Inspection on 15/01/07 for Shandon House

This inspection was carried out on 15th January 2007.

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

Shandon House 30/01/06

Shandon House 11/05/05

Shandon House 09/11/04

Shandon House 04/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Shandon House 3 Mill Road Eastbourne East Sussex BN21 2LY Lead Inspector Gwyneth Bryant Unannounced Inspection 15th January 2007 08:00 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 Shandon House DS0000021211.V323527.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. Shandon House DS0000021211.V323527.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shandon House Address 3 Mill Road Eastbourne East Sussex BN21 2LY 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) 01323 723333 01323 410129 breel990@aol.com Mrs Lindsey Bree Mrs S Bree Nicola Louise Moss Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Shandon House DS0000021211.V323527.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That a maximum number of service users to be accommodated is (25) twenty-five. That service users must be aged (65) sixty-five years or over on admission. 30th January 2006 Date of last inspection Brief Description of the Service: Shandon House is registered to provide care and accommodation for up to 25 service users . The home is a large detached three-storey house in the Ocklynge area of Eastbourne. A lift is available to facilitate access to all floors. Twelve of the twenty-five rooms have en-suite facilities and all have at least a hand washbasin. There is a large lounge, separate dining room and a conservatory. The home has a well-maintained rear garden and ample parking to the front of the house. Regular social activities are arranged within the home plus outings to places of interest, the cost of which is subsidised by the home. There are five communal toilets and five bathrooms all of which are assisted. Prospective service users or their representatives are invited to visit the home in the first instance at which time they are provided with an information pack that includes a summary of the homes statement of purpose, the service users guide and a copy of the contract. A second visit for a meal or overnight stay is encouraged. A care needs assessment is carried out prior to the service user being admitted to the home. Contracts are completed at the time of admission and a copy of the homes latest inspection report and the statement of purpose is held in the homes entrance hall. The range of fees charged as from 1 April 2006 is from £322.40 to £370 per week which includes in-house activities and basic toiletries. Additional charges are made for hairdressing, chiropody, newspapers and dry cleaning. Intermediate care is not provided. Shandon House DS0000021211.V323527.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations`2001 uses the term ‘residents’ to describe those living in care home settings. For the purpose of this report, those living at Shandon House will be referred to as ’residents’ at their own request. This was an unannounced inspection and there were twenty-three people in residence on the day. The inspection was undertaken over 8.5 hours and a number of documents and records were viewed; including personnel files, medication charts and care plans. A tour of the premises was carried out. Six residents, four relatives, two carers, the manager, a district nurse and the registered providers were spoken with. Prior to the inspection a pre-inspection questionnaire was sent to the home to be completed with information required as part of the inspection process. This was returned and information detailed is used in this report. Fifteen surveys were returned and comments were in the main positive and included: ‘I am very happy and contented’. ‘I am quite happy and satisfied’. ‘my first impression was a feeling of warmth among the staff, and a very homely home’. ‘we visited many homes,… Shandon fitted all requirements, apart from being warm and friendly, we were offered the last inspection report to read’. ‘she (mother) has always been very well cared for. The staff are warm and friendly and relaxed and I feel very happy with all aspects of her care here’. ‘after living her over a year, I find it quite satisfactory’. ‘I would and DO recommend this home to anyone. We are very well cared for and there is always someone to listen or talk to if the need arises’. ‘since I have been here, nearly 3 years now I have been very happy and made new friends’. ‘many improvements this year – 2006- well done Shandon – A well done to all staff’. What the service does well: The residents and relatives spoken with all had very positive comments to make about the home, its staff and all aspects of the service provided. There is a comprehensive care planning system in place that ensures residents’ social, personal and healthcare needs are identified and planned for. The atmosphere in the home was very comfortable and communication between the staff and residents was friendly and relaxed. All parts of the home are clean, tidy and well maintained. Shandon House DS0000021211.V323527.R01.S.doc Version 5.2 Page 6 The home has a well trained staff team who have a good understanding of the needs of the people living at the home. Routines are flexible enabling residents to maintain control over their daily lives. Residents are encouraged to undertake varied activities both within and outside the home, therefore providing mental and physical stimulation. Quality monitoring system have been created to enable the registered providers to objectively evaluate the service provided and appropriate systems are in place to ensure all aspects of residents health, safety and welfare are protected. 