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Inspection on 18/09/07 for Silk Court Nursing Home

Also see our care home review for Silk Court Nursing Home for more information

This inspection was carried out on 18th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a culturally diverse resident and staff group, reflecting the ethnically mixed nature of the local area. The environment of the home is clean and comfortable, with attractive light and airy rooms. The service is able to provide quite intensive nursing care but in a homely setting where social needs are also met. There were positive comments. One resident said "I am happy here", a relative stated "So far fine, no complaints". The recording in the home is of a high standard and the manager was able to instantly locate whatever record the inspector requested. Staff at the home seemed to enjoy their work and to take pride in it.

What has improved since the last inspection?

It is clear that the manager and staff of the home have worked hard continuing to improve standards in the home, and building on previous achievements. The requirements and recommendations of the last inspection have been addressed. The new service user plans have been rolled out for all residents. They present a standardised, thorough approach to meeting needs.

What the care home could do better:

It is unfortunate that on the day of the inspection a shortfall occurred with a nurse administering medication without an up-to-date MAR sheet to record it on. The inspector trusts that it was an isolated incident. The level of NVQ attainment in the home can be increased, so that more workers improve their skills. As mentioned elsewhere in the report the home is building on its foundation of good practice with their work with the Magic Me project, the Gold Standard Framework, the Safe Site audit and Catercraft. These associations will all contribute to raising standards in the home and enriching the lives of people who live there.

