Inspection on 11/12/06 for St Theresa`s

This inspection was carried out on 11th December 2006.

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 Theresa`s 08/12/09

St Theresa`s 17/11/05

St Theresa`s 17/05/05

St Theresa`s 21/10/04

St Theresa`s 24/05/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE St Theresa`s St Therese Close Callington Cornwall PL17 7QF Lead Inspector Mandy Norton Unannounced Inspection 11th December 2006 10:15 11/12/06 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 Theresa`s DS0000009245.V311602.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 Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Theresa`s Address St Therese Close Callington Cornwall PL17 7QF 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) 01579 383488 01579 383488 The Aldington Group Limited Ms Vivienne Mary Milden Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45), Physical disability (15), Terminally ill (3) of places St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users to include up to 15 adults with a physical disability (PD) Service users to include up to 3 adults with a terminal illness (TI) Service users to include up to 45 persons of old age (OP) Total number of service users not to exceed a maximum of 45 Date of last inspection 17th November 2005 Brief Description of the Service: St Theresas is part of the Aldington group of homes (responsible individual Michael Freeland). It is a purpose built care home with nursing where accommodation is provided on one level throughout. It is situated in a cul de sac in a quiet residential area of Callington. There is a mini bus that can be used to transport residents to the nearest amenities. It provides care and accommodation for up to 45 people in need of care by reason of old age, physical disability or terminal illness. The accommodation is mainly in single rooms although two double rooms are available for people choosing to share. Approximately half the rooms have en suite facilities. The communal areas are situated centrally within the home where service users can see what is going on, or overlooking the garden which itself has been planned for visual effect and easy access, including wheelchairs. The current fees range from £444.25 to £626.50 (information taken from the pre inspection questionnaire dated 20.09.06). The Service Users contracts are dealt with by the operations director, responsible for 3 homes locally for the Adlington Group, but based at St Theresa’s. She was able to show the inspector how the fees are broken down on the contract, which was easy to understand, The inspector was also shown a copy of the letter that is sent to the resident or their representative to welcome them to the home , which explains the fees to be paid and includes a Service Users Guide. She said that each year when the fees are increased the resident or their representative receive a letter to notify them about a month beforehand in order that those who pay directly to the home can make arrangements with the bank. St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 10am and 2pm and was conducted with the matron, assisted by the deputy matron and the operations director. The provider was on site during part of the inspection. A tour of the home was carried out. The report contains views from the completed staff surveys returned (30) reflected throughout, information taken from the completed pre inspection questionnaire (received September 2006) and views of Service Users and staff spoken to on the day of the inspection. The pre inspection questionnaire states that there have been 6 complaints made since the last inspection, 1 of which was substantiated, 2 of which were partially substantiated with the remaining 3 not being upheld They had all had been responded to within timescales laid out in the homes complaints procedure. What the service does well: St Theresa’s is comfortable, homely and welcoming. There was a nice atmosphere during the inspection, although the home was having a particularly challenging day. The staff were interacting well with the residents and a number of visitors in the home. Residents spoken with said that the staff are ‘kind and helpful’. The information about the home given to prospective residents and or their representatives has sufficient detail to allow an informed decision to be made about moving into the home. When possible, prior to admission, the manager or another of the trained nurses visit the person in their current setting to perform a full needs assessment in addition to receiving care plans from other social and health care professionals. Once admitted to the home Service Users needs are set out in a care plan, the plans provide sufficient information for care staff to be able to meet the individuals’ health, social and psychological needs. The staff are trained and competent in their jobs. There is a trainer in the home who is highly thought of and works with carers through their induction and ongoing training. The processes in place to protect the health and welfare of the residents such as the complaints procedure, fire and health and safety procedures. St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 6 Residents are able to maintain contact with family and friends and exercise choice and control over their lives. Residents receive a wholesome appealing diet; The manager said that residents are asked on the day of the meal what they would like to eat, with alternatives to the menu always being available. The home is pleasantly decorated and furnished and presented as clean, bright and hygienic. The home has a formal quality assurance system in place to measure the satisfaction of the residents. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Theresa`s DS0000009245.V311602.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 Theresa`s DS0000009245.V311602.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&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service or are prospective Service Users have good information about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that people’s diverse needs are identified and planned for before they move to the home. This home does not provide intermediate care. EVIDENCE: St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 9 The manager showed the inspector pre admission documentation and how the negotiation for appropriate equipment is carried out. The staff ensure that they have the social service care plan if a resident is publicly funded and the operations manager triggers the funded nursing care assessment, if the person is not being admitted from hospital. The manager said that if a prospective resident is local to the area she herself or one of the other senior trained nurses goes to visit the person in their current setting to make an assessment. Information is taken about their current abilities, medication, next of kin and equipment required. The current fees range from £444.25 to £626.50 (information taken from the pre inspection questionnaire dated 20.09.06). The Service Users contracts are dealt