adhering to infection control procedures to ensure good hygiene practice. In addition the manager has demonstrated a good knowledge about the procedures to follow in the event of an outbreak of diarrhoea and/or vomiting. Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 18 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): 27, 28, 29 and 30. Quality in this outcome area is good. People living here are supported by skilled staff who undergo robust recruitment and are employed in sufficient numbers to meet needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In surveys and when we spoke with people, they say the staff are ‘wonderful’, ‘lovely’ and ‘kind’. They say they are always available when needed and that the majority make sure they have what they need so that they don’t have to call them unnecessarily. One visitor described staff as ‘golden people’, another said that staff had offered ‘kindness and friendship’ and that ‘staff take the time to make conversation with visitors’. Another person said that staff are ‘patient and professional’. There are usually 4 carers and a senior carer on duty in the morning, 2 carers and a senior carer in the afternoon and 2 carers at night. In addition the Registered Manager is extra to these numbers, there is an office manager, a deputy manager, a cook, cleaner and kitchen assistant. Care staff launder people’s personal items of clothing but larger items such as sheets are sent to an outside laundry. Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 19 Some staff say that more staff are needed. However the people who live here think there are enough staff. In addition staff told us the home is relaxed, that they feel they have ‘time to really care’ for people and that they are encouraged to take time talking to and being with the people who live here. We looked at three staff files to check how staff are recruited. As has consistently been the case, all staff undergo the necessary checks prior to being employed. This includes obtaining proof of identity, two written references and carrying out a police check. Staff told us about their induction training and how this had equips them to care for people living here. One staff member said ‘I worked with someone else for two days before I was allowed to work alone’. Another told us they had only worked at the home for a short time, and that during this time they had had induction and other training. This person felt it had been delivered in a way and at a pace that helped them to really understand the training. All the staff we spoke with or who returned surveys say the training they receive equips them to do a good job. In addition 10 of the 18 care staff (56 ) hold a National Vocational Qualification in care. This is above the national target of 50 . Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 20 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): 31, 32, 33, 35, 36 and 38. Quality in this outcome area is excellent. People living here can be assured that this is a safe home run in their best interests. Managers and staff work hard to enhance the quality of people’s lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of this home, Susan Bissett, consistently demonstrates a sound knowledge base and competency. She has good experience of working with people with physically disabilities and with the elderly. She has a positive attitude towards learning, and to gaining and passing on new information for the benefit of people living here. Ms Bissett is also a member of the Skills for Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 21 Care group in Devon that looks at and provides training for carers in Devon. She has been the manager of this home since 2004 and has led the team to raise the standards of care to its current excellent status. We ask each home to provide an Annual Quality Assurance Assessment. This home provided us with comprehensive information and sent it to us in the time agreed. People living here tell us how much the like living here. One person said ‘I have only been here 6 weeks, and I am very happy’. People say the management committee are ‘wonderful’ and really help them to enjoy life. They say that they feel this is their home and visitors say ‘there is a real family atmosphere where each person is important’. Staff say the manager looks after everyone’s needs, including staff, and that she works hard to make sure the home is a family home. Staff say that people living here are listened to and that they are treated as individuals. One carer said ‘I feel privileged to be part of this team’. We found that staff understand that they are part of a team working to make sure people get the care they need in a way that suits them. We found that everyone understands their role and that if they have any concerns the manager will address these. Staff told us, and records show, that staff receive regular supervision and are encouraged to further develop and use their skills. Office management systems are excellent meaning that the home runs smoothly and with seemingly little effort. However, our inspection shows that the manager and office manager work very hard to create and maintain the systems that make this home efficient yet homely. Regular feedback is sought from people who live here and from relatives. The results of these surveys are posted on the website and in the home. We saw, on the notice board, the outcome of the well attended ‘residents meetings’ where people talk about what is happening in the home and what might improve it. Suggestions made by the people living here, such as new garden parasols, are acted upon. We looked at records and saw that regular maintenance checks, including fire checks, take place ensuring the home is safe. We checked how people’s monies are managed by looking at three people’s accounts. We found good records are in place, all purchases are receipted and that the monies recorded as being in the account matches with the monies we counted. Shandford DS0000022028.V364820.R01.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 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 4 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 4 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 x 3 3 x 3 Shandford DS0000022028.V364820.R01.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. Standard Regulation Requirement Timescale for action No requirements were made at this inspection 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 OP7 Good Practice Recommendations Care plans should be reviewed using all the information available. This will help to ensure that all care delivered is the most appropriate. Medicines being stored in the drugs fridge should be kept under review and if necessary, a lock should be put on this fridge. The crease in the lounge carpet should be dealt with to help minimise the risk of people tripping. 2. 3. OP9 OP19 Shandford DS0000022028.V364820.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Shandford DS0000022028.V364820.R01.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. 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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