Inspection on 09/01/07 for Stubblefields House

This inspection was carried out on 9th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Stubblefields House 08/03/06

Stubblefields House 14/12/05

Stubblefields House 17/01/05

Stubblefields House 07/09/04

Stubblefields House 26/03/04

Stubblefields House 02/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Stubblefields House Pinfold Lane Bridlington East Yorkshire YO16 6XP Lead Inspector Mr M. A. Tomlinson Unannounced Inspection 9th January 2007 09:30 Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stubblefields House Address Pinfold Lane Bridlington East Yorkshire YO16 6XP 01262 606036 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) juliedruce@btinternet.com Mrs Julie Druce Mrs Julie Druce Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th March 2006 Brief Description of the Service: Stubblefields care home is registered to provide care for a maximum of four service users with a learning disability. The home has four bedrooms for service users all located on the ground floor. The home has one lounge and one bathroom. The most recent room is en suite. Patio doors lead from the lounge into a garden. The home is situated at the end of a long residential street on the outskirts of Bridlington. The local town provides service users with ample opportunity to access local amenities. The registered provider is about to apply for a variation to the registration in order to increase occupancy from four to a maximum of five service users, following an extension to the property. The current fee for service users is £338.50. Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit formed an integral part of the annual key inspection of Stubblefields undertaken by the Commission for Social Care Inspection (CSCI). The inspection focussed on what the Commission considers to be ‘key areas’ that directly affect the safety, welfare and quality of life of the service users. Information contained in this report was obtained through discussions with the staff and the service users. Telephone discussions were also held with representatives of social services who had direct involvement in the home and the relatives of several of the service users. The inspection visit also included an examination of several statutory records and an inspection of the premises. This report incorporates information received by the CSCI relating to the care home since the previous inspection visit. As the Registered Manager was not available on the day of the inspection visit, feedback was provided by telephone the day following the visit. What the service does well: The home continues to provide support and guidance for the service users to enable them to live full and meaningful lives. Considerable emphasis is placed on encouraging and enabling the service users to do as much as possible for themselves regardless of the level of their disability. This consequently promotes their independence and provides them with appropriate levels of responsibility. Importance continues to be attached for the need for good standards of staff training and support. This has culminated in a competent and highly motivated staff team who hold common aims and objectives. Good relationships have been established with social and health care agencies. This has resulted in good standards inter-agency working. This ensures that the welfare and safety of the service users is closely monitored and that any concern would be quickly identified and acted upon. The service users continue to be provided with a comfortable, pleasant and safe environment that takes into account their personal needs and abilities. Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 6 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. Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4 and 5 Quality in this outcome area is good. Through the use of a sound admission and assessment process, prospective service users can be assured that the home will be able to meet their personal needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four of the five service users had been accommodated at Stubblefields for several years. One service user had been admitted within the last twelve months. Whilst this service user had been fully assessed, the assessment record was not readily available on the day of the inspection visit. The assessments had been made in conjunction with the assessments provided by the service users’ placing authority. It provided the Registered Provider with good quality information on which a decision could be made as to the appropriateness of the planned placement. Confirmation was provided that service users had been admitted on a phased basis so that the transfer into residential care would be as problem-free as possible. At the time of admission an initial risk assessment had been undertaken on the service user concerned. These were recorded and included in the appropriate care record. A number of prospective service users had been identified for admission into Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 9 the home once the extension had been completed and the variation to the home’s registration details ratified. On the day of the inspection visit the parents of one of these prospective service users visited the home as part of the admission process. The care records also incorporated a copy of the service users’ contract or terms and conditions of residence. The respective service user, where possible, had signed these, in agreement. If this was not possible then the service user’s representative had signed the contracts. These contracts were again in addition to any contract provided by the placing authority. Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. The service users’ care plans and risk assessments ensure that the staff have the required information in order to meet their assessed needs and provide them with an excellent quality of life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered manager had developed and implemented a plan of care for each of the service users. These care plans were in addition to, but compatible with, the care plans provided by the service users’ placing authority. It was evident that the care plans had been based on the initial assessment and that they had been regularly reviewed and amended to take into account any change in a service user’s needs. For ease of use, the care plans were separated in elements of care with each section having clear medium-term goals. There was evidence in some of the care plans of the direct involvement of the service user concerned. Many of the actions required Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 11 to meet the service users’ needs consisted of staff encouraging and prompting the service users to do as much as possible for themselves. The care plans were based on a supported living model where the service users were encouraged to take some responsibility for their own care albeit with the assistance and guidance of the staff. By this approach the staff were actively promoting the service users’ independence and their ability to make choices. In addition to the