Inspection on 07/02/07 for St Joseph`s Home

This inspection was carried out on 7th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

St Joseph`s Home 03/02/06

St Joseph`s Home 11/11/05

St Joseph`s Home 25/10/04

St Joseph`s Home 10/12/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE St Joseph`s Home 71 Queens Park Road Harborne Birmingham West Midlands B32 2BL Lead Inspector Kath Strong Key Unannounced Inspection 7th February 2007 09:25 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 St Joseph`s Home DS0000024894.V328791.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. St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Joseph`s Home Address 71 Queens Park Road Harborne Birmingham West Midlands B32 2BL 0121 427 2486 0121 428 3209 lspbirm@aol.com 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) Little Sisters of the poor Anne Laing Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38) of places St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide nursing care for up to 12 service users and personal care for up to 26 service users over the age of 65 years 3rd February 2006 Date of last inspection Brief Description of the Service: The home is spread over three floors in a large, imposing and impressive building. The grounds are expansive and well maintained with their own graveyard for Sisters of the order. The home is run by a Roman Catholic order - The Little Sisters of the Poor. The home is part of this working order and Mass is said daily. Registration is for residential and nursing care for up to 38 persons of 65 years of age or above. Persons of any denomination are accepted; there is no spiritual coercion of residents. The standard of accommodation is exceptional with a large dining room and numerous other communal rooms situated on the ground floor. The spacious reception is regularly staffed. Smaller lounges and dining rooms are located on each floor. All bedrooms are en-suite, located on the two upper floors and there is a range of aids and adaptations for residents. There are 36 single bedrooms and one shared room. All rooms and communal areas are spacious and of a very high standard. The extensive grounds and garden are well established and maintained. The building complex includes a block of twelve flats for independent living; residents are free to access the homes dining room and secondary laundry room. The flats are not registered with CSCI and are therefore not subject to the inspection processes. St Joseph’s is conveniently situated for easy access to Harborne High St and is well served by main bus routes. There are a number of parking areas within the grounds to accommodate numerous vehicles. The current fee rates are £346.00 for residential care and £373.00 for nursing care. Chiropody, hairdressing, newspapers and magazines are not included in the fee rate. St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced fieldwork visit was carried out over a period of one day; assistance was provided by the registered manager and deputy manager throughout. There were 36 residents living at the home on the day of the visit. Information was gathered from speaking with residents and staff including two staff interviews. Care, health and safety and the arrangements for medications were assessed. Staff personnel files were checked and staff were observed whilst performing their duties. A partial tour of the premises was carried out. At the conclusion verbal feedback was given to the registered manager and deputy manager. No Immediate Requirements were made. What the service does well: What has improved since the last inspection? St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 6 Some bedrooms have been redecorated to promote a pleasing environment. Bedroom carpets have been replaced in a number of rooms to ensure the improvements for the benefit of residents are ongoing. Half of the roofing has been replaced to prevent leakages and disruption to residents. The home has purchased some profiling beds to ensure residents comfort and ease of access for staff. A new oven has been purchased for the main kitchen, this assists the cook in provision of quality meals. Positive comments were received from residents in respect of the accommodation, standards of care and the meals. 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. St Joseph`s Home DS0000024894.V328791.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 St Joseph`s Home DS0000024894.V328791.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): 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are informed of their rights regarding the terms and conditions of residency. The home demonstrates that it able to meet the needs of prospective residents before a placement is offered. EVIDENCE: The terms and conditions of residency include details of the various elements of the fee rate to enable residents to have a full understanding of how the total fee rate is achieved. The contract also contains information about residents right to an eight week trial stay before the placement is confirmed as being permanent. This ensures that both the resident and the home are satisfied with the service provided. St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 9 Prospective residents receive a comprehensive assessment by senior staff from the home; this is carried out at a location that is convenient to the prospective resident. The assessment includes physical and mental conditions, care needs, the reason for admission and how the person feels about the prospect of being admitted to the home. Four assessments were seen and each one was found to be very detailed. The home demonstrates that it can meet all assessed needs before a placement is offered. There is a written admission procedure outlining what staff should do to ensure that the correct processes are carried out. Although the home is run by the Catholic Church people of all faiths are welcome. St Joseph`s Home DS0000024894.V328791.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 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents healthcare needs are being met, this is evidenced in the care plans. Staff practices regarding medications are robust and protect residents from harm. Observations of staff indicated that residents’ privacy and dignity are being maintained. EVIDENCE: Each resident has a written care plan. This identifies the assessments carried out and guidance for staff to deliver care to promote the resident’s health and well being. Four care plans were reviewed. They are maintained in a logical fashion and are indexed for ease of access. Upon admission the pre-admission assessment is used as a framework for staff to carry out more detailed assessments, which enables them to identify care needs and how they should be delivered. There was ample evidence of reviews being carried out regularly, which highlights any changes when staff need to update the respective care plan. Relevant risk St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 11 assessments were noted and guidance was tailored to