Inspection on 19/06/07 for The Cherries

This inspection was carried out on 19th June 2007.

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

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

Other inspections for this house

The Cherries 31/10/06

The Cherries 01/02/06

The Cherries 28/10/05

The Cherries 24/11/04

The Cherries 29/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE The Cherries 2b Beechcroft Road Kingswinford West Midlands DY6 0HJ Lead Inspector Mr Jon Potts Unannounced Inspection 19th June 2007 11:00 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 Cherries DS0000025046.V336498.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 Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Cherries Address 2b Beechcroft Road Kingswinford West Midlands DY6 0HJ 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) 01384 291100 01384 291100 Mr Ngonidzedenga James Chitima Mrs Daveda Joy Chitima Vacant post Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (7), Physical disability over 65 years of age (1) of places The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st October 2006 Brief Description of the Service: The Cherries is a converted, detached domestic property situated on a residential housing estate just outside the small village of Wall Heath, and adjacent to a green belt area. The home was originally registered in 1986 but was purchased by the present owners in 1989. Access to the front of the home is via a small parking area. The home has installed electronic gates to improve security and safety for service users. There is a large, secluded garden to the rear of the property, which has well established flowerbeds, trees and a lawn. There are four single bedrooms and two double bedrooms situated on the first and ground floors. There is a bathroom and toilet on the first floor and two toilets on the ground floor. A separate laundry is located on the first floor. The home has a chair lift for access to the first floor. There is a lounge/dining area on the ground floor. The decoration and furnishings reflect a homely domestic environment. The service is registered to care for eight elderly persons one of whom also has a physical disability. The Cherries provides a range of organised and spontaneous leisure activities for residents, and has an active relatives and friends committee called ‘The Friends of the Cherries’ which meets regularly and assists with organising outings and events. The manager is one of the two joint providers and leads a small staff team of care staff and a cook. The charges for residency are between £348.00 to £390.00 per week, this correct as of the 19/6/07. The higher fee is for a single room, the lower for shared. This fee includes all basic care and food requirements. The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over one day and was unannounced. The inspection was primarily focused on the key national minimum standards and evidence was collated to assess the homes compliance with the same. The inspector case tracked the care of three residents and evidence was drawn from case files, discussion with/observation of staff, sampling of procedures and inspection of most areas of the home. There was also discussion with some residents. Selected staff files, training records and management records were also sampled. The residents, manager and staff are to be thanked for their ready assistance with the inspection process. What the service does well: What has improved since the last inspection? What they could do better: The only area where there was any concern was related to recording in respect of medication and including the need for the home to ensure that: 1. All prescribed creams are signed out as administered, 2. Pre-printed labels are not use on medication records, a) To ensure that it is clear what is meant by ‘as required medication’. The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 6 The above is needed to ensure that systems for the administration of medication are as safe as possible, and present as no risk to residents. The registered manager was also advised to request staff to complete medical questionnaires, this to confirm that they are fit for the work they carry out, and to update inventories of resident’s property and valuables more frequently. 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 Cherries DS0000025046.V336498.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 Cherries DS0000025046.V336498.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): 2,3,5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective residents have their needs assessed and are able to visit the home to sample the service prior to admission if so wished. They are supplied with a contract, which sets out both parties’ responsibilities for the service they will receive. EVIDENCE: All new residents receive a full comprehensive needs assessment before admission this carried out by the manager. The manager ensures she obtains a summary of any assessment and supporting information available from the care manager (where applicable), and also completes her own, this so as to build on any information already available. For individuals whom are self funding, the assessment is undertaken by the manager, this in the same way it would be for any other resident. The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 9 Individuals are supported and encouraged to be involved in the assessment process and consultation with potential service users and their families takes place prior to admission. Following assessment the prospective service user is invited to spend a day at the unit, this to meet other residents, see the environment and sample the food. If the manager feels they are able to meet the needs of the service user and they want to continue with the move then they must complete a 28-day trial period during which time there is on going assessment of the service user, this to test out pre admission assessments and assist with the formulation of a robust care plan. Before agreeing any admission there was clear evidence that the provider sought to clarify any areas that may lead to the home not been able to fully meet a residents needs. Assessments include reference to needs that may lead to residents been disadvantaged. Residents files examined continue to contain evidence of contracts/terms of conditions. These contained details of rooms to be occupied, fees payable and overall care and services included in the fees. All contracts seen during the inspection were signed and dated by either the service user or their families. The Cherries DS0000025046.V336498.