Inspection on 09/06/05 for Stennards (Mos)

This inspection was carried out on 9th June 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

Stennards (Mos) 24/11/08

Stennards (Mos) 04/01/07

Stennards (Mos) 08/12/05

Stennards (Mos) 25/01/05

Stennards (Mos) 24/08/04

Stennards (Mos) 05/02/04

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Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Stennards Leisure 133 Anderton Park Road Moseley Birmingham B13 9DQ Lead Inspector Brenda O Neill Announced 9 June 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Stennards Leisure Address 133 Anderton Park Road Moseley Birmingham B13 9DQ 0121 449 4544 0121 449 4544 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr David Lee Harris Ms Catherine Coughlan Care Home 16 Category(ies) of Care Home 16 registration, with number of places Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 25/01/05 Brief Description of the Service: Stennards Leisure Moseley is a large detached building situated in a residential area of Moseley. It is close to the centre of Moseley with easy access to public transport. The home currently offers residential care to 16 older adults and day care to one older adult. The home aims to provide service users the opportunity to participate in communal activities such as music, progressive mobility and bingo in the home or to go out for daytime activities at a church centre once a week with transport being provided by Ring and Ride. The accommodation comprises of ten single and three double bedrooms, eight of which have en-suite facilities. The remaining rooms have a wash hand basin. In addition the home has three bathrooms and one shower facility. There are toilets located near to the communal areas. There is also a lounge, dining room and a conservatory which are comfortably furnished and nicely decorated.The kitchen is located off the dining room and has a small room attached for washing up and food preparation. The laundry, sluice and some storage areas are located off this room. There is a well maintained, secluded garden to the rear of the home that is accessible from the conservatory. Off road parking is available at the front of the home. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place over one day and was the first of the statutory inspections for the home for 2005/2006. During the visit a tour of the premises was carried out, three resident’s files and the training records for three staff were sampled as well as numerous other policies and procedures, other care records and health and safety records. The inspector spoke with the proprietors, the manager, four of the other staff on duty throughout the day and six of the fifteen residents. What the service does well: All the residents spoken with were very happy with the service they were receiving at the home. Without exception they were very happy with the staff group stating they were friendly and helpful. The staff and management at the home had a professional but relaxed, informal approach to the residents. Comments received include: ‘The care my dad receives is excellent.’ ‘The girls are very kind and caring.’ ‘I am always made welcome by the staff who are very pleasant and attentive.’ ‘Treating patients with utmost care and respect.’ Good assessments were carried out before people were admitted to the home to ensure the home could meet the needs of the individual. Care plans were good and detailed the resident’s individual likes, dislikes and preferences. Staff were aware of the small things that were important to the residents to make their lives more enjoyable. The staff at the home met the health care needs of the residents with input from medical professionals when needed. One resident commented: ‘I see the doctor, get new glasses, see the dentist and have my feet done, I didn’t get all that at home’. There was a very good system in place to ensure that residents received the right medication at the right times. The meals were good and visitors could eat with their relatives if they wished. There were choices available at all meals. There were no rigid rules or routines in the home and residents were encouraged to choose what they would like to do. There was a variety of activities on offer in the home with regular visiting entertainers. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 6 The home was well managed and the owners of the home visited every day to offer support. The owners had very good relationships with the residents and staff. Training of staff was seen as very important at the home and staff were well trained in all aspects of their work. The home offered a good standard of accommodation that was well maintained and comfortable. 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. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 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 standard(s) 2, 3, 4 and 5. Prospective residents had the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the home. The assessment procedures in the home were good ensuring the needs of the residents were known and could be met by staff. EVIDENCE: The resident’s files sampled evidenced that where applicable social workers had undertaken assessments and drawn up initial care plans for the residents prior to admission to the home. The staff at the home also undertook their own assessments on the pre-admission visit to ensure they could meet the needs of the individual. The assessments carried out by the home covered all the required areas. Once admitted to the home numerous other assessments were undertaken including, physical and mental health and falls assessments. All the files sampled also included a statement of terms and conditions of residence at the home. All the residents seen and spoken to appeared content and were happy that their needs were being met. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 9 There was documentation on resident’s files of health, personal and social care needs being met. Staff spoken to were very knowledgeable about the needs of the residents and had received the appropriate training to fulfil their roles. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. The care planning system in the home was comprehensive and ensured that staff knew the individual needs of the residents and how these were to be met. There were comprehensive risk assessments for residents that included any actions to be taken by staff to reduce risks. Health care needs were being met and the systems for administration of medication were good ensuring resident’s medication needs were met. EVIDENCE: Each of the resident’s files sampled had booklets entitled ‘Assessment for good care planning’ which included an abundance of information about the individual including, a personal profile, assessments for mental and physical health, falls, pressure care, manual handling and personal risks, personal preferences and needs which included health and hygiene and social and cultural needs. There were also lifting assessments which detailed the actions staff were to take if a resident fell and was uninjured. From the booklets a daily profile was drawn up which detailed each individual’s daily routine and how and when staff were to offer assistance. These included likes dislikes and preferences, for example, ‘likes to eat her meals in the lounge’, ‘always takes a glass of lemonade to room at night’, and ‘picks her own clothes but needs help to dry herself properly’. All the required risk assessments were in place and up to date. