Inspection on 09/01/06 for Southwood Avenue

This inspection was carried out on 9th January 2006.

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 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

Southwood Avenue 27/11/06

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Southwood Avenue 14 Southwood Avenue Southbourne Bournemouth Dorset BH6 3QA Lead Inspector Susan Harvey Unannounced Inspection 9th January 2006 01:45 Southwood Avenue DS0000065336.V308366.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 Southwood Avenue DS0000065336.V308366.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. Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southwood Avenue Address 14 Southwood Avenue Southbourne Bournemouth Dorset BH6 3QA 01202 436140 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) Cambian Asperger Syndrome Services Ltd Mrs Michelle Alexis Timms Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age range of young men to be accommodated to be between 16 years and 19 years. N/A Date of last inspection Brief Description of the Service: Southwood Avenue is a large detached house situated in a residential area of Southbourne. The home provides term-time education and care for eight young men aged between 16 and 19 years with a primary diagnosis of Asperger Syndrome. There are eight single bedrooms, the majority being ensuite. Communal areas include a lounge, dining room, kitchen, laundry and IT suite used mostly for class work and a small garden. The library, shops and recreational facilities are within walking distances and bus routes are similarly close. The students all attend The Wing Centre, a residential and educational resource specialising in meeting the needs of young men diagnosed with Asperger Syndrome. Educational programmes include a curriculum coordinated at The Wing Centre, work experience and college courses organised by the Educational Vocational Manager who links with all local colleges assessing special educational needs on an individual basis. Some of the curriculum is delivered at Southwood Avenue where there is scope for the young men to practice independent daily living skills. Southwoood Avenue and The Wing Centre are part of the Cambian Group, an independent provider. Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection being the first following registration earlier this year. The inspection started at 1.45pm and concluded at 7pm. This inspection sought to review the twenty-two key standards. Inspection methodology included; a sample review of care files and recruitment records, a medication review, discussion with the Registered Manager and the Care Services Manager, a limited tour of the home and discussions with four staff on duty. The inspector spent time in the company of the young men, sitting with them during a mealtime and gathering their views of the service they receive. Following the on site inspection days the inspector met with the Head of The Wing centre who brought to the Commissions offices, records in support of assessments made prior to admission to the service. The inspection therefore fully concluded on 17th January 2006. What the service does well: Being the first inspection following registration the inspector is pleased to report that Southwood Avenue has made an impressive start. The house has a homely and comfortable atmosphere, which has been decorated and equipped to a high standard. The staff team have been recruited well and those spoken to offer a good balance of direct work and life experience. Staff recruitment although requiring some minor changes is fundamentally robust and thorough. All staff receive a comprehensive induction and have the opportunity to access a good range of training. Each receives 10 days training per year, which exceeds minimum standards. Students are empowered to make choices and decisions about the way the home operates and their own lives. Students spoken to confirmed that they were listened to when they had a grumble and were supported when they required it. Good record systems have been established. Students are supported by staff to develop their independent living skills. This is supported by an impressive array of risk assessments, which ensures that risks are taken safely. Students spoken to were very positive about the benefits they feel they gain from the opportunity to be at Southwood Avenue. In particular most mentioned the support they receive to develop life skills to access the local community independently. Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Southwood Avenue DS0000065336.V308366.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 Southwood Avenue DS0000065336.V308366.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 Care needs are well assessed prior to admission ensuring that care staff have sufficient information to develop accurate care plans to meet students needs. EVIDENCE: Two care files were randomly chosen for review. The Manager and staff confirmed that information for the initial assessments is gathered from a variety of sources including, past schools, psychologists, parents, students and the Statement of Educational Need. The majority of the core paperwork is held on file at the Wing Centre. The Head of the Wing Centre brought to the Commissions office, records requested by the inspector, to demonstrate the pre-admission assessment process. This showed that a thorough multidisciplinary assessment is undertaken, which ensures that only the most appropriate students are admitted to the service. The home retains on the students Focus File a copy of the Statement of Educational Need. A baseline care plan is developed prior to admission from known information. The plan is added too over the period of time immediately following admission as the staff become more aware of specific needs. A 12-week assessment process is the norm. Care records showed clear evidenced of the assessment process. Students spoken to remembered and confirmed the assessment and admission process, which they had gone through. Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 A written plan of care is developed, which ensures that staff are aware of the students assessed needs, although greater detail is required to ensure that all known needs are well documented. Students are given appropriate assistance, enabling them to make informed decisions about their lives. Students are supported to take responsible risks, which enhances their independence. EVIDENCE: Two care files were reviewed for the purpose of this inspection. The home follows a base template for the development of each care plan. This includes visual prompts and simple language, which aids students understanding. Staff and students confirmed that they had helped in the development of these plans. However, a thorough review showed that the plans did not contain all information of relevance. For example, some matters raised at the students review had not been included, both plans were left blank in the area of sexuality and there was no reference to managing finance or family contact. Following the recent inspection of a ‘sister’ service to Southwood Avenue the manager was aware of the need to ensure that all areas of the care plan are fully complete. The Manager informed the inspector that work was ongoing