Inspection on 25/07/07 for South Garth

This inspection was carried out on 25th July 2007.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

South Garth 24/07/08

South Garth 16/08/06

South Garth 07/11/05

South Garth 03/05/05

South Garth 14/01/05

South Garth 11/08/04

South Garth 03/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE South Garth 1 Elwyn Road Exmouth Devon EX8 2EL Lead Inspector Sue Dewis Unannounced Inspection 25th July 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 South Garth DS0000022033.V338546.R02.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. South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service South Garth Address 1 Elwyn Road Exmouth Devon EX8 2EL 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) 01395 265422 01395 227474 Mrs Christa Elizabeth Greaves Woodland Health Care Limited Mrs Angela Susan Westcott Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25), Physical disability over 65 years of age of places (25) South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: South Garth provides personal care for up to 25 older people who may also have physical disabilities. The property is a detached converted house with a modern extension in a suburb of Exmouth. Accommodation is arranged over two floors and there is a passenger lift to the upper floor. There are two lounge areas plus a large conservatory that is used as a dining room. There is a small car parking area, but in practice people tend to park on the road. There are pleasant level gardens that are sunny and sheltered. The most recent inspection report is available upon request and a copy is also in the information pack, which is in the hallway of the home for anyone to read. Fees are currently £314-£410 weekly. Services not included in this fee are hairdressing, chiropody, papers and magazines, incontinence pads and transport to hospital. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at http:/www.oft.gov.uk . South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 8 hours, one day towards the end of July 2007. During the inspection 3 people were case tracked. This involves looking at peoples’ individual plans of care, and speaking with the person and staff who care for them. This enables the Commission to better understand the experience of everyone living at the home. As part of the inspection process CSCI likes to ask as many people as possible for their opinion on how the home is run. We sent questionnaires out to a sample of people living at the home, their representatives, health and social care professionals (including GPs and care managers) and staff. At the time of writing the report, responses had been received from 3 people living at the home, 3 representatives, 4 health and social care professionals and 3 staff. During the inspection 2 people living at the home were spoken with individually and 5 in a group setting, as well as observing staff and people living at the home throughout the day. We also spoke with 3 staff and the manager. A full tour of the building was made and a sample of records was looked at, including medications, care plans, the fire log book and staff files. What the service does well: Southgarth provides individuals with a safe comfortable and homely place to live. Staff are committed and well trained and they are keen to ensure the well-being and comfort of people living at the home and were observed treating them with great respect and kindness. There was obvious warmth and affection between all those living and working at the home. One individual said that though there were some things they were unhappy about ‘on the whole it is a lovely place.’ There is a good admission process and the care planning process provides staff with good information on the needs of people living there. Meals provide variety for individuals are there is always an alternative if they do not like what is on the menu. The manager is committed to ensuring a good service is provided to individuals. South Garth DS0000022033.V338546.R02.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. South Garth DS0000022033.V338546.R02.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 South Garth DS0000022033.V338546.R02.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals thinking of moving into the home are encouraged to visit, and an assessment of the support they require ensures that the home can appropriately meet their care needs. The home does not provide intermediate care. EVIDENCE: The statement of purpose for the home is available in large print and picture formats and is currently being updated. South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 9 The files of three people were looked at. All three files contained detailed preadmission assessments to determine if the home can meet their needs. These are completed either in the person’s own home or hospital. There was also some evidence that people or their representatives had visited the home prior to moving in, and records show that one person visited for lunch. One other person spoken with said that they had visited the home prior to admission, others could not remember if they had visited. The home does not provide intermediate care. South Garth DS0000022033.V338546.R02.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are well formulated and contain information that enables staff to meet the health and social care needs of individuals. Though there is not also the evidence that this has been followed through. Individuals are treated with dignity and respect and their health care needs are met, with evidence of multidisciplinary working taking place where necessary. To ensure the safety of residents, all medicines are stored securely and generally administered appropriately. EVIDENCE: Three care files of people living at the home were looked at. The files are currently being updated and the format is being changed. Two of the files that were looked at were in the new format and the third was in the old format. South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 11 The new care plans contained risk assessments risk assessments for moving and handling, nutrition, falls and pressure areas. The plans also contain information on means of communication, social interests, mobility and an end of life plan. The home is also starting to keep ‘Lifestyle Diaries’ for all individuals that will include a detailed social history. There are plans to ensure either the individual or their representatives are aware of the plans and for their signatures to be recorded. However, there is no evidence of this at present. The plans give good directions on what staff need to do in order to meet the needs of the individuals, but there is little detail on how the staff should do this. Though there are generally good daily recordings they are not always checked and followed up, for example one record showed that the individual had not been sleeping at night, but there was no indication that this had been monitored. Staff said that they found the care plans useful for keeping them up to date on any changes to the needs of the individuals. A record of visits by health care professionals is kept and this showed regular contact. However, this also showed a lack of follow up, for example one record showed that a district nurse had taken a urine sample for testing, but there