CARE HOMES FOR OLDER PEOPLE Silk Court Nursing Home 16 Ivimey Street Bethnal Green London E2 6LR Lead Inspector Anne Chamberlain Unannounced Inspection 18th September 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silk Court Nursing Home Address 16 Ivimey Street Bethnal Green London E2 6LR 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) 020 7729 6490 020 7739 6023 bonita.witt@anchor.org.uk keri.sherwood@anchor.org.uk Anchor Trust Bonita Ann Witt Care Home 51 Category(ies) of Old age, not falling within any other category registration, with number (51) of places Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only : Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 51 9th October 2006 Date of last inspection Brief Description of the Service: Silk Court is a care home providing accommodation personal and nursing care for 51 older people. The home is registered to meet the needs of residents who require nursing or enhanced residential care. Silk Court is owned and operated by Anchor Care Homes, which is a voluntary sector care provider. The home is located in Bethnal Green, close to shops, the post office, local amenities, bus routes and rail and underground stations. The home was opened in 1994 and is purpose built. The premises are three-storey and contain passenger lifts. All the bedrooms are single occupancy and have ensuite facilities. There is a limited amount of parking space at the front of the building and a patio area for sitting. The current fee range for the home is £450-£650 per week. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The service submitted an Annual Quality Assurance Assessment (AQAA) before the site visit and this contained useful information. The site visit was to inspect key standards and monitor compliance with the requirements of the last inspection. It lasted for some six hours. During this time the inspector spoke with residents and with a relative, she case-tracked three residents, viewing their files, the training, personnel and supervision records of three of their named nurse/keyworkers, their medication and their administration records. The inspector viewed the premises and spent time on the floors observing interactions between residents and staff. She spoke at length with the manager and viewed key documentation in hard copy and on computer screen. The inspector would like to thank the residents, staff and manager of the home for their co-operation and assistance with the inspection. What the service does well: The home has a culturally diverse resident and staff group, reflecting the ethnically mixed nature of the local area. The environment of the home is clean and comfortable, with attractive light and airy rooms. The service is able to provide quite intensive nursing care but in a homely setting where social needs are also met. There were positive comments. One resident said I am happy here, a relative stated So far fine, no complaints. The recording in the home is of a high standard and the manager was able to instantly locate whatever record the inspector requested. Staff at the home seemed to enjoy their work and to take pride in it. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 6. Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The service user guide provides a breadth of information about the service and assessment of referred persons is thorough. EVIDENCE: The inspector viewed the service user guide. This is made up of a brochure with inserts but the inspector was satisfied that taken as a whole they meet the specifications of regulation. The manager talked the inspector through the process of assessment which is followed for new referrals. The inspector was satisfied that this is thorough. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 9 The inspector noted that preferred form of address is included in the assessment information for residents. One person case-tracked had a preferred name very different to her given name. The inspector emphasised to the manager the importance of sharing the preferred name among all staff and ensuring that a person is addressed in their preferred way from the outset. The inspector suggested that a persons preferred form of address is inserted in brackets after their name on their paperwork. The same service user lacks her photograph in her file. She had been in the home for three weeks at the time of the inspection. The home does not generally offer intermediate care. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Service user plans are comprehensive and health care needs are carefully met. Administration of medication is generally good but there was a shortfall on the day of the inspection. Privacy and dignity are upheld and end of life care is considered very seriously. EVIDENCE: The inspector viewed service user plans for three residents. They were comprehensive and individualised. There was evidence of service user involvement and regular review of care plans by staff. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 11 The paperwork had been completed in a considered way and was generally of a competent standard. One plan said that the resident enjoyed dining with her husband. Since the couple were admitted to the home the husband has unfortunately died so this care plan should be amended. The inspector felt that healthcare in the home is good. The home has improved its relations with the general practitioners (GPs) who treat the patients and the manager feels they are getting a better service as a result. Residents with nursing needs are clearly identified and named nurses have individual responsibility for them. New residents are registered with a GP without delay. The manager stated that dietician, physiotherapist and chiropody services all call into the home. The inspector viewed the administration of medication arrangements. The home works with the Boots bubble pack system. One resident who has been in the home for three weeks, lacked a photograph on her record. Also the nurse had that morning administered medication to her without recording it. This was because the Medication Administration Record (MAR) sheet (which was handwritten because the resident was new) had run out and the next had not been prepared ready(see requirements). Nurse and manager were aware that this was poor practice. The manager stated that daily audits of medication are now undertaken by nurses with a monthly audit by the manager or her deputy. Spot checks might be useful. The inspectors overall impression is that residents are treated with dignity and respect at the home. Interaction observed between staff and residents was warm and supportive. One resident preferred to have her breakfast in her room and this was supported. The inspector found that the manager is quite knowledgeable about the Mental Capacity Act 2005. She said the wider organisation is considering how best to implement the act in their homes. The manager explained to the inspector that the home is undertaking Gold Standard Framework (GSF) which is about end of life care. The manager and her deputy are attending training and will be sharing the guidelines with other staff. Information about where people would choose to die, in the home or in hospital is collected. There is a category system for highlighting persons whose state of health is precarious, and where the GSF might need to be applied. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 12 Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home encourages and supports residents to enrich the quality of their lives with social contact, community presence, and activities. Visitors are encouraged. Meals are carefully prepared and served in pleasant surroundings. EVIDENCE: Residents personal leisure preferences are recorded in their service user plans and the inspector noted this. The activities work in the home is now well established with a full time coordinator. She has had training for her role and this was evidenced. The home displays a National Association for Provision of Activities for Older People (NAPA) accreditation certificate on the wall. The activities co-ordinator is linked with other local co-ordinators, which is helpful. The programme of activities is displayed on a timetable. The inspector observed a bingo game in Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 14 progress. It was well attended by a number of residents with three carers participating too. Clergy hold a religious service in the home once a week. Some residents go into the community, one takes himself to church regularly and another to the library. The home is participating in a local initiative called Magic Me. This is about people discussing their younger lives and collecting personal memorabilia. The worker from the project was at the home on the afternoon of the inspection and the resident she was working with was clearly enjoying her company. They were scanning photographs into a lap top computer to make a book. The home has access to two different advocacy services. The dining rooms in the home are very pleasant. The home is now working with an organisation called Catercraft. They establish standards which the home follows. This would include making cakes at home, using fresh vegetables etc. The manager stated that the chef has a B Tech in catering and her deputy is currently undertaking this course. A resident told the inspector that the food had improved a lot since the last time the inspector spoke with her a year ago. She said that previously the cooks had very limited knowledge of typically English dishes like bakewell tart, but that now the dishes had the right texture and flavours. The inspector observed a resident enjoying a cake with her afternoon tea. The manager stated that one resident prefers Caribbean dishes and the cook provides these two or three times a week. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Complaints are properly handled and residents are protected from abuse and harm. EVIDENCE: The inspector viewed the complaints information. The file has a log at the front which is helpful, and there is a sheet for each complaint which indicates when it has been resolved. The inspector felt that a little more information is needed. Had she not known about one complaint herself from meeting with the manager earlier in the year, she would have found it impossible to follow the course of the resolution properly. The manager agreed she would record a little more to make things clearer (see recommendations). The manager stated that she and other managers are being trained by the organisation to investigate complaints at other homes. This will ensure more objectivity and is good professional development for the managers. The inspector viewed the policy the home has for safeguarding adults from abuse. She understands that the current practice is to change and referrals Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 16 will not be taken by the local team, but will be made to the placing authority for the resident concerned. This is a major change and the organisation will need to amend their policy to reflect it. The inspector expects this to happen and does not feel it is necessary to make a requirement or recommendation at this stage. The manager will need to take it up with her senior management. The home keeps a hard copy and an electronic copy of the local (Tower Hamlets) safeguarding adults policy. This is what would be expected should the local team be taking responsibility for referrals. As this will no longer be the case the inspector and manager await guidance as to what policies will need to be kept by the home in future. The manager stated that the adult protection training for staff is now included in Rights and Responsibilities training which is mandatory for all staff. The training was held in September and is being held every month for the rest of this year. The home supports residents to manager personal monies. Some keep cash in their rooms, some have family who assist them. The manager stated that the home uses a computer programme called SMART for the protection of residents monies. The inspector viewed it on computer screen. It is a sophisticated programme which gives relevant financial information for every resident. If the resident is assisted with their personal monies these are accounted for. The manager stated that receipts are kept for every purchase and are stapled to a hard copy of the statement. They are sent to head office every month. The inspector further noted property lists for residents, written on admission. A relative said that her father always gets his own clothing back from the laundry. The inspector was satisfied that residents monies and property are safeguarded. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home is very clean and provides a homely, comfortable and safe environment. EVIDENCE: The home is light bright and airy. On the day of the inspection the sun was streaming in through the windows. The home is very clean and the recent refurbishment has provided a high standard of soft furnishings. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 18 There were no hazards observed in the home. A relative told the inspector that her father had had many falls at home but none since he had moved into the home. The decor of the home is very fresh. The manager stated that residents are pro-active in mentioning any cleaning issues they observe. The only environmental shortfall is the presence of unpleasant odours in some parts of the home. The home obviously does all it can to eliminate these odours. The organisation is working towards opening a dementia care unit on the third floor. This is still under development and the area is not used by residents at the moment. The home does regularly admit residents who have Methacilin resistant Staphylococcus Aureus (MRSA). Their laundry is washed separately in bags which dissolve in the washing machine. Nurses and carers wear gloves and are aware of hand washing procedures. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home is well staffed with competent nurses and carers. They are safely recruited, well trained and supervised regularly. EVIDENCE: The home has since the last inspection, introduced a more flexible rota system. This means that for one or two months of the year staff change shifts. This gives staff the opportunity to be with residents during the day and night and to appreciate what is involved for other shifts. The manager and inspector agree that this initiative gives the carers a more holistic view and benefits residents. The home is currently well staffed and the inspector observed staff to be visible and interactive with residents. The basic annual training which is mandatory in the organisation is, health and safety, which covers infection control and food hygiene, back care which embraces manual handling, and fire twice a year for all staff. Rights and Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 20 responsibilities which embraces safeguarding adults, is now also mandatory. Nurses would undertake medication training in addition. The inspector viewed the records of training which reflected an up-to-date situation. Certificates for staff training are kept on file and there is also a training matrix. The manager can determine straightaway what training has been undertaken and what needs to be done. She can ensure that training opportunities are taken up when they are needed. Almost 50 of carers now have NVQ 2 and the two team leaders have NVQ3. The manager stated that the home now regards holding an NVQ qualification as a recruitment criteria. Staff personnel files viewed evidenced a sound recruitment system. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Service users experience good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The current manager has completed her Registered Managers Award. She has demonstrated her managerial expertise in the significant and continued improvement of the home since the last inspection one year ago. Quality assurance is sought with a variety of questionnaire forms. The manager stated that topical issues tend to be explored with the aid of the questionnaires. The surveys are sent to head office so the inspector was not Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 22 able to see any. The home leaves compliments and comments slips around reception for feedback. A compliments book is also kept and the inspector read a card, and a letter from this. The feedback collected by the inspector from residents and a relative was very positive. One resident said I am happy here, a relative stated So far fine, no complaints. The inspector viewed various records to ensure that safe working practice is being followed in the home. Records for accidents and incidents, Control of Substances Hazardous to Health (COSHH) and gas installations were viewed and were judged to be satisfactory. The manager stated that the home is applying for a Safe Site award. This involved a team of people spending a whole day, at the service in August 2007, looking at a wide range of systems. The manager explained the arrangements for the four people at the home who smoke and these were sensible and in line with the new legislation. The manager further stated there are no communal smoking areas and no staff member is allowed to smoke on the premises, or when in uniform. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x 2 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement Records of medication administered must be completed at the time of the administration. Timescale for action 01/10/07 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 OP16 Good Practice Recommendations There should be more detail in the complaints record so that the course of the resolution can be followed. Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Silk Court Nursing Home DS0000007367.V350753.R01.S.doc Version 5.2 Page 26 - 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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