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 11 The care plans were being reviewed monthly and there was evidence that the residents had been involved in this. The residents spoken with were happy that their health care needs were being met and one commented to the inspector, ‘I see the doctor, get new glasses, see the dentist and have my feet done, I didn’t get all that at home’. The manager at the home had a very good relationship with the G.P. and could consult him at any time for guidance or advice. The weights of the residents were being monitored. Tissue viability and nutritional screenings had been undertaken as well as continence assessments. Very good systems were in place in the home for the management of medication. All medication was being acknowledged when received into the home, administered and disposed of. Staff were undertaking accredited training in handling medication. No stocks of medication were being held in the home and there were no homely remedies therefore medication in the home was kept to an absolute minimum. There were no issues raised during the course of the inspection in relation to the privacy and dignity of the residents. Residents could lock their bedroom doors and there were lockable facilities available if they wanted them and double rooms had appropriate screening. Staff used appropriate terms of address when speaking to the residents. The inspector spoke with a male carer who was well aware of the issues of privacy and dignity in respect of giving personal care to female residents and stated that if a female resident did not wish him to give personal care this was respected. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. There were no rigid rules or routines in the home and residents were encouraged to exercise choice and control over their lives. There were a variety of activities on offer to try and ensure the residents social and religious needs were met. The meals in the home were good with choices available at all meals times. EVIDENCE: There did not appear to be any rigid rules or routines in the home. Residents were observed to wander around freely, spend time in the lounge watching television, sitting in the conservatory and entrance hall, chatting together and with staff and taking part in an organised activity. Activities offered in the home included, old time music with a visiting entertainer on a monthly basis, exercise on a monthly basis by a visitor to the home, card games, knitting, scrabble, reminiscence and bingo. There was a visiting library service. Church of England services were held on a monthly basis and communion every week. Several of the service users attended a day centre once a week at a Baptist church. Transport for this was provided by ring and ride and all residents were registered with this service. One resident continued to go out on an independent basis and had close links with the local churches. There were also trips out to the local shopping area and parks. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 13 There were no restrictions on visitors to the home. There was documented evidence of relatives of the residents visiting at various times throughout the day and on occasions joining residents for a meal. Residents appeared to exercise choice and control over their lives. They commented to the inspector they could go to bed and get up when they liked, if they wanted a lie in this was not a problem. There were details on resident’s profiles of the choices they were able to make, for example, ‘will choose her own clothes and what to eat’ and ‘will try and do light tasks for herself e.g. comb her hair.’ All the bedrooms seen were personalised to the occupants choosing. The inspector joined the residents for lunch and the meal was well cooked and presented. Without exception the residents spoken with stated they were happy with the catering arrangements at the home. The dining room was a pleasant area albeit a little small. Some residents chose to eat in the conservatory and another in the lounge. Lunchtime was a very relaxed time and staff were at hand to offer assistance if needed. The menus seen offered a good variety of meals with choices available at all meals times. Fresh fruit was available at all times for residents. Records of food were being kept. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. There was an appropriate complaints procedure and residents were confident the manager would address any issues raised. The policies and procedures on site and the training staff had received ensured staff were aware of the importance of protecting residents from abuse. EVIDENCE: The home had not received any complaints and none had been lodged with the CSCI. Residents stated they would inform the manager if any issues arose and were confident that would be resolved. The complaints procedure was not inspected but it met the required standard at the last inspection. Staff had received training in the protection of vulnerable adults and staff spoken to were very aware of the importance of reporting any suspicions or events of bad practice or abuse. There were policies and procedures on site in relation to adult protection, managing aggression and physical intervention. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 22, 24, 25 and 26. The home offers residents a safe, well maintained, comfortable and homely place to live. EVIDENCE: There had been no changes to the layout of the home. It was comfortable safe and well maintained. The home had complied with the requirements of the local fire officer and environmental health officer. There had been some new carpets and general redecoration since the last inspection. The communal areas were comfortable with a variety of furnishings which helped give them a very homely feel. The carpet in the lounge and some of the armchairs were beginning to wear and needed to be replaced. The proprietor commented that the lounge carpet was to be replaced quite soon. The dining room was quite small but appeared to meet the needs of the current resident group as some of them chose to eat in the conservatory where there was also a dining table. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 16 There were adequate toilets and bathrooms throughout the home. Several of the bedrooms had en-suite facilities of wash hand basin and toilet. There are three bathrooms throughout the home one of which had a bath hoist seat for those residents that needed assistance. There was also a shower room that had floor level access and allowed for full assistance from staff. The call point in this room needed to be accessible from the shower. There were some aids and adaptations throughout the home including, grab and hand rails, emergency call system and stair lift which appeared to meet the needs of the present resident group. Bedrooms varied in size and were generally bright, airy and comfortable. All were personalised to the occupants choosing and all residents spoken with were very happy with their bedrooms. The heating, lighting and water supply throughout the home were adequate and appeared to meet the needs of the residents. Safety checks were in place to ensure the water temperatures were appropriate and all radiators had been guarded. At the time of the inspection the home was clean, hygienic and odour free. There were appropriate procedures for infection control and staff had access to protective clothing when necessary. The main kitchen was clean with the majority of food hygiene checks in place however all the fridges and freezers needed to have the temperatures recorded individually on a daily basis to ensure they were working efficiently. Although the laundry was located at the rear of the kitchen the inspector was assured that any soiled linen was not transported through the kitchen. The home had a sluice sink but there was no sluice facility on the washing machine. It was recommended that when the washing machine needed replacing that one with a sluice cycle was purchased. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30. Appropriate staffing levels were being maintained by a long standing, well trained staff team that could meet the needs of the residents. EVIDENCE: There had been only one change to the staff group since the last inspection and this was a care assistant who was transferred from one of the proprietor’s other homes. The remainder of the staff team had been employed at the home for a number of years which was very good for the continuity of care. All the residents spoken with were very happy with the staff team and commented how friendly and helpful they were. The rotas sampled evidenced that there were always a minimum of two staff on duty one of which was a senior staff member. The home did not employ a cook therefore a third member of staff would be on duty but would be doing the cooking. The manager needed to ensure that the staff member nominated to do the cooking was highlighted on the rota. The home did employ a domestic assistant. The inspector was informed that the proprietors attended the home every day. There was only one member of staff at the home who had not achieved either an NVQ level 2, 3 or 4 which is to be commended and well exceeds the requirement of 50 of staff to be qualified. Training was very high on the agenda at the home and the proprietor was very involved in ensuring staff were adequately trained to fulfil their roles. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 18 There was a thorough induction procedure and staff were also regularly updated in first aid, manual handling, fire procedures and food hygiene. Staff had also had training in dementia care, adult protection and communication. There was a documented rolling programme of training for the home. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, 37 and 38. The manager ensured the smooth running of the home in a competent manner with regular input from the proprietors. The health and safety of the residents and staff was well managed. There were systems in place to monitor the quality of the service on offer to the residents and ensure it met with their needs. EVIDENCE: The manager has been at the home for a number of years and was appropriately qualified. During the course of this inspection she demonstrated her knowledge and understanding of the residents in her care especially with regard to their daily routines. It was evident from talking to service users and staff that she was very well thought of and relationships in the home were good. The manager received regular support from the proprietors who visited the home everyday. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 20 The atmosphere at the home was very relaxed with evident friendly relationships between staff and residents. Residents commented they would have no hesitation in approaching any staff with any concerns or issues they may have. Staff commented that the proprietors attended the home every day and were always responsive to any concerns and attended to any maintenance issues promptly. Staff commented that the whole staff team worked well together and that there was never a need to have agency staff as they covered for each other when necessary, as this was better for the residents. The proprietor was in the process of implementing a formal quality assurance system in the home which involved seeking the views of the residents and any stakeholders in the business. There were regular staff and resident meetings held which were minuted and a variety of topics were discussed. Staff were receiving individual supervision sessions and appraisals as required by the National Minimum Standards. The records in the home were very well maintained and all those sampled were up to date. The resident’s files had been restructured since the last inspection to make them easier to track. The inspector did comment that the format used for the contact sheets for resident’s daily recordings was quite restrictive as to the amount that could be written however this was to be addressed straight away and a better format put into use. Health and safety were very well maintained and staff had received training in safe working practices. There was evidence on site of all the required checks being made on the fire system, fire drills and fire training being carried out. There was evidence on site of all equipment having been serviced. Accident recording and reporting were seen to be appropriate. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 2 3 2 x 3 3 2 STAFFING Standard No Score 27 2 28 4 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 4 3 3 x x 3 3 4 Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 22 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. 4. 5. Standard 20 20 22 26 27 Regulation 16(2)(c) 16(2)(c) 23(2)(n) 13(3) 17(2) schedule 4(7) Requirement The carpet in the lounge is wearing and must be replaced. Any worn armchairs must be replaced. The call bell in the shower room must be accessible from the shower. The temperatures of the fridges and freezers must be recorded individually and on a daily basis. The staff rota must indicate the roles staff are undertaking during that shift. Timescale for action 01/09/05 01/10/05 14/07/05 01/07/05 01/07/05 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 26 Good Practice Recommendations It is recommended that when the washing machine is replaced it is replaced with one that has a sluice cycle. Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Birmingham and Solihull Local Office 1st Floor, Ladywood House 45/46 Stephenson Street Birmingham, B2 4UZ 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 Stennards Leisure E54_S16787_StennardsMs_V223825_090605 Stage 4.doc Version 1.30 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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