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 This judgement has been made using available evidence including a visit to this service. Care planning is robust and centres on the expressed needs, requirements and choices of the individual resident. The health and personal care that people receive is based on their individual needs with the principles of respect, dignity and privacy put into practice. There were some areas where documentation of medication regimes and administration needs to be more robust so as to fully safeguard residents. EVIDENCE: In all those case files examined there was seen to be detailed care plans that set out the individual resident’s requirements in respect of a their needs and choices, with reference to such as communication needs as appropraite. The care plans and associated documentation also reflected what individual residents told the inspector about their needs, choices and requirements and there was clear evidence of their involvement in care planning. The resident or their representative signed care plans in every instance seen by the inspector. The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 11 The resident’s personal healthcare including reference to specialist needs that included dietary and tissue viability requirements are clearly recorded in each resident’s plan; they give a sound overview of the individuals current health needs and act as an indicator of change in the person’s health requirements, this supported by robust and detailed monthly reviews of care plans. The home has an efficient medication policy supported by procedures and practice guidance, which staff have recently received training in, with all those that administer medication having recently completed accredited medication training. Medication records are fully completed for tablets and liquids but not creams. This was raised with the manager who stated these would be signed out from that point on. There was some reference to ‘as required’ medication. The manager was made aware that the prescribing G.P. must provide the home with clear instructions as to when it was permissible to give this medication and what triggers resulted in its required administration. It was also noted that there was one label on one of the MARs sheets, this issued by the pharmacy. The use of these is to be discouraged. Residents do not currently self medicate but this is through their consent to the home managing their medication, this documented in their files and agreed. Facilities for the storage of medication were seen to be appropriate and suitable. The home has a good record of compliance with the receipt, administration, safekeeping, and disposal of Controlled Drugs and facilities for the storage of, and documentation of the administration of these was judged to be safe. Personal support was said to be to a good standard by residents and is responsive to their individual needs and preferences. The delivery of personal care was said to reflect individual’s expressed choices and care is centred on the resident, not the service. Staff were said to respect privacy and dignity with residents citing examples of ways in which this was done, this supported by the inspectors observations and statements from a staff member and the manager. The residents were seen to exercise their right to independence and were clear that staff did not compromise this but were available when needed. The aims and objectives of the home reinforce the importance of treating individuals with respect and dignity. The Cherries DS0000025046.V336498.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 & 15 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents are able to make real choices about their day-to-day life style, and are supported to maintain their independence. Social, educational, cultural and recreational activities meet individual’s expectations. The home provides good quality meals that residents enjoy. EVIDENCE: The residents at the home spoke of being able to live a life that was not restricted and allowed them to choose their own daily routines. Choices as documented in care plans were confirmed as accurate and residents said they were satisfied with their lifestyle at the home. Due to the small size of the home the staff were able to respond to resident’s choices of routine and were seen to spend time sitting with residents chatting or playing games. Residents spoke of staff allowing them independence and one said she was able to have involvement in such as making her own bed. The manager stated that she or other staff took residents shopping on request as confirmed by one resident. The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 13 There is a strong ethos for the continued development and maintenance of family and personal relationships, this an issue the manager stated she makes clear to relatives on a person’s admission to the home. This has no doubt contributed to the success of the ‘friends of the Cherries’ a group that consists of many relatives and allows them involvement and the chance to influence the ruining of the home as well as the opportunity to help develop opportunities for residents (such as daytrips out). Minutes of the meetings for this group were made available to the inspector. The home has an open visiting policy and relatives are encouraged to retain regular involvement. Outcomes for people who live at the home were confirmed as positive by the residents spoken to in that they enjoyed life at the Cherries. Based on the menus, meals are very well balanced and nutritional and cater for the cultural and dietary needs of the residents at the home. All the residents are able to feed themselves although some assistance is required with such as cutting up foods, this is documented in case files. Residents spoke highly of the quality of the food, the availability of choices and the size of the portions. One resident stated that the food was easy to chew and digest. The inspector saw the meal of the day, this seen to be well presented and in sizeable portions. The Cherries DS0000025046.V336498.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 & 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, have access to a robust, effective complaints procedure, and are protected from abuse. EVIDENCE: The complaints procedure is available in the service user guide, statement of purpose and is summarised in the terms and conditions of residency. Quality assurance questionnaires are also sent to residents and families to ensure they are aware of procedures and to obtain their views. In discussion residents confirmed they were satisfied with life at the home but would tell the manager if they were worried or unhappy about something, and in addition were confident that the manager would listen and address any concerns. There was a complaints/compliments book available to visitors or residents at the home. Adult protection procedures are in place and staff have recently had updated training in this area. Discussing with a staff member and the manager showed an awareness of what abuse was and the action that should be taken as a result, this fitting in with local authority guidance. The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 15 There have been no complaints recorded since the last inspection, this judged to be due to the home listening to users of the service so that any issues are addressed as they arise meaning that complaints are not made. The manager was however clear that any complaints received would be fully documented. The whistle blowing policy is available and staff have signed to say they are aware and understand this policy as well as others relating to adult protection. The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 16 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 & 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The home provides a pleasant and homely physical environment that is appropriate to the specific needs of the people who live there. There are some areas that the provider stated need refurbishment such as the kitchen but this does not detract from what is a well presented home for the residents. The aids available are appropriate for the residents accommodated at the home. Whilst not rooms do not have an ensuite facilities there are easily accessible toilets and bathrooms. The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 17 As the home is of a small size it presents as a non-institutional environment. Some bedrooms are shared although these are of a good size and residents that share do not see this as problematic. These rooms have appropriate room dividing curtains to assist with privacy. People who use services are encouraged to personalise their bedrooms. All the homes fixtures and fittings meet the needs of the individuals and can be changed if their needs change. There is only one