Inspection on 28/08/07 for The Branksome Park

This inspection was carried out on 28th 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 Branksome Park 14/11/08

The Branksome Park 05/06/06

The Branksome Park 24/10/05

The Branksome Park 09/05/05

The Branksome Park 14/02/05

The Branksome Park 14/06/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Branksome Park (The) 17 Mornish Road Branksome Park Poole Dorset BH13 7BY Lead Inspector Chris Gould Key Unannounced Inspection 28th August 2007 09:45 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 Branksome Park (The) DS0000020431.V349326.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. Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Branksome Park (The) Address 17 Mornish Road Branksome Park Poole Dorset BH13 7BY 01202 761449 01202 768071 claretredrea@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) Mr A Tredrea Mrs C Tredrea Mrs Clare Elizabeth Tredrea Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named person (as known to CSCI) in the category MD(E) may be accommodated to receive care. The home may accommodate a maximum of 10 younger adults who require nursing care (age 40 years and above). 5th June 2006 Date of last inspection Brief Description of the Service: The original Branksome Park Care Home, a large Edwardian house that had been extended over the years, has been demolished to be replaced by a sixty bedded purpose built care centre. The Branksome Park Care Home is continuing to operate with a reduced number of residents during the rebuild that is taking part in two phases. The first stage of the building was completed in December 2006 and is now home to 25 residents. The home is registered to a maximum of 34 residents requiring personal and nursing care including a maximum of ten younger adults who require nursing care age forty years and above. Mr and Mrs Tredrea have owned the home since 1997. Mrs Tredrea is also the registered manager. The fees charged by the home start at £800.00. One resident is totally funded by health and their fees have been individually negotiated. Further information about fair terms within contracts can be found at: www.oft.gov.uk Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the findings of a key inspection to Branksome Park Care Home that took place between 10am and 3pm. The aim of the inspection was to evaluate the home against the key standards for older people. Surveys were returned from five residents of the home, seven relatives of residents, seven healthcare professionals and four care managers. The views contained within these were also used to help form the judgements on the service. During the inspection three staff files, three residents care records and relevant documentation and policies and procedures relating to the running of the home were inspected. Ten residents were spoken with about their experience of living at the home. A tour of the premises was made, staff spoken with and time spent with Clare Tredrea the registered manager and one of the proprietors. The Annual Quality Assurance Assessment form had been completed and returned to the Commission for Social Care Inspection prior to the inspection. What the service does well: The residents live in a new purpose built home that is well managed with recruitment practices and staff training that ensures the service safely meets their needs. Comments received included ‘I cannot praise the home enough. It is the place I would like to be cared for if ever the time came’, ‘great attention to detail the good management is reflected in the service’ and ‘very good lines of communication in all matters’. The staff treat residents with respect and provide encouragement to pursue their own lifestyle, where feasible, and to make choices about their daily lives. Residents are encouraged to take part in activities that are meaningful and will benefit them and others around them. One resident commented ‘it’s good to do something useful’. Residents spoken with agreed that they were always addressed in the way they had requested. One relative commented ‘we have been encouraged to make my relatives room their own and they ensure she has access to what she likes and does not like. She seems to have choices to make and they do a variety of activities’. Both service users and relatives say that visitors are made welcome. Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 6 The views and opinions of stakeholders are found out by general meetings, questionnaires and newsletters, and people are encouraged to suggest areas for change outside these forums. One relative commented ‘I like the way they hold regular meetings with residents, staff and visitors/relatives and ask if there is anything we want to do, any meals we would like, any outings anyone would like to go on, we can all make a comment on how we would like the place to run’. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Branksome Park (The) DS0000020431.V349326.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 Branksome Park (The) DS0000020431.V349326.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The systems in place ensure that the resident knows that the home they are moving into will meet their needs. EVIDENCE: The care records for the three residents viewed contained a pre admission assessment undertaken by the registered manager or head of care. The assessment process has been redesigned to focus on ability rather than deficit and needs/areas of risk are identified at this time. Full use is made of all members of the multidisciplinary team and the value of information from the person coming to live at the home is also recognised as essential to providing an appropriate service. Discussion with staff confirmed that they were aware of the resident’s needs at the time of their admission. A letter is provided to the prospective resident advising them that following assessment the home is able to meet their needs. Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 9 One relative commented ‘I am more than pleased that we chose this home for X’. The Branksome Park does not provide intermediate care therefore standard 6 is not applicable. Branksome Park (The) DS0000020431.V349326.