with by the operations director, responsible for 3 homes locally for the Adlington Group, but based at St Theresa’s. She was able to show the inspector how the fees are broken down on the contract, which was easy to understand, The inspector was also shown a copy of the letter that is sent to the resident or their representative to welcome them to the home, which explains the fees to be paid and includes a Service Users Guide. She said that each year when the fees are increased the resident or their representative receive a letter to notify them about a month beforehand in order that those who pay directly to the home can make arrangements with the bank. St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 &10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager promotes and maintains Service Users health and ensures access to health care services to meet assessed needs. The homes medication systems generally protect the welfare of residents. Service Users are treated with respect and their right to privacy is upheld. EVIDENCE: Care plans were examined; in all of those seen there were assessments which provided information about skin integrity, moving and handling, safety including risk of falls and use of bed rails risk assessments. The information generates the plans of care, which provide the basis for the care to be St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 11 delivered. The care plans were clear and easy to understand and had been regularly reviewed. Other records examined were the monthly weight for each Service User. The matron then makes a judgement about how to manage any weight loss or gain by discussing the residents requirements with the catering manager during their weekly meeting. Or by referral to the GP, who is now the only person who can refer a Service User to the dietician. Monthly blood pressure and pulse are also recorded for each resident. The matron said that each care plan is discussed with the resident or their representative at least annually (where possible). A signature to confirm this is gained where possible. Records are maintained for all visits to the home by social or health care professionals, all residents are registered with a GP. Records in the communication book, diary and care plans detailed outpatient appointments and GP visits showing that residents are enabled to use health resources. The medication system is well managed; The local chemist supplies medicines in individual bottles and boxes which are kept in individual trays within the drugs trolley, each tray is colour coded to match the colour code of the wing the Service User lives in. The deputy matron said stock is checked and ordered weekly. She added that whilst all of the trained nurses have responsibility for the medications management, one RGN takes responsibility for ordering and management of the medicines as her special ‘interest’. The treatment room and store room were not overstocked but had sufficient supplies, medicines, and dressings. Disposal of unused/ out of date medication is safe, well recorded and removed by a licensed contractor. Oxygen storage was appropriately managed with correct signage was in place. A tour of the home showed that in several rooms there were unlabelled pots of cream with no opening date written on them. It was recommended that the labels are kept on pots /tubes of cream to show they are being used for the person for whom they are prescribed and they have a date of opening clearly marked on them. St Theresa`s DS0000009245.V311602.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 & 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 an activities programme and social interaction/stimulation for Service Users. Service Users are able to maintain contact with family and friends and exercise choice and control over their lives. Service Users receive a wholesome appealing diet and are not rushed encouraging the mealtime to be a social event. EVIDENCE: A tour of the home showed some Service Users in their rooms watching appropriate TV programmes, reading newspapers and magazines and chatting with visitors. Others were in the lounge areas with their visitors or chatting to St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 13 other residents and staff. On the day of the inspection the maintenance man was erecting the Christmas tree and the decorations were being put up. There are 3 budgies in the home, who are looked after by the activities coordinator, who works 9am to 6pm Monday to Friday. The matron said that PAT (pets as therapy) dogs also visit the home on occasions. There are activities arranged in the home to suit the needs of the residents and the home have a mini bus that is used for trips out. The menus (provided with the pre inspection questionnaire ) are on a rolling 4 week system. The matron added that alternatives are always available. Specialist diets are catered for. The matron said that she meets weekly with the catering manager to discuss any concerns either party may have about residents dietary needs/ weight. Residents can eat in their rooms or in the dining room. Catering staff spoken to were approachable and friendly. St Theresa`s DS0000009245.V311602.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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Service Users and their relatives/friends know how to make a formal complaint. People are safe living in this home. Formal meetings take place for staff or Service Users and there are strategies in place for bringing concerns or complaints to the managers attention. EVIDENCE: The complaints procedure was seen displayed within the home and is in the Statement of Purpose, given to all residents and /or their representatives prior to admission. The matron said she has an open door policy for residents, visitors and staff to approach her and discuss any issues. She feels that this is effective. She holds staff meetings on occasions and she said that staff have regular supervision sessions and are regularly observed in practice by the ‘trainer’. The pre inspection questionnaire states that there have been 6 complaints since the last inspection, 1 of which was substantiated, 2 partially St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 15 substantiated and 3 not upheld. All had been responded to within timescales laid out in the homes complaints procedure. The pre inspection questionnaire stated that there has been 1 adult protection (a team of people who are responsible for investigating claims of abuse or neglect) referral since the last inspection. This was discussed with the matron during the inspection when she demonstrated an awareness of adult protection issues. This has resulted in 1 protection of vulnerable adults (POVA) referral (this is list that people can be put on if it found they are guilty of abuse or neglect to ensure they don’t work within care settings again). Twenty three (23) of the thirty (30) completed staff surveys indicated they were aware of adult protection procedures St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe and well