Inspection on 27/01/08 for Spring House

This inspection was carried out on 27th January 2008.

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

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

Other inspections for this house

Spring House 05/12/06

Spring House 18/10/05

Spring House 11/05/05

Spring House 05/10/04

Spring House 27/04/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Spring House Peter Tavy Tavistock Devon PL19 9NP Lead Inspector Anita Sutcliffe Unannounced Inspection 27th January 2008 7:30 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 Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Spring House Address Peter Tavy Tavistock Devon PL19 9NP 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) 01822 810465 01822 810465 shresidential@aol.com www.springhouse.uk.com Mrs B Luckham Mrs B Luckham Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (25), Old age, not falling within any other category (25) Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2006 Brief Description of the Service: Spring House, privately owned and managed by Mrs. Luckham, provides personal care and accommodation for up to 25 older people who may have dementia or a mental health condition. Medical health needs are met through the local GP and community nursing services. The home is in the small village of Peter Tavy, three miles from the market town of Tavistock. All of the bedrooms except two are single, and all have ensuite toilets and hand basins, nine also have en-suite showers. There is a stair lift to the first floor. There is an open plan lounge/ dining room, a large lounge, and a small private lounge. There is a large paved garden at the front of the house which has a number of seating areas and a pergola for shade. The garden is enclosed and has level access. The fees are between £425 and £475 per room. The fees do not include hairdressing, chiropody, toiletries and taxis for private use. A copy of the Service Users Guide and Statement of Purpose are available at all times from the office. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. We (the Commission) have collected information about the home since its last key inspection in December 2006. Towards this inspection the registered provider sent us current information about Spring House as we required. This key inspection included two unannounced visits, one on a Sunday evening. Eight hours were spent at the home in total. Surveys were sent to people who use the service and their families; their responses are included in the report. As part of the visit to the home we looked at all communal areas, and several bedrooms. We spoke with several people who use the service and observed staff going about their work. We looked at the care and support that three people received, speaking with them and looking at their care records. We spoke with the registered manager and some staff. We also looked at some other records at the home. People who use the service may be described within this report as residents, clients or service users. What the service does well: Spring House provides a home where people who use the service and their relatives feel at home. People are treated with respect and dignity, and are able to make decisions about their daily lives. One relative when asked about the care of her mother said: “I consider Spring House and its staff to be an outstanding Care Home. My mother has the best possible care and she is treated with respect and affection”. A health care professional said: “They’re extremely caring and try very hard to provide personalised care”. People are offered a range of activities both at Spring House and in the community and family are encouraged, and feel involved, in the social activities at the home. The home is well staffed. Many have been at the home for several years, providing consistency. Staff are properly trained and supported. The home’s recruitment procedures ensure that only staff safe to work with vulnerable adults are employed to do so. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 6 Meals are of a good standard, fresh ingredients are used and there is a choice at each meal. Assistance with eating is provided discreetly and is unrushed. Visitors are welcomed to stay for meals. The building is spotlessly clean, warm, fresh and properly maintained to promote people’s health and safety. The home is well run in people’s best interest. Comments from family include: “The home is very well run” and “Excellent home and care”. 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. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 does not apply to Spring House) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are admitted following a thorough assessment of their needs and in the knowledge that the home can meet those needs. EVIDENCE: All eight responses to survey confirmed that people receive enough information about the home to help them decide if it will be suitable for them. Surveys also confirmed that each has received a contract agreement. The admissions of two people recently admitted were looked at in detail. We found that the home follows a set system of admission so it is properly organised. This includes a letter of confirmation once assessment determines if needs can be met and written information about the home so they know what it can offer. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 9 Information about the person’s needs (their assessment) includes physical, emotional and social needs and desires and so considers the person as a whole. It ensures any required or preferred care and support can be planned. The person whose needs are being assessed, or a representative, should be fully involved in the assessment. We were told this was the case, but it was not clear from the assessment records. Information is also received from health and social care professionals who are involved in supporting the person to move to Spring House. We found staff had good knowledge of people at the home including those more recently admitted. A person newly admitted said: “I think they’re marvellous”. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can be assured that competent and caring staff will provide care as they would wish. Medicines are handled safely but this could be further improved. EVIDENCE: Plans are required to be clear so that staff can look after people in the correct way, and as they wish, once their needs have been assessed. We looked in detail at the plans of care of three people who use the service. They contained sufficient information from which staff could do this. There were also risk assessments which should help staff identify, and then reduce or remove any risk. The care plans had been completed by the key worker for the individual and were generally clear and well written. People have a regular review of their needs; family and health care professionals are invited. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 11 Staff now request background information/history from people who use the service from their family. This provides better understanding of their past and, where appropriate, it can be used to help meet social and care needs. All ten people (including their family) who responded to surveys said they always receive the care and support they need one adding: ““Every change in mum’s mood and health is noted and if necessary we, her family, are informed”. Nine said they always receive the medical support they need and one said they usually do. We spoke with a health care professional visiting one of her clients. She spoke very highly of the knowledge, understanding and empathy of care staff and the manager, Mrs. Luckham, saying: “A joy to work and liaise with them”. There was good evidence within the records of how the home promotes health and wellbeing of people who use the service and we were told that the manager is always very eager to take advice from health care professionals. The registered manager said that currently no people who use the service are able, or wish to, manage their own medicines. She was advised that they, or their representative must therefore give consent that staff can do this for them. All staff who administer medicines receive training in how to do so safely. People’s plans of care describe which medicines they are prescribed and any changes made. The medicines records were orderly and clear, reducing any chance of mistake. However, we found that, where staff have to hand write an entry this is not checked by a second member of staff. This would better protect both the person receiving the medicine and the member of staff who will administer it. The storage arrangements at the home ensure that medicines are kept securely. Currently the home does not keep any Controlled Drugs, which require specialist storage, but should they do so the home’s storage arrangements would need to meet other, more specific, requirements for this. Medicines needing refrigeration have a fridge dedicated for this. The temperature should be recorded daily to ensure the medicines are stored correctly. We found some gaps in this recording so the home cannot be sure those medicines are always kept as the manufacturer advises. Mrs. Luckham assured us this would be done more diligently. Changes had been considered in the way staff will administer some medicines, but this was discussed and reconsidered during the inspection visit. Comments about the home include: “My mother has the best possible care and she is treated with respect and affection” and “Staff are extremely caring and try very hard to provide personalised care”. We observed staff fully engaging with people and treating them with respect and dignity. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 12 Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the services live in a vibrant and interesting home and are supported to lead fulfilled lives in the way they would wish. EVIDENCE: Eight people who responded to survey said there were always activities they could take part in and two said there usually were. We saw people engaged in different activities during our visit. Those less able were also involved in events at the home; staff took time to be with them. During our fist visit several people returned from worship at the village church. There is a plan of activities and trips on the notice board, and some of the people spoken to knew about the planned events. They included a concert advertised for the 1st. February and a ‘sing-a-long’ on the 12th. There is plenty to do at the home. One person said: “My mother is less active these days but the home offers a wide range of activities for the residents and ‘in house’ entertainment. Another said: “The list of resident’s entertainment and days out are endless. Family and friends are always invited to any outing Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 14 and in house function and a good time is had by all, with, on special occasions, excellent food cooked by the resident chef, for all to share. We are given a monthly list of activities, so we can plan our visits around them”. Both staff, family and people who use the service confirmed that routine is kept to a minimum, with people’s choices supported where ever possible. We observed this throughout the two visits. People’s family are very much welcomed at the home and integral to the way it functions. Comments from them include: “Spring House has given back the relationship with my mother by taking away the worry” and “I appreciate the individual attention my mother receives. She is not just a number … needs are addressed and celebrated. Asked if they like the meals at the home three said always and seven said usually. A person at the home said it’s “OK, fine”. Comments, from family, included: “The meals are home cooked. They are excellent”. Another said how hard staff have tried to please her mother and really worry if she refuses food, adding that she has put on weight since being at the home. We saw that fresh fruit is always available for people, staff assist those who need help with eating in a discreet and unhurried way and diet is carefully monitored where there are concerns. Specialist diets, whether through choice or for medical reasons, is well catered for. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to robust, effective complaints procedure, and are protected from abuse. EVIDENCE: All ten people and family who responded to survey said they knew who to speak to if they were not happy and also how to make a complaint. One person added: “It is very easy to talk to Bridget (the owner) and she is happy to listen to any suggestions concerning mum’s welfare”. The manager says relatives feel that they can call into the office at any time to discuss problems. The home’s complaints policy is available to all and clearly describes how to make a complaint. There have been no complaints made to the home since the previous inspection and we have received no complaints against the home. We talked with three staff on duty. One has worked at the home six months and two have worked there for some years. They said that the manager was very easy to talk to and would always listen and they were confident that staff would not let poor practice go unchallenged at the home. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 16 The home provides training in how to protect vulnerable adults from abuse but when asked about the home’s whistle blowing policy (which informs staff what actions they can take should they have concerns for people’s welfare) one staff was unclear what it was. The other two knew it would be with the other policies and procedures: “in there somewhere”. The whistle blowing policy was extremely clear and contained contact details for the Local Authority Safeguarding team and the Commission. However, as the Safeguarding of vulnerable adults must be the first priority of those working in the care industry all staff should be fully aware of what and where it is so that using it does not pose a challenge to them should they need to. However, the Safeguarding team contact details are displayed on the home’s notice board. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a homely, well-maintained, clean, fresh and comfortable environment which meets their individual needs. EVIDENCE: The home presents as clean and comfortable and felt especially ‘welcoming’ on the Sunday evening we visited. There is a variety of communal lounge space for people and an attractive enclosed garden area, overlooking the village, with seating. Thought is put into how the home presents and how the layout of furniture will best suit people who live there. There is currently a programme of upgrading at the home so that the standard of furnishings and décor is maintained. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 18 People spoken with said they liked their rooms although one felt hers was a little small. Both said their bed was very comfortable. The home is nicely furnished and appeared very well maintained. All new bedrooms have ensuite wet rooms, all other rooms have en-suite toilets with wash hand basins. Bedrooms are individual to their occupant and people have the option to lock their door if they wish for the additional privacy. Eight people said through survey that the home is always fresh and clean and two said it usually is. One person said: “From entering the house, to the bedroom, the main reason we chose Spring House was the absence of bad odours, often present in care homes. The toilets are spotless and mum’s ensuite one is cleaned properly every day (including weekends). The home is ‘homely’ and the chairs are clean and comfortable”. We found all parts of the home to be clean and fresh but the laundry floor is carpeted so not impermeable and not readily cleanable. Staff have a good supply of protective clothing, hand gel available and good hand washing facilities in some parts of the home. However, in bedrooms, where personal care takes place for the majority of people using the service, staff do not have liquid soap or disposable hand towels available to them. This is necessary in any shared accommodation so as to reduce the likelihood of the spread of infection. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People at the home benefit from staff who have been properly recruited, are skilled and competent in their work and provided in sufficient numbers that people’s needs are met. EVIDENCE: Asked whether staff are available when needed eight people who completed surveys said always and two said usually. One said: “There is always a carer there to help and always with a smile”. Another said: “There are always staff present and none of the residents are left alone or out of sight of a member of staff”. One staff thought an additional member of staff in the morning would be useful. We found sufficient staff to fully meet the needs of people who live at Spring House and care staff well supported by ancillary staff. The majority of staff have been employed for several years and so people benefit from a consistent staff group. One said: “The home is brilliant with its staff”. Family of a person who lives at the home said: “The staff at Spring House are excellent”. National Vocational Qualifications (NVQ) in care are an indicator of staff competence. All staff at the home are encouraged to take the training. The Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 20 manager reports that 60 of staff have achieved NVQ 2, 30 have gained NVQ 3 and 20 have acheived NVQ 4. This is commendable. Three staff were asked about training at the home. All agreed they had the training they need. One said: “Training is very good. There’s lots of in-house training”. Training is planned and includes the care of people with dementia, some to advanced level, the safe handling of medicines and the protection of vulnerable adults from abuse. Mandatory health and safety training is properly organised. We looked at the recruitment records of the last two staff who started employment at the home. We found that safety checks ensured they were safe and suitable to work in a care home. New staff are always ‘extra to numbers’ and properly supervised until confident they know how to work safely. Information the home requests from potential staff should be reviewed to ensure that it is in line with current legislation. Staff said they feel very supported. Staff meetings take place regularly and supervision sessions are regular and staff find them helpful. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: People said: “The home is very well run”, “Excellent home and care” and “A joy to work and liaise with the home”. Mrs. Luckham has owned and managed the home for many years and is experienced and well thought of by her staff and people in contact with the home. Care staff are encouraged to improve their skills, qualifications and Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 22 opportunities for advancement. She ensures they can concentrate on care through the employment of support staff, such as administrator and maintenance worker. There are ongoing arrangements for assessing the quality of the service provided. This includes yearly anonymous surveys to people connected with the home. The results from the most recent were still being received. There are regular meetings where people who use the service and their family are able to discuss the running of and events in the home. Staff also have group meetings and regular one to one meetings where they are able to discuss their work and training needs. The manager said that currently no person using the service is able to fully manage their own finances but their family/representative do this on their behalf. The home keeps a quantity of cash available for people’s use. This is kept securely and with clear records of how and when money is spent. Family are kept well informed of expenditure. There were no maintenance concerns identified and staff received health and safety training. The manager confirmed that fire safety is properly managed and a fire safety risk assessment has been completed. Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP26 Regulation 13(3) Requirement Staff must have liquid soap and disposable paper towels available for hand washing where ever personal care is delivered (including bedrooms) as described in the Department of Health Infection Control Guidance for Care Homes, June 2006. This will help reduce the likelihood of the spread of infection. Timescale for action 29/02/08 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 OP9 Good Practice Recommendations Where a hand written entry is necessary in a medicine record the entry should be checked by a second member of staff. This would further ensure accuracy and therefore safety. The laundry floor finishes should be impermeable, not carpeted, and therefore more easily cleanable. 2 OP26 Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office 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 Spring House DS0000003807.V352772.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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