Inspection on 22/08/07 for The Abbey Retirement Home

This inspection was carried out on 22nd August 2007.

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

The Abbey Retirement Home 09/04/08

The Abbey Retirement Home 24/01/07

The Abbey Retirement Home 11/01/06

The Abbey Retirement Home 14/04/05

The Abbey Retirement Home 15/12/04

The Abbey Retirement Home 25/05/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Abbey Retirement Home 348 Winchester Road Southampton Hampshire SO16 6TW Lead Inspector Peter J McNeillie Unannounced Inspection 22nd August 2007 9:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Abbey Retirement Home Address 348 Winchester Road Southampton Hampshire SO16 6TW 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) 023 8070 2671 023 8066 6867 northovergroup@btinternet.com Mr Roy Clive Northover Mrs Heather Northover Natasha Jane Ball Care Home 15 Category(ies) of Dementia - over 65 years of age (15), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (15), Old age, not falling within any other category (15) The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 3 service users in the categories DE and MD may be accommodated between the age of 55-64 years at any one time 24th January 2007 Date of last inspection Brief Description of the Service: The Abbey Retirement Home is privately owned and managed care home registered to accommodate up to 15 older persons including those with dementia in both single and double rooms. The joint owners are also responsible for other similar services in the area. The home is situated in a residential area, on public transport routes to both Southampton Town Centre and Shirley High Street and within walking distance of a small parade of local shops. All parts of the home and garden are accessible to all residents including those who use a wheelchair. At the time of the inspection fees ranged between £365 and £380 per week. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In compiling this report, we considered information/evidence from a number of sources both external and internal to the home as well as observations made during a site visit. These included an Annual Quality Assurance Assessment (A.Q.A.A.) completed by the registered manager, previous reports, examining residents /staff records, talks with residents, staff, a visiting health care professional, the registered manager, satisfaction surveys from residents and reading reports made following a visit to the home as required by regulation 26. During this key unannounced visit which took place on the 22nd August 2007 between the hours of 09:00am and 01:00 pm all of the key standards for older persons and compliance with any previous requirements were inspected. This was the first inspection for the year 2007/08 following which two requirements were made. All previous requirements were found to have been complied with.. The results and findings contained in this report will determine the frequency and type of future inspections. What the service does well: What has improved since the last inspection? What they could do better: Ensure all pre admissions assessments and care plans include an acknowledgement the resident was consulted. Employ/deploy sufficient numbers of care staff to ensure residents needs can be met and their welfare and safety protected Expand the current in house quality monitoring system to include visiting health and social care professionals. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 6 Consideration should also be given to replacing carpets on the ground floor, stairs and first floor. 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. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a system of assessing and identifying residents needs which ensures residents safety and their assessed needs can be met. Intermediate care is not available. EVIDENCE: The records of four residents viewed indicated that persons were only admitted following a detailed assessment of need and risk undertaken by the manager. This assessment is in addition to any pre admission assessments/information provided by local authority care managers or health care professionals. Any prospective resident or residents relative/representative are also encouraged to visit the home prior to admission to assist them in gauging whether it provides a suitable environment for them. Comments by residents confirmed they were vaguely aware of and had participated in the initial assessment process however, none of the The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 9 assessments viewed included confirmation to this effect. A verbal undertaking was given by the manager that in future all assessments would include this information. Records confirmed assessments of need and risk for all residents are reviewed on a regular basis and care plans (Section 7-11 of this report refers) updated as required. Respite care is not available in the home. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The arrangements for planning care are clear ensuring that the health, personal care and medication needs of residents are met and their privacy and rights respected. EVIDENCE: All of the residents care plans viewed which were based on an assessment of need and risk and set out clearly how the assessed needs of residents should be met, were reviewed monthly and updated as required. None of the plans included confirmation that the resident was aware of their plan and had been consulted about and agreed with its contents. A verbal undertaking was given by the manager that in future all care plans would include this information. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 11 All residents are registered with a doctor of their own choice; currently approximately fifteen doctors from three local practices are available for consultation, allowing residents to choose a doctor of the same gender as themselves. A large percentage of the residents in the home have dementia restricting the choice we had when obtaining reliable information about the service. Residents who were able confirmed they could see the doctor or any other health/social care professional when they needed to. Records were kept of appointments with GPs, dentist, optician, chiropodist and community psychiatric nurse, dietician, continence advisors and any other external health/social care professional and included details of an advice/treatment given by them. A visiting health care professional confirmed she was always made welcome and any instructions she left were carried out and staff kept her or her colleagues up to date with any changes to their patients. Following the last inspection the following requirements were made. The registered manager must ensure that all ‘out of date’ wound dressings that have been prescribed by the GP at some time, and no longer in use, be destroyed. The registered