reduce the risks of harm for both residents and staff. Daily recordings are made during the day and night and were quite detailed. Staff also record the dependency levels of individuals. Files contain information about residents’ life history, backgrounds, hobbies and interests and favourite entertainments. This information provides staff with the knowledge regarding how to approach a person and which activities should be offered. Comments received from residents included, “I’m OK, they look after me very well, if I ask for a drink its there in minutes, I will ask to see a GP that’s never a problem”. The home adopts a proactive approach to requesting the services of external healthcare professionals when medical conditions are identified or suspected. There is a dedicated GP consulting room; which is used to hold a weekly clinic and a separate physiotherapy room where treatments can be given. The registration of the home includes residential and nursing care. If a residential resident is assessed as requiring nursing care, the transition is effected without the need to relocate into a different bedroom, thus causing no disruption or unnecessary stress for the individual. The home provides good standards of care towards improving the quality of residents’ lives. There is a written medications policy, which includes guidelines regarding residents who wish to self medicate. The storage of medications were appropriately maintained on individual units. The arrangements in respect of ordering, auditing of medications received from the pharmacist, administration, recordings and disposal were found to be satisfactory. Random audits of medications are carried out to further ensure that staff practices are safe. Staff were observed being very courteous and discreet assistance is provided in the privacy of the residents own bedroom or a bathroom. Staff were observed using the preferred term of address when talking to residents and senior staff. Residents’ privacy was respected by staff knocking and waiting to be invited into a bedroom. St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides varied social activities and outings that meet the expectations of residents and promotes them in maintaining a quality lifestyle. Residents are enabled to exercise choices and staff actively encourage and promote individuality and independence. EVIDENCE: Activities are organised and supplied by care staff. There is a programme on display of in-house and external recreations. An interesting range of options are offered and it was noted that suggestions made by residents were acted on. Daily Mass can be heard in the integral chapel that residents and others not connected with the home can access. Residents can also watch The Mass via their bedroom televisions. Activities include tea parties, birthday celebrations, music, quizzes and card games. The home has its own library, which contains many videos as well as books. There is a large craft room, which is manned by voluntary staff. It includes kitchen facilities where residents may develop skills or cook. Voluntary staff also run a shop that is open four times a week for residents to buy small items, sweets and toiletries. St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 13 The home has a large concert room that is used for a variety of activities and staff enact a pantomime for residents enjoyment each Christmas. A resident spoken with was wearing head phones to enable her to hear the sounds of the television. Regular outings are arranged for visits to such places as West Midlands Safari Park, Weston Super Mare, Stratford and the Botanical gardens. During warm weather barbeques are organised and regular shopping trips throughout the year. Residents made comments, “I go out on a Sunday if it’s a sunny day, I look after my own plants, I go to the smoke room for a cigarette”. Another said, “My two sons have just left, they are in and out all the time and my sister comes every day”. The minutes of the monthly residents meetings indicate that suggestions about recreations or the food menu are actioned and that they influence the day to day operations of the home. Visitors are made welcome at any time and are offered refreshments. A resident said, “ I like to have a bath”. Another reported, “My family go and make themselves a drink, staff will also ask”. The home has a four week rotating food menu, the range of foods offered is extensive with plenty of options given. Breakfast offers two hot meals as well as cereals, fruit and toast. The main meal is served at lunchtime consisting of three courses and a light meal, salad or sandwiches and sweets are provided for the evening meal. Although the serving of lunch was not observed, residents gave very positive feedback about the standard of the meals presented to them. The menu indicates that fresh fruit is offered and the meals are varied, balanced and nutritious. Specialist diets are also catered for. Meals may be taken in the spacious, well appointed dining room, the unit dining room or in residents own bedrooms. A resident said, “The food is very good”. St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident that their views will be listened to and any complaints made will be dealt with effectively. The arrangements and staff training provided protects residents from the risks of abuse. EVIDENCE: The home has a written complaints procedure and a shorter version is supplied to each resident. The complaints file includes sections for recording, actions taken and the outcomes of complaints. The home has not received a complaint for a considerable length of time. No complaints have been sent to CSCI since the last inspection of February 2006. Residents said they were aware of their rights and how to make a complaint. There are written policies regarding adult protection, whistle blowing, protection of vulnerable adults and one for abuse. The home has not had any concerns in this respect for a protracted period of time. Two staff were interviewed and they displayed adequate knowledge of how to respond when abuse is witnessed or suspected. The measures in place serve to protect residents from risks of harm. St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 15 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, 21, 22, 23, 24 and 26. Quality in this outcome area isexcellent. This judgement has been made using available evidence including a visit to this service. Residents are provided with superior, warm, comfortable, safe and exceptionally hygienic accommodation. The communal rooms and garden provide an excellent range of choices. EVIDENCE: The location and layout of the home is suitable for its intended purpose and offers an exceptional standard of accommodation, which far outweighs the minimum spatial requirement. The many communal rooms are spacious, well appointed and very well maintained. The main dining room situated on the ground floor is especially spacious and furnished to a very high standard. All areas of the building are well presented and the décor and furniture is age appropriate. The