Inspection on 14/08/06 for Sunnyside

This inspection was carried out on 14th August 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sunnyside 17/12/05

Sunnyside 21/09/05

Sunnyside 21/10/04

Sunnyside 27/04/04

Sunnyside 01/10/03

Sunnyside 19/06/02

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

CARE HOME ADULTS 18-65 Sunnyside 83 Marine Approach South Shields Tyne And Wear NE33 2TE Lead Inspector Mr Steve Tuck Key Unannounced Inspection 14 Aug. ,29 September and 5th October 11:30 th th Sunnyside DS0000000262.V304190.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 Sunnyside DS0000000262.V304190.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. Sunnyside DS0000000262.V304190.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunnyside Address 83 Marine Approach South Shields Tyne And Wear NE33 2TE 0191 455 1609 NO FAX 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) Mr Jeffrey Best Miss Gillian Robson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Sunnyside DS0000000262.V304190.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th December 2005 Brief Description of the Service: Sunniside can provide personal care for three people who have a learning disability. The service cannot provide for those people who require nursing care. The service is owned by Mr Jeffrey Best. The property is a traditional terraced house with a combined living dining room and kitchen on the ground floor, one single and one shared service users bedroom on the first floor and staff accommodation on the second floor. The home is located close to the centre of South Shields and within easy reach of a range of amenities, some of which are within walking distance. The beach, high street shops, churches and some public houses are nearby and there is also a corner shop next door. Public transport is available nearby. The owner set up this service a number of years ago to provide accommodation and personal care especially for the three men who currently live there. The service is not suitable for those people who have a physical disability or cannot climb stairs easily. All necessary facilities are provided and are suitable for people who live there at the moment. A place at this home costs £451.50 per week. Additional charges are made for toiletries, newspapers / magazines and transport. Items which are included in the cost are listed in the homes terms and conditions. Sunnyside DS0000000262.V304190.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days and was a scheduled unannounced inspection. The inspection process involved spending time with the people who live in the home and the manager and staff. Staff and the manager were also observed while they carried out their duties at the home and when taking part in daytime activities in the local community. A sample of records were examined including care plans and staff duty rotas. A tour of the building took place, which included all communal areas and service users bedrooms. People who live at this home use different ways to let staff know their views, for example using particular signs or phrases. All service users indicated that they were happy living at this home. The judgements made are based on the evidence available at the time of the inspection. What the service does well: A homely and comfortable service is provided for the people who live at Sunniside. The home was set up seventeen years ago so that the three service users who had lived together for many years could continue to do so. The staff and manager have worked together with service users and social workers to make sure that the home can continue to meet the needs of the people who live there. Staff help people to have interesting lives, they help make sure that people can take part in activities they like and they help them to find and try new ones. The staff and manager help people to make choices about their lives and support them if they want to do things on their own. All service users require different levels of support which is provided by staff without prejudice to their level of need, preference or background. People living or working at the home get on well together, they looked comfortable and happy making jokes and giving their views. There is a pleasant and happy atmosphere at the home. The manager owner and staff work well as a team and they talk to each other so that everyone knows how to support people. All staff have been trained and some are taking more training to find out about new ideas and to get better at helping people. The house is comfortable and is decorated and cleaned to make it a pleasant place to live. It is in a terrace of houses and close to the facilities that service users like to use. There were no dangers noticed at this inspection and the manager has taken steps to make sure that all parts of the home are well kept. There is a choice of meals offered, chosen by service users and the food is fresh and of a good quality. And people living at the home indicated that they like the food. Sunnyside DS0000000262.V304190.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. Sunnyside DS0000000262.V304190.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 Sunnyside DS0000000262.V304190.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 and 5 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the home. Information about what life is like at the home is available to help people to decide if they want to move there. Service users support needs have been identified which confirms that the home can meet them and helps staff to plan their care. Service users rights to continue to live at the home are protected. EVIDENCE: There have been no new admissions to this home for almost seventeen years. However the manager has put together some information for anyone who might wish to live there in the future. This tells people about what life is like at the home, gives other information such as how to complain and has the most recent inspection report. Everyone who lives at the home has an up to date assessment of their needs and preferences which has been carried out by a social worker. The manager also checks at least every six months to see if these needs have changed. This is so that the manager is sure that the home continues to be suitable to meet the needs of people who live there. Discussion between the social worker and service users has confirmed that all of the people living at the home wish to continue to live there together and share their lives and experiences. Sunnyside DS0000000262.V304190.R01.S.doc Version 5.2 Page 9 Where service users families are involved, they compliment the home about the support given and the lifestyles of the people who live there. Everyone living at the home has a written contract, which says what their rights are and what the owner has to do for them. These have been agreed with service users and their relatives where available. Sunnyside DS0000000262.V304190.