Inspection on 24/10/05 for Starmount Villa Residential Care Home

This inspection was carried out on 24th October 2005.

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

The inspector 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

Starmount Villa Residential Care... 15/11/06

Starmount Villa Residential Care... 14/03/06

Starmount Villa Residential Care... 21/03/05

Starmount Villa Residential Care... 23/06/04

Starmount Villa Residential Care... 22/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Starmount Villa Residential Care Home Browns Road Bradley Fold Bolton Lancs BL2 6RG Lead Inspector Lucy Burgess Unannounced Inspection 24th October 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 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. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Starmount Villa Residential Care Home Address Browns Road Bradley Fold Bolton Lancs BL2 6RG 01204 525811 01204 525588 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) Starmount Villa Residential Care Limited Mrs Lesley Swinnerton Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 27 service users to include: Up to 27 service users in the category OP (Older People). The service should at all times employ a suitably qualified experienced manager who is registered with the Commission for Social Care Inspection. 21st March 2005 Date of last inspection Brief Description of the Service: Starmount Villa is a care home providing personal care and accommodation for 27 people aged 65 years and over. Starmount Villa is located on the outskirts of Bolton towards Bury. The home is set in its own grounds in a quiet residential area and close to a country park. It comprises of twenty-six single bedrooms, twelve with en-suite and one double bedroom. There is a large lounge, smaller quiet lounge, large dining room and a second dining room for those who require additional support. Accommodation is provided on two floors and was found to be tastefully decorated, clean and odour free. A passenger lift is also available. There is a large garden at the front of the building and a second to the rear, which are well maintained and easily accessible. Garden furniture is provided for residents to sit out an enjoy the good weather. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place during one day for a period of 7½ hours. The inspector took the opportunity to look round the home, view records as well as talk with staff, residents and family members. Time was also spent observing the activity taking place in the afternoon. Discussion and feedback was held with the Deputy Manager. The home is registered to provide accommodation for 27 people. The home currently has one vacancy. What the service does well: What has improved since the last inspection? Starmount Villa continues to provide residents with a good standard of accommodation, which is well cared for, safe and homely. Residents and family members expressed they were very happy and settled at the home and continue to enjoy a friendly and relaxed rapport with staff. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 6 New staff have been employed due to the increase in residents living at the home ensuring their needs are fully met. New staff were enjoying their role and settling in well with the team. 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. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 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 Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 The system of assessing prospective residents prior to admission gives an assurance that a resident will only be admitted if the home can meet their needs. EVIDENCE: Starmount Villa accepts residents who are both privately funded or funded via a Local Authority. Those individuals who have care management input, information is requested in relation to their assessed needs. Files seen for some of the newest residents included the needs assessment and risk assessments, which had been completed by the relevant social worker. The home also has a care plan assessment form, which was said to be used when assessing privately funded residents. This includes all areas in relation to the persons’ physical, social and emotional well-being. All information gathered would then be used to inform the development of the care plan. Standard 6 does not apply to Starmount Villa, as the home does not provide intermediate care services. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 to 11 The care plans did not fully reflect the support needs of the residents ensuring needs are being met. A safe system of administering and recording of medication was found ensuring practice was safe and residents are protected. Care practices ensured that the residents were treated with respect and their dignity was upheld. EVIDENCE: Files were looked at for a few residents with various care needs as well as a new resident. Some of the information needed to be expanded upon to include more information in relation to the person as a whole including their social, physical and emotional well-being. Short term plans and risk assessments had been developed covering several areas, these included moving and handling, pressure care, medication, mental health needs and social interactions. Information found within the assessment plans need to be transferred to the short-term plans identifying the support provided. Plans and risk assessments had been evaluated on a monthly basis. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 10 One file was looked at in relation to a resident who has had regular falls. It was noted that during September and October 10 falls had occurred, these incidents had also been recorded within the accident book. Information recorded on file identified that the residents has epilepsy and is diabetic with blood test carried out quarterly. The moving and handling assessment however had not been updated to reflect the number of falls and the action taken by staff in relation to the monitoring and management of the identified need. It was suggested that a referral is made to the falls co-ordinator to explore possible causes and support in reducing the number of incidents. Another file was seen in relation to a resident who has regular verbal outburst. A referral has been made by the home for psychiatric assessment however information gathered from staff and through observations, were not recorded within the daily reports providing clear evidence in relation to the behaviours displayed. It was also noted that the residents had been refusing all medication, this needs to be risk assessed identifying what action has been taken and what involvement has been made with health care professionals i.e. GP. Residents within the home are weighed on a monthly basis and full records made. One file showed that a resident had a slight weight loss however there was no nutritional assessment. The deputy manager explained that this information would be added to the short-term plan along with any intervention required. Every effort should be made to involve the residents and/or their relatives in the development of