Inspection on 06/09/05 for Shapland Close

This inspection was carried out on 6th September 2005.

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

Shapland Close 06/10/09

Shapland Close 11/02/09

Shapland Close 15/01/08

Shapland Close 07/09/06

Shapland Close 04/01/06

Shapland Close 07/09/04

Shapland Close 29/04/04

Shapland Close 17/02/04

Similar services:

The Vicarage

7 Hyde Road

5 Seafield Road

Trevaylor Manor

12 Orchard Mews

Stallcombe House

Stepping Stones

Cornerstones

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

CARE HOME ADULTS 18-65 Shapland Close Wilton Road Salisbury Wiltshire SP2 7EJ Lead Inspector Alison Duffy Unannounced 6 September 2005 th 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Shapland Close Address Wilton Road Salisbury Wiltshire SP2 7EJ 01722 419777 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) SCOPE Mrs Elizabeth Jean Tooze Care Home 8 Category(ies) of PD Physical Disability (8) registration, with number of places Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th September 2005 Brief Description of the Service: Shapland Close is a residential care home registered to care for eight adults with a physical disability. The home is situated on the outskirts of Salisbury, within close proximity to local amenities. The home is managed by SCOPE and the Registered Manager is Mrs Elizabeth Tooze. Shapland Close consists of two purpose-built bungalows with disabled access throughout. Each bungalow has four single bedrooms, a spacious lounge with dining area, an adjoining kitchen and specialised bathing facilities. A range of individualised, specialised equipment is also in place. All areas of the home are well maintained and decorated and furnished to a high standard. An additional bungalow contains the office and staff sleeping in room. Staffing levels are maintained at a minimum of five during the day. This enables two to be in each bungalow with an additional member of staff responding to individual need between the two. At night there is one waking night staff member in each bungalow. Another member of staff provides sleeping in provision and an on call management system is also in place. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 6th September 2005 from 9.20am 3.10pm. Three service users were within the home and all others were out at their day services. Mrs Tooze was available throughout the inspection and received feedback. The inspector toured the accommodation with Mrs Tooze and met with service users and staff. Care planning and daily information, the fire log book and personnel records were viewed and the medication systems were examined. It was not possible to gain specific feedback from service users regarding care provision. Due to this, interpretation of wellbeing was based on various observations and interactions. Throughout the inspection, positive and productive relationships were evidenced. What the service does well: What has improved since the last inspection? What they could do better: All service users have a detailed plan of care, specific programmes and a number of risk assessments. Although the information is of a good standard, the omission of dates and poorly evidenced reviews, gives insufficient clarity regarding the relevance of information. Attention should be given to individual staff training profiles as documentation was reported to be an inaccurate reflection of completed training. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 6 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. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this occasion, as there are no expectations of any changes to the service users living within the home. EVIDENCE: All service users have lived at the home for a number of years. Mrs Tooze reported that all service users are currently well and their needs are being met with good support from other professions such as GPs, physiotherapists and occupational therapists. Due to the long-term nature of placements and the current well being of service users, changes are not expected. The above standards were therefore not inspected on this occasion. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 7 Care planning is detailed and comprehensive yet insufficient reviewing systems do not confirm the relevance and accuracy of information. Staff fully promote decision-making and various systems are in place to enable this. EVIDENCE: All service users have an individual plan of care, which is kept in their private accommodation. The documents are very detailed, comprehensive and informative. All contain preferred daily routines, assistance required with daily living tasks, communication plans and specific programmes such as physiotherapy. A number of risk assessments are also apparent. Although the information is detailed, much of the documentation is not dated. It is therefore not apparent whether the information is an accurate reflection of current need. Some material, however, such as physiotherapy programmes and risk assessments are dated yet require review. Mrs Tooze believed that staff had reviewed much of the information although have not evidenced such. Attention is therefore required to address this matter. Some care plans at this present time do not have a photograph within. Mrs Tooze reported she would address this accordingly. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 10 Through discussion and observation it was apparent that service users’ right to decision making is extremely important. The process however, is very much related to individuals’ ability and some service users require staff to make all such decisions. In such instances, some service users rely on staff to recognise visual signs, gestures, emotional expressions and sounds. Some service users use communication books and recognise some makaton. Communication channels are clearly recorded within care planning information. Service users also have regular access to specialised services in order to develop and promote systems to aid communication. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 14, 15 and 16 Staff promote opportunities in order to enhance service users’ quality of life. Visitors are welcome and hospitality is evident. Service users’ rights are fully promoted and various systems are in place to facilitate this. EVIDENCE: Through discussion, observation and viewing documentation it was apparent that considerable thought is given to enhancing service users’ quality of life. Some service users attend varying placements during the day. This enables opportunity for development and access to specialised services such as physiotherapy and music therapy. In the absence of such a day placement, for example within the summer break, staff developed an individual varied programme of events at home. Purpose was given to this including a walk by the river with a target of looking for specific items. Themes were then followed through with research at the local library and relevant craft sessions. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 12 Quality one-to-one time with service users is promoted and facilitated in relation to individual interests. The use of the foot spa, manicures and sensory stimulation such as lighting and music appeared important. External activity is promoted and trips to the cinema, places of interest, walks and meals out are regularly enjoyed. The home has its own transport to facilitate journeys as required. Due to difficulties involved with undertaking an annual holiday, this year, it was agreed that service users would have seven days out instead. Mrs Tooze reported that this had worked well although on request a holiday had been arranged for one service user. Service users are encouraged to meet with their families and keep in regular contact as appropriate. There are no restrictions on visitors to the home or the times they visit. Service users can meet with their visitors in the privacy of their own rooms or any of the communal areas. Some service users visit their parental home on a regular basis. On the day of the inspection staff appeared relaxed and hospitality was evident. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Service users’ health and personal care are well managed. Well-organised medication systems currently minimise the risk of errors to service users, yet standardisation, if possible, would enable further protection. EVIDENCE: Service users have profound and multiple disabilities and therefore require full support and assistance with all daily living tasks and routines. A range of specialised equipment is available and documentation demonstrates certain procedures. Some service users are unable to give an opinion regarding how they wish their care to be given and are reliant on staff to assess facial expressions, body language or emotion. Other service users are further involved and make decisions such as preferred routines and choice of clothing. The home operates a key worker role, which was reported to work well. Service users have access to a range of specialised services within their day service placements and through specific referrals. Mrs Tooze reported that excellent GP support is received and six monthly health care reviews are held. These include a review of medication. Service users generally attend the GPs’ surgery although home visits may be made as required. A number of health care issues are currently being monitored and regular consultation with identified professionals is being undertaken. An efficient service was also reported with wheelchair services. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 14 The home uses a monitored dosage system for administering medication although one service user’s medication is managed differently. This was identified at the last inspection and it was recommended that the system should be standardised. Such standardisation was discussed with Mrs Tooze and it was agreed that at this time, the matter is beyond the home’s control. All medication was stored appropriately in a locked cupboard in the kitchen. Medication administration sheets were signed appropriately and demonstrated receipt of medication. Separate documentation countersigned by the pharmacy collector, confirmed medication disposal. Staff are able to refer to clear procedures and since the last inspection Mrs Tooze reported that the homely remedies list had been reviewed. It was not however, viewed on this occasion. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Appropriate complaint procedures are in place yet service users are reliant on staff and family members to determine general well being. Satisfactory systems are in place to minimise the risk of abuse to service users. EVIDENCE: The home has a detailed and comprehensive complaints procedure devised by SCOPE. Posters highlighting matters such as ‘complaining isn’t wrong - its right’ are also displayed in the office. Service users involvement with the procedure is limited however and therefore staff must be aware of service users’ possible discontentment through other measures. Generally strong family contact assures advocacy and regular communication is exchanged between Mrs Tooze, staff and family members. The home has clear reporting procedures and some staff have undertaken complaints training. At the last inspection it was recommended that all complaint documentation should be stored in one place. Consideration has been given to this matter although due to the confidentiality of documentation, Mrs Tooze believes the system should remain the same. SCOPE has a detailed adult protection policy and a copy of the Wiltshire and Swindon Vulnerable Adults procedure flowchart is clearly displayed on the notice board in the office. Posters highlighting staff members’ responsibility to raise issues are also displayed. Adult Protection forms part of the home’s mandatory training and videos covering abuse are available within the home. Mrs Tooze reported that there have been no complaints or vulnerable adult issues within the home since the last inspection. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 16 A clear, well-organised system for managing small amounts of service users’ money is in place. A number of cash amounts were checked with the balance sheets and all were found to correspond. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 27, 28 and 29 Private accommodation is individually decorated and furnished to a very high standard. Communal areas are homely, comfortable and well maintained. Specialised equipment is in place to meet service user’s needs. EVIDENCE: Shapland Close consists of two purpose built bungalows, which are located in a quiet position away from the main road, on the outskirts of Salisbury. All amenities are within close proximity. All service users have a single room, which is personalised, decorated and furnished to a high standard. All such rooms have specialised equipment including an overhead hoist, an individualised bed and armchair and commode as required. On the day of the inspection two bedrooms were being fitted with new carpets following re-decoration. There is a large lounge and dining area, with an adjoining kitchen. One bungalow has recently had a kitchen refurbishment, which continues the high standard of furnishing within the Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 18 home. The other bungalow has had a new specialised bath. Mrs Tooze confirmed that a hand washbasin has recently been removed due to a health and safety issue. The sink is due to be refitted in an alternative part of the bathroom where it cannot be used as a mobility aid. Both bungalows share a laundry facility within an outbuilding. On the day of the inspection an electrician was visiting due to problems with a tumble drier. The drier was identified as expensive to repair and a replacement was immediately purchased. All areas of the home were cleaned to a good standard and odour free. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 and 35 Staffing levels are maintained as agreed by the previous Registration Authority. Robust recruitment procedures are in place minimising the risk of inappropriate selection. Many training opportunities are available yet participation has been limited due to recent staffing shortages. EVIDENCE: The staffing roster demonstrated that there are generally five or six staff on duty during the waking day with a minimum of two in each bungalow. At night each bungalow has one waking night staff and an additional member provides sleeping in provision. There is also an on call management system. Since the last inspection, the home has experienced significant staffing shortages and agency staff have been required. Recruitment, subject to the positive receipt of certain checks, has been undertaken. Despite this however, a number of staff on maternity and long-term sick leave, continue the immediate need for agency staff. Personnel records demonstrated a clear and efficient recruitment procedure. All files viewed contained an application form, written references, documentary Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 20 evidence of identity and CRB disclosures. At the last inspection it was identified that personnel files did not have copies of job descriptions and therefore a requirement was made to address this. Mrs Tooze reported that she had understood a member of staff had addressed this matter yet on viewing a number of files, some shortfalls were evident. Due to staffing shortages, Mrs Tooze confirmed that staff have undertaken limited training since the last inspection. Training records demonstrated this although Mrs Tooze reported that some topics, such as epilepsy have been covered but not recorded. Staff are in the process of undertaking a detailed and comprehensive manual handling course. Three members of staff have undertaken NVQ level 3 and nine have NVQ level 2. Two members of staff are training to become an Assessor while one member has successfully achieved this. Within documentation it appeared that some staff have not had recent first aid training. Mrs Tooze reported that without checking, she was unaware of an accurate reflection. Mrs Tooze was informed of the need to maintain up to date documentation and therefore a full review of completed training is required. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 and 42 The home is well managed with a service user focus. Health and safety systems minimise risks to service users yet fire safety requires monitoring to ensure that all tests and drills are undertaken as required. EVIDENCE: Mrs Tooze has worked at Shapland Close since its opening and has been the Registered Manager since 1999. Mrs Tooze demonstrates a clear understanding of service users’ needs and has a relaxed yet confident manner. Mrs Tooze has a strong value base and has NVQ 4 in Management. Mrs Tooze has also recently submitted all work for her Registered Manager’s Award. Mrs Tooze works on a full time basis and although is not an integral part of the working rota, undertakes shifts as required. The home and the organisation give priority to health and safety and such training forms part of the mandatory training programme. The home appears well maintained and matters are addressed through local knowledge of Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 22 contractors. The fire log book was viewed and was noted currently to be generally well maintained. A number of tests, such as the emergency lighting and the visual checks of the fire extinguishers had been missed in February, April and June 2005. Mrs Tooze reported that she believed this was due to a change of fire precaution officer but stability has once again been regained. It was apparent that all staff had received fire instruction although not all staff had signed for such. There was no record of a fire drill between the periods of October 2004 and July 2005. The recording of the last fire drill was also limited in detail. It was apparent that the current form was not totally suited for its purpose. It was therefore agreed that CSCI would forward a full set of fire log book forms to the home. At the last inspection it was noted that the external servicing of the fire extinguishers was overdue. A requirement was made to address this matter. Mrs Tooze reported that this had been undertaken although a certificate of inspection could not be located. Mrs Tooze reported that she would investigate its whereabouts. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 3 x Standard No 11 12 13 14 15 16 17 3 3 x 3 3 3 x Standard No 31 32 33 34 35 36 Score x x 3 3 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shapland Close Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 24 No Are there any outstanding requirements from the last inspection? 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 6 Regulation 15(2)(b) Requirement The Registered Person must ensure that all entries on care plans are signed and dated in order to verify the validity of reviews and the accuracy of the information. This was identified at the last inspection. The Registered Person must ensure that there is an up to date photograph of the service user within their individual plan of care. The Registered Person must ensure that all training profiles are up to date and reflect all training undertaken. In the event of shortfalls with matters such as first aid and epilepsy, such training must be provided. The Registered Person must ensure that all fire safety checks and fire drills are undertaken as required. The Registered Person must ensure that the fire extinguishers are serviced as required and documentation demonstrates such. Timescale for action From 7th September 2005 2. 6 17 Schedule 3, 2 18(1)(a) 31st October 2005 30th November 2005 3. 35 4. 42 23(4)(c) (iv)and (e) 23(4)(c) (iv) From 6th September 2005 From 6th September 2005 5. 42 Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 25 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 42 Good Practice Recommendations The Registered Person should ensure that all staff sign and date the fire log book in order to demonstrate their receipt of fire instruction. Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 26 Commission for Social Care Inspection Avonbridge House Bath Road Chippenham SN15 2BB 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 Shapland Close D51_D01_S28422_ShaplandClose_V190063_060905_Stage4.doc Version 1.40 Page 27 - 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!