Inspection on 31/08/06 for Sharea

This inspection was carried out on 31st August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found no outstanding requirements from the previous inspection report, but made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sharea 22/12/08

Sharea 24/01/08

Sharea 12/09/07

Sharea 20/12/05

Sharea 07/07/05

Sharea 10/11/04

Sharea 18/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Sutton Lodge Nursing Home

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Sharea Sharea 69 Reigate Road Hookwood Surrey RH6 0HL Lead Inspector Kenneth Dunn Key Unannounced Inspection 31st August 2006 10:00 Sharea DS0000013783.V310225.R01.S.doc Version 5.2 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 Sharea DS0000013783.V310225.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 Adults 18-65. 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. Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sharea Address Sharea 69 Reigate Road Hookwood Surrey RH6 0HL 01293 776248 F/P 01293 776248 reigate.road@theavenuestrust.co.uk 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) The Avenues Trust Limited William Smith Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1), Physical disability (6), of places Physical disability over 65 years of age (1), Sensory impairment (6) Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The age/age range of the persons accommodated will be 18-64 years. 1 (one) person within the category LD(E) or PD(E) may be accomodated over the age of 65 years. Persons may be accommodated who have both a learning disability (LD) and a physical disability (PD). 3rd January 2006 Date of last inspection Brief Description of the Service: The home is registered as a care home only within the service user category: Learning disability (LD) and Learning disability over 65 years of age with sensory impairment (SI). The home is registered to accommodate a maximum of six Service Users.Avenues Trust Limited manages the home. It is a large detached bungalow with extensive grounds to the front and rear and is situated on as busy main road, south of Reigate town centre. Sharea aims to provide a safe and homely environment that enables Service Users to develop to their maximum potential and where they are treated with dignity and respect. Service Users are very much an integral part of the homes operation despite their profound disabilities. The home provides a good standard of accommodation to its four male and two female Service Users. Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out by one inspector over a period of 5 hours. A full tour of the premises took place, staff and service users were spoken to, and care records and documents were inspected. All of the current service users living at the home have communication difficulties and judgements were made about them based on their mood, behaviour and information given by staff. On the day of the inspection the manager and not on duty at the service and the inspection was facilitated by care staff that have a knowledge and understanding of how the home operated. The inspector would like to thank the staff on duty and service users for their contributions to the inspection. What the service does well: 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. Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 7 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 the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes statement of purpose and service user guide were designed to enable potential service users and or their representatives to make an informed choice about admission to the home. The arrangements for assessing needs are adequate ensuring service users need are assessed and identified prior to admission to the home. EVIDENCE: The home has a statement of purpose and service user guide, which provides sufficient information to the enable the reader to make an informed decision about the home and its suitability for specific service users. The information contained in the statement of purpose was clearly written and well presented in a format to make the information accessible and understandable. The home has a policy on assessment of needs and service users admitted to the home must have a full assessment prior to admission. The pre admission assessment is an in-depth document that covers health, personal care and social care needs of the service users. The inspector was informed by a member of staff that the service would only admit a new service users based on an assessment of needs, and appropriateness of placement The initial assessment was used to form the basis of the care and the support plan, which identified the actions that carers should follow to assist an individual living at the home. Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 8 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 the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users individual plans are clear and comprehensive including details of needs and goals. The plans also incorporate known or indicated preferences and choices including in depth risk assessments. EVIDENCE: The care plans have been drawn up, in conjunction with the multi disciplinary assessment of needs and wherever possible the relatives/representatives of the service users. The inspector was informed that because of the profound disabilities of the service users it is very difficult to seek the involvement of the service user in their care plan design. A review of the care plans indicated that they were well documented and highlighted all areas of care needs for each service user. There is evidence of regular reviews being undertaken by the key workers. Staff stated that the service users are supported to make decisions affecting their lives in a number of ways. The service users allocated key workers, are trained to offer one to one support and can develop a working relationship with the individual to further understand his or her needs. Risk assessments were in place where appropriate. Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 9 Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 12, 13, 15,16 & 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service has made provision for all service users to have a full and active lifestyle, however the lack of documentation makes it difficult to ascertain the degrees of access the service users have to their activities. EVIDENCE: A good daily activity programme for each Service User was seen as part of the inspection process. A copy of the menu was seen as part of the inspection process and personal preferences were taken into account. A member of staff informed the inspector that the service users regularly access the local facilities and go out to pubs and restaurants. The service users, with the full support of the staff, go shopping for their toiletries, clothing and footwear. All outings are subject to risk-assessments. The service users are extremely hindered by the geographical location of the home it is in a rural setting, but on a very busy main road with no footpath and there is no real discernable community to become apart of. It is difficult to access any facility locally without the use of the home’s vehicle and if there is not a dedicated driver on duty the service users are not able to leave the Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 11 home. It would be unsafe to take service users for a walk for example, as the road is too dangerous to cross. A review of the service users files indicated that timetables are set for daily activities however it is not easy to ascertain if they are happening because staff are not completing the logs. It is essential that outings are recorded and for how long they are going out for example 1 hour 2 hours all day. It would also benefit with the completion of the logs if they were stored in a separate file for ease of recording. Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance is planned and was seen to be provided, where needed, in a respectful and sensitive manner. Sound policies and practices are in place for the administration and management of medication. EVIDENCE: Service users are supported in a way that promotes their privacy and dignity. Service users preferences about personal support are recorded in care plans and observations confirmed staff supported service users to maintain as much independence as is possible. All service users are registered with the local GP and have access to all NHS healthcare facilities, dentist, optician and chiropodist to maintain good health as required. The system for medication administration was seen and was generally carried out to a high standard. The Medication Administration Record (MAR) sheets were seen and no gaps in the recording were noted. No Service Users currently administer their own medication. Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All required policies, procedures and practices are in place to ensure that residents are safeguarded, as far as reasonably possible, from harm or abuse. EVIDENCE: There have been no complaints recorded at the service since the previous inspection in addition the CSCI has not received any complaints regarding this service. Incidents are not being recorded as complaints on behalf of the service users who because of their multiple disabilities cannot vocalise their concerns. The manager should instruct all staff that if an event occurs within the service user group that a complaint should be logged on behalf of the service user or users. Staff spoken to, stated that they had undertaken training in the protection of vulnerable adults and would report any concerns they had to the manager. If they had concerns about their manager, they would be reported to the area manager. Staff said they would be willing, and able, to report any concerns and “would go to any level to protect residents”. Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 24, 27, 28 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Some changes have been effected since the previous inspection January 2006 and these have considerably enhanced the home, however the service has not actioned requirements that were outstanding from July 2005 and as a result they have been carried over to this report. Failure to comply with these may result in CSCI seeking legal advice, if these continue to remain unmet. EVIDENCE: A full tour of the building and its grounds were undertaken the premises were found to be clean and hygienic. The manager and his staff are to be commended for their effort to undertake the redecoration of areas within the home and these are now brighter and more homely. All service users have their own bedroom and these had been made personal with pictures and posters, televisions, music, bedding and soft furnishings. Bedrooms were seen to be of a good size, and met the needs of the individual service users. The kitchen has been refitted in line with a requirement from the previous inspection reports and it has been done to a relatively high standard. However Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 15 the extractor fan has not sealed to the ceiling as a result things are falling directly onto the stove from the ceiling void, action must be taken to ensure that service users are safeguarded from possible accidents. The furnishing in the sitting room was found to be dirty and very tatty from constantly being washed because of accidents and spills and general ware and tear. The rear terrace area offers a pleasant addition the home with setting arranged around a small water feature adjacent to the patio door of the dining room. The large garden to the front is laid out as hard standing and driveway it is badly rutted and in general poor condition. The rear garden is very large and has become over grown and neglected, and is a potential hazard to the service users and not an amenity. The manger should review the practicality of retaining such a large area, which can offer little use for the service users. The main entrance to the property has a shared driveway with a house at the rear of the services garden the driveway has been divided making it very difficult and dangerous to manoeuvre a vehicle onto the main road. There is also an ongoing issue with the sceptic tank and its drainage soak a ways. The poor condition of the sceptic tank and the design of the soak a ways is requiring the tank to emptied up to 3 times a week and the soak a ways are causing problems with flooding areas of the rear garden and making this area unusable. During the tour of the premises it was apparent that 2 of the 5 immediate requirements from the previous two inspection report have still not been actioned. 1) It is required that the upstairs bathroom sanitary ware is replaced, as the current equipment does not match. The bath and hand basin are green and the toilet is white. The toilet fitting is unsightly with a wooden casing surrounding the soil pipe, which is stained and impossible to clean. This requirement has been carried over from the 7th of July 2005 and must now be considered for immediate action. 2) It is required that the installation of the toilet unit is completed and the area surrounding the toilet bowl that is unsightly and unhygienic is made good. Also that the hand basin in the downstairs toilet is replaced with one that matches the current toilet bowl. This requirement has been carried over from the 7th of July 2005 and must now be considered for immediate action. It is imperative that all requirements are completed within the agreed dates or Failure to comply with these may result in CSCI seeking legal advice, if these continue to remain unmet. Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 16 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 Quality in this outcome area is ADEQUATE. This judgement has been made using available evidence including a visit to this service. Staff recruitment and vetting procedures protected service users. There is a need to maintain staff files in a systematic and ordered way complying with the National Minimum Standard. A relevant staff induction and training programme was in place. The home does employ 50 support workers with care NVQ level 2 or equivalent qualifications. Staffing levels on the day of the inspection were not suitable for the numbers of service users staying at home on the day. EVIDENCE: Members of the staff team spoken to on the day of the inspection had a good understanding of their job descriptions and their responsibilities and had a very good understanding of the service users needs and requirements. Communication between staff on duty was good. The staff - training programme included training to support understanding of positive communication and challenging behaviours. This was additional to all statutory training and other service specific training, for example, epilepsy. The staff training records confirmed that the majority of staff had undertaken extensive relevant internal training. Regular staff meetings were undertaken and staff indicated that they were a positive event. The inspector reviewed a professional and comprehensive induction policy, which all members of staff Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 17 are required to attend. The Inspector was informed that over 50 of current staff group have completed or are undertaking NVQ training. A review of the personnel files demonstrated that they did not comply with the National Minimum Standards, as they did not contain all the relevant documentation required by law to be retained on site for the process of inspection and regulation. All the files audited had various items missing ranging from references to completed application forms. In addition it was apparent that supervision has become very spasmodic a member of staff stated that this was because of the shortness of staff and the inability to rota sufficient time for one-to-one with the manager. On the day of the inspection only two members of staff were on duty with six service users present in the home the manager was working away from the service for the day. A third member of staff failed to arrive on duty because it was difficult for her to get to the service without one of her colleagues collecting her from her home. The inspector was informed that the practise in this situation would be for one member of staff to take two service users in the services car to collect the third person, leaving the remaining service users with the one staff member. The third person failed to arrive at the service because it was too difficult to get to work because of the location of the service. In the end another member of staff who was not rotered for duty came in to assist his colleagues. This situation leaves both the service users and staff vulnerable. Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 18 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management approach in the home provides an open, positive and inclusive atmosphere. The home has a quality assurance and monitoring system in place that is based on seeking the views of the service users and or their representatives. EVIDENCE: The manager has considerable experience in the provision of residential care to people with learning disabilities. The style of management was described by his colleagues as open and inclusive. The home has an effective quality audit monitoring system in place. The service manager completes a regular monthly regulation 26 notification visit and the report is well documented. Records required for the protection of service users and sampled on the day of the inspection were well maintained, accurate, and up to date. They included certificates for the testing of Legionella, gas, electrical and a number of other areas tested. Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 19 The staff-training programme includes training in first aid, manual handling, infection control, fire safety, health and safety and basic food hygiene. Systems were in place to safeguard the health and safety and welfare of the service users. However the fire doors throughout the home were wedged open. There is evidence of the measures undertaken by the manager to rectify the continuing situation concerning the outstanding requirements. However the consistent lack of perminate staff, the geographical position of the home, requirement for staff to be drivers and the ongoing issues with the drainage, question the suitability of this location as a care home within the confines of health and safety. Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 20 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 Standard No Score 1 2 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 1 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 1 3 2 X X 2 X Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 21 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 YA24 Regulation 16(1), 23(1 & 2) Requirement It is required that the upstairs bathroom sanitary ware is replaced, as the current equipment does not match. The bath and hand basin are green and the toilet is white. The toilet fitting is unsightly with a wooden casing surrounding the soil pipe, which is stained and impossible to clean. Timescale for action 31/08/06 This requirement has been carried over from the 7th of July 2005 and must now be considered for immediate action. 2 YA24 16(1), 23(1 & 2) This requirement has been carried over from the 7th of July 2005 and must now be considered for immediate action. It is required that the installation of the toilet unit is completed and the area surrounding the toilet bowl that is unsightly and unhygienic is made good. Also that the hand basin in the downstairs toilet is replaced with one that matches the current toilet bowl. 31/08/06 3 Sharea YA34 19 Schedules The manager must review the files and ensure that they DS0000013783.V310225.R01.S.doc 30/11/06 Page 22 Version 5.2 4.6 & .7 comply with Schedule 2 of the Care Homes Regulations 2001 all relevant items required must be sourced and filed. The manager must ensure that appropriate records are maintained for all aspects of the service users activities. All remedial works to the kitchen must be completed to a satisfactory level. The furnishing in the sitting room must be replaced with items that meet the individual needs of the service users. The registered provider must take action to minimise the risk from the subdivision of the entrance to the property. The manager must review the staffing figures within the service to ensure that the service users are safeguarded at all times. 30/11/06 2 YA13 16(2)m 5 6 YA24 YA28 16(1), 23(1 & 2) 16(1), 23(2) (e & h) 16(1), 23(1 & 2) 18(1)(a) Schedules 4.6 & .7 30/11/06 30/11/06 7 YA24 30/11/06 8 YA33 30/10/06 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 YA22 Good Practice Recommendations The manager should instruct all staff that if an incident occurs that would warrant a complaint being logged then they should do so on behalf of the service user or users. It is imperative that the staff team give the service users a voice in the complaints process. The manger should review the up keep and ongoing maintenance of the grounds surrounding the service. 2 YA28 Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Sharea DS0000013783.V310225.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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