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. Shandon House DS0000021211.V323527.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 Shandon House DS0000021211.V323527.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 and 4. Standard 6 is not applicable. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Satisfactory pre-admission assessments are carried out prior to residents moving into the home which ensure that their needs can be met and they are provided with detailed information on services provided by the home. EVIDENCE: The Statement of Purpose and Service Users Guide have recently been updated and contain all the information required so prospective residents and their representatives are able to make an informed choice about where to live. Pre-admission documentation was viewed for recent admissions and it is evident that these documents are used effectively to ensure the home is able to meet the needs of prospective residents. Each of the relatives and residents spoken with confirmed they had received detailed information on the services provided. Comments in surveys in respect of pre-admission processes included: Shandon House DS0000021211.V323527.R01.S.doc Version 5.2 Page 9 ‘A good information booklet was provided’. ‘I think someone recommended it to me’. ‘as soon as we walked into the home it felt the right place’. As part of the pre-admission process residents and their representatives are given a questionnaire to ensure they were given appropriate information prior to admission, explore any outstanding problems and inform the quality monitoring process. Intermediate care is not provided. Shandon House DS0000021211.V323527.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, 10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning systems provide staff with clear direction as to how to meet all aspects of residents’ personal and health care needs. Residents are protected by satisfactory systems for the recording, handling and storing of medication EVIDENCE: Five care plans were viewed in conjunction with daily records and it is evident that residents care needs are identified and planned for. Care planning documents included information on meeting residents’ healthcare needs such as dental, hearing and eyesight checks and also provided clear direction to staff as to how residents daily care needs are to be met. Risk assessments had been carried out and they clearly identified the hazards and included sufficient detail for the management of risks. There was evidence to show that residents were involved in the care planning process and this was confirmed by two residents who agreed that the plans were discussed with them. Each of the relatives spoken with also confirmed that they are kept informed of any Shandon House DS0000021211.V323527.R01.S.doc Version 5.2 Page 11 changes to care needs. During the staff handover session and in discussion with the manager it was evident that staff are aware of residents’ individual needs and that communication between staff and management is good. Throughout the inspection staff were noted to treat residents with care and respect and it was evident that good working relationships had been developed. Comments from residents and relatives included: ‘the staff are so cheerful and kind,’ ‘I cant fault them’, ‘they have been just brilliant’. Medication records and storage arrangements were viewed and systems remain effective. Two minor errors were found in the medication administration system but the manager was able to deal with this with immediate effect and will also develop further monitoring systems to prevent future errors. Only staff who have been trained, administer medication and this was confirmed by staff spoken with. Medication is stored in a locked cabinet and additional lockable storage is made available to those residents who wish to self medicate. Comments in surveys in respect of care given included: ‘excellent’ ‘all the staff are very caring and helpful’. ‘If I need a doctor, an appointment is made for me and I am taken to the surgery by a member of the staff, or my doctor comes to me’. ‘staff have always kept us informed if there has been a medical problem’. The district nurse was spoken with and she confirmed that the home makes appropriate referrals and that staff follow her instructions when dealing with wound care. The nurse said that Shandon House was one of the better homes in Eastbourne. Shandon House DS0000021211.V323527.