was no record of the results of the test. Medication is securely stored and records show that staff have received training in the administration of medication, staff also confirmed that they had received this training. A monthly audit of medication is undertaken by the manager and this includes ensuring that medication coming into the home is checked, the medication cupboard is clean and tidy, that eye drops and creams contain an ‘opened on’ date and that MAR (Medication Administration Record) sheets are signed correctly. However, it was noted that on the MAR sheet for the day of the visit, there were several gaps in the recordings that indicate when medication has been given. There is now a small fridge in the office where medication can be stored if required. Staff were seen to respect the privacy and dignity of the individuals by knocking on doors and offering personal care in a discreet manner. Individuals said that they felt staff treated them with respect and dignity. South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 12 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home does not offer a suitable range of activities and entertainments to stimulate and occupy individuals. There are limited opportunities for individuals to exercise choice and control over their lives. Menus provide nutritious variety and choice for individuals. EVIDENCE: There are occasional activities provided for individuals such as gentle exercises and on the day of the visit there was a Bingo session that people said they very much enjoyed. However, there is little evidence that the home provides regular social stimulation for the people living there. South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 13 Staff said that they were unable to spend very much time with individuals on a one to basis, or in a group setting as they were very busy ensuring that basic care needs were met. Individuals echoed this saying that staff never asked them what they wanted to and that while the basics get done nothing else does. One person said ‘we are not daft, we are intelligent people, but we get up and then sit and do nothing – its very boring’. Other people confirmed this, also saying they had to get up and go to bed when staff were able to assist them. Staff said that this was often the case and that people often had to wait for some time before they were able to get up or go to bed, or were got up or put to bed before they were ready. See also standard 27. However, there was good interaction between everyone living and working at the home and staff were very concerned that they were unable to spend more time with individuals, saying that the only time they really had to talk with individuals was when they were assisting them with bathing or toileting. Individuals said that they received regular visitors and that the home always made them feel very welcome. People said that they enjoyed the food at the home and that they always got a choice for each meal including supper, when they could always have soup and sandwiches if they didn’t want anything else on the menu. However, several individuals felt that all the mealtimes were too early and would like them all a little later. South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are dealt with appropriately and individuals are protected by staff who are able to recognise abuse and know their duty to report poor practice. EVIDENCE: There is a clear and simple complaints procedure that is displayed in the hall way and in individual bedrooms. There is also a copy contained in the home’s Statement of Purpose. A complaints log is maintained but it is rather difficult to see where complaints have been finalised and what the outcome was. Individuals said that they felt able to discuss any concerns that they had with the manager and that they would be resolved. The staff that were spoken with had a good knowledge of the differing types of abuse that could occur. They were also able to describe the action that they would take should they suspect that abuse was taking place. This included knowledge of who they may need to talk to outside of the home. South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 15 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, 20, 21, 22, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home generally provides individuals with a clean, safe, comfortable and homely place to live. EVIDENCE: The home looked clean and tidy and smelled fresh throughout. Some areas of the home have been refurbished and the dining room has had a new carpet and chairs. However, the carpet on the upstairs landing was a little uneven due to movement of the floorboards underneath. The manager has agreed to get this matter addressed immediately. South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 16 Bedrooms are being redecorated and re-carpeted as they become vacant and we saw one that has been completed and another that work is due to start on shortly. The door to the en-suite in this room needed to be replaced. Bedroom 1 off the lounge has had some alterations and French windows have been fitted with a ramp for access to outside. The door to the laundry room from this bedroom has been sealed up and the fire service have visited to ensure it meets their requirements. However, care is still needed to ensure the privacy of the individual occupying this room. The bathroom on the first floor is rather cramped and it is difficult for staff to move people around in wheelchairs. Complete modernisation of this room is planned and the manager showed us quotes that had been obtained for this work. There are several people within the home who require a wheelchair sometime throughout the day and this can cause difficulty in moving around the dining room as staff reported that they do not always have time to enable people get out of the wheelchairs onto the dining chairs. They also said that it is difficult to get wheelchairs into the toilets and bathrooms around the home. Staff reported that there is a range of moving and handling aids for their use and that there is a mobile hoist and while this is rather old it is serviced regularly and used only occasionally. One individual showed us their room and said how pleased they were that they were able to have their own possessions around them. The laundry room is situated just off the kitchen and has an impervious floor covering. We were told that to ensure infection control procedures are not compromised, staff never carry soiled linen through the kitchen, but leave the home and enter the laundry through the rear door. Staff said that disposable gloves and aprons were available as required. South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 17 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are well trained but are not available throughout the day and night in sufficient numbers to meet the needs of the current individuals. The procedures for the recruitment of staff are now robust and offer full protection to individuals. EVIDENCE: On the day of the visit there were three care staff a cook, a domestic and the manager on duty, some days this is reduced to two care and the manager works ‘on the floor’. Care staff are also responsible for individuals’ personal laundry. The home has a stable and committed staff team, many of whom have worked at the home for a long