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 and 9 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person who lives at the home has a care plan, which sets out their preferences and needs and how staff will support them. This helps to make sure that staffs’ care practice is good. Service users are encouraged to make choices and decisions about their lives and take calculated risks so that they can live as independently as they can. They are able to give comments about the way the home is run. This helps people to have control of the decisions which affect them. EVIDENCE: There are detailed care plans in place. These describe the ways that staff are to support the physical, emotional and lifestyle needs of each person living at the home. The manager demonstrated an in depth knowledge of service users needs aspirations and life histories and demonstrated well thought out ways in which they support service users, for example those people with communication difficulties. Sunnyside DS0000000262.V304190.R01.S.doc Version 5.2 Page 11 Staff and the manager help service users to make choices about how they live their lives, for example making choices about what they do during the day or activities at a weekend. Service users are treated with respect by the manager and staff. Relationships between service users and with staff are relaxed, friendly and informal which helps people to feel comfortable. The manager and owner have helped to support service users who wish to live together in one home. The manager is also encouraging service users to give their views about the service. Staff and the manager help service users to take measured risks, for example to do something on their own or with less help from staff. Some people are spending time around the house without staff and some people are going to the nearby shop without by themselves. Records are kept of all risks which service users take and these show the actions that staff have to do so that service users are as safe as possible. These are recorded in care plans and agreed with each service user, social worker and family members where this is needed. Sunnyside DS0000000262.V304190.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 16 and 17 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are assisted by staff and the manager to have active and interesting lives by finding and getting to different opportunities in the local and wider community. This helps them to lead a full and enjoyable life. People who live at the home are respected, and routines are flexible. This can help to promote service users’ choices and preferences. Service users are helped to keep in contact with their relatives and friends and are able to spend time together outside of the home. The food is of good quality and sufficient to meet the needs and choices of service users. This helps them to enjoy meals and stay healthy. Sunnyside DS0000000262.V304190.R01.S.doc Version 5.2 Page 13 EVIDENCE: Each service user has weekly activities which take place from home as well as those run by external day services provided by the local authority. Service users have the option to spend time together or to take part in other activities away from other residents. This includes leisure activities, workshops and training as well as taking part in college courses. Service users at this home also have extended contacts with friends and people they know. So they often go out to meet friends, do some shopping or browse around the town centre or sea front. Staff and the manager help service users to make choices about their lives, although sometimes service users find it hard to make decisions or, for example to take part in new activities. The manager demonstrated her practice where she motivates and supports service users to make informed choices which helps to promote their independence for example to use a local community café. When they are at home service users’ have their own interests and preferred activities, for example drawing or particular types of films or television. Service users indicated that they liked to be able to choose the activity they are interested in. The manager and staff help to make sure that people can stay in touch with their family and have helped people to meet again when contact has been lost. Service users living at the home took the opportunity to go on a holiday this year. One service user indicated that he enjoyed his holiday and there were a number of holiday photographs on display. Several choices of meals are offered at all times and service users help to plan their meals. Attempts to offer a balanced diet whilst still responding to service user choices were noted. Some people need to eat types of food to help them to stay healthy for example if they have a medical condition. When needed particular meals are made and staff make sure that health and weight checks take place. Staff join service users at mealtimes to offer support and mealtimes are pleasant sociable events. Sunnyside DS0000000262.V304190.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 and 20 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users health care needs are identified and arrangements are made to help make sure they are promoted and met. Staff and the manager also make sure that each service user has access to the health care services and treatment they need. Arrangements for storing and giving service users their medication are in place to make sure that they get the treatment prescribed and mistakes are avoided. EVIDENCE: Detailed records of service users healthcare needs are available in care plans which show that these are supported by staff who look out for possible illnesses. All service users have a General Practitioner who can also refer to other health care professionals when this is required. The manager takes action to make sure that service users can get the healthcare treatment which they need helps service users make choices about their health treatment which are in their best interests. All people working at the home have had training to help them support those service users who have specific healthcare needs. Sunnyside DS0000000262.V304190.R01.S.doc Version 5.2 Page 15 Some of this has involved staff being trained by specialist nurses who have made sure that staff are competent. Due to their levels of need, service users are not able to administer their own medicines, and staff therefore help them to do this. Staff at the home have been trained to store and give out medication and to keep records. Arrangements are in place and written in care plans to make sure that service users medical needs are met when they are away from home for example with families or daytime activity. The manager and staff demonstrate that they are tactful in promoting service users medical care needs in privacy which is often difficult due to the open plan design of the home use of shared bedrooms. Sunnyside DS0000000262.V304190.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users and their families can make a complaint if they are unhappy, have a grievance or dispute. They can also give feedback when they are happy with the service. This helps them to have control over their lives and shows that their views are valued. The home has measures in place which protect service users from being harmed which helps to promote their safety and security. EVIDENCE: There is a clear complaints procedure in place at the home which tells people how to complain and the length of time a response will take. Observations of the manager’s day-to-day practices indicated that they routinely ensure that service users views are asked for and their choices promoted. Whilst there have been no instances where abuse has been suspected or reported, the home has an adult protection procedure which is robust and complies with the Public Disclosure Act and the Department of Health Guidance. Information about the role of the local authority is available and included in the homes procedures. There is a staff guide which gives clear instructions about the actions which they must take if abuse is disclosed or witnessed. All staff spoken to are knowledgeable of these practices and have had training. Sunnyside DS0000000262.V304190.