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. This judgement has been made using available evidence including a visit to this service. There are systems in place for residents to experience a lifestyle that matches their expectations, choice and preferences in respect of both leisure and meals. EVIDENCE: The home has a varied programme of activities both during the morning and afternoons. These activities included extend exercises, quizzes, bingo, arts and crafts, sing-a-longs and visiting entertainers. Religious needs are met either by visiting ministers or going to the local churches. All residents and relatives spoken with confirmed there is a variety of activities arranged, in addition to outings and visit to local attractions. One relative said that the summer barbeque and Christmas party were very enjoyable and it was lovely to be able to socialise with residents on these occasions. Residents are encouraged to go out independently and some were seen to be going out on the day of the site visit. Relatives spoken with said they are invited for meals and staff always offer refreshments and make them feel welcome. Comments in the returned surveys included: Shandon House DS0000021211.V323527.R01.S.doc Version 5.2 Page 13 ‘there are various activities provided to cater for all tastes’. ‘I am not interested in joining in things’. ‘with my mothers deafness and near blindness it is very hard to find activities, but Shandon House are exploring other possibilities’. ‘many extra events in 2006 - well done Shandon’. ‘great efforts made by staff’. Nine of the returned surveys stated that they could participate in activities ‘usually’ or ‘sometimes’. Menus were viewed and demonstrated that meals were nutritious and well balanced. All relatives spoken with felt the meals were very good and most residents agreed. One resident said they liked small meals and ‘had an understanding’ with staff to have a small meal and ask for more if required. Another resident said they would prefer vegetables to be cooked longer but generally liked the meals provided. Comments in surveys included: ‘there is always a choice of meals….. sometimes the vegetables could be hotter’. ‘very good’. ‘when we have sandwiches for supper it would be nice to have a cup of tea with them’. ‘the staff go out of their way to find something that she (mum) will eat. They have been very flexible and patient in what she eats and where she eats’. ‘very satisfactory’. ‘visitors are always made welcome (expected or not) and always able to stay for a meal’. Of the fifteen returned surveys seven, in response to the question about meals said that they liked the meals ‘sometimes’ or ‘usually’ the other eight said they always liked them. Care plans included special dietary needs and nutritional charts are maintained for those residents who need them. One carer was observed to be providing assistance and encouragement with eating for one resident who had been unwell. Shandon House DS0000021211.V323527.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 good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure with evidence that residents feel that their views are listened to and acted upon and residents are further protected by satisfactory adult protection systems. EVIDENCE: The home has policies and procedures on complaints and a summary is in the statement of purpose and in the homes hallway. The complaints book was viewed and the two complaints since the last inspection had been dealt with in line with the homes policies and procedures. In addition to recording formal complaints, the home maintains a ‘queries and concerns’ book to record minor issues such as food not being hot on a particular day, that are dealt with immediately. In response to the survey question asking if they knew how to make a complaint comments included: ‘I have never had any cause to make a complaint’. ‘I would go to the office, or ask anyone who came into my room’. ‘I could make a complaint to anyone’. ‘complaints are dealt with quickly and efficiently’. ‘I have never had a problem but would know who to speak to if need be’. Shandon House DS0000021211.V323527.R01.S.doc Version 5.2 Page 15 The home has policies and procedures on adult protection and staff are expected to be familiar with this document. There is a rolling staff training programme that covers all aspects of the Protection of Vulnerable Adults. One carer spoken with was aware of what constitutes abuse and the procedures for reporting an allegation. Shandon House DS0000021211.V323527.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, 24 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The standard of decor within the home is good, and all areas are homely, safe and comfortable for residents. EVIDENCE: A tour of the premises was carried out and all parts of the home are well maintained and décor is generally good. The provision of radiator guards was discussed with one of the registered providers who carries out most of the maintenance. This discussion found that guards had been fitted in bedrooms on a prioritised basis, based on detailed risk assessments in respect of residents’ disabilities. Those radiators that still need guards have either been turned off or protected by furniture ensuring that residents are not at risk. The home maintains a rolling programme of maintenance and renewal ensuring all areas remain pleasant and safe for residents. Residents’ bedrooms were well maintained and pleasingly decorated and it was evident that residents are able to bring in their own possessions in order to personalise their bedrooms. Shandon House DS0000021211.V323527.R01.S.doc Version 5.2 Page 17 Residents spoken with said they felt their rooms were pleasant, comfortable and one relative said that as soon as her mother mentioned a bed not being comfortable it was replaced. Reponses to the survey question about the environment included: ‘the home is very clean …. And there is no smell in the home, its always fresh, its just like home’. ‘my room is always clean as (as the rest of the home). On the day of the inspection the home was clean and satisfactory systems were in place to control the risk of infection. The laundry was clean, with washing machines that wash soiled laundry at high temperatures. Staff were observed to be working in ways that minimised the risk of infection, by wearing gloves and aprons when required. Shandon House DS0000021211.V323527.