Inspection on 22/01/07 for St Anne`s (Huddersfield)

This inspection was carried out on 22nd January 2007.

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

St Anne`s (Huddersfield) 10/12/08

St Anne`s (Huddersfield) 24/02/06

St Anne`s (Huddersfield) 20/09/05

St Anne`s (Huddersfield) 04/01/05

St Anne`s (Huddersfield) 07/07/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 St Anne`s (Huddersfield) 3 Heaton Road Huddersfield West Yorkshire HD1 4HX Lead Inspector Stephen French Key Unannounced Inspection 22nd January 2007 09:00 St Anne`s (Huddersfield) DS0000026353.V316679.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 St Anne`s (Huddersfield) DS0000026353.V316679.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. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Anne`s (Huddersfield) Address 3 Heaton Road Huddersfield West Yorkshire HD1 4HX 01484-435571 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) jenkinlodge@st-annes.org.uk St Anne`s Community Services Mr Richard James Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (20) St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Can provide accommodation and care for one named service user at 3 Heaton Road - category PD There will be no new admissions of service users aged 65 and over. Date of last inspection 24th February 2006 Brief Description of the Service: St Anne’s (Huddersfield) is the collective name for a project of three houses registered to provide residential care to adults with enduring mental health needs. The project is managed from Heaton Road and the registered manager oversees all three houses. There are two deputy managers, one of whom oversees two houses and one who is based at the largest of the three homes. Each house has their own staff team with some flexible working across the three houses. Cambridge Road, the larger of the homes was purpose built and provides single bedroom accommodation for up to ten people over two floors. It is close to the centre of Huddersfield. Heaton Road provides accommodation for up to six people and is some distance from local amenities. Beech Street, which is close to local amenities, provides accommodation for up to four people. Both date from Edwardian times and provide single bedroom accommodation over four floors. Each of the three houses has communal facilities and gardens. Public transport is within walking distance of all three houses which are located in residential areas. The Commission was informed that as at 22.01.07 fees ranged from £264.95 to £271.45 per week. There are additional charges for hairdressing, chiropody and outings. Information about the home and the services it offers is available in the statement of purpose and service users guide, both of which can be obtained by contacting the home. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to an unannounced visit carried out by one inspector on the 22nd January 2007. It started at 09.00am and ended at 15.15pm The deputy manager of Heaton Road and Beech Street and the registered manager were present for the inspection. The following inspection methods were used: discussion with service users, staff and management. Inspection of a sample of documents, including: preadmission documents, care plans, risk assessments, medication, minutes of service user meetings, complaints records, staffing rota, staff records including training, health and safety documentation, some policies and procedures. A limited tour was also made of each building. Other information used as part of this inspection process includes notifications from the home to the Commission for Social Care Inspection about illnesses, accidents and incidents at the home, copies of the monthly management visit reports produced by the care provider, and a pre inspection questionnaire completed by the manager. Questionnaires were also sent out to service users and their relatives to seek their views on the home and the care it provides. Nine questionnaires were returned and gave possitive feedback from service users. Comments included “I feel I get good support from the staff in everything I do”, “ Staff accept our wishes and help me choose what I want to do” The inspection has concluded that residents’ needs, both personal and recreational, are met. Residents reside in a relaxed and informal homely environment. The inspector would like to thank service users, staff and management for their time and hospitality throughout the inspection What the service does well: The homes are well managed and there is a competent well trained staff team. Service users are cared for in a homely, friendly environment. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 6 The individual needs of potential service users are assessed prior to admission in to the home. The service users feel well cared for and supported by the staff at the home, and some positive comments were received from service users regarding the care provided. The interaction between service users and the staff is good. Care records are detailed, person-centred and reflect the service users choices and preferred lifestyle and service users are supported to take risks. Service users are offered a varied diet and the opportunity to participate in menu planning, food preparation and shopping. What has improved since the last inspection? What they could do better: Due to the vulnerability of this particular service users group the registered provider should ensure that staff receive training in the protection of vulnerable adults at least yearly. The registered provider should produce a quality audit document, which the staff can use to audit all areas of the home and its practices to ensure they meet the expectations of the service users. Replacement of carpets and tiling as identified during the inspection. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 7 To protect the health and safety of service users regular checks should be made and recorded to ensure the hot water temperatures in bathrooms and hand washbasins does not exceed 43c 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. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 8 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 St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,5 Quality in this outcome area is good Prospective service users’ needs are assessed before they move into the home, and written confirmation of this is provided to them. They receive a licence agreement, which informs them of the terms and conditions of admission to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager stated that he visits each prospective service user prior to them being admitted to the home. The purpose of the visit is to complete a preadmission assessment to ensure the home is able to meet the needs of the service user. Following the assessment the service user is informed by letter of the date of their admission and which room they are to occupy. Questionnairs received by the Commission for social care Inspection also confirmed that pre admission assessments take place. The manager said that service users receive a written licence agreement, which informs the service user of the fees and what these do and do not include. These are signed by the service user and a copy is kept on file. Completed agreements were seen in all the care files examined. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. Service users know that their assessed and personal needs and goals are recorded in their care plan. Service users are supported to make decisions in their lives and are supported to take risks as part of an independent lifestyle This judgement has been made using available evidence including a visit to this service. EVIDENCE: A selection of care records for service users in each home were examined during this visit. The records looked at were detailed, person-centred and reflected the individuals’ choices and lifestyle. The service users spoken to during this visit, and questionnaires received, stated that they felt well cared for and supported by the staff. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 11 A discussion with a member of staff showed that where possible service users are involved in the formulation and review of their plan of care, which was evident in the care records examined. Care plans seen were very detailed and gave clear instruction on how the service users needs are to be met. Long and short term goals and objectives were recorded and evaluated. Evidence was seen that one service user whose nutritional status was compromised had a detailed nutritional assessment and care plan in place. The choices and decisions made by service users were recorded in the care records examined. Service users manage their own finances with support from staff where needed. All of the care records examined had up to date detailed risk assessments, which had been reviewed. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good The service users are supported to be part of the local community and take part in appropriate activities. Service users are supported to maintain relationships with family and friends. The service users’ rights are respected and individuals’ choice and independence is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are supported to take part in community activity and access further education and day centre facilities. There are no service users currently in employment however one service user works voluntary at the local mission. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 13 The service users preferred activities are recorded in the individuals care records. The staff provide support for service users to follow their chosen lifestyle and activities. Recent social activities have included trips out to the local pub, theme nights and quiz’s. The manager informed the inspector that service users are encouraged to go on holiday and staff support them in doing this. Two service users spoken to said that they were looking forward to a holiday in Llandudno, and one service user was going to Portugal. A service user commented that the staff are very helpful and supportive. On the day of this visit some service users were out shopping and some service users had chosen to stay in. Service users family and personal relationships, and the support required to maintain those relationships are recorded in the individual care records. The interaction observed between the service users and the staff was good. Some of the service users spoken with said that staff respect their right and need for privacy. Most of the service users are independent with their own menu planning, shopping and meal preparation. The support required for service users to undertake such tasks is recorded in their plan of care. The service users spoken with said that they are offered a choice of meals and can choose where to eat. During the visit service users were observed making hot drinks and snacks for themselves. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. Generally the health care needs of the service users are being met. The home’s medication policy and procedure protect the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users personal preferences for how to dress, their appearance, times for rising and going to bed, bathing and their preference for taking meals are recorded in their plan of care. The service users spoken with said that the staff are helpful and supportive and said that the staff always treat them well. All the care records audited had a healthcare record. There was evidence that the service users are supported to access healthcare services and facilities such as hospital appointments visits to the GP chiropodist and dentist. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 15 The medication for three service users was checked and the balances tallied with the medication administration records held by the homes. Previously there had been some incidents were medication could not be accounted for. Since the last inspection the manager has put into place an audit system to ensure the stock balances of medication are counted at the end and the beginning of each shift. Service users are able to continue to self medicate if they wish. The staff would complete a risk assessment and support the service user in maintaining their own medication, the risk assessment would be reviewed at regular intervals. Risk assessments were in place for a service user who self medicated. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good The service users feel that their views are listened to and acted upon, and they are protected from abuse This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each of the homes has a complaints policy and procedure. There have been ten complaints made to the home manager during the last twelve months, these were from service users complaining about another service user. Evidence was seen that the manager had investigated each complaint and appropriate action was taken to resolve the service users concerns. All the staff complete adult protection training as part of their induction training. Training records examined confirmed that St Anne’s Community Services who are the registered providers only provide this training every two years. Due to the vulnerability of this particular service user group staff should receive at least a yearly update on the protection of vulnerable adults. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 Quality in this outcome area is good The service users live in a safe, well-maintained environment to which only minor attention is needed. The accommodation was clean, tidy and furnished in a domestic manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As part of this visit a tour of each home was conducted. The homes where clean and odour free. Service users’ bedrooms were personalised with their own belongings such as ornaments, pictures and small pieces of furniture, bedroom doors are lockable. In each house there are single occupancy rooms although these are not en suit there are bathrooms and toilets in close proximity to the service users bedrooms. There are communal lounges and dining rooms and in Cambridge St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 18 road there is a quiet lounge and a smoking lounge. All three homes had a very friendly and homely atmosphere and were decorated to a good standard. The manager said that regular audits are completed to address issues of maintenance, repair and redecoration of the premises. It was noted that anti slip mats were in some of the bathrooms, these pose a potential health and safety risk to service users. Communal sharing of such items is not advisable as it presents a potential risk of cross infection. The homes laundry facilities were clean and well organised on the day of this visit. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. The staffing level is currently sufficient to meet the basic needs of service users the level of staff turnover is very low. The recruitment practices protect service users. The staff are competent and well trained and show empathy to this particular service user group. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The information received by the Commission for Social Care Inspection prior to this visit states that 49 of staff have completed NVQ (National Vocational Qualification) level 2 or above. The staff duty rota was examined for each house for the month of December and January. This confirmed that staffing levels at Heaton Road and Beech Street were AM; 2 care staff PM; 2 care staff and night duty is covered by 1 care staff sleeping in. At Cambridge road the staffing levels consist of AM; 3 St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 20 care staff and PM; 3 care staff. Holliday’s and sickness are covered by staff doing overtime, or the use of agency staff. In the last eight weeks, agency staff has covered seven shifts. The service provider chooses to retain the bulk of information on staff in the Leeds headquarters. The files held in the home of four staff were audited against the requirement for information to be kept in the home on staff. These contained confirmation that Criminal record checks had been applied for and returned, some files had photocopies of references and limited information on personal information and background of staff normally declared on an application form. Recently employed members of staff receive five full days induction training before they began to work with service users and they are supported by experienced members of the staff team, records seen confirmed this. Staff training records examined show that staff have received training in Schizophrenia Awareness, Learning disabilities, promoting non-challenging behaviour and health and safety. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42,43 Quality in this outcome area is good. The home is well managed and the views of the service users are sought and any shortfalls are addressed. Systems are in place which generally protect the health and safety of service users and staff This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is managed by Mr Richard James who has experience of working with this particular service user group. He is supported in his role by two deputy managers one who overseas Heaton Road and Beech Street. The regional manager visits the home monthly and is contactable by telephone for advise should this be needed. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 22 The manager has not yet commenced the registered managers training award but informed the inspector that the registered providers were looking into this. Weekly and monthly meetings are held between the service users and the staff to discuss issues within the home and the minutes of meetings held on the 30/11/06 were examined. Agenda items included fire safety, menus and general household issues. Service user questionnaires are sent out annually to seek the views of the service users and their relatives on the conduct of the home and the care that they receive. Completed questionnaires are then sent to head office and the information is then collated and fed back to the service users in one of the service user meetings. The manager said that he audits care plans and medication at regular intervals although this is not done formally. Discussion took place between the inspector and the manager about completing formal audits to ensure the quality of the services offered meet the service users expectations. The manager said that the registered providers were currently devising a quality audit tool. Most of the staff have completed training in health and safety and the manager was aware of his responsibilities in this. Following recommendations made during the last inspection staff in all three houses have commenced recording the temperature of the hot water from baths and sinks to ensure it is maintained at a temperature of not higher than 43c to prevent scolding, however records examined showed that this was not always completed. The temperature of the shower in Cambridge Road has not been recorded and staff were advised that this must be done. Fire risk assessments were up to date and staff have received training in fire prevention. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 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 3 3 3 x x 2 3 St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 24 No 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. 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. Refer to Standard YA23 YA24 Good Practice Recommendations Staff should receive update in the protection of vulnerable adults at least yearly. The carpet in the smoking lounge in Cambridge road should be replaced. The carpet in the reception areas and corridors in Cambridge road should be replaced. Beech Street the porch tiles should be repaired/replaced. 3. 4. YA30 YA39 Heaton Road, laundry room - Where the floor covering meets the skirting board should be sealed. A formal quality audit tool should be developed to ensure the quality of the service offered meets the service users expectations. DS0000026353.V316679.R01.S.doc Version 5.2 Page 25 St Anne`s (Huddersfield) 5. YA42 Bath and sink hot water in service user areas should not exceed a maximum temperature of 43°C. You are advised to monitor and record the temperature of the hot water system in these areas. Non-slip bath mats should not be used communally. A visual check of the fire escape at Cambridge road should be made as part of the weekly health and safety checks. St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 St Anne`s (Huddersfield) DS0000026353.V316679.R01.S.doc Version 5.2 Page 27 - 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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