Inspection on 21/11/05 for Shervale Home

This inspection was carried out on 21st November 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 found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Shervale Home 14/09/07

Shervale Home 17/05/06

Shervale Home 18/07/05

Shervale Home 19/05/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Shervale Home Shervale 1 Shervale Close Penn Wolverhampton West Midlands WV4 5TU Lead Inspector Rebecca Harrison Announced Inspection 21st November 2005 10:00 Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 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 Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Shervale Home Address 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) Shervale 1 Shervale Close Penn Wolverhampton West Midlands WV4 5TU 01902 342811 Mrs Thelma Greensill Mr John Greensill Mrs Thelma Greensill Care Home 5 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (2) of places Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All staff must be trained in learning disability and dementia. Minimum of 2 staff on duty at all times. 1 sleep-in staff/1waking staff at night. Date of last inspection 18th July 2005 Brief Description of the Service: Shervale is a modern property situated in a quite cul-de-sac in a residential area of Penn. The home was previously part of Wolverhampton City Councils Adult Placement Scheme and was registered with the Commission of Social Care Inspection (CSCI) on 1st March 2005, to provide personal care and accommodation to a maximum of five adults with a Learning Disability to include two people over the age of 65. The property has been extended to provide five bedrooms and staff sleep-in accommodation. All service users are provided with a single bedroom with ensuite facilities. A shared bathroom is also available located on the first floor. Communal space includes a lounge, dining room, sitting room and domestic kitchen. Service users have access to a patio area at the rear of the property, which has raised flower beds and water features. The homes philosophy is To treat each resident as an individual to maintain his or her dignity and self-respect in a comfortable homely and caring environment. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and commenced at 10.00 am and lasted five hours. The inspection included talking with the registered providers, a tour of the home and examination of a number of records. All of the service users were out accessing local authority day service provision at the time of this inspection. The registered providers were very welcoming and co-operated fully throughout the inspection. This is the third inspection undertaken by CSCI since the home was registered as a care home in March 2005. Following the last unannounced inspection undertaken on 18th July 2005, the providers requested to reduce the number of registered places to five in order to provide staff sleep-in accommodation. This was approved by CSCI and three conditions of registration were made and a new certificate of registration issued. The purpose of this announced inspection was to review the progress made by the home and check compliance with the 17 requirements made at the previous inspection. No complaints have been received by the home or referred to the Commission for Social Care Inspection since the home was last inspected. There have been no referrals made under adult protection procedures. This announced inspection was positive and the proprietors are to be commended for the significant work undertaken since the first inspection of 19th May 2005 and the commitment shown towards meeting the National Minimum Standards and improving the quality of the service to the people in residence. What the service does well: Both Mr and Mrs Greensill are very committed to providing a good service to the people living at the home. They have heavily invested in the property providing service users with an attractive and homely place to live, which is tailored to meet individual need. The people living at Shervale are supported by a committed team and the home is run and maintained in a safe manner. Feedback received from a professional based within the local team was positive and stated ‘The providers are willing to adapt to measures considered necessary to increase care standards’. Service users are supported to maintain relationships with their families and friends who are welcome to visit the home at any reasonable time. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 6 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. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3 and 5 Prospective service users are provided with the necessary information on the services the home provides enabling an informed decision about admission to the home and their needs fully assessed. Individual written contracts between the home and each service user need to be developed. EVIDENCE: Since the last inspection one person has been successfully admitted to the home on 21.09.05. There was clear evidence available to demonstrate that a comprehensive pre-admission assessment had been undertaken. Four requirements were previously made in relation to ‘Choice of Home’. The Statement of Purpose and Service User Guide have since been revised and accurately reflects the service offered and the findings of this inspection evidence that the home is now able to meet the assessed needs of individuals accommodated with staff being provided with appropriate training opportunities. The requirement made in relation to service users being provided with a written contract/statement of terms and conditions as specified in national minimum standard 5.2. remains outstanding, however it is acknowledged that the manager has been extremely busy developing the homes other records. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 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 the following standard(s): 6,7 and 9 Care documentation has improved and service users assessed needs are kept under review with personal goals identified. Service users are appropriately supported with decision-making making processes. Individuals are enabled to take responsible risks within a risk-assessed framework. EVIDENCE: Requirements were made at the two previous inspections in relation to the care planning documentation for all service users be more detailed and contain all aspects of personal, social support and healthcare needs to ensure staff deliver the necessary care required in a consistent manner. The findings of this inspection evidence that these requirements have since been met with considerable improvements made. The home was previously using careplanning documentation provided through the Wolverhampton City Councils Adult Placement Scheme for which the home was previously registered. However the providers have since joined the National Care Homes Association and have transferred and developed relevant documentation. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 10 Two service users have independent advocates that support them and assist with decision-making processes. It was also reported that the families and friends of service users also actively advocate on behalf of the people living at the home. Enabling participation and decision-making processes was seen documented in the care records seen with personal goals identified for each service user. The requirement previously made for service users to be enabled to take responsible risks within a risk assessed framework, which is recorded and regularly reviewed and updated has also since been met and Mr Greensill has attended a course in risk management and therefore has developed and implemented more comprehensive assessments which were seen on the files reviewed. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 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 the following standard(s): 12,13,15,16 and 17 Service users rights are respected and individuals are supported and encouraged to keep in contact with their families and friends and make good use of local facilities. People are offered a varied diet, which takes into account individual likes and dislikes. EVIDENCE: The intended outcome for standards 14 was reviewed and met at a previous inspection of this service. Discussions held with Mrs Greensill and documentation seen on the person most recently admitted to the home evidence that there has been a continuity of activities with the individual attending existing day service and college provision, in addition to evening clubs. All of the service users living at Shervale access local authority day services based at Stowheath, Oxley and Albert Road day services. Service users do not access paid or voluntary employment. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 12 The promotion of community links and social inclusion are included in service users plans and the manager provided a good example of how people are supported in this process. It was reported that the home has developed very good relationships within the neighbourhood. Service users are currently supported to access the community through walks, using local public transport, Ring A Ride and the managers own vehicle, however the manager discussed plans to provide alternative transport in the future. The person most recently admitted to the home continues to have contact with his father and the home has facilitated regular visits. Service users are supported to maintain relationships with their families and friends who are welcome to visit the home at any reasonable time. One friends of one individual visit weekly and spend time with the service user in the privacy of her own room. Records seen and discussions held evidence that people are provided with opportunities to meet people through attendance at day services, college, clubs, the local library, walks, shopping trips and leisure. The home is a no-smoking environment, which is stated in the service user guide. As previously stated in other reports bedrooms are currently fitted with privacy locks however, the proprietors would provide an alternative facility and service users with a key to their room upon request. It was reported that two people open their own mail and the remaining people are provided with assistance as required. Service users are encouraged to assist with basic household tasks around the home as much as their ability allows. Each individual is provided with his or her own copy of the Residents Charter of Rights, which is signed and dated by the manager. The menu submitted to the CSCI in preparation for the inspection appeared nutritious, varied and balanced. A record of meals consumed is recorded on individual files in addition to individual likes and dislikes. One person is on a low fat and high fibre diet as recommended by the general practitioner. Service users assist with basic tasks such as laying the table and washing and drying dishes. Two people currently assist with food shopping. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 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 the following standard(s): X EVIDENCE: The intended outcomes for key standards 18,19 and 20 were reviewed and met at a previous inspection of this service. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 14 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 and 23 The home has a satisfactory complaints procedure in place however financial procedures need be reviewed and a copy of the local policy and procedure for adult protection obtained in order to safeguard service users. EVIDENCE: Each service user is provided with information on ‘How to make a Complaint’ which is included in a file in each bedroom. The home also has a copy of the Wolverhampton City Councils guide to making a complaint for people with learning Disabilities. The home has not received any complaints since the last inspection and no formal complaints have been referred to the Commission for Social Care Inspection and there have been no referrals made under adult protection procedures. The home does not have a copy of the Inter-Agency Adult Protection policy and procedure therefore the manager was provided with the relevant details on how to acquire a copy. A copy of the Department of Health’s Guidance on the use of physical intervention was available in addition to the local policy. It was reported that no service users are subject to any form of physical intervention. Staff have not yet received training on adult protection or physical intervention. Finances are held on behalf of four service users and a relative acts on behalf of the fifth service user. Discussions held evidence that four service users finances are ‘pooled’ into the proprietors personal bank account however a record of individual receipt and expenditure was available. Finances held on behalf of service users were not available for inspection. It was reported that one person holds a bank account. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 15 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 and 30 The standard of the environment is much improved and tailored to meet the needs of the service users providing a homely, comfortable and safe environment. EVIDENCE: Requirements have been made at the two previous inspections for the premises and physical layout of the home be suitable for its stated purpose, safe and meet service users individual and collective needs and that service users be provided with appropriate toilet and bathroom facilitie. Since the homes first inspection on 19th May 2005, under the Care Home Regulations 2001, significant improvements have been made by the proprietors in relation to the environment which has had a very positive outcome for one service user in particular who is now provided with a new level access walk-in en-suite facility and a new floor covering appropriate to the needs of the service user. A reduction in the number of registered places has provided staff sleep-in accommodation, an office and a separate bathroom on the first floor. The proprietors have liaised closely with the Fire Authority and the Environmental Health Department ensuring the home meets their requirements. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 16 The requirement for COSHH products to be stored securely and be supported by appropriate data sheets and risk assessments has now been met. It was reported that a designated member of staff has been given responsibility for maintaining COSHH. The home was found very clean and tidy throughout. A hand washing facility has recently been fitted in the utility room. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 17 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 and 35 Services users are supported by a committed and trained staff team and are protected by the homes recruitment practices. EVIDENCE: Four requirements were made at the last inspection relating to ‘Staffing’. A requirements was made that the home have a staff team sufficient in numbers and complementary skills to support the service users assessed needs at all times. Conditions of registration were recently imposed in relation to staffing levels, and training. This findings of this inspection evidence that the proprietors are meeting the staffing requirements and actively working towards meeting the condition whereby all staff must be trained in learning disability and dementia. Since the last inspection the manager has obtained a copy of the Independent Sector Training Programme arranged through Wolverhampton City Council. Staff have started to access a number of courses appropriate to their work and further courses have been identified. Guidelines have also been developed on dementia, Down syndrome, challenging behaviour, autism, aging and visual impairment. It was reported that one member of staff has obtained an NVQ level 2 Care award, one staff member is currently undertaking the award and that one staff member is a registered nurse in addition to Mrs Greensill. The homes current staffing arrangements consist of the proprietors; five care staff and a domestic member of staff. The rota seen reflect that there are Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 18 usually two to three staff on per waking shift and one sleep-in and one waking night member of staff. Two care staff have been recruited since the last inspection. A requirement was previously made in relation to Staff files to contain all information as detailed in Schedule 2 of the Care Homes Regulations 2001 and that new staff must not commence work until all of the necessary checks and references have been sought. The files were seen of the two most recently recruited staff and these were found well organised and contained the necessary information. The home has recently joined the National Care Homes Association and CRB disclosures are now completed through this body. Mrs Greenshill stated that all but one member of the existing staff team have recently had CRB disclosures completed. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 19 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, 39,41,42 and 43 The manager is committed to providing a good service to the people in her care. Record keeping systems have significantly improved and the premises are run and maintained in a safe manner. A quality assurance and monitoring system needs to be developed. EVIDENCE: Mrs Thelma Greensill is the registered proprietor and manager of the home. Her qualifications and training details are provided in the homes Statement of Purpose. Mrs Greenhill has over twenty years experience in the care sector and holds a registered general nursing qualification. (RGN). Mrs Greensill reported that she is waiting funding in order to commence the Registered Managers Award shortly. Given the huge amount of work already undertaken by the proprietors, a quality assurance and monitoring system has not yet been developed for the home. This was discussed with the manager during the inspection and will therefore be reviewed at the next inspection of this service. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 20 Records are very much improved and it is evident that the manager has worked extremely hard with transferring previous documentation provided through the Wolverhampton City Councils Adult Placement Scheme onto relevant documentation required for a care home. Since the last inspection the proprietors have developed a separate office located on the first floor with records being securely stored. The proprietors are to be commended for the hard work undertaken and the much improvement in the homes record keeping. A requirement was previously made in relation to risk assessments must be carried out for all safe working practices. As previously stated Mr Greensill has attended a two-day course in risk management and therefore has developed and implemented more comprehensive risk assessments. A new moving and handling assessment needs to be undertaken for one individual whose needs have changed. Since the last inspection the home has acquired a copy of the National Care Homes Association procedures manual. The requirement made in relation to the homes insurance cover has since been met and a copy of the appropriate certificate of insurance was seen during the inspection. Discussions took place in relation to financial viability of the home. The business financial plan was not reviewed on this occasion however it is acknowledged that the proprietors have spent a considerable amount of funds in meeting the previous requirements made in relation to the environment to ensure it meets the needs of the people currently accommodated, the costs incurred from moving from an adult placement scheme to a care home and the increased staffing requirements. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 21 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 3 3 3 x 1 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 4 x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 3 3 2 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shervale Home Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x 1 x 3 2 3 DS0000063187.V253940.R01.S.doc Version 5.0 Page 22 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 YA5 Regulation 5 (b)(c) Requirement Timescale for action 28/02/06 2 YA23 3 YA23 4 YA35 5 YA39 The registered manager must develop and agree with each service user a written contract/statement of terms and conditions as specified in national minimum standard 5.2. 20 The registered person must not pay money belonging to individual service users into a bank account, unless the account is in the name of the service user to which the money belongs. 13 (5)(6),21 The home must obtain a copy of the Wolverhampton Inter-Agency Adult protection policy and procedures and provide staff with training in adult protection. 18(1)(c) All new staff must receive structured induction and foundation training to LDAF specification. 24(1)(a&b)(2&3) A quality assurance system must be developed in order to measure success in achieving the aims, objectives and statement of DS0000063187.V253940.R01.S.doc 28/02/06 31/12/06 28/02/06 31/03/06 Shervale Home Version 5.0 Page 23 purpose of the home 6 YA42 13(5) A moving and handling assessment must be undertaken on the changing needs of one individual as identified at inspection. 16/01/06 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 YA41 Good Practice Recommendations It is recommended that the duty rota be revised to indicate actual working times that staff are on shift. Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Shervale Home DS0000063187.V253940.R01.S.doc Version 5.0 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. 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