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. This judgement has been made using available evidence including a visit to this service. Care staffing levels are sufficient to ensure that residents’ needs are always appropriately met. The recruitment practice is robust and provides sufficient safeguards for the protection of residents and staff have sufficient training to ensure they are competent to do their jobs. EVIDENCE: Pre-inspection information from the manager indicates that staffing ratios are sufficient to meet residents assessed needs and this information also confirmed that of the twelve staff, six have achieved National Vocational Qualification level 2 or above, in care. Three staff a re working towards this qualification and the one carer spoken with confirmed they are due to begin the NVQ 2 course during January. Comments in surveys were variable and included: ‘always available and always very helpful and caring’ ‘staff are usually very helpful when available but over recent months there appear to have been a shortage of staff’. ‘there is always help and advice, no matter how large or small the request may be’. ‘the staff are all friendly and very helpful’. ‘sometimes I have to look for staff’. Shandon House DS0000021211.V323527.R01.S.doc Version 5.2 Page 19 Evidence was available to demonstrate staff received additional training in manual handling, emergency first aid, infection control and safety and the safe handling of medication to ensure they are sufficiently skilled to meet residents’ needs Residents spoken with said they felt well cared for and confirmed that staff answer call bells promptly. Staff spoken with were confident with the support and direction provided by the manager and were noted to be comfortable in approaching her with any concerns. Recruitment records for the last three staff recruited were viewed and it was found that they had provided the required documentation prior to appointment and all necessary checks had been undertaken including Criminal Record Bureau checks and Protection of Vulnerable Adults First Checks. The home has comprehensive induction staff training programmes and one carer spoken with confirmed she had an induction period. Shandon House DS0000021211.V323527.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, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff and residents benefit from clear leadership and direction and all aspects of residents’ health, safety and welfare are protected and promoted. EVIDENCE: The manager has the required qualifications in management and care and is experienced in the care industry. The home uses a variety of information to inform the quality monitoring system including minutes from staff and residents meetings, complaints and concerns and inspection reports. In addition further information is gathered from the annual questionnaires completed by residents and relatives. Residents are responsible for their own finances if appropriate; relatives and solicitors support others. The home does not handle residents’ finances and if Shandon House DS0000021211.V323527.R01.S.doc Version 5.2 Page 21 items are bought for them a receipt is obtained and the costs added to the monthly invoice. Information in the pre-inspection document confirmed that safety checks are carried out on all electrical and gas systems and appliances and that they are serviced annually. In addition documents relating to safe working practices and Health and Safety are available and regularly reviewed. Accident records were viewed and it was found that they are appropriately maintained in accordance with health and safety guidance. The manager said she regularly reviews these records in order identify potential hazards and as part of the quality monitoring system. The home has a comprehensive fire risk assessment, including an evacuation plan and, on the day, fire consultants were on the premises in order to reassess the fire precautions to ensure the home meets the latest fire safety guidance. In addition an environmental health officer carried out an inspection and the subsequent report demonstrated that food hygiene was satisfactory and no requirements were made. Shandon House DS0000021211.V323527.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 X 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 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 Shandon House DS0000021211.V323527.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 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Shandon House DS0000021211.V323527.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Shandon House DS0000021211.V323527.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!