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 25 27 and 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is clean, warm, and well maintained offering service users a homely and safe place in which to live. Where people share a bedroom their furniture and décor has been agreed with them both to make sure that they are both treated fairly. EVIDENCE: The home is domestic in size, decor and equipment providing a homely environment typical of others in the neighbourhood. This fits in well with the ‘family’ style of service which is being promoted there. All communal areas and some service users bedrooms were viewed during the inspection. Some of the communal areas have been redecorated and there is a list of maintenance and replacement which is planned for the next year. All areas in the home were clean and pleasant with décor and furnishings reflecting the tastes of service users and the manager. Both bedrooms have been decorated to reflect personal lifestyles, tastes and interests of the service users. Where rooms are shared, agreements are made about the style, furniture and ownership of parts of the room. These appear to Sunnyside DS0000000262.V304190.R01.S.doc Version 5.2 Page 18 work well with service users indicating that they have well organised arrangements for sharing the same bedroom. When service users are at the home they have full access to their own rooms and all communal areas where they can to pursue daytime activities e.g. drawing or watching television. Sometimes service users prefer to spend time with the manager, staff or visitors which generally takes place on the ground floor. Keys to bedrooms are available and one service user prefers to lock his bedroom door to make it more private. There is a large bathroom on the first floor which can be used independently by service users. And water temperatures from the bath have been limited to below 43°C so that people can bathe without the risk of being injured. Sunnyside DS0000000262.V304190.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 33 34 35 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. There are enough staff at the home to support the people who live there. And they have the skills, training and support from the manager so that they can meet the needs of service users Checks are carried out which helps to make sure that staff are suitable to support vulnerable people before they begin work at the home. EVIDENCE: The registered manager has taken steps to make sure that there are sufficient staff available to meet the assessed needs of service users. The service has been designed to promote, as far as possible, a ‘family’ or group living care environment for people who have previously lived in long stay residential hospital and up until recent years the manager lived on the premises with his family. Since moving out, the manager has designed a staffing shift pattern where staff work at the home for a continuous period of time (with their agreement). This reduces the numbers of staff coming into the home on a weekly basis and helps service users to keep good relationships with the staff who support them. This has been a successful approach as Sunnyside DS0000000262.V304190.R01.S.doc Version 5.2 Page 20 service users get on well with staff and talk positively about the staff who will support them throughout the coming week. The owner and manager have recruited a staff team whose personal lifestyle can fit in around the demands of the service and offer a degree of flexibility. However additional staffing are available on an emergency basis to cover for unexpected sickness or holiday leave. Emergency staff are trained in the ethos and approach that the home maintains and are known well by service users. All staff at the home have achieved NVQ level 2 and are planning to undertake further training to further improve their skills. There has been no new staff recruited to the service since the last inspection however the manager has arrangements in place to make sure that all checks are carried out before they could begin work at the home. These checks have been carried out for all current staff. Sunnyside DS0000000262.V304190.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 and 43 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. There is a skilled and qualified manager at the home who knows service users and this home well. She offers leadership and direction to the staff so that they can meet the needs of service users. The home has all of the policies and procedures required, which help staff and the manager run the home efficiently and for the benefit of service users. Staff and service users are not exposed to any undue health and safety risk at the home. Arrangements to make sure that the service continues to improve and to make sure that service users views are taken into consideration have been introduced at the home. Sunnyside DS0000000262.V304190.R01.S.doc Version 5.2 Page 22 EVIDENCE: Since the last inspection a new manager has been appointed at the home. She has completed NVQ Level 4 in Care and Management and has been assessed by the Commission as being suitable to be the registered manager of this home. The manager has worked at this care home for ten years most recently as deputy manager. She has considerable skills and experience and she has a great deal of knowledge about this service and the people who live there. Since being appointed she has set about achieving the requirements from the previous inspection as well as introducing a number of new ideas to improve the quality of the service which are based on the views of service users. The manager has reviewed and re written all of the policies and procedures I place at the home to make sure that current good care guidelines are met. The home helps service users to manage their financial expenditure. Detailed records are kept of service users finances and where staff have supported them to make purchases. Some of these are held by the home and were checked to ensure that records were accurate and that these finances were securely held. Records are available which show that training and practice has been carried out so that staff know what to do if there is a fire at the home. There were no noticeable hazards apparent at this inspection and the manager has taken steps to ensure that all areas of the home are appropriately maintained so that these are minimised. Sunnyside DS0000000262.V304190.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 3 2 3 3 X 4 X 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 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 3 Sunnyside DS0000000262.V304190.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sunnyside DS0000000262.V304190.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Sunnyside DS0000000262.V304190.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. 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!