Inspection on 15/06/05 for South Road (38)

This inspection was carried out on 15th June 2005.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

South Road (38) 01/05/08

South Road (38) 02/05/07

South Road (38) 14/11/05

South Road (38) 26/07/05

South Road (38) 06/01/05

South Road (38) 30/06/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 South Road (38) 38 South Road Bishops Stortford Hertfordshire CM23 3JJ Lead Inspector Mrs Jan Sheppard Unannounced Inspection 20th June 2006 10:00 South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service South Road (38) Address 38 South Road Bishops Stortford Hertfordshire CM23 3JJ 01279 461 131 01279 466 332 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) www.hft.org.uk Home Farm Trust Care Home 10 Category(ies) of Learning disability (10) registration, with number of places South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th June 2006 Brief Description of the Service: 38 South Road is a large house in a residential street on the outskirts of Bishops Stortford. It provides a care home for ten people with a mild to moderate Learning Disability. All the residents have their own rooms, which reflect their individual personalities, and all make full use of all the local community has to offer. The home has communal accommodation, which is well used by this well-established group of service users. Emphasis is given to active, positive quality lifestyles at the limit of each service users ability and independence. The home is owned by the Home Farm Trust a voluntary organisation. The current fees for the residents, who are all sponsored by a local authority, range from £564 to £1867 per week according to need. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The homes new manager is Mr. Clive Kidd. His application for registration is currently being processed by the Commission. This was the first unannounced key inspection and took place over one and a half days. All the staff on duty and the residents who were at home were spoken with. Discussions were held with the homes Manager, the Senior Carer and with the Assistant Service Manager who visited for the Home Farm Trust head office. The comments in this report reflect the findings made by the inspector during these visits and also take account of information and reports that were periodically sent to the Commission by the homes manager. standards were examined during this inspection. The requirements, all except one, made during the last inspection have been met or are in the process of being met. Two requirements and two recommendations are made following this inspection. The residents appeared to be relaxed and happy and to be very much in charge of their own environment. What the service does well: What has improved since the last inspection? Since the last inspection improvements have been made to the decoration and facilities within the home. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 6 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. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home has policies and procedures that meet the requirements of these standards, for the needs assessment of new residents and appropriate visiting arrangements for their gradual introduction to the home. The Service Users Guide requires some revision. EVIDENCE: No new residents have been admitted to the home since the last inspection. The records of the resident who was most recently admitted, in June 2005, evidenced that a gradual programme of introductory visits were arranged during which a full assessment of care needs was made. This resident told the inspector that they appreciated the manner in which these visits had been carried out and the fact that staff had visited them at their previous address where they lived with their parents and she felt that this had enabled them to gain a better understanding of their situation and to appreciate some of the big life changes that moving into a residential care setting involved. The existing residents have the required information about the home including a Contract, a Statement of Terms and Conditions and Service Users Guide. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 9 The Service Users Guide was found to be somewhat out of date and in need of some revision. Work to revise this so that it is in a more understandable format for all the residents to understand and so that it contains more information specifically pertinent to life at 38 South Road is already underway. Staff are being helped with this work by one resident who has advanced computer skills and she is assisting with the format layout and producing modern artwork. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home maintains detailed individual care plans for each resident, which were seen to reflect personal needs and aspirations. The key worker and care planning systems in place support the rights of the service users to be involved in making choices about their own lives. The recording of individual consultations with the residents could be improved. The well being and safety of the service users in the home and while out in the community are supported by risk assessments. EVIDENCE: The care plans examined were found to be well kept with good detail as to how care needs should be met, to have a regular pattern of review and to contain risk assessments. The manager showed the inspector the New Home Farm Trust support plan format, which is now being gradually introduced into all of their registered establishments and which will be computerised. South Road has already commenced work on these for their residents and the manager plans that all new reassessments will be completed by the autumn. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 11 The new format was seen to contain clear goals and objectives along with associated risk assessments. The existing support plans examined were noted to give good mention as to how staff should approach meeting the needs of the residents in a manner which encouraged them to develop and maintain their own skills and potential. The staff appeared to be well focused on enabling the residents to express their needs and wishes. A formal pattern of planned and recorded residents meetings are held. and during the day of this inspection staff were observed on a number of occasions to be having spontaneous discussions with individual and small groups of residents where impromptu discussions and decisions about their life styles were taking place. Staff should ensure that ways of recording the content of these spontaneous discussions are found so that the extent to which the residents are enabled to make decisions about their lives can be fully evidenced. The activities that the residents engage in both within the home and in the wider community are supported by risk assessments. The assessments cover health and behavioural related issues with supporting information for staff on triggers that may indicate preventative measures are needed to avoid problems. A need for a risk assessment dealing with the potential risks poised by the positioning of radiators in some of the residents bedrooms was identified during this inspection. The new manager told the inspector that he has commenced on a review of all the risk assessments in the home. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents day centre and attendance at other activity programmes offer them the opportunity for personal development and recreation alongside peers of a similar age and ability. Weekend and evening events in the local community are also enjoyed. Staff offer support to service users in maintaining links with family and friends. The home offers a nutritious and varied menu chosen by the residents, which offers fresh ingredients and home cooking on a daily basis. EVIDENCE: All the residents have an individual programme of day care activities and planned time at home for activities such as shopping and managing their money. The residents programme attendance ranges from three to five weekdays according to their need and venues include two local day centres as well as classes at colleges in Harlow and Ware. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 13 One resident, to meet particular needs, has an in house day care programme during which they are supported on a one to one basis. All the residents go out in the evenings and at weekends to follow a range of leisure activities and where needed these outings have staff support. Several of the residents are able to travel on their own and do so frequently. The home has two vehicles, which are used to help residents with their journeys. Staff commented that there is a very full weekend activity programme especially over the summer months. Residents have requested visits to a circus, a wrestling match and regular trips to a local bowling alley. All the residents go on a group holiday with some other home residents of their choice and visits to Blackpool, Skegness and Centre Parks are planned for this year. In addition many of the residents make visits to stay with their families. The inspector spoke with several residents about the plans they had over the summer to visit their families and in some cases to take holidays with them. Staff explained that all the residents like to stay with their families over the Christmas holiday period but that they return to the Home for the New Year celebrations. The service users all take part in the day-to-day running of the home and take responsibility in relation to managing their laundry and the organisation and cleaning of their rooms. Most also help with the preparation of their meals and one resident who was so doing during this inspection spoke to the inspector about how the residents choose their menus and play their part in the weekly food ordering and shopping. Over recent months the home has become more aware of the importance of a healthy eating programme to assist the residents maintain a moderate weight. Many of the residents were seen to have small fridges in their rooms and their ability to make their own choices as to what they eat and drink was clearly evidenced. Supplies of fresh fruit were seen in the kitchen to be freely available for the residents. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good this judgement has been made using available evidence including a visit to the service. Personal care and health care is offered to the residents in an individually planned manner so as best to meet their needs. Specialist assessments are arranged for residents whose care needs change. The home has a robust medication storage and administration system. EVIDENCE: Care and assistance was seen to be being delivered in a calm and kindly manner with emphasis being given to enabling the residents to do as much for themselves as it is safely possible for them to do. Three residents in the home use Maketon signing for part of their communication. Additional training for the staff who sign that was arranged during the spring could not be completed because of the illness of the tutor. Future training and the necessary repeat and follow up sessions have been arranged for the autumn. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 15 Since the last inspection various improvements have been made to the medication storage and administration systems in line with the requirements made at that time. One omission during the previous week in the signing for the administration of the medication noted by the inspector had already been picked up by the senior staff during their management review of the accuracy of these records, this evidencing that the homes internal audit of this system is routinely and effectively carried out. An improvement in the lay out for these medication records was discussed with the manager. Staff have recently undertaken medication training offered by their supplying pharmacy company and the manager is arranging for himself and other staff to do a further more in depth Medication course at Oaklands College. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A robust complaints procedure is in place. Staff follow the Adult Protection Procedures as set out in the Hertfordshire County Council Joint Agency Guidelines. The welfare and protection of the service users is supported by Home Farm Trusts policies and procedures, reporting and investigation of incidents and supervision of staff. EVIDENCE: There have been no complaints nor incidents concerning Adult Protection since the last inspection. Residents spoken with were fully aware of the homes complaints procedure and of how they should activate this. However one said with confidence. “ I would just talk to X”, (a senior member of staff). Staff receive protection of Vulnerable Adults training as part of their induction and on going training. Three staff were seen to have just completed a training course on this subject. The Hertfordshire multi-agency procedure was available to staff. Ways of ensuring that staff remain aware of their responsibilities in this area were discussed with the manager including regularly having this topic on the agenda of the staff meetings and in individual supervision meetings. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence and including a visit to the service. The home, which meets the space and environmental requirements of this standard, was found to be fresh and clean and to be attractively and appropriately decorated. It provides a pleasant comfortable safe and homely environment for its residents. The home has a good awareness of the need to prevent cross infection. There are suitable systems in place to manage residents laundry hygienically. EVIDENCE: Since the last inspection a number of improvements have been made to the home including the fitting of new windows and various works of internal redecoration. The new manager has prepared a programme of routine maintenance and refurbishment for the home, which meet the requirements made following that last inspection. Residents spoken with all said that they were very happy with their rooms and the accommodation provided. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 18 The inspector was invited by several of the residents to visit their rooms, which were found to be very well individually personalised to have good storage facilities and to be appointed in a style, manner and colours that reflected the residents own tastes and interests. Most had a TV or music centre and all had numerous photographs of their family and friends. Several residents had also displayed certificates of their attainment at their day care classes. To ensure robust infection control procedures staff and residents have access to a washing machine with a sluice cycle, to liquid soap, gloves and disposable bags and aprons. Since the last inspection all the staff have completed a course on Infection Control. The problems identified at the last inspection concerning the lack of availability of toilet rolls have been solved by the fitting of sheet paper dispensers; the problems encountered by the provision of paper towels in the communal toilets have also been overcome this ensuring the dignity for all residents at all times. The home has a large and very attractive garden which is very well kept and which provides good spaces for outside BBQ eating and has a badminton court. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence and including a visit to the service. The home has a stable staff team sufficient to meet the care needs of the residents. Staff are qualified and experienced and are well supported by their managers. EVIDENCE: The current staffing rotas evidenced that the home has a sufficient number of staff on duty (at all times) to adequately meet the needs of the residents and that no staff work excessive hours. The staffing requirements made at the last inspection have been met. The home is currently fully staffed and the manager reported that the staff group is a stable one with many of the experienced carers having known and worked with some of the residents for some years. All the staff have an on going training programme and the records evidenced that there is an overall homes training plan and that refresher training at particular intervals occurs. The home currently has 44 of staff with an NVQ level 2 qualification and 3 more staff are currently working towards this attainment. The new manager is studying for the Registered Managers Award and the Senior Care holds an NVQ at level 3. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 20 Robust recruitment practices are in place, which protect the service users. The records evidenced that the required checks had been taken up for recently appointed staff but for the reference for one could not be fully evidenced with an official stamp from its sending company. The inspector had sight of the CRB records for all of the staff currently employed at the home. Staff spoken with all said that they felt well supported by the homes managers and confirmed that they received regular supervision and an annual appraisal. They appeared to be enthusiastic about their work and knowledgeable about the residents needs. Staff said that they felt able to raise issues and question practice as part of their supervision sessions. One commented that the new manager had settled quickly into the home and that she “felt it to be more focused now with good team working”. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is adequate. This judgement is based on evidence received including a visit to the service. The home has a well qualified manager and a stable staff group. The records are adequately maintained so that the health and safety of the service users is assured. A quality assurance process for the home could not be evidenced. EVIDENCE: Since the last inspection the homes manager resigned her position and a new manager has now been in post for some months. He is a long-standing employee of Home Farm Trust, has had considerable previous management experience and is well qualified to work with this client group. He has already commenced the Registered Managers Award training. His previous work with the organisation meant that he already knew several of the residents at South Road and this may have assisted his smooth transition into his new post. South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 22 The inspector observed that the staff group appeared to be working happily together with the united focus of meeting the residents needs in the best possible manner. A number of the records were examined and were found to be well organised and adequately maintained this giving better protection to the health safety and welfare of the service users. The new manager spoke of some areas where he recognised that improvements to record keeping could be made. He shared with the inspector his initial review of the workings of the home; his assessment of its strengths and weaknesses and his action plan for improvements where needed. A requirement from the last inspection that “A copy of the most recent quality assurance audit with its findings must be sent to the Commission” has not been met. No quality assurance measures could be evidenced on the day of this inspection. This requirement has been repeated. South Road (38) DS0000019529.V300191.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 1 x x 3 3 South Road (38) DS0000019529.V300191.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard YA5 YA39 Regulation 6(a) 24 Requirement A revision to the homes Statement of Purpose must be carried out. A copy of the most recent quality assurance audit with its findings must be sent to CSCI. THIS REQUIREMENT REMAINS UNMET FROM THE LAST INSPECTION. Timescale for action 30/11/06 30/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA8 Good Practice Recommendations Ways of adequately recording all the discussions that staff have with service users where these discussions cover areas of their planning and decision making about aspects of their lifestyle must be established. This to fully evidence that residents are given god opportunities for this self-determination about their own lives. References for new staff must be supported by documentary evidence of their origin, this to ensure that the homes recruitment practices give full protection to the residents. DS0000019529.V300191.R01.S.doc Version 5.2 Page 25 2. YA34 South Road (38) Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI South Road (38) DS0000019529.V300191.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. 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!