shared lounge although there is space for residents to meet their relatives within this area, and they are able to see them in their bedrooms if they wish. People who use the service say that there is plenty of hot water and the temperature in the home can be changed, on request. The home is well lit, clean and tidy and smells fresh. The management has a good infection control policy; they seek advice from external specialists in respect of such as infection control through such as training forums, and encourage their own staff to work to the homes’ policy to reduce the risk of infection. The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 18 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 This judgement has been made using available evidence including a visit to this service. Staff are trained, skilled and in sufficient numbers to support the people who use the service, in line with the homes policies and procedures and to support the smooth running of the service. EVIDENCE: Residents expressed confidence in the staff and the way that they cared for them with rotas showing that the home was adequately staffed, this confirming that there are always two staff available during day time hours, one of whom is a senior. There is also a cook employed and the manager/providers are usually available in an emergency as they live on site. There was no concern expressed by the residents in respect of staffing levels, with comment indicating that when assistance was required it was available. The home does use one bank staff as needed. Staff members undertake external qualifications beyond the basic requirements, recent training including MRSA (related to management and awareness of this infection) and dementia care. The Manager encourages and supports staff to undertake training to assist with the provision of a skilled and well-trained workforce. Staff spoken to confirmed this and sight of staff files The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 19 showed that all staff participated in appraisal and were supervised on a regular basis. Residents confirmed that staff were good at their jobs. Whilst there have been no new staff recruited since the last inspection, with staff turnover been minimal, the home met the standard on recruitment previously. Sight of staff files confirmed this although the provider was advised to ensure that staff that had been recruited some years previously completed a medical questionnaire. More recently employed staff had done this at the point of recruitment. The service has a good recruitment procedure that clearly defines the process to be followed, and the manager and provider were clearly aware of this, recognising the importance of effective recruitment procedures in the delivery of good quality services and for the protection of individuals. Relatives and residents would be able to comment on the effectiveness of staff through the homes quality assurance processes, one of these the ‘friends of the Cherries’ forum. The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 20 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 & 38 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect and there is an effective quality assurance system developed by a competent and experienced manager. EVIDENCE: The registered manager is currently working towards achieving her registered managers award but is a registered nurse and has extensive experience in management of the home as she has been the manager/joint provider since 1989, this following on from work in the mental health field as a nurse. The other provider is also a registered nurse with a background in mental heath and work with vulnerable people. The manager presented in discussion as is The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 21 highly competent to run the home and ensure it meets its stated aims and objectives. This was confirmed by comments from the residents and the outcomes from this inspection. Both providers expressed a sound knowledge in respect of the budgetary management of the home and were clear as to the financial constraints with running a small home, in that one vacancy had a direct impact on the homes ability to fulfil its business objectives. The providers were clearly able to prioritise works that needed to be completed. The manager had a clear vision of the homes aims and values and was clear as to what they were trying to achieve in providing customer satisfaction. In discussion the manager was able to identify how equality and diversity issues were a priority within provision of a successful service and was seen to ensure that resources at the home targeted those residents that maybe marginalised due to such as poor communication (the instance in question was the manager devoting her time to ensure a resident with poor communication was stimulated). The manager presented as one that led staff by example and was seen to be happy to have involvement in the care of residents, setting clear standards for staff to maintain. The management ensures that staff follow the policies and procedures of the home, with staff having handbooks, regular supervision and access to the full range of the homes policies and procedures, this confirmed by a staff member spoken to and supporting records. The home has suitable policies in place to ensure effective safeguarding and management of individual’s money and valuables, and does not at present safe keep any monies. There was seen to be copies of inventories in place in regard to resident’s valuables at the home, although these would benefit from review on a regular basis. All the working practices in the home are safe and there was no evidence of any preventable accidents The home has a suitable health and safety policy and procedures to promote and protect residents’ and employees’ health and safety. Staff are trained and those spoken to understood the responsibilities in terms of health and safety. There was seen to be clearly written recording of all safety checks and accidents, and the home was seen to proactively monitor the safety of the home through its quality assurance system. The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 22 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 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 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 The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 23 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. 1. Standard OP9 Regulation 13(2) Requirement The registered providers must ensure that the following practices are adhered to in respect of medication practices: b) All prescribed creams are signed out on MARs records at the time they are administered. c) Pre printed labels are not used on MARs sheets. d) The prescribing G.P. must provide the home with clear instructions as to when it was permissible to give “as required” medication and what triggers result in its administration. The above is needed to ensure that systems for the administration of medication are as safe as possible, and present no risk to residents. Timescale for action 31/07/07 The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP29 OP35 Good Practice Recommendations The registered manager should request staff to complete medical questionnaires so there is confirmation that they are fit for the work they carry out. The registered manager should ensure that inventories of resident’s property and valuables are updated at regular intervals. The Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ground Floor, West Point, Mucklow Office Park Mucklow Hill Halesowen. B62 8DA 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 Cherries DS0000025046.V336498.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!