care plan the care record consisted of a profile/history of each service user, a record of healthcare input and a daily record by the respective service user’s key worker. There was also recorded confirmation of the service user’s wishes following their death and an inventory of their personal belongings. The risk assessments undertaken on each service user were clear and practical. There was recorded evidence that they had been regularly reviewed and updated as necessary. The care plans also identified any restrictions to a service user’s independence. For example, their lack of ability to do things without supervision or staff assistance. They also identified the emotional support required by individuals. The service users were encouraged to participate in the daily routines of the home. It was apparent, however, that they saw their day placements as work and on their return home it was a time of relaxation. The staff on duty, for example, welcomed them home and asked them what they would like for tea and whether they would like a hot drink. This approach appeared to give the service users a degree of status and ownership over their environment. Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. The service users are enabled to lead active and meaningful lives with excellent support being provided by the home’s staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Whilst there was not a set programme of social activities, it was apparent that the service users were provided with an impressive range of social opportunities. One of the service users was employed on a community scheme operated by the local council and another was currently rehearsing for a play. Another of the service users was a member of the England Learning Disability Pool Team. All of the service users attended a local day centre for several days each week. According to the service users the centres provided educational and social activities. It was evident that the Registered Provider had continued to look at ways of improving the quality of life for the service Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 13 users. This varied and meaningful lifestyle had the overall effect of stimulating and motivating the service users. The service users had excellent contact with the local community and made maximum use of local facilities. They also had retained excellent links with their families. A relative of a service user said, “The care is brilliant – they (staff) are in regular contact with me. It’s just like home-from-home – it’s always clean. I have absolutely no problems”. Social interaction within the home was natural and spontaneous. The service users had varied and meaningful conversations with each other and the member of staff. They appeared to see the staff as ‘friends’ and were relaxed and open in their presence. The record of meals indicated that they were varied, nutritious and were based on the preferences of the service users. The service users took a packed lunch with them when attending their day placements and had an evening meal together. Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is excellent. The service users personal and health care needs are full met through excellent standards of inter-agency working. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As previously stated in the report, it was the aim of the home to enable and encourage the service users to do as much as possible for themselves regardless of the level of their disability. Personal support in many instances therefore consisted of staff encouragement and guidance. This particularly applied to the service users’ personal hygiene standards for example. This provided the service users with a degree of self-determination and independence. When the member of staff on duty provided personal care, it was undertaken in a patient, respectful and empathetic manner. From discussions with the service users and the staff it was apparent that life in the home was relaxed and domesticated. There were no set times, for example, Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 15 for service users to get up or go to bed. They were, however, expected to meet their commitments such as day placements and appointments. On the day of the inspection the service users were well groomed and dressed in appropriate clothing. The service users confirmed that they chose and bought their clothes albeit with the assistance of the staff. It was apparent during the inspection of their rooms that they had a good range of quality clothing. The service users’ care records confirmed that they had excellent access to healthcare facilities and that their health had been closely monitored and appropriate action taken as and when necessary. One of the less able service users had recently undergone a major operation but was making an excellent recovery. According to a Social Services Care Coordinator this service user’s recovery was due to the excellent standards of care provided by the home. One of the service users was epileptic but their seizures were controlled by medication. This was reflected in their care plan. Another was diabetic and required insulin to be administered by the District Nurse. None of the service users were assessed as being capable of safely administering their medication. One did, however, have the ability to check their blood sugar level. The medication was appropriately secured given the amount of medication currently in use. These arrangements are to be reviewed by the Registered Provider with the proposed increase in the number of service users being accommodated. The staff had undergone appropriate training in the safe handling of medication. A medication procedure was in place and from a description of the process provided by the duty member of staff, it appeared safe and efficient. Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. The good network of internal and external support should ensure that any concern regarding a service user is quickly identified and acted upon thereby providing them with good levels of protection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A suitable complaints procedure was in place. This was readily accessible to the service users and visitors to the home. The service users also had access to other complaint procedures external of the home particularly within their day placements. Several of the service users had reasonable literacy skills and consequently were able to act independently in making a complaint. One service user required the assistance of others in order to make a formal complaint. The staff had received training in Adult Protection procedures that included identification of the types and indications of abuse. Arguably the most important safeguard for the service users was the excellent network of internal and external support. This support should ensure that any concern or allegation of abuse is quickly identified and acted upon. Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The property presents as a normal domestic environment. There is no external indication that it is a care home and consequently the possibility of the service users being stigmatised is considerably lessened. On the day of the inspection visit the home was warm, clean and inviting. It was furnished, decorated and maintained to a good standard. The service users had the use of a comfortable lounge and dining room. It was observed that some of the radiators did not have safety guards fitted and the existing baths did not have thermo-statically controlled valves in order to keep the hot water within safe limits. These safety issues had been fully risk assessed and the outcome of the risk assessment recorded. The need for safety guards and thermostatic valves was, however, being reviewed by the Registered Provider Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 18 All of the service users had bedrooms for single occupancy. These were of a good size and were decorated and furnished to a high standard. The service users had personalised their rooms and consequently the rooms tended to reflect the gender and personality of the occupant. At the time of the inspection visit all of the bedrooms were located on the ground floor as was the private accommodation of the Registered Provider. An application had, however, been made to the Commission for Social Care Inspection to register three new bedrooms on the first floor of the property. These bedrooms were nearing completion and had been designed to a high standard. They all had en suite facilities that included a walk-in shower. The property does not have a passenger lift and consequently service users occupying the first floor bedrooms have to be fully ambulant. There were adequate numbers of baths and toilets available for use by the service users. The majority of the bedrooms had, as previously stated, en suite facilities. The Registered Provider had purchased a bath hoist, which will shortly be installed. The care home did not have a permanent call system for use by the service users. A monitoring device was used during the recovery of a service user from a major operation. The use of this device was temporary and its use formally agreed to by the service user’s next of kin. The Registered Provider agreed to consider the need for an appropriate call system to be installed particularly with the proposed increased in service user numbers. The kitchen and laundry areas were clean and hygienic. Since the previous inspection the staff have been provided with training in food handling and hygiene. It was noted that the staff had disposable protective clothing available. Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The current level of staffing was assessed as being appropriate for needs of the current five service users. The level of staffing was being re-assessed by the Registered provider to take into account the proposed increase in the number of service users being accommodated. The staff team primarily consisted of the Registered Provider and her family plus two experienced part-time care staff. It was evident the staff worked closely as a team and held common aims. The inspection was conducted by one of the care staff as the Registered Provider was attending a seminar. The opportunity was taken to talk with the husband of the Registered Provider who had primary responsibility for the refurbishment and maintenance of the property. The member of care staff demonstrated an excellent understanding of the service users’ needs and particularly those elements of care, such as the promotion of independence Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 20 and choice that go to provide them with a good quality of life. It was apparent that all of the staff had received training in statutory and professional subjects such as Adult Protection and Equality and Diversity. They had obtained an appropriate National Vocational Qualification and held a current first aid certificate. All of the policies, procedures and records were readily available to the member of staff on duty. She demonstrated a commendable understanding of the policies and procedures and was able to fully explain the use of the care records and provide information on the service users’ next of kin and the representatives of their placing authority. Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41 and 42 Quality in this outcome area is excellent. The service users and staff have the support of an experienced and competent manager who has clear objectives and sound methods to achieve a good quality of life for the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Provider had considerable experience in the provision of care for people with a learning disability. She had also obtained relevant qualifications. A Social Service’s Care Coordinator commented, “Julie (Registered Provider) has vast experience of learning disabilities and puts herself out to ensure that they (service users) get the best. It’s an excellent home and I think that they do a marvellous job.” Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 22 It was apparent from discussions with the staff member of duty that the staff and management work closely as a team for the benefit of the service users. From these discussions it was evident that the Registered Provider had endeavoured to give all of the service users the same opportunities to experience life regardless of the level of their disabilities. It was also evident that there were good lines of communication within the home with the staff as well as the service users fully aware of the changes that were taking place. A quality assurance system was in place and evidence was provided that the views of the service users and visitors to the home had been actively sought. The care home was registered with the local authority’s quality assurance scheme. A number of statutory records, including the fire, accident and medication records, were examined. They were complete and maintained up to date. The fire records confirmed that regular safety checks had been undertaken of the fire detection system and fire equipment. The staff had received regular training in fire procedures. From an examination of the records and an inspection of the premises it was apparent that the Registered provider had taken appropriate action to ensure that the premises were safe for the service users and the staff. A Social Service’s Care Coordinator stated, “I think that they do a marvellous job and have tried hard to meet the standards”. Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 4 26 4 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 4 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 4 3 X 3 4 X Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA24 Good Practice Recommendations A review of the risk assessments relating to the need for control valves on the hot water outlets and radiator safety guards should be undertaken. The copy of a service user’s pre-admission assessment should be kept with their care records so that it is readily accessible to the staff. YA41 Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Stubblefields House DS0000019833.V324435.R01.S.doc Version 5.2 Page 26 - 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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