Inspection on 05/03/08 for The Belfry

This inspection was carried out on 5th March 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Belfry 29/05/07

The Belfry 01/06/06

The Belfry 31/12/05

The Belfry 20/04/05

The Belfry 19/10/04

The Belfry 11/05/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE The Belfry Dowsetts Lane Ramsden Heath Billericay Essex CM11 1HX Lead Inspector A Thompson Unannounced Inspection 5th March 2008 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Belfry DS0000038149.V360656.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 Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Belfry Address Dowsetts Lane Ramsden Heath Billericay Essex CM11 1HX 01268 710116 01268 710367 thebelfryrch@aol.com 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) Cloverform Limited Miss Deborah Reynolds Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Number of service users for whom care shall be provided shall not exceed 12. (Total number not to exceed 12). Personal care to be provided to no more than twelve service users over the age of 65 years. (Total number not to exceed 12). 29th May 2007 Date of last inspection Brief Description of the Service: The Belfry is a detached family style residence situated in a residential area of the village of Ramsden Heath, close to the village shops and post office. A bus route to Billericay passes close by, although access by public transport is limited. There is parking available for up to six vehicles at the front of the property and parking is permitted in the surrounding roads. There is an accessible garden to the rear of the property with a shaded seating area. The Belfry provides care for twelve older people in single rooms; all but one of the rooms have en suite facilities. Bedrooms are located on two floors and accessible by lift or stairs. The home has a communal lounge and dining area. There are assisted bathrooms on both the ground and first floors, and a separate small room used by the hairdresser for hair washing. Information about the home may be obtained from the manager. The home charges between £470.00 and £566.00 per week with additional charges for chiropody or hairdressing services and for personal items such as newspapers and sweets. Past inspection reports are available from the home, and from the CSCI internet website. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced key inspection took place on Wednesday 5th. The content of this report reflects the inspector’s findings on the day of the inspection along with information provided by the service and feedback by residents and staff. Practice and procedures occurring after this inspection will be reported on in future inspection reports. Discussions were entered into with residents, the registered manager, the responsible person and staff on duty. CSCI survey questionnaires were also provided to residents, visitors and staff. Random samples of records, policies and procedures were inspected and a tour of parts of the premises and grounds took place. Comments received from residents included: ‘ the food is very good’, ‘I’m happy here’, ‘I get asked for my choice at mealtime, there are two choices’, ‘the staff are very kind, but there’s not much to do here’, I have no complaints, I know who to talk to if I did’, ‘everyone here is helpful and I have no complaints’. There were no visitors available to speak with but questionnaires were left at the home so that relatives had the opportunity to make their views on the service known to the Commission. At the time of writing this report none had been returned, however any comments received after this report has been finalised will be recorded to inform future inspections. Staff confirmed they were supported by the manager. They also said that they had been offered training opportunities appropriate to their roles, and that there was a good ‘team spirit’ at The Belfry. Twenty four standards were looked at and the outcomes for residents against twenty of these was good. As a result this report includes four statutory requirements for action, and two good practice recommendation. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Broken power sockets/junction boxes in the dining room and hallway must be made safe. (Written confirmation was received from the manager on 10/3/08 that stated the junction boxes were disconnected and did not pose any risk to people in the home). Activities available to residents need further development. Residents and stakeholders views need to be sought regarding the service provided by management and staff, and a summary of the findings needs to be available for inspection. Regulation 26 reports (person in control reports) need to be available for inspection. Areas of wall and tiling damaged by the installed of the new kitchen sink should made good. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 7 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 Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 8 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 Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. People’s needs are assessed prior to admission so the individual and the home can be sure the placement is appropriate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and administrator or the head of care visits prospective new residents to undertake an assessment of need. Evidence of this process was seen in care plan files for residents admitted since the last inspection. Assessment headings covered included: background information, personal care, communication, mobility, personal hygiene, diet, vision, hearing, continence, manual handling, sleep, medication, foot & oral care, falls and social needs. Copies of assessments carried by the placing authority were also seen on file. The manager confirmed that trial visits are available for prospective new residents. A care plan is compiled after admission, as seen on individual files. The Belfry DS0000038149.V360656.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): 7,8,9,10 Quality in this outcome area is good. The health and personal care residents receive is individualised and based on their assessed needs. Residents rights to privacy is respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were inspected. Included was background information, personal details, and next of kin contacts. Assessments of identified needs were recorded with instructions of the care required to meet these needs. Areas of assessment were based on those identified upon admission and added to afterwards. Care plans seen included a dependency assessment and risk assessments on pressure care, nutrition, manual handling and general risks. There were bathing records, bowel records, multi-disciplinary records of events, records of residents, weight notes on GPs visits and treatment and on any other medical consultations. Keyworkers meet monthly with people they support and make a brief report in the care plan and records examined contain evidence of regular review of the care plans. Daily reports are brief but relevant to what is happening in the person’s life. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 11 The manager said that The Belfry gets very good support from District Nursing services on pressure care assessment and with the supply of appropriate aids and treatment. Continence issues are supported by the community continence nurse, who visits the home to assess all new residents and at other times on request. Hearing needs are provided for by GP referral to a local hospital. Dental check ups and treatment is provided to residents by visiting a community based dentist. Care of dentures is provided by a practioner who visits the home, as does a chiropodist and an optician. Records of visits with written outcome notes were seen. The homes medication policies and procedures were seen and included instructions on ordering, receipt, storage, administration, self medicating and returns of unused stocks. Staff had been trained on medication issues, certificates of attendance were seen. The manager said she regularly spot checks staff to ensure good practice is followed when dealing with medication, however no evidence was available to confirm this. Medication administration records were inspected no shortfalls were noted. Discussions with individual residents indicated that they thought they were treated with respect by staff, and staff on duty were seen to be patient and helpful in their dealings with residents. Comments made included ‘the staff here are very good’ and ‘the staff are helpful’. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. People who use this service can expect to be encouraged to maintain contact with family and friends and to be provided with good food, but they could not be certain they would have the opportunity to regularly participate in meaningful activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents meetings had taken place and minutes of issues discussed had included food, activities, the garden, rooms and staff. The manager said that these meetings usually take place about three times a year. The home did not have an activities coordinator, instead care staff are expected to provide activities and stimulation to residents. There was a programme of planned activities displayed in the hallway and some records had been kept of activities offered daily. These included games, cards, discussions, walks and chair aerobics. Comments made to the inspector indicated that some would like more to do in the home, and as was recorded in the last inspection report, on the day of the inspection the main activity that was observed was watching television, with one person seen reading. The manager said that a local church group visit regularly to chat with residents, and a local clergyman visits fortnightly to hold a service in the The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 13 home. When asked, residents told the inspector that their family and friends could visit at anytime and that staff always made them welcome. The manager said that The Belfry did not hold any residents monies for safekeeping. Any expenditure incurred by the home, on behalf of a resident, is invoiced to the resident or designated relative. Inspection of private rooms confirmed that residents had been permitted to bring their own personal items with them on admission. There was also confirmation of this direct from residents, who, when asked, told the inspector of the furniture and personal items they had brought in with them. Nutrition records evidenced choice and variety. The cook confirmed that the main daily meal is lunch with at least two choices and that there is also a choice at tea. Food stocks were good and residents spoken with were fully satisfied with the food and confirmed that there was always a choice. The manager also said that cooked breakfasts were available to those residents who wished, and that supper snacks such as toast, were offered each evening. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. People living at the home are protected from abuse and any complaints are responded to and managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Belfry’s complaints procedure was seen and contained guidance on how to make a complaint and who to complain to. Also included were timescales for responses from staff. There was a standard template for staff to record any concerns and evidence was seen to confirm that records are maintained in the home of complaints received and of any investigation and resulting outcomes. The provider/manager said that one complaint had been received since the last inspection. Residents spoken with said they knew who to speak to if they had any concerns, and they seemed confident that any concerns would be investigated properly. The homes policy on adult protection was inspected, there was written guidance for staff on recognising and reporting abuse, and action to be taken by staff if abuse is suspected, including a procedure flowchart and a recording template. Staff spoken with displayed awareness of this subject and procedure and had received training on adult protection procedures, certificates were seen to evidence this. The Belfry also had a written ‘whistleblowing’ policy which provided guidance to staff on their responsibilities to report any concerns to the manager. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,26 Quality in this outcome area is adequate. The people living at The Belfry felt comfortable, but not all areas of the home could be confirmed as safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Belfry is a care home equipped with all single room accommodation. Communal space comprised of one ‘L’ shaped lounge and dining room on the ground floor. Outdoor space was available off the ground floor lounge with access to the rear garden that since the last inspection had been repaved with block paving. The garden was accessible to residents. Bedrooms seen were acceptably decorated, clean comfortable and made homely with people’s personal possessions. During discussion with residents all who expressed an opinion said their rooms were comfortable and that they were suffiently warm. The inspector did notice that on the day of the inspection several rooms on the first floor were cool. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 16 The manager said that most residents preferred to sit in the lounge during the day and rooms were being aired. Private rooms were sited on both floors and the home had a passenger lift to enable easy access between levels. Eleven bedrooms had private en-suite wc and the one room without en-suite had a wc directly opposite. All bedroom radiators seen had low temperature surfaces. Lighting in residents rooms was considered domestic in character and considered fully appropriate for individuals requirements /needs. The Belfry has two bathrooms with one of these also having a ‘step into’ shower. Both of the baths provided for fully assisted bathing with the ground floor having a ‘gondola’ type parker bath, and the first floor bath having a fixed hoist. The manager confirmed that the first floor bath was operational but is not often used, this was evidenced on the day by the room being used for the storage of a cleaning trolley. There were two communal wcs in the home and both bathrooms had a wc. On the day of the inspection the premises were considered to be clean however they could not be confirmed as safe as the inspector noted two broken electrical wall sockets/junction boxes in the hallway and dining room. The registered provider was required to take immediate action to ensure these were made safe. A new stainless steel sink unit had been fitted to the kitchen, this was a positive improvement but the installation work did not look to have been completed, as some wall tiles were missing and parts of the sink surround area had damaged walls. Action should be taken to complete these works. The inspector also noticed that some of the wallpaper was torn in one of the ground floor hallways. The manager confirmed that redecoration of this area was scheduled for this month (March 2008). The laundry was spacious, clean and was equipped with appropriate equipment for the home’s laundry needs. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. Residents are supported and cared for by a team of experienced and properly recruited staff who had been trained for their roles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s staffing rota was inspected and showed daytime staffing levels as two plus the manager on duty up to 1700hrs, then two carers until 2130 hrs when the night staff take over. Night staffing was two waking carers. In addition to the care staff a cook works each day from 0900-1400 hrs. Staffing levels did not account for any additional time to spend with residents on activities and interests. The manager advised that maintenance around the home is carried out as and when required by a casual maintenance person, without any rostered hours. Discussion with staff and records confirmed that regular staff meetings are held, minutes of meetings held were seen. Files were inspected for staff employed since the last inspection. Evidence was seen to confirm that application forms had been completed, interviews held with notes and an interview assessment completed, written references obtained, written terms & conditions issued (after completion of a probationary period), and criminal records checks undertaken. Copies of proof of ID, photographs and job descriptions were also on files. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 18 The registered manager is a nurse has commenced the Registered Manager Award (NVQ level4) and produced a training plan that recorded six staff as having achieved NVQ level 2 (or equivalent) with five staff presently undertaking NVQ 2. These numbers combined represent almost 100 of the care staffing team. Evidence was seen to confirm that new staff undergo induction training which followed the recommended Skills for Care Common Induction Standards format. Staff spoken with confirmed they received induction training. Training records and discussion with staff confirmed that staff had been provided training on: medication, environment assessment, health & safety, fire safety, manual handling, food hygiene, infection control, abuse (POVA), first aid, effective communication, epilepsy, occupational therapy, and NVQ. A training matrix identifies when individual staff are due update training. Evidence was provided to confirm that update training had been arranged in March & April on manual handling and first aid. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,37,38 Quality in this outcome area is good. Management systems are good and the home is mainly run in the best interests of residents, however their views are not always recorded and acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is a nurse, has 12 years experience in care home management, and at the time of this inspection was undertaking the Registered Managers Award. No one living at The Belfry had the capacity to manager their own finances because of increasing need for support or poor memory, neither did the home manage anyone’s finances. Instead, the manager said that any expenditure incurred by the home, on behalf of a resident, is invoiced to the resident or designated relative. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 20 The Belfry quality assurance (QA) process involves sending questionnaires to residents and relatives. Topics covered included food, admission processes, premises, care & support provided and daily living. The last full survey was carried out in 2006. QA needs to be carried out annually and should include a summary of responses and of any resulting actions. This report includes a requirement on this issue. Staff had received regular recorded 1-1 supervision from the management team. Records of this process were seen and included discussion on service users, training, personal development and actions to be taken. Random samples of records required to be kept were inspected. These included: complaints, assessments, care plans, staff rotas, staff recruitment, visitors book, fire drills, nutrition, medication, background info’ and next of kin details and fire procedures. All seen were satisfactory. Records of regulation 26 reports (monthly reports required to be carried out by the registered provider) were not available. These are required to be available for inspection. Discussions with staff, management and inspection of records confirmed that training is provided to staff in moving and handling, fire safety, food hygiene, first aid and basic training in infection control. Certificates and service records were seen to confirm that the home’s fire equipment & alarms, passenger lifts, gas boilers, portable electrical appliances and electrical installation supply had all been tested/serviced. Hot water supply is regulated, the Head of Care said she regularly carries out manual checks on the water temperature, but unfortunately these were not available for inspection. It is recommended these records are available at future inspections. The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 X X X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 2 3 The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP12 Regulation 16 Requirement People living in the home should have a range of social and recreational activities that will provide stimulation and improve their lifestyle. This is a repeat requirement. Repairs must be made to the broken electrical wall sockets in the dining room and hallway so that all areas of the home are safe for residents to use. The views on the service provided by The Belfry must be sought from residents and stakeholders and records kept of responses and outcomes. Records must be available for inspection of monthly reports required to be compiled by the registered provider (regulation 26 reports). Timescale for action 31/08/08 2 OP19 13 10/03/08 3 OP33 24 30/09/08 4 OP37 26 31/05/08 The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations Staff training on medication practices and procedures needs to include evidence that they have been assessed as competent to carrying out the role of administering medication, before they are permitted to take on this responsibility. Damaged walls and tiles in the kitchen around the new sink should be repaired to ensure that the kitchen is a hygienic place for food preparation. 2 OP19 The Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Belfry DS0000038149.V360656.R01.S.doc Version 5.2 Page 25 - 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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