Inspection on 19/05/05 for Springfield Cottage

This inspection was carried out on 19th May 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Springfield Cottage 06/06/07

Springfield Cottage 16/11/05

Springfield Cottage 02/02/05

Springfield Cottage 17/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Springfield Cottage Blackburn Lancashire BB2 6PS Lead Inspector Jennifer Turner Unannounced 19 May 2005 12:00 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 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. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Springfield Cottage Address Preston New Road Blackburn Lancashire BB2 6PS 01254 264704 01254 264704 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr David Martin Ms Cheryl Weall Care Home only Personal Care 26 Category(ies) of Old age, not falling witin any other category registration, with number (OP) 26 of places Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No additional condiitons Date of last inspection 02 February 2005 Brief Description of the Service: The home is a detached property, set in its own well-maintained grounds, within a residential area. It offers 24 single bedrooms, 10 of which provide ensuite facilities and 1 double bedroom, which has its own en-suite. Various adaptations to assist with self-help and mobility are provided. There are 2 lounge areas, both having views over the front garden, and a separate dining room. Various activities are available to service users, both within and outside of the home. Service users may access the garden area at the front, which has a paved patio area. Seating is provided on the patio and at the entrance to the home. To the front and side of the building is a car parking area. Service users have access to all community health services, and activities and functions are available to everyone living at the home. Springfield Cottage is approximately one mile from the centre of Blackburn, where most services and facilities are available. Regular bus services pass the home, with routes to both Blackburn and Preston. At the time of the inspection 21 beds were occupied and there was one resident in hospital. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 19th May 2005. Information was obtained by talking with the registered manager, deputy manager, staff members, residents and visitors, by examining a variety of records and walking around the home. Views were obtained from residents, staff and visitors on a variety of topics and information was also obtained by case tracking. Four residents and four relatives completed comment cards. Views have been recorded collectively where the answers obtained were similar. Any specific or differing comments have been recorded in the main body of the report. The inspector’s notes have been retained as evidence of the inspection. What the service does well: A thorough assessment procedure was carried out prior to residents moving into the home on a permanent basis. Residents spoke about the staff being “caring and kind”. Visitors said they were made welcome. Residents said that they enjoyed the food and a balanced diet was offered. They said that meals were “good and hot, they were well prepared and always plenty”. The majority of staff have worked at the home for a long time. They know all the residents well. Staff are enthusiastic about training, and some have committed to progressing beyond N.V.Q. level 2 in care. Staff training is ongoing with outside agencies offering a variety of packages. Continuous training provides staff with the knowledge to care for residents competently. The home was clean, safe and in good decorative order. Residents said they could talk to the staff or owners about any concerns they may have. Recording of information relating to residents is good. Good recording ensures that staff are fully aware of the residents needs. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: The registered provider was continuing to fit radiator guards. At the time of the inspection the previous timescale had not expired. The requirement and timescale has been extended to ensure that residents continue to reside in a safe environment. All new staff MUST complete a CRB, irrespective of how recent a previous one may be. A POVA clearance MUST be obtained before any new staff commence work irrespective of when their last POVA check was completed. A requirement has been made to ensure this practice. This will ensure that all staff are being recruited under present guidelines. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 7 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. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 8 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 Standards Statutory Requirements Identified During the Inspection Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3. The home does not provide Intermediate Care. A comprehensive assessment procedure was carried out prior to people moving into the home. This meant that their needs were known and met. EVIDENCE: Three case files were examined. One was for the most recent admission into the home. Pre admission assessments were provided by social workers, either from the local area or the hospital. The registered manager also completed an assessment that covered all areas of this standard. Assessments supplied by District Nurses were recorded separately but the information was included within the main assessment. A new recording system (“Assessment for Good Care Planning” by Training Masters Consultancy) had been introduced relating to care plans. This enabled a fuller recording system. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7;8;9;10. Resident’s healthcare needs were identified and met. Their personal care was delivered in a way that promoted residents’ privacy and dignity. The control of medication was well managed, promoting good health care. EVIDENCE: Individual care plans identified the full range of resident’s care needs. Risk assessments, relating to the prevention of falls and nutrition, were seen on residents’ case files. There was evidence that these were reviewed monthly by a Senior Carer and every 6 months by either the manager or deputy manager. Care plans showed that resident’s signed their care reviews if they were able, or if they were not able a reference was made to this. Relatives were able to sign the plan if they had been present. One resident could “remember seeing my care plan” and others said they “were included in their review”. Changes in care were reflected in the reviews. Care plans examined showed the extent of support offered by staff. A key worker system was in operation. Residents commented that, “staff help us if we need help”. Staff said that they were “trained to identify areas that were likely to develop pressure sores”. This was usually carried out at bath times. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 11 Training records supported this. Staff also indicated, “the G.P. or District Nurses may be involved to offer guidance and advice”. Daily recording on residents’ files enabled staff to keep up to date with ongoing treatment. The manager said, “the Continence Advisor would obtain appropriate supplies of continence products”. From walking around the home there was evidence that bathing hoists, lifting hoists, ripple beds and pressure cushions were provided. The registered manager said “assessments were obtained from the physiotherapists and District Nurses”. An environmental assessment had been carried out by an Occupational Therapist and the report was made available to the inspector. The Royal National Institute for the Blind supported three residents with appropriate aids. Hearing Aids were checked at the Audiology Department at Blackburn Royal Infirmary. One resident fully administered their own medication whilst another resident part administered their medication. Documentation relating to written consent was seen. There was evidence that staff who administered the medication had received appropriate training. More in depth “Protocol training” was being considered for six staff. The CSCI Pharmacy Inspector had reviewed the policies and procedures for the control of medication during a previous visit. Medication was checked. All were stored and administered correctly. There were no Controlled Drugs administered at the time of the inspection. There was evidence that either the G.P. or Practice Nurse reviewed medication on a six monthly basis. The residents spoken with said that the staff were kind and looked after them well. They said that the staff considered their privacy and dignity – “they knock on my bedroom door before entering”. Their personal care was “carried out in private”. One resident commented that staff “took care when caring”. Staff said that they ensured that toilet and bathroom doors were closed when they attended to residents. The manager indicated that privacy screening “would be provided in the registered double bedroom in the unlikely situation that it ever accommodated two residents”. A member of staff explained how residents’ privacy and dignity was respected. Visitors told the inspector that they could “speak with their relative in private, but their relative preferred to stay in the lounge”. A pay telephone was sited in the dining room, but a mobile handset was available for telephone conversations to take place in private. There was evidence that there were telephone sockets fitted in some bedrooms. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12;13;14;15 The dietary, social, cultural and religious needs of residents were met. Residents were able to make choices so that their lifestyle met their preferences. Social contacts were maintained. Meals offered at the home were good and ensured that the individual dietary needs of the residents were met. EVIDENCE: Residents commented “there was always something going on”. This was confirmed by the notice boards in the main lounge and in the hallway displaying a variety of information in relation to activities and events taking place both inside and outside of the home. One resident with failing sight said “staff tell me what is going on”. One resident showed the inspector what she had been making at the Craft session that morning. Another resident told the inspector that she attended the Church over the road for Services, events and meetings. For those residents unable to attend their own Churches, information relating to visits by Clergy were on display on the notice boards. Residents spoken with said they felt there were “more than enough” activities provided. One of the residents comment cards returned after the inspection stated that “not enough” suitable activities were provided but the person concerned indicated that they did not wish to discuss it with the inspector. The minutes of the six monthly residents meetngs showed that a wide variety of Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 13 topics were discussed including falls prevention and the previous C.S.C.I. inspection. Three visitors were spoken with. Two told the inspector “we look for faults, but can’t find any”. Although they were speaking with their relative in a corner of the main lounge they told the inspector that they could go to her room if she wished. Information was seen recorded on residents’ files if they did not wish to see a particular person. Information relating to visitors and visiting was written in the Statement of Purpose, Service Users Guide, mentioned in the contract and displayed on the notice boards. The deputy manager said that she was authorised as the appointee for one service user and draws the pension for another. The inspector examined records of financial transactions. The manager indicated that some residents managed their own financial affairs whilst some had their affairs handled by solicitors. The two notice boards displayed information relating to the Advocacy Service. A tour of the home showed that some residents had brought their own personal items with them. The written agreement between the Proprietors and the resident states that “The resident may bring small items of furniture which will help them settle in”. The daily menu displayed in the dining room, showed that a balanced diet was offered. A hot main meal was served at lunchtime with an alternative available if required. The cook said that specialised diets could be catered for, but “there are none at present”. The inspector joined the residents for lunch and observed that the residents were encouraged to be independent when eating. Staff were seen to offer any assistance needed in a calm and unhurried manner. Residents said that they enjoyed the food and were satisfied with the quality of the food served. They said that meals were “good and hot” and “well prepared and always plenty”. Residents comment cards received showed a positive response in respect of food. After lunch, a member of staff was seen to ask the residents individually what they wished for their tea from a pre prepared menu of 2 hot light meals, salads or sandwiches. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16;17;18 Residents were protected from abuse and had access to the homes complaints procedure. They were able to participate in elections. EVIDENCE: A copy of the complaints procedure was included in the homes Statement of Purpose; Service Users Guide and the Terms and Conditions of Residency. A copy was also displayed on the notice boards. It contained all the required information. The complaints book had no further entries since the inspector last examined it. Comment cards received from relatives indicated that they were aware of the homes complaint procedure. Comment cards received from residents and from speaking with several residents, indicated that they knew who to talk to if they wished to complain. A number of letters and cards of appreciation to the staff were displayed in the reception area. Information relating to the East Lancashire Advocacy Service was displayed on the notice boards. Residents said that they had used postal votes at the recent election. Although members of various political parties visited the home during the election campaign several residents commented “you don’t see them again until the next election”. Various policies and procedures were available for staff to follow in respect of abuse issues. Staff signed the documentation to indicate that they had read it. Copies of the Whistle blowing procedure, the policy relating to gifts and information relating to the Protection of Vulnerable Adults were retained in the staff handbook. Staff spoken with were aware of their content. There was also a copy of the Blackburn with Darwen adult abuse procedure. Records showed Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 15 that the manager and staff had completed a training course, run by the Local Authority, relating to the protection of vulnerable adults. Although the registered person did not make arrangements to administer residents’ finances, monies for two residents were maintained in the home. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19;22;25;26 The home was warm, clean and comfortable. Equipment met the resident’s needs. A good standard of hygiene was achieved. EVIDENCE: Routine maintenance throughout the home and in the grounds was noticeable. A record of routine maintenance was seen. A report following a recent visit by the environmental health officer was made available. Recommendations made had been addressed. The homes fire risk assessment was due for its annual review. Records indicated that the fire alarm was tested weekly and fire equipment was maintained. Staff spoken with were aware of the fire drill procedure. Information on residents case files showed that an individual assessment had been offered to some residents for a loop system to be fitted in their bedrooms but they had declined the offer. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 17 The inspector conducted a tour of the building. A variety of aids were seen in various parts of the home. Guards continued to be fitted onto radiators. Examination of risk assessments showed that all the radiators assessed as being “high risk” had received a guard. Random water outlets were tested by the inspector and were within the recommended temperature range. Records indicated that a CORGI registered plumber carried out the testing for legionella every 6 months. A requirement was made for the fitting of radiator guards to continue with a revised timescale. Correspondence shown to the inspector confirmed that a further 16 week course relating to Infection Control had been arranged for staff to take place starting in July 2005. This would enhance the training that staff had already completed in this area. The laundry had been reorganised and residents said that their clothes were “washed and returned satisfactorily”. There were policies and procedures available for the control of infection. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27;28;29;30 The numbers and skill mix of staff met residents’ needs. As the manager was not aware of the change in recruiting policy, staff were not recruited using current guidelines. Staff received training suitable to the residents residing at the home. EVIDENCE: The staff compliment remained at the level as agreed with the previous registration authority. The staff rota showed that additional staff were on duty if the dependency levels of residents required this. The registered manager worked in a supernummary capacity. Records showed that 64 of the care staff had achieved NVQ level 2. In addition, some staff had achieved NVQ at level 3. The inspector spoke with a student from the local college who was on a 2 week placement as part of the B.Tech in Care. She said that she was “enjoying the experience”. The three staff applications examined contained all the information required by the Commission for Social Care Inspection. An umbrella organisation was used to obtain CRB and POVA checks. The registered provider and the inspector discussed the POVA First method of checks. This is carried out by the umbrella organisation following submission of the CRB form. The manager said that she “was unaware of the change in guidance”. Staff indicated that they had received their own copy of the General Social Care Council Code of Conduct and Terms and Conditions of Employment (Contract). Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 19 Staff spoken with said they “felt competent” to carry out their work. Induction and foundation training was ongoing. Training was evidenced in the training and financial plan. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33;35;38 The welfare of residents was sufficiently protected. The home was run in an open and transparent way with a good staff and management team. EVIDENCE: The home had gained the Blackburn with Darwen Quality Assurance Award and the Investors In People Award. Feedback from residents and relatives was sought during May of each year and then the information was collated during July. Feedback was also obtained from residents meetings. This written feedback appeared in the Service Users Guide and appeared on the notice boards. There was evidence that the policies and procedures were reviewed on an annual basis. The Training and Development Plan for the period 2004 – 2006 was made available to the inspector. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 21 The deputy manager kept the money of two service users securely. The inspector checked that staff administered the records and the money correctly. The manager said that “relatives tended to oversee finances”. Records were maintained for accidents. The fire records and fire equipment examined were up to date. Various records were examined in respect of the maintenance of equipment throughout the home. They were all up to date. Health and safety policies, procedures and legislation were available at the home for staff to ensure the health and safety of residents and each other. Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x 3 x x 2 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x 3 x 3 x x 3 Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 23 Yes 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. Standard 25 Regulation 13 (4) (ac) Requirement Timescale for action 30.09.05 2. 29 19 (1-4) Schedule 2 Although risk assessments are in place, the registered person must continue to ensure that appropriate action is taken to provide radiators that are guarded or are of the low surface temperature type. (Within the timescale of 31.05.05 but extended) The registered manager must Immediate ensure that all new staff receive a new CRB check. A POVA check must be carried out and received prior to any new member of staff commencing work in the home. 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 Good Practice Recommendations Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 1st floor, Unit 4 Petre Road, Clayton-Le-Moors Accrington Lancashire. BB5 5JB 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 Springfield Cottage F57 F07 S5835 Springfield Cottage V225265 190505 Stage 4.doc Version 1.30 Page 25 - 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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