time. The three care staff that were spoken with were concerned that they were unable to do no more for individuals than meet their basic care needs. South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 18 They reported times when individuals had to wait for help to get up or go to bed, or had to go to bed or get up when they were not ready, because staff did not have time to respect their choices. They said that this was even more difficult on days when the manager worked ‘on the floor’ as she often had to answer the telephone or deal with visitors. Individuals living at the home also confirmed this and all felt that this impacted mostly in the area of social activities and interaction. Representatives commented (via cards) that ‘It is sometimes difficult for the (staff) when there are only 2 members of staff on duty for 25 residents’. Another commented ‘Most of the time the care home does well, but I feel shortage of staff at times causes problems’. The providers must ensure that there are sufficient staff on duty at all times to meet the needs of the people living at the home. Staff receive regular training and the company that operates the home has recently appointed a training officer to ensure training is continually updated. Staff said, and records confirmed that they had received training in Moving and Handling, fire procedures, POVA (Protection of Vulnerable Adults), infection control and basic food hygiene. Over 50 of staff working at the home have already obtained an NVQ (national vocational qualification) and 5 more are working for NVQ 2. Three staff files were looked at, two of these staff had been employed for several years and their files were incomplete, for example one did not have two written references. There were large gaps in the work history of the other, but no evidence that these had been explored the individual. However, the file of the most recently employed staff member contained all the required information and the manager is aware of the need for thorough recruitment procedures. South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 19 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, 32, 33, 35, 37 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well managed resulting in practices that generally promote and safeguard the health, safety and welfare of the individuals. EVIDENCE: The manager has recently completed the Registered Managers’ Award. This award helps ensure a competent approach to management of a care home. The manager is well trained and experienced and residents and their families spoke well of her. Staff said that they felt well supported by the manager and South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 20 felt that she would deal efficiently with any concerns they had. One staff member said that the manager had ‘got a lot of things done’ since her appointment. The manager often has to work ‘on the floor’ helping staff deliver personal care. While she is more than happy to do this in an emergency, she reports that she has very little time to ‘manage’ the home. Currently she is allowed 12 hours a week to manage the home and this has only recently been increased from 6. The providers must ensure that the manager has adequate time in which to fulfil her management duties. There is a quality plan produced for the home. This takes into account the views of those with an interest in the home through questionnaires, and issues raised at meetings held for those living and working at the home. However, the views of those living in the home regarding choice and activities are not being taken into account due to staffing levels. There are also regular audits for medication and the kitchen. The kitchen audit showed that cleaning schedules were not being met, fridge/freezer temperatures were not being recorded and that food was not being stored appropriately. However there was no indication that these matters had been addressed. A representative of the providers visits the home monthly and a report is produced on this visit. The home does not manage money on behalf of anyone living at the home. The diary that was kept outside of the kitchen has now been removed in order to safeguard the privacy of the individuals living at the home. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit, contained little detailed evidence of the quality of care provided by the home. However, it provide evidence that Southgarth complies with health and safety legislation in relation to maintenance of equipment, storage of hazardous substances, health and safety checks and risk assessments. The fire logbook did not show evidence that the alarm was being tested weekly and there was very little detail to show what training staff receive in this area. Accident and incident records were found to be accurate and up to date and regularly audited. So that the risk of burning from hot surfaces is minimised, all radiators within the home are covered, except for the towel rail in the bathroom due to be refurbished. All windows above ground floor level are fitted with restrictors, in order to minimise the risk of any resident falling from these windows. Individuals are potentially at risk of scalding from the hot water that comes from sinks in their bedrooms. The manager said that those individuals who can use the taps are aware of the temperatures and those who would be unaware South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 21 of the temperatures cannot access the sinks themselves. However, the risk of scalding remains. South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 22 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 3 X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X 3 X 2 2 South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP12 Regulation 16 (m)(N) Requirement You must ensure that people living at the home are offered opportunities to participate in a full range of activities and social interaction You must ensure that people living at the home are offered as much choice as possible in all areas of their lives. You must ensure that there are sufficient numbers of staff on duty at all times to ensure that the needs of people living in the home can be met You must ensure that the home is run in the best interests of the people who live there You must ensure that the risks of scalding from the hot water in bathroom sinks are minimised for those who live at the home. (Previous timescale of 30/09/06 not met) Timescale for action 03/10/07 2. OP14 12 (2) 03/10/07 3. OP27 18 (1)(6) 03/10/07 4. 5. OP33 OP38 24 13(4)(c) 03/10/07 03/10/07 South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 24 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. 2. 3. 4. Refer to Standard OP8 OP31 OP33 OP37 Good Practice Recommendations You should ensure that any issues identified on care plans are followed up and actioned accordingly You should ensure that the manager has sufficient time to fulfil the duties of a registered manager You should ensure that issues identified through quality audit procedures should be actioned accordingly You should ensure that records relating to staff fire training show details of what the training covered South Garth DS0000022033.V338546.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 South Garth DS0000022033.V338546.R02.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!