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 judgement has been made using available evidence including a visit to this service. Residents benefit from care plans being developed through the assessment process, their health needs being met and a kind respectful staff team. Medication procedures and practices ensure that medicines are administered to residents safely. EVIDENCE: All residents have individual plans of care based on a pre-admission assessment of need. The three residents care records inspected had been reviewed at least monthly. Visiting and talking to the residents confirmed that the care records are up to date reflecting the actual care being provided. The care records included input from health care services including General Practitioners and specialist nurses and therapists. A specialist nurse visited one of the residents on the day of the inspection. Residents spoken with confirmed that appointments are made on their behalf as necessary if they Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 11 require medical attention, a dentist, optician etc. Positive comments were received from health and social care professionals that completed a survey including ‘Always very active in seeking advice, responding appropriately to advice and maintaining close liaison throughout the episode of care’, ‘excellent level of care’, ‘I have been exceptionally impressed with the care offered at the home’ and ‘the staff go that extra mile to attend to the details’. The home has an administration of medicines procedure that was updated in April 2007. Since moving into the new home the residents have a locked drawer in their room to be used for the storage of their individual medication. The nurse retains the key unless following a risk assessment the resident is assessed as safe to administer their own medication. A monthly written medication audit has taken place and any issues identified addressed. The Medication Administration Records (MAR) viewed had been correctly and fully completed. The maximum and minimum temperature of the medicines refrigerator is recorded daily. Staff induction includes respecting residents privacy and dignity. This was confirmed when speaking with staff. Staff were seen knocking on doors and waiting for an answer before entering residents’ rooms. Residents spoken with said that they were always addressed in the way they had requested and the staff are always polite, considerate and thoughtful. One relative commented ‘the staff are always polite and ready to help’ and a health professional commented ‘patients treated with respect always’. Branksome Park (The) DS0000020431.V349326.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 good This judgement has been made using available evidence including a visit to this service. The flexibility of the home and the activities provided enable residents to retain control over their lives where feasible and take part in social activities that meet their expectations. EVIDENCE: Residents are encouraged to take part in activities that are meaningful and will benefit them and others around them. One resident visits everyone in the home to get their meal choices for the day. Residents who are able are involved in tidying and cleaning their rooms, taking out laundry and feeding the birds in the garden. Folding napkins provides an opportunity to sit around a table and chat for staff and residents. One resident commented ‘it’s good to do something useful’. Afternoon activities include letter writing to friends and family, with staff writing whilst the resident dictates, preparing snacks and cakes for their own afternoon tea, gardening and some craft activities. The craft work of one resident undertaken while attending a day centre is on show in the home. Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 13 A therapist visits two to three times per week to provide group or single physical activity. She also provides theraputic massage for those people who find it beneficial. Entertainers visit the home in order to support theme days such as french day with french food and wine, a quiz and french fancy dress and decorations. Trips out include shopping, both to shopping centres and individual shops such as PC World, walking on the beach, visiting restaurants and cafes or local places of interest. One resident was taken into Bournemouth on the day of inspection for shopping and a cup of coffee. One care manager comment the home ‘accept differences in individuals and devise appropriate levels of support and social interaction according to need and ability’ and a health professional commented ‘my client is always encouraged to join in and socialise but always respected their choice at times to return to bed for a nap or to spend time in their room’. Those residents who were able to articulate a view confirmed that they were able to make choices about such matters as what they ate and when they got up in the mornings and went to bed at night. Residents are able to “personalise” their bedroom with additional items of their choice. This was confirmed when visiting residents’ bedrooms. One relative commented ‘we have been encouraged to make my relatives room their own and they ensure she has access to what she likes and does not like. She seems to have choices to make and they do a variety of activities’. Comments from residents were generally very positive about the quality of food provided. The menus were viewed and found to be varied and well balanced offering at least five pieces of fruit or vegetable every day. The lunch on the day of inspection was beef stroganoff or bubble and squeak, chips or sauté potatoes, carrots and parsnips. One resident was served a corned beef salad at their request. Meals are served in the ground floor or first floor communal room but can be served in the resident’s bedroom if that is their choice. The lunchtime meal was served and eaten in a very relaxed manner at the resident’s own pace. Each floor has a residents’ kitchenette where drinks and snacks can be prepared. One resident commented following lunch ‘I always look forward to meal times’. Comments received concerning the provision of meals included ‘meals times are exceptional, best I have ever seen’, ‘food excellent suits me’ and ‘the menu and food choices are very good’. Branksome Park (The) DS0000020431.V349326.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems in place provide residents with the confidence that their complaints will be listened to and acted upon and they are protected from abuse. EVIDENCE: The home has a comprehensive complaints procedure including the address of the CSCI and timescales. Residents who completed a comment card all agreed that they know who to speak to if they are unhappy with their care and relatives commented that although they had not had to make a complaint they are aware of the home’s complaints procedure. One resident said ‘I am very happy but I am sure if I was unhappy the staff would do something about it’. An Adult Protection procedure is in place and staff have received training in abuse awareness. Branksome Park (The) DS0000020431.V349326.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides residents with a new purpose built environment that is safe, clean and homely. EVIDENCE: The completion of Phase One of the buildng project in December 2006 has provided a purpose built environment that has been designed to provide an ideal home for twenty five residents. The completion of Phase Two at the end of 2007 will provide a home for 60 people with a variety of needs. It is planned to split the home into living units of 10-12 beds to maintain the homely feel at Branksome Park. At the present time the home comprises two units of 12 and 13 beds. People over 65 years are generally cared for upstairs and people under 65 downstairs. Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 16 There are two lounge/dining areas each with a kitchenette. These provide a homely day space that people are encouraged to visit for part of the day or to take part in activity. Corridors and doorways are wide to allow easy access for wheelchairs. There are no radiators or hot pipes as all heating is underfloor, and adjustable in each room. Each bedroom has over head hoisting and ensuite facilities, the majority having en-suite fully accessible showers. Thought has been given to people with varied needs with equipment such as height adjustable basins to suit wheelchair users in some bathrooms and automatic lighting in ensuite toilets and bathrooms. Furniture is domestic in appearance and has been chosen to provide a scheme that is both contemporary and appealing to all age groups. Colours have been chosen to provide stimulation for people with compromised sight, and be restful for people with memory impairment. The completion of Phase Two will provide more flexibilty of resident space and more staff facilities. Laundry, kitchen and staff facilities will all be housed in a basement area maintaining the calm ambience of the resident areas. Outside space will be improved greatly at the end of the building project with many areas for safe outside activity. All areas of the home that were seen during the tour of the home were in a clean condition and free from unpleasant odours; residents and visitors confirmed that this is always the case. Residents confirmed that their bedroom was regularly cleaned. One relative commented ‘the home has an immediate pleasant ambience. It smells clean’. The laundry is currently done off site, leading to a two-day turn around for clothes and personal items. This was confirmed by residents and staff. Branksome Park (The) DS0000020431.V349326.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Branksome Park has systems in place for the recruitment and training of staff to ensure they are able to safely meet the needs of the people living at the home. EVIDENCE: At the time of inspection the number of registered nurses and health care assistants rostered to work were sufficient to meet the dependency needs of the twenty-five residents. The one resident who is receiving continuing care funded by health has a dedicated member of staff providing their care twentyfour hours a day. Residents spoken with all agreed that if they require help a member of staff will answer the call bell very quickly. Three staff files contained an application form, proof of identity, a health questionnaire, a job description, two written references and a contract. The Personal Identification Number (PIN) of the registered nurse is confirmed with the Nursing and Midwifery Council (NMC). A satisfactory Criminal Records Bureau or a POVA first check had been received prior to the member of staff commencing employment. Ten care staff have obtained NVQ level 2 in care or equivalent and two are currently undertaking training. Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 18 The home has a programme of induction and ongoing training that was confirmed by viewing training records and talking to staff. All staff have received training in manual handling, health and safety, infection control and first aid. Recent training for staff has included managing challenging behaviour and aggression, enteral feeding, tissue viability, MUST training, supra pubic catheterisation and venepuncture. The home is a placement site for student nurses from Bournemouth University. Branksome Park (The) DS0000020431.V349326.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management arrangements at the home and the quality assurance system ensures that the residents live in a home that is well managed and the service provided meets their needs. EVIDENCE: Clare Tredrea, the registered manager has completed a foundation degree in Care Home Management and the head of care at the home has completed the Registered Managers Award. The completed surveys received from others involved with the home including health professionals, care managers and relatives all indicated that communication was good and that information was readily available. Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 20 Comments included ‘I cannot praise the home enough. It is the place I would like to be cared for if ever the time came’, ‘great attention to detail the good management is reflected in the service’ and ‘very good lines of communication in all matters’. There is a progamme of quality assurance in place with audits carried out on a monthly basis looking at a range of 29 topics including integration into the community, premises and accommodation and dietary care and nutrition. The views and opinions of stakeholders are found out by general meetings, questionnaires and newsletters, and people are encouraged to suggest areas for change outside these forums. One relative commented ‘I like the way they hold regular meetings with residents, staff and visitors/relatives and ask if there is anything we want to do, any meals we would like, any outings anyone would like to go on, we can all make a comment on how we would like the place to run’. The registered manager returned the completed Annual Quality Assurance Questionnaire to CSCI prior to the inspection. This will now form part of the home’s quality assurance programme. Family, friends or professional advisors assist all residents to manage their financial affairs. Pocket money is held for 10 service users and all transactions are recorded clearly and accurately. All service users have the facility to keep valuables in a locked drawer in their room and to lock their rooms when they leave them. All statutory authorities have inspected the building, and an independent fire risk assessment has taken place. There are no hot pipes or heated surfaces as all heating is underfloor. Automatic lighting in ensuite bathrooms and walk in cupboards ensures adequate lighting in these areas for people who may have cognitive impairment. The home meets all Health and Safety requirements, and the manager ensures complance with all relevant legislation. This is a new building with new installations and equipment less than twelve months old. Agreements are in place to ensure all servicing takes place as appropriate. Policies and procedures are available relating to health and safety, Control of Substances Hazardous to Health (COSHH), infection control, manual handling and first aid. Fire training, drills and fire safety checks have been completed as required. An accident book is maintained. Branksome Park (The) DS0000020431.V349326.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 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 3 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 3 Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Branksome Park (The) DS0000020431.V349326.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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