between both units to ensure that the care plans are fully updated. In addition Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 10 the Manager showed the inspector work to establish Person Centred Plans. This will be a positive improvement, which the inspector will be pleased to review at the next inspection. Although both pieces of work were ‘in hand’ the inspector includes a recommendation in this report to ensure that the matter remains under review until a satisfactory conclusion has been reached. The home has a good array of risk assessments but there no reference to these in the care plans. Although, all the required information could be found at either the home or from the main file at the Wing Centre it would be prudent to ensure this is collated together into the one plan. The plan format could easily be adapted to include prompts under each of the current core headings to ensure that all areas are included in the future. Students are fully aware of their care files and are key contributors to the development of their care plan. Care plans are reviewed regularly. Copies of review documentation support that this is maintained. The inspector noted that not all recommendations from previous reviews had been transferred to the care plan. However, during the inspection a worker undertook this piece of work immediately. Staff confirmed their role in preparing for a review, which includes writing a progress report. Staff spoken to were fully aware of the students needs. Students are encouraged and enabled to make decisions about their own lives, evidence of this was supported by the care file contents and conversations with the students. Examples given included, support to manage their own finances and to develop their own independent leisure opportunities. The home has a vast array of risk assessments to demonstrate that they are keen to ensure that students have access to life experiences and the community but within reasonable controls. Each student is assessed for his individual risk factors and strategies were in evidence to manage any potential concerns. Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Students are well supported to take advantage appropriate further education or work opportunities, which will enhance their life opportunities after leaving Southwood Avenue. Students are well supported and encouraged to access community resources ensuring they are active participants in the local community. Students are supported in maintaining and/or developing appropriate relationships, which also supports and encourages emotional maturity. Students are respected and supported to achieve or maintain their rights in a manner, which also encourages responsibility for actions. Service users are offered a balanced diet ensuring that they encourage good attitudes to healthy eating. Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 12 EVIDENCE: All students are supported through the Wing Centre; many take further education classes either at the centre or on site at Southwood Avenue. Some are supported in work experience opportunities, whilst other access the local college; each according to their own assessed needs or wishes. Students spoken to, told the inspector of the many local resources they access and use. Care plans and the many varied risk assessments seen also support this to be the case. On the evening of the inspection following a student house meeting some had plans to go out independently to a variety of places. Students are never restricted unless risk factors are indicated. In these circumstances staff would support students until such time as risks could be minimised. Students are supported to maintain family links. As a term time only resource this is important as students return home during holidays. Students are also encouraged to build and maintain friendships from within the college and the community. Students spoken to confirmed that they are supported in this and are encouraged to have friends visiting the house. Staff encourage students to take responsibilities within the home and to be active participants in the daily routines of the home. This includes laundry, cooking and cleaning. Independence is encouraged in all aspects of their lives and is one of the key outcomes expected of student’s time at the home. Students have keys to their rooms and staff respect their privacy by knocking before entering a bedroom. Smoking is forbidden in the home and students are well aware of this expectation. Students develop menus during their house meeting. Menus seen offered a healthy balance whilst incorporating their choice. Students supported by staff cook meals on rotation. On the evening of this visit a very pleasing and nutritional meal was cooked and served by two students, who had cooked independently. Students were generally satisfied with meal provision. Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Students receive a high level of personal support with physical and emotional health needs in a manner, which is flexible and meets their individual needs and wishes. The home’s policies and procedures support good care practice in relation to medication. Where possible this encourages students towards independence. EVIDENCE: Although none of the students receive personal care they are well supported in their needs. Students are designated with a personal tutor/key worker, which ensure continuity of care. Care records evidence that student’s needs are identified and met accordingly. Southwood staff demonstrated an awareness of the need to support with sensitivity ensuring privacy and dignity. Routines of the home, although somewhat dictated by their college schedule, are flexible and afford each student the scope to receive support according to their needs at a time, which is suitable for them. Students and staff spoken to confirmed this. Student’s health needs are assessed on admission and incorporated in a plan of care. Care plans seen identified where specific support or care is required. Students are registered with a local GP, dentist and optician as required. Some Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 14 maintain dental and optical care at their homes. A choice of practitioner is available. Students said that they are supported to visit the GP but are able to see the doctor in private if they wish. None of the current students hold and administer their own medication other than creams and lotions. Staff prompt as required and review these regularly to ensure that any treatment is being maintained. All other medication is held securely in the staff office. The senior on duty administers medication as required. Initially the inspector was led to believe that students would never be able to hold any of their other prescribed medication. However, following a meeting with the Head of the Wing Centre, the inspector has been assured that the groups’ policies do allow for training and support to students to learn these skills. The corporate policy was presented to the inspector during the meeting with the Wing Centre Head. This clearly gives parameters for self medication within a risk assessment framework. A random review was made of records and medication held. Although staff were able to eventually demonstrate there was an audit trail, this was not easily accessible. Although the check revealed that medication and records were accurate it is recommended that the audit be made a simpler process. Parental permission is sought to give staff permission to administer medication and first aid as required. Signed permission forms were seen on care files. Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 15 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 & 23 The home has effective complaint procedures that ensure that complaints are handled effectively and swiftly. The home have robust protection procedures in place, which ensures that students are protected from abuse, neglect and self-harm. EVIDENCE: The home adheres to a corporate complaint procedure, which includes the expectation that complaints are handled swiftly and within 28 days. The procedure includes stages and supports complainants in referring the complaint forward if they remain dissatisfied. Students have access to several contacts should they wish to raise a worry or complaint. The inspector saw simplified complaint leaflets and posters. On admission each student is given this information. If a complaint is received a record would be made. The inspector saw a logbook ready prepared for this event. The recording system includes an indication of whether a complaint has been substantiated or not and whether the complainant was happy with the outcome. The Manager reviews all complaints. The home is party to full and detailed child/adult protection procedures, including links with Area Child Protection Committees and the availability of No Secrets Policies and Whistle blowing procedures. The Manager confirmed that all staff receive induction, foundation and refresher training in this respect. Staff confirmed that they had received this training and records evidenced this. Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 16 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): EVIDENCE: None of the above standards were reviewed on this occasion. In respect of the key standards the reader should note that these matters were satisfactorily addressed during the registration process. However, the inspector is able to confirm that from the brief tour and general observation that there were no concerns noted in these area. Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Students are well supported by competent staff although to ensure that an adequate proportion are qualified the home needs an increase in those with an NVQ or equivalent qualification. Robust recruitment procedures protect services users, although some minor improvements would enhance this. Staff are well trained and effective in meeting service users needs. EVIDENCE: Southwood Avenue has only been open for a few months. Whilst two staff already have an NVQ qualification, most do not. The manager confirmed that five staff were currently undertaking this qualification and others would follow as soon as possible after their probationary period. It is evident therefore that service is unable to demonstrate that 80 of the staff compliment either have this qualification or are working towards it. The inspector recognises that, as the service is new that this is less achievable in the short term. Whilst the standard is not met the inspector recognises that work is in progress to meet the expectation. Records seen by the inspector evidence that all staff have undergone an induction that reflects Skills for Care induction standards and the Learning Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 18 Disability Assessment Framework. All staff also receives a wealth of training opportunities, which exceed minimum standards. Standards indicate that staff should receive a minimum of five days per year; staff at Southwood Avenue will receive 10 days per year. A wide variety of topics are covered specific to service delivery. Staff confirmed that this is one of the very positive aspects of being employed by this company. The staff and Manager confirmed that staff receive supervision, which includes appraisal and the development of training development plans. Southwood Avenue subscribe and follow excellent corporate procedures. Staff recruitment files of all staff who have been recruited since the last inspection and evidence of Criminal Records Bureau (CRB) checks were made available for inspection. A random sample of three were reviewed which evidenced that the procedures had been followed. Two areas of minor concern were noted. Where staff have declared a past criminal record and this is confirmed by the CRB check a form is completed by a Manager. Although the forms ask specific questions many of these had been answered with a tick only. It is essential that a thorough and complete record be maintained of the reasons why, despite a conviction, that a person has been employed. Also, several gaps in employment history were noted. Although the Care Services Manager confirmed that these would be explored at interview there was no record to evidence this having taken place. Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 42 The home is well managed and therefore students benefit from its smooth operations. Good attention is paid to health; safety and welfare to ensure that services users are protected. EVIDENCE: The Registered Manager having recently undergone the registration process is considered by the Commission to be suitably qualified and competent to run the home. The evidence of this inspection also attests that a very good start has been made. The Manager has high standards and demonstrates a keenness to meet the expectations of these standards. The Registered Manager demonstrated a good awareness of health, safety and welfare matters and was fully equipped with the necessary knowledge of related legislation. Good corporate polices underpin the expectations of the home and practice in the area of accident reporting and fire safety, for Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 20 example, were seen to be good. Some minor adaptations will need to be made to the staff fire training record to fully evidence that staff receive the required training. This does not affect the good outcomes of this standard. Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X 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 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x X X X 3 43 3 X X X X 3 X Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 2 3 4 5 Refer to Standard YA6 YA20 YA34 YA34 YA42 Good Practice Recommendations The current care plan format should be reviewed and updated to ensure that it includes all relevant detail. The medication audit trail currently in use should be made simpler. A detailed written record should be made and retained of the reasons why an employee has been employed despite them having a criminal record. A written record of explanation should be sought from prospective employees for any gaps in their employment history. Fire records should change to fully evidence that all staff have received the required fire training. (Twice per year for day staff and four times per year for night staff) Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Southwood Avenue DS0000065336.V308366.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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