Inspection on 29/10/07 for Somerleigh Court

This inspection was carried out on 29th October 2007.

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

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

Other inspections for this house

Somerleigh Court 30/05/07

Somerleigh Court 16/08/06

Somerleigh Court 27/10/05

Somerleigh Court 07/04/05

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Somerleigh Court Somerleigh Road Dorchester Dorset DT1 1AQ Lead Inspector Gloria Ashwell Key Unannounced Inspection 29th October 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 Somerleigh Court DS0000062046.V354836.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. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Somerleigh Court Address Somerleigh Road Dorchester Dorset DT1 1AQ 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) 01305 259 882 01305 259 883 robinwaterer@bentleighcross.co.uk Bentleigh Care Ltd Post Vacant Care Home 40 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (25) of places Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 15 service users under the category of DE(E) to be accommodated on the top floor of the building. Two named persons (as known to the CSCI) between the ages of 6065 may be accommodated to receive care. Two persons requiring palliative nursing care may be accommodated. Date of last inspection 30th May 2007 Brief Description of the Service: Somerleigh Court is a purpose built nursing care home, first registered during November 2004. It is located close to the centre of Dorchester, within walking distance of shops and other facilities including a GP practice. Resident accommodation is on the ground, first and second floors; each floor comprises a separate unit with a dedicated staff team, lounge/dining room, kitchenette and hygiene facilities (including assisted bathing facilities to aid safe movement of service users with impaired mobility). The second (top) floor is registered to accommodate a maximum of 15 elderly persons requiring nursing care for conditions associated with dementia; the ground and first floors are registered to accommodate up to 25 elderly persons requiring nursing care. At all times a registered nurse is on duty on each unit. All residents are accommodated in single bedrooms with en suite toilets and wash hand basins. Visitors’ cars may be parked close to the home (a permit obtained from the home MUST be displayed). Laundering of clothing and household linen is carried out at the home and arrangements are made for chiropodists, opticians and other health and social care professionals to visit individual residents. Fees are charged weekly; at present fees for permanent residents range between £530 and £800 per person and are determined by the assessed needs of the person. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 5 Information regarding the subjects Value for Money and Fair Terms in Contracts can be obtained from the web link: www.oft.gov.uk A report entitled Care Homes in the UK - A Market Study is available on web link http:/www.oft.gov.uk/NR/rdonlyres/5362CA9D-764D-4636-A4B1A65A7AFD347B/0/oft780.pdf Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a statutory inspection required in accordance with the Care Standards Act 2000. The inspection was unannounced; the inspector arrived at 10.00 on 29 October 2007 accompanied by an expert-by-experience who toured the premises and spoke to residents and staff, while the inspector focussed on discussion with the manager and examination of documentation relating to care provision and the premises. The report of the expert-by-experience is incorporated within this report. By arrangement with the manager the inspector arranged the next visit which took place at 10.30 on 9 November 2007 when further documentation relating to care provision and the premises was discussed and examined. The duration of the inspection (both days combined and including the visit of the expert-byexperience) was 12 hours. During the inspection there was discussion with the manager and the business manager, nursing, care and household staff and most of the residents accommodated at the time, both individually and in small groups in the communal areas. Staff interaction with residents and the carrying out of routine tasks was observed. During the inspection, particular residents were ‘case tracked’; for example, for evidence regarding Standards 3, 7 and 8, records relating to the same resident were examined and the resident spoken with. The care records of four people who live at the home were examined in detail. Additional information used to inform the inspection process included the Annual Quality Assurance Assessment completed in advance of the inspection and reports of the monthly visits carried out on behalf of the service provider. During this inspection compliance with all key standards of the National Minimum Standards was assessed. What the service does well: People considering moving into Somerleigh Court receive a full assessment and are provided with the opportunity to visit and spend time at the home to make sure that it is able to meet their needs. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 7 A number of the currently accommodated service users are physically and/or mentally frail and unable to reliable express an opinion. However, the general impressions received were of satisfaction with the standards of care and accommodation. A letter recently received by the home from the relatives of a resident who had been accommodated in the home stated “a very big thank you for the love and compassion all gave to X…X could not have been in a better place for her last years”. On the days of inspection the home was clean, comfortably warm and adequately staffed. It is well equipped, attractively decorated and suitably furnished. The standard of nursing and social care is good and each resident has a documented plan of care. Staff are enthusiastic and competent, and receive training. What has improved since the last inspection? On 1 September a new manager was appointed and quickly identified the weaknesses of the service and making arrangements to improve all aspects. The report of the previous inspection included 7 requirements; all have now been met. In particular the provision of meals and recreational activities are undergoing review to ensure they meet the needs and preferences of residents. Much has already been done to effect the necessary improvements, and the manager is focussing on the completion of this work. The system of record keeping with regard to care provision is also being changed; many records are now of the new system and are clear and comprehensive – all will soon be of this standard. Arrangements have been made for staff to receive training in a number of essential subjects and a senior member of the nursing team has been engaged to coordinate future staff training. A business manager has been employed and works closely with the home manager to ensure the smooth and safe operation of the service. Overall, improvements to all aspects of the service have been made since the previous inspection and the manager continues to work to a tight schedule of further improvements to ensure that Somerleigh Court reliably meets all National Minimum Standards and provides good standards of care in a suitable environment. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 8 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. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 9 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 Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 10 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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home does not provide Intermediate Care so Standard 6 does not apply. The service user guide contains relevant information about the home providing prospective residents and their representatives with an accurate understanding of the people for whom the service is intended although the format of the information may not be suitable for service users who have specific needs for example those with impaired sight. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 11 EVIDENCE: The service user guide is made available to all residents and prospective residents. The Statement of Purpose and service user guide are available in a standard format; it is recommended that this information be made available in alternative formats, appropriate to the needs and capacity of individual prospective residents or their representatives who might find the standard format difficult to read and fully understand. The records of two recently admitted residents included details of preadmission assessments which had been carried out by the manager when she visited the prospective residents at the previous address. In advance of making the decision to enter the home the closest relatives of the prospective residents visited Somerleigh Court to view the premises and meet residents and staff. Following pre-admission assessment of the persons needs and circumstances the home writes to them confirming agreement and ability to accommodate and care for them. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and social care needs of residents are met by suitably trained staff; doctors and other professionals visit as necessary and the home employs nurses and care workers who properly respect and promote the privacy and dignity of the residents. EVIDENCE: A number of the currently accommodated service users are physically and/or mentally frail and unable to reliable express an opinion. However, the general impressions received were of satisfaction with the standards of care. A letter recently received by the home from the relatives of a resident who had been accommodated in the home stated “thank you all for all that you have done for X …X could not have been more loved or cared for”. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 13 Care provision is in accordance with a written plan of care for each resident thereby ensuring that staff have sufficient information upon which to base their care practice. Whenever possible, residents are actively involved in planning their own care and are encouraged to sign records to confirm their agreement. Care records of 4 residents were examined. At the previous inspection the standard of care documentation was variable and frequently failed to include sufficient information. Recently a new system of record keeping has been introduced by the new manager and the records of all residents are being changed to the new standard. Two of the sets of records examined during this inspection were still of the earlier system, and generally adequate. The other two sets of records examined were of the new system and were clear and comprehensive, with reliable risk assessments forming the basis for care plans. Daily records describe the care of each resident. To ensure correct identification of residents, records contain a recent photograph of each resident. Medicines prescribed by doctors are safely stored and carefully administered to residents by trained nurses, thereby protecting residents from medicine errors. Medication administration records were properly kept indicating that residents receive prescribed medicines at the correct times and in correct amounts those wishing to do so can manage their own medicines in accord with a risk assessment process; none of the currently accommodated residents manage their own medicines. In the presence of staff residents appeared relaxed, confident and at ease; staff interactions with residents were of a friendly and considerate manner and the atmosphere throughout the home was cheerful. Residents are treated with respect and their privacy and dignity is protected at all times. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 14 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 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is aware that the home has not recently provided a service sufficiently flexible to the varying needs of the residents; social and recreational activities are infrequent and are not suited to the preferences and abilities of all residents and there is minimal choice for meals with little evidence of ‘good practice’ with particular regard to the needs and abilities of individual residents. The manager has developed an action plan to ensure the improvement of these circumstances and has started to introduce some of the necessary changes. EVIDENCE: There is a programme of recreational and social activities but the variety and frequency of activities has not met the differing needs of many of the residents; in particular there has been little opportunity for most residents to go outside, into the garden or on trips into the town. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 15 At the inspection the manager demonstrated her understanding of good practise in this area of care. During recent weeks there has been a marked increase in recreational activities and arrangements have been made for some residents to attend a local Christmas pantomime. The manager has drawn up an action plan, is at present obtaining the opinions of residents regarding their preferred activities and has consulted with the provider organisation obtaining agreement to introduce new ways of working. Similarly with regard to food provision, which although nutritionally sound was found at the last inspection to be often unappealing to many residents and sometimes unsuited to their abilities e.g. the provision of ‘finger food’ might enable more of the frail residents to feed themselves, and nutritional snacks between meals might promote the good nutrition of those unable to eat a substantial meal ‘at one sitting’. The manager has already done much to improve food provision and by introducing new staffing arrangements expects that Somerleigh Court will soon be fully meeting the necessary standard. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 16 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure provides information on the procedure to follow to persons wishing to make a complaint; all complaints are recorded and investigated and the home has implemented an adult protection procedure. EVIDENCE: To ensure residents and their representatives have access to the complaints procedure it is included in the service user guide to the home which is displayed at the entrance and a copy is provided to each residents’ relative/representative. Residents know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. The home keeps records of all complaints received and investigated and has developed and implemented written policies and procedures for the protection of residents from abuse or neglect. An allegation has been made against the home with regard to one service user, who is not currently accommodated in the home. At the time of this inspection the allegation was under investigation. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 17 On 21 November 2007 the investigation was completed and a multi-agency meeting held. The result of the investigation is inconclusive due to the poor quality of records kept by Somerleigh Court for the particular resident. It is acknowledged that the subject of concern and the associated record keeping took place some weeks before the inspection; as stated for Standard 7 of this report it was noted at the previous inspection that the quality of record keeping had been frequently poor- recently the standard has been significantly improved. Arrangements have been made to ensure all staff are trained in the understanding of abuse and their role in protecting residents from abuse in its many forms, including neglect. A number of staff are to receive this training during November 2007; the session will include consideration of the new Mental Capacity Act. Care staff spoken with during the inspection said they think the standard of training available to them is good and they are encouraged to undertake training in subjects that interest them. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 18 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 &26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises are comfortable, clean, suitably equipped and subject to a continuous programme of updating and refurbishment to ensure the standard is routinely maintained. EVIDENCE: Somerleigh Court is an attractive purpose-built home, with good-sized bedrooms, bathrooms equipped for the use of persons requiring assistance and attractive communal rooms. The home is clean, tidy and comfortable throughout; there were no unpleasant odours. The home is well equipped; all residents have profiling beds which can be adjusted to height and shape e.g. head end raised, foot end raised. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 19 All areas of resident accommodation are accessible to wheelchair users; there is a passenger lift and no necessity to negotiate steps or stairs. Since the last inspection heaters have been fitted in most en suite bathrooms which previously were reliant on heat from the bedroom entering via an open door; the manager said that additional heaters will be provided on request to ensure that all residents are comfortable at all times. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 20 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and maintenance of the good condition of the premises. Recent improvements to recruitment practices ensure the protection of residents from potentially unsuitable staff. The home promotes the achievement of nationally recognised care qualifications and supports staff to access the training they need to be able to properly care for residents. EVIDENCE: Trained nurses lead the care team and at all times the home is in the overall charge of an experienced nurse. Staffing levels are provided in accordance with the assessed needs of residents to ensure that at all times sufficient staff are available to properly meet their needs. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 21 Staff are enthusiastic about their work and feel they provide a good standard of care to residents and are properly supported by the management and training provision. The records of a recently employed staff member were examined and found to contain all essential information including two written references, an interview assessment, health details, evidence of identity and of induction training. The records of another staff member whose contracted hours have recently changed were also examined and found to be in order. The home meets the standard for at least 50 of the care staff to hold a National Vocational Qualification in care. The manager has an enthusiastic approach to staff training; she has arranged for a number of staff to attend training on Protection of Vulnerable Adults, the Mental Capacity Act and fire safety. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 22 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, suitably staffed and provides good standards of care to residents. A quality assurance system is being introduced to ensure maintenance of standards and involvement of service users. Policies and practices promote the health, welfare and safety of residents and staff of Somerleigh Court. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 23 EVIDENCE: On 1 September 2007 a new manager was appointed to the home; the Commission is at present processing her application to become the registered manager of the service. Although only in post for approximately 6 weeks at the time of this inspection; there was extensive evidence that the manager has quickly and effectively identified the weaknesses of the service and made arrangements for the necessary improvements, many of which are already apparent. The home has ongoing systems for quality assurance; satisfaction surveys are periodically issued and occasional meetings for residents and their relatives takes place. There is a selection of clear and appropriate policy and procedure documents, including those for care provision, management and the premises. Records of fire alarm tests, staff training and drills were in order. The home does not manage the personal finances of any resident; there are facilities for the temporary storage of monies and valuables which residents may no longer wish to personally hold. Staff trained in First Aid and health care are on duty in the home at all times. All staff are supervised and each has a personal profile containing records of appraisal. Records are kept of all accidents and there is subsequent review of the care plan and periodic audit to identify any trends e.g. time, place, person, activity. To further promote safety by ensuring that exposure to known risks is minimised the accident policy/procedure should be extended to include investigation of each accident. The inspector examined some records equipment servicing and maintenance including the records of regular checks/tests of fire safety equipment. The home has recorded a fire safety assessment including a detailed escape plan. There is a written assessment of the ‘Health & Safety’ of the premises and working practices designed to ensure the continued safety of all who live in, work and visit the home. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 24 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP1 Good Practice Recommendations The service user guide should be made available in alternatives to the standard format. Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Somerleigh Court DS0000062046.V354836.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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