care plans as well as making decisions about their care and well-being. Information should be signed and dated evidencing their agreement, ensuring information is up to date and relevant. New staff expressed that they had not seen information recorded within the care plans and that the support they were providing was through verbal prompts from colleagues. The plans should be used as a working document within the whole team giving staff the information they need to provide the care and support specific to each individual. The afternoon medication round was observed. Medication is only administered by those staff that have been suitably trained. Medication was placed into individual medicines pots and handed to the residents, records were then signed to evidence they had been given. The Medication Administration Records (MAR) examined were up-to-date. Records are also signed to evidence the receipt of all medication and a returns book is held for those supplies that need to be returned to the pharmacy. The medication storage was generally secure and orderly. Only the currently monthly stocks were in place ensuring items were rotated. Medication reviews are prompted and recorded by the home. All healthcare professional visits are Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 11 recorded in individual resident files outlining any action required. At present none of the residents self medicate. Equipment necessary for the prevention and treatment of pressure sores was available within the home or could be accessed via the PCT. Regular visits are made from GP’s, district nurse and other health professionals where necessary. GPs and advisors see service users in private. Staff should ensure that when transferring residents with wheelchairs that footplates are used to prevent injury. The home offers full support to both residents and family members in the event of illness or death. Visiting is allowed at anytime and family members would be accommodated if requested, refreshments would also be provided. Dignity and privacy is respected at all times. If requested arrangements would also be made for the clergy to visit. The home has recently lost a resident who had lived at the home for some time. The resident had recently been unwell and was being treated by his GP. Information regarding all health intervention and monitoring of care needs were recorded within the care file as well as daily entries in relation to changes in health and diet etc. The resident had a recent fall, details had also been recorded within the accident book and the CSCI had been informed. Through discussion with the deputy manager it is advised that where an unwitnessed fall has occurred and injury sustained staff should contact the paramedics who will assess if further treatment is required at the hospital. Feedback from service users was positive with regards to interactions and support offered by the staff; from observations made residents enjoy a relaxed and friendly rapport with the staff. Service users felt that the staff upheld their privacy and dignity. Comments included, ‘the home is small and homely’, ‘I’m very happy’, ‘the homes fantastic’ and ‘the staff look after us’. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 15 A choice of nutritional balanced meals are provided ensuring the dietary needs of residents are met. Alternative choices are also offered for those requiring special diets. The home’s open visiting policy means that residents can continue to see their family and friends as they wish. EVIDENCE: Activities are provided within the home these include quizzes, bingo, word puzzles, foot massage and nail care. The home also arranges occasional theme days and day trips. Plans are currently being made for the Christmas festivities including carol singers visiting the home. On the day of the visit residents enjoyed a game of bingo. Those individuals not wishing to join in are able spend their time as they choose. The home also makes arrangements for newspapers to be delivered and there is a visiting hairdresser. Visits to and from family and friends are encouraged. A number of visitors arrived at the home and spent time with relative either in the communal lounge or the privacy of residents’ bedrooms. Family members spoken to expressed that they were ‘always made welcome’ and ‘kept fully informed about their relative’. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 13 It was noted that one relative was contacted by the deputy manager to advise her that her mother was feeling a little unwell. Another resident was anxious about not being with her husband and that she was soon to celebrate her wedding anniversary. Arrangements are being made by the home for a small party to celebrate this. Meals are served in the two dining rooms. Tables are nicely set with napkins and cruets. Drinks are served with each meal. Those residents who require a special diet are also catered for. The cook was knowledgeable in relation to the specific needs of residents and ensured that alternatives were provided where necessary. The smaller dining room is used by those residents requiring additional support from staff. The cook explained that following a recent resident meeting alternative winter menu options had been suggested by the residents these included more casseroles, dumplings and curry. These suggestions were to be added to the revised menus. The cooks also ensure that daily monitoring is made of fridge and freezer temperatures, food and the cleaning of the kitchen. Lunch was observed. A choice of Sausage and Mash or Chicken Curry and Rice, which was one of the new suggested option were being served followed by sponge or crumble and custard. Residents appeared to enjoy the meals served with positive feedback was received about the new option. Choices are also offered with regards to breakfast, tea and supper. Regular drinks and snacks are served throughout the day. The home employs 3 cooks who cater fully for the dietary needs of the residents. One of the cooks is currently undertaking a NVQ in catering. In addition to the recent extension, the homeowners are considering a further extension to the property, which would include a larger dining room allowing for further communal space due to the increased number of residents and visitors. The remaining key standards will be addressed at the next inspection. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The system in place regarding responding to Complaints and Adult Protection issues are satisfactory, ensuring residents are protected from abuse. EVIDENCE: The home has in place an up to date complaints procedure, which includes the address and telephone number of the Commission and timescale for response. Copies have been included within the Statement of Purpose and Residents Charter as well as being displayed within the home. The Manager has a complaints book for the recording any complaints brought to her attention. No complaints have been received by CSCI or the home. The home has a copy of the Local Authorities Vulnerable Adults Policy. Training booklets have also been introduced in relation to adult abuse and awareness. This has been undertaken by the existing staff however has yet to be completed by the newest members of the team. The home also holds additional policies around the protection of service users. These are accessible to all staff and are available on request. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The home continues to provide safe and comfortable accommodation to meet the needs of older people. Sufficient aids and adaptation have also been provided in order to meet the needs of the service users. Regular maintenance, redecoration and domestic tasks are undertaken ensuring a warm, safe and clean environment for those that live there. EVIDENCE: Starmount Villa now provides personal care and accommodation for up to 27 people aged 65 years and over. The accommodation has recently been extended to include 10 further single en-suite bedrooms. In keeping with the rest of the home, rooms have been tastefully decorated and furnished. Communal space comprises of a quiet lounge, large lounge and two dining rooms. A passenger lift is also available and ramped/level access is available to both the front and rear of the home. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 16 The home has gardens to both the front and rear of the building, which are well maintained and easily accessible. Outdoor furniture is available for residents to sit outside and enjoy the good weather. As stated earlier the homeowners are considering a further extension to the property, which will provide a larger dining room and communal space for the increased number of residents and visitors to the home, this would further enhance the property. As well as the 12 en-suite bedrooms the home also has two bathrooms, which consists of a bath hoist and a parker bath and a new walk in shower, which has been fitted with rails and a chair. A further 6 separate toilets are also provided. Each bedroom has the added provision of a sink unit. The bathing and toilet facilities were clean and adequately ventilated. The home continues to employ a housekeeper who in the main is responsible for the up keep of the home. The care staff also carries out additional tasks. The environment is kept exceptionally clean and tidy throughout and is free from odours. The Manager ensures that the cleanliness of the home is maintained to a high standard. The home has a separate laundry facility with adequate provisions along with two separate sluices. Appropriate equipment for the handling and disposal infected material is in place. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 to 30 Sufficient staff are provided ensuring the needs of residents are met. Further training has been identified to provide staff with the knowledge and skills needed in meeting the needs of the residents. Information required in relation to the recruitment of new staff needs to be held on file prior to commencing employment ensuring the safety and protection of the residents. EVIDENCE: Staffing levels at the home have increased due to the increased occupancy. At the time of the visit there was only one room vacant. Sufficient staff were on duty to provide the care and support needed by residents. Accurate records were made in reflecting the number of staff on duty at any time. Residents expressed that they were well looked after. Staffing consists of the Manager, Deputy Manager and 20 day and night staff. The home also employs 4 kitchen and domestic staff. Turnover is low with a number of staff having worked at the home for some years. Daytime cover is provided between the hours of 8 a.m. to 8 p.m. with 5 staff available in the morning and 3 in the evening. Two wake-in staff cover the night duties. The home does not use agency staff preferring to cover shifts with existing permanent or bank staff that are familiar with the needs of the residents. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 18 The home has a policy and procedure in place with regards to Recruitment and Selection. Files were examined for the newest staff. The majority of information required was in place however shortfalls were found. The home must ensure that 2 written references are received prior to new staff commencing work and should include where applicable one from the last employer. Criminal Record Checks/Pova checks should also be carried out on all new staff, checklists held on file stated that the checks had been applied for however there was no evidence recorded stating this has been completed and replies had been received by the home. Further information should also include a health declaration and a full employment history. One staff file requested was also unavailable for inspection. Staff training has been provided with regards to the NVQ courses. The manager holds the level 4, the deputy manager has gained the level 2 and is to progress to level 3 commencing in November. Of the 20 carers 9 have also gained level 2 and a further 2 are currently completing the course. New staff spoken with confirmed that an induction had been held. Evidence was placed on file. It was noted that the newest member of the team had completed the induction within the 1st week of employment. The manager should ensure that this complies with the TOPSS specification. Training provided during the induction includes health and safety, fire and moving and handling. This training was said to have been provided by the manager and not through formal courses. Mandatory training is required for the newest members of the team with particular reference to moving and handling and adult abuse. Four staff have recently received training in dementia care. Comments made by the new staff were very positive. Staff expressed that there was good communication, they worked well as a team and that they were enjoying the job. All felt able to approach the manager if they had any issues or concerns. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NONE EVIDENCE: The key standards will be addressed at the next inspection. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 20 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? NO 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 OP7 Regulation 12/15 Requirement Timescale for action 30/12/05 2 3 OP29 OP30 19 18 That the care plan and assessment documents are completed in full detailing the needs of the residents and how they are to be met. That staff files contain all 30/12/05 information as detailed within the schedule. That training identified within the 30/12/05 report is provided for staff and evidence held on file. 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. 3 . Refer to Standard OP8 OP8 OP30 Good Practice Recommendations That footplates are used on wheelchairs when transferring residents to prevent injury. That advice is sought from the paramedics where a resident has had an un-witnessed and injury sustained. That the induction comprises of all information detailed within the TOPSS specification. Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Starmount Villa Residential Care Home DS0000008408.V259811.R01.S.doc Version 5.0 Page 23 - 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!