maintained and clean and hygienic ensuring the Service Users live in a satisfactory environment. EVIDENCE: A tour of the home showed that residents rooms contain personal items including furniture, ornaments and pictures. The home appeared well equipped to meet the needs of residents identified with moving and handling risks and disabilities that affect their capability to bathe (hoists, stand aids, a shower and assisted baths). Specialist mattresses and adjustable beds were seen in place for those residents requiring them. St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 17 There is call bell system throughout the home, residents seen in their rooms all had the bell placed within their reach. There were a variety of toilet facilities for use by residents throughout the home. The home has a sluice facility. Outdoor space consists of a patio leading from an area of communal space (there is a ramped access). The area is enclosed so residents can sit outside with privacy. There are shrubs and a pond with a small waterfall for the residents to enjoy. The home is purpose built and all on one level. There are a variety of communal areas from where the residents rooms lead off to a number of wings. Visitors were seen with their relatives in the lounge and in the privacy of their own rooms. There are no specific visiting hours. The home is well maintained, an electrician was testing the fire alarm during the inspection. Portable electrical appliance (PAT) certificates were seen on residents personal electrical items. The matron said appliances are done annually and new items are tested throughout the year as necessary. The duty rota shows that the maintenance works in the home 5 days a week from 8am until 1 pm. The pre inspection questionnaire details the dates of all the maintenance activity that has been carried out such as fire equipment checks, PAT, health and safety checks, central heating checks and hoists and assisted baths. The home was clean and tidy and domestic staff were observed going about their work during the inspection. The duty rota shows that there is domestic cover between 8am and 5pm Monday to Friday and a housekeeper. St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of staff with appropriate skills and knowledge to meet the needs of Service Users in this home. The homes recruitment procedures protect Service Users from being placed at risk of harm or abuse. EVIDENCE: The home has a trainer who is an NVQ (National Vocational Qualification – a course people can do whilst in post to learn more about caring) level 3 trained carer (senior). She is highly regarded by the manager and many of the staff (indicated in completed staff surveys and conversation with carers on the telephone). She carries out staff supervision sessions and in house training sessions. She will work with carers if there is an identified problem area. New carers work with her for 2 weeks as supernumery and oversees them whilst they work through their introduction pack which can take anywhere from St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 19 6 to 12 weeks. The matron checks when statutory training is due such as manual handling and food hygiene. The home has an in house manual handling trainer. The matron said she tries to get outside training in every 6 weeks on subjects such as nutrition, continence and tissue viability (skin care). The duty rota supplied prior to the inspection indicates that sufficient staff are on duty, with more at peak times, to meet the current residents needs. The home has a consistent and robust recruitment procedure. The staff file examined contained all of the required information. The files are stored securely. All of the thirty (30) completed staff surveys indicated that thorough recruitment procedures had been carried out such as sending for 2 references and a police check through the Criminal Records Bureau (CRB). Twenty five (25) completed surveys indicated that staff are not asked ‘ to care for people outside there are of expertise’. Two (2) indicated they were and 3 thought the question not applicable to them (the surveys were sent to al types of staff who work in the home). St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by an experienced 1st level Registered Nurse. There is a formal quality assurance system in place. Personal money held in the home on behalf of Service Users is managed appropriately. The registered provider shows a responsible attitude toward promoting and protecting the health, safety and welfare of Service Users and staff. St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager of this home is a 1st level registered nurse (RGN) she is supported by 6 level 1 nurses and 6 level 2 nurses. She has been in post for 2 years, but has managed another home in the group previously. The group has its own complaints process, and safe recruitment procedures and numerous training opportunities. The administrator picks at random 3 residents a month to ask about their satisfaction with the service provided. She also asks their relatives or representatives to meet with her or discuss any issues they may have about the residents care. The responses are documented and any actions required are taken and details of the actions written on the completed quality assurance form. Regulation 26 visits (monthly unannounced visits to the home by the provider or a representative to ensure everything is running as it should) reports have been sent to the commission as required. The manager has an open door policy for staff and visitors to bring any issues or concerns to her. Safety notices were displayed throughout the home including action to be taken in case of fire. The drugs fridge temperature in treatment room needs to be taken and recorded daily (as required by environmental health regulations) it is currently done weekly. The completed pre inspection questionnaire indicates that all equipment is regularly maintained and tested. PAT testing stickers were seen on electrical equipment throughout the home. The accident book was examined and found to be completed as required. The inspector was shown he records and storage of personal money held in the home on behalf of residents. Best practice systems are in place for the protection of both residents and staff – 2 signatories are sought for each transaction, all receipts are stored for auditing purposes and the money is stored securely. St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 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 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 23 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. Refer to Standard OP9 Good Practice Recommendations It is recommended that all pots of creams should have a pharmacy label with the Service Users name on them and a date of opening clearly written on them. It is recommended that the drugs fridge temperature is checked and recorded daily. St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Theresa`s DS0000009245.V311602.R01.S.doc Version 5.2 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!