manager is required to undertake a risk assessment and a care plan documented to guide practice when a service user wishes to maintain their own medication. All out of date wound dressings have been destroyed. Following a risk assessment any resident who wished may assume responsibility for his or her own medication, however at the time of the inspection no residents were self-medicating. We were satisfied that based on the evidence available that both of the previous requirement had been complied with. Medication records seen confirmed that all prescribed drugs and medicines, which are securely stored, are dispensed by a pharmacist and administered by trained staff. The record of drugs and medicines administered to residents and unwanted drugs disposed of were complete and accurate The pharmacist also visits the home every two months to ensure correct procedures are being followed, discuss concerns, give training and discuss current developments that may affect the home and its residents. Residents spoken with confirmed that staff treated them well and provide support in a manner that maintains their privacy and dignity. When asked for their general views about the home residents responded in a positive manner with comments such as ” The staff and manager are very The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 12 caring”, ” I am treated as an individual with respect” “I have everything I need,” ”help is always available if you want it”. During the visit Staff were observed interacting with residents in a caring, attentive and respectful manner always knocking on doors and waiting for a response before entering, and talking in soft warm manner to comfort and support very confused and agitated residents. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The social activities, family contacts and the provision of varied and nutritious meals were well-managed and reflected resident’s interests and choices. EVIDENCE: The home has a range of activities available including board games, videos, and music; sing songs, exercise/keep fit, crafts, and visiting entertainers. Residents spoken with said they like the activities provided, and there was all ways something to do. The homes management informed us they had regular meeting with residents to ensure the activities provided met resident’s wishes. Apart from the activities detailed above the home have regular visits from local clergy who conduct services in the home. The needs of members from all Christian denominations can be catered for. No members from other faiths are currently residing in the home. We were informed if member of other faiths were resident, arrangements would be made to meet their needs. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 14 Although visiting times are displayed we were informed by the manager that in practice, visiting times were unrestricted but that relatives and friends were asked to avoid meal times if possible. Residents confirmed their relatives and friends were able to visit at any time and were made to feel welcome. Residents spoken to praised the quantity, quality and choice of food served. During the visit a mealtime was observed. Staff were seen to provide appropriate support to residents who needed help in a relaxed and friendly atmosphere in the dining room. Residents confirmed they could if they wish take meals in their own room and meals if required could be taken at times to meet individual needs. Tea, coffee, water and other soft drinks were available at all times. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has clear policies and procedures in place which ensures residents are protected from abuse. The complaints procedure was satisfactory with evidence that residents feel their views will be acted upon. EVIDENCE: An in house Adult Protection policy/procedure and whistle policy that operates in tandem with the policy and procedure produced by Hampshire County Council designed to protect residents from abuse was available. Records viewed, management and staff spoken with confirmed they had received training in recognising abuse, all were able to demonstrate they were familiar with the procedure to follow should they witness or suspect the abuse of any resident. The homes complaints procedure, which included information on how to contact The Commission for Social Care Inspection (C.S.C.I), was seen, as was a record of complaints, which indicated no complaints, had been received since the last inspection. Residents spoken with said they felt comfortable in raising any concerns they had with the homes management and confident any matters raised would be dealt with fairly and promptly. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 16 Staff informed us they also felt confident that they could on behalf of a resident bring any concerns to the attention of the manager and be sure it would be acted upon. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A safe, well maintained, clean and suitably furnished home is provided for residents which meets their needs. EVIDENCE: All areas of the home were clean, accessible by residents (including the garden), free from unpleasant odours and obvious hazards. Furniture was comfortable, homely and met residents needs. Residents spoken with confirmed the home is always clean, smells fresh and they were satisfied with their accommodation. Following the last inspection the following three requirements were made in respect of the environment. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 18 The registered manager is required to make arrangements for the laundry door to be locked at times a member of staff is not in attendance, to ensure that washing chemicals are stored securely. The registered manager is required to make arrangements for the repair of the wall and surround to the sink area in the laundry. The providers are required to make the kitchen fit for purpose and make good the broken kitchen cupboards, draws and work surfaces that are burnt. The kitchen flooring is in a poor state of repair and leaves staff and those service users who visit the kitchen regularly, at risk of tripping. This must be replaced. We were satisfied that based on the evidence available that all of the previous requirements had been complied with. The laundry door was found to be locked and cleaning and washing chemicals removed, the surround in the laundry area has been tiled and the kitchen refurbished with new units and flooring. Apart from personal mobility aids a number of communal aids had also been provided to assist residents, these included, a passenger lift, hoists, special baths and grab rails. A regular programme of maintenance/improvements was in place. Future improvements include redecorating all bathrooms and the main lounge, which should be completed by Christmas. We would suggest that consideration be given to replacing the carpet in the ground and first floor corridors and stairs shortly as both are showing signs of use and wear. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The number and deployment of care staff is does not ensure residents needs are met. Staff are recruited and selected using a procedure designed to protect all residents. EVIDENCE: At the last inspection the following requirement was made: The registered manager is required to ensure that the home is staffed with appropriate competent numbers of staff that are not working unrealistically long waking hours, taking into account the guidance in the working time directive. Information/records seen and comments made by the manager and staff it seems the long hours commented on in the previous report are no longer being worked and would only occur on very rare occasions in an emergency such as sickness. At the time of the inspection the number of staff on duty were in accordance with the rota that indicated the usual deployment of staff was four staff on duty in the morning, three until 16.00 and two in the evening and one waking/one sleeping staff throughout the night. Apart from looking after residents care staff are also responsible for the cooking and cleaning. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 20 The current deployment of care considerably reduces the number of staff available to assist and support residents the majority of whom have dementia and high care needs as commented on previously in this report. A second requirement was made in respect of the recruitment and selection procedures, which required that: The registered manager must ensure that recruitment practices and procedures are robust and that staff must not commence work at the home until all satisfactory checks have been made in line with the regulations. We viewed three easy to read and user friendly staff employment/training files which indicated all staff are employed in accordance with the homes recruitment/ selection policy and procedure which involves the completion of an application form, the signing of a rehabilitation of offenders declaration, an interview, satisfactory Criminal Record Bureau and Protection of Vulnerable Adults and reference checks prior to commencing employment. We were satisfied that based on the evidence available that all of the previous requirements had been complied with. Files viewed indicated on commencement of employment all new staff undergo detailed in house and skills for care formal induction training during a probationary period of employment followed by a National Vocational Training in care to at least level two. Records indicated 50 of staff had been trained to at least N.V.Q with the remaining 50 currently on a course. Apart from the above training the inspector saw evidence of additional training/training courses that had been completed or planned, these included courses on, dementia, challenging behaviour, medication, protection of vulnerable adults, risk assessments, fire safety, control of substances to health (C.O.S.S.H.) first aid, food hygiene, infection control and moving and handling. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31.33.35 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of residents and staff are being compromised by the of the number and deployment of care staff. Resident’s/residents representatives views about living in the home are formally sought. EVIDENCE: The manager who had been registered days before the previous inspection in January 2007 has many years experience of working with older people and has completed her Registered Managers Award (N.V.Q. level 4). It was clear from discussions with residents and staff the manager is held in high regard and was described as available, approachable and supportive. The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 22 Since her registration the manager has improved the service, however attention now needs to be given to staffing levels/deployment to ensure the health, welfare and safety of residents is assured and maintained. (The staffing section of this report refers). Staff said they felt valued, enjoyed their jobs and were encouraged to contribute with ideas and suggestions on improving the current service either on a one to one basis via personal supervision or at a regular staff meeting. Resident’s and residents relatives /representatives views about living in the home are sought at regular residents meetings or via a satisfaction questionnaire. Currently the views of visiting health and social care professionals are not formally sought. The manager gave a verbal undertaking she would ensure the survey was expanded to reflect these views. A sample audit was made in respect of monies held on behalf of residents. The money, which individually stored in a secure location, was found to reconcile with the expenditure records and receipts. A health and safety policy and procedure designed to protect both residents and staff was in place. During the inspection no obvious hazards to health and safety were seen. Cleaning materials and chemicals were securely stored and staff were observed to observe good infection control practices by using disinfectant soap/hand gel, disposal aprons, gloves and in the manner they handled dirty laundry which was washed in a washing machine which is capable of disinfecting soiled items. Control of substances hazardous to health (COSHH) assessments, equipment servicing records and accident records were all available, as were records to confirm all staff have receive training in the techniques of moving and handling first aid health and safety and the procedures to follow in the event of fire, including evacuation. All of the hot water supplies to baths and individual basins were fitted with thermostatic controls; hand basins were set at 45 degrees centigrade. All radiators and hot pipes were covered The Abbey Retirement Home DS0000011849.V343197.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 The Abbey Retirement Home DS0000011849.V343197.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. 1 Standard OP27 Regulation 18(1)(a) Requirement A review of the number and deployment of staff must be undertaken to ensure sufficient trained and competent staff are available at all times to ensure residents needs can be met at all times. The health and welfare of all residents must be protected at all times with particular reference to the number and deployment of staff. Timescale for action 01/10/07 2 OP38 12(1)(a) (b) 01/10/07 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 The Abbey Retirement Home DS0000011849.V343197.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection 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 The Abbey Retirement Home DS0000011849.V343197.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. 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