large concert room lends itself to recreations and social events and there is ample access for wheelchair users. The hair salon is specifically equipped for its purpose and there is a small laundry room that St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 16 residents may access. There are 12 flats attached to the home whose occupants can access the dining room and laundry room. The flats are not included in the registration with CSCI and are therefore not inspected. The fully enclosed public phone booth ensures that calls can be made or taken in private. The majority of communal rooms are located on the ground floor and include seating areas where people can hold a confidential meeting. A visitors room has tea making facilities is available, there is a staff meeting room and a dedicated GP consulting room. The chapel can be accessed via the ground floor or via a balcony on the first floor. The central garden forms a secluded quadrangle where people can sit during warm whether. Residents comments included, “Lovely clean bed, everything is grand, its beautiful”, when asked about the accommodation. The two upper floors house four units; each one consists of a number of bedrooms, bathrooms, a lounge and a dining room with a kitchen off. The units have a range of lifting equipment and specialist devises to prevent the occurrence of pressure ulcers. All rooms include a call system to summon assistance and all senior of staff of each floor carry a pager to aid communications. The communal assisted bathing facilities offer residents choices about how they wish to bathe. Bathrooms are strategically located throughout the home. A sluice room is housed on each of the two upper floors. Bedrooms are of single status and one room is for shared accommodation; they are furnished to a high standard. All rooms have en-suite facilities consisting of toilet and wash hand basin and some include a shower. The built-in wardrobes have a lockable cupboard within them for personal items and money to be securely stored. Bedrooms are personalised and there was evidence of personal possessions and items of furniture that residents had taken into the home. Bedroom doors are fitted with suited locks so that resident’s privacy and dignity can be ensured. Some residents were noted to have their own telephone installed in their bedroom, some had large dial pads to assist for those who are partially sighted. The kitchen and laundry rooms are spacious, very tidy and well equipped. All areas of the home were found to be extremely clean and fresh smelling. St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 17 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are maintained in sufficient numbers ensuring that residents needs are being met. Recruitment practices are robust and protect residents from risks of harm. Staff training ensures that they possess the knowledge and skills to care for all current residents needs. EVIDENCE: Each unit has at least two carers on duty during the daytime shifts and one at night. Trained staff are rostered to each floor for all shifts and other senior staff are available on the premises to respond in emergency situations. One resident commented, “Carers are good, staff will do shopping for us”. Four staff files were sampled including the latest recruit. The homes arrangements in respect of recruitment are appropriate and all necessary checks and references are being obtained before a position is offered. Senior staff practices serve to protect residents from risks of harm. The inductions provided for care staff include all of the items listed within the Skills for Care course to supply them with the knowledge to carry out their roles effectively. Of the care staff employed 59 have successfully completed training in NVQ level2 or above. There is a rolling programme of staff training to ensure that all staff are captured in respect of mandatory and refresher St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 18 courses. Other courses such as wound care are also provided to meeting the specialist needs of residents. St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 19 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, 32, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is experienced and possesses the skills to oversee the day to day running of the home. The quality assurance programme needs to be further developed to evidence that sustained improvements are an ongoing process. Arrangements in respect of health and safety are robust and prevents residents from injuries. EVIDENCE: The registered manager is experienced and is keen to make continuing improvements for the benefit of residents. She displayed a transparent approach to residents and staff. The deputy manager provides her with support to carry out her role. The home has an emergency on call system; prompt assistance is given by senior personnel who live on the premises. St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 20 Discussions held with staff indicated that they are well supported by the current management structure and senior staff are willing to listen to suggestions. Regular unannounced checks are made of the home and the manager is supplied with a written report. The home has a partially developed quality assurance system. Regular audits are carried out of medications, care plans, the kitchen and laundry rooms. The inspector was shown some questionnaires that are suitable to give to residents and other stakeholders to complete. The home was requested to further develop the system to include a written report that includes the positives, any shortfalls and when and how they will be addressed. The arrangements for the safekeeping of and financial transactions of residents personal monies are robust, this prevents financial abuse of residents. The accident records are well documented. All relevant checks and servicing of equipment are carried out to ensure that they are fit for purpose. The fire alarm and emergency lighting systems are regularly checked and findings recorded by the maintenance operative, this protects residents from harm in the event of an emergency situation. Regular fire drills are carried out and the names of those staff who participated are recorded to ensure that all staff are captured. The arrangements appear to protect residents and others from the risk of injury. St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 3 3 3 X 4 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 3 2 X 3 X X 3 St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP33 Regulation 24(1)ab (2) Requirement The registered person must further develop the quality assurance system to include the opinions of all stakeholders and produce a report, which outlines the positives and shortfalls of the services. Upon completion forward a copy to CSCI when requested. Timescale for action 31/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Joseph`s Home DS0000024894.V328791.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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