Inspection on 31/10/06 for The Cherries

This inspection was carried out on 31st October 2006.

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

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

Other inspections for this house

The Cherries 19/06/07

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 Linda Brown Key Unannounced Inspection 31st October 2006 14:30 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 Cherries DS0000025046.V318073.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.V318073.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 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.V318073.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 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 Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two days on 31st October and 2nd November 2006. The purpose of this visit was to monitor the home’s performance against the key standards in the National Minimum Standards for Care homes for older people, and to assess improvements in line with the requirements made at the last inspection. Some of the contents of this report relates to the previous inspection, and therefore would benefit the reader if read in conjunction with the inspection report dated February 2006. Interviews took place with staff. Relevant records were examined along with four individual files for staff and three service users files. During the tour of the building time was spent talking informally with service users and observing practice. Pre-inspection information was received from the manager prior to the inspection along with comment cards received from service users, relatives and visiting professionals. What the service does well: The Cherries has a warm ,homely and welcoming atmosphere. Bedrooms are personalised and the home is clean and tidy. The inspector observed positive relationships between staff and service users and spent time talking informally with the residents who confirmed they had good relationships with staff. The proprietors live at the Cherries and take an active role in the care of the residents. They provide a very good standard of care to meet resident’s individual needs. Comment cards received from families were very positive Comments such as “ Wonderful welcome always, care towards Mum is excellent, we are more than happy with the care she receives”. All comment cards received stated that families are kept well informed and consulted and are satisfied with the overall care provided. The home benefits from a “Friends of the Cherries” group they are made up of the owner, manager and families and friends of current and ex-residents. They are committed to organising events for the residents and their families throughout the year .A bonfire party is currently being organised for the weekend. Questionnaires received from families and service users stated that they were all aware of the complaints procedure. However they commented that they had never had the need to make a complaint. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 6 Staff are supported and provided with the necessary training to enable them to deliver a quality service. Policies and procedures are in place for staff to follow for the protection of the residents. What has improved since the last inspection? What they could do better: The manager must ensure that accurate recording of the administration of medication is maintained . 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.V318073.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.V318073.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): 1.2.3.4.5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective service users have the information they need to make an informed choice about where they live. Service users have their needs assessed before moving into the home. Service users have a written contract/statement of terms and condition with the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 9 EVIDENCE: At the previous inspection in February 06 the inspector made reference to the service user guide and statement of purpose. Information contained in the report states there is a detailed service user guide which includes a brief description of the service, the individual accommodation and communal space, aims and objectives of the home, details of the statement of purpose, facilities available, all relevant contact details for complaints, local amenities, staffing and terms and conditions. The statement of purpose covers all the required details, which is available along with inspection reports for prospective service users and their families. This documentation is still used and is in the process of being reviewed. The admission process remains the same with an emphasis on family involvement. The manager feels strongly that families should be involved in activities in and out of the home as well as regular contact with the residents. Consultation with potential service users and their families takes place prior to admission. The manager completes a full assessment of the service users needs they are then invited to spend a day at the unit. 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 28day trial period. As at the previous inspection 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 contract seen during the inspection were signed and dated by either the service user or their families. Six comment cards were received from relatives /visitors. Feed back was very positive comments such as “ We visit the Cherries twice a week and are always greeted with a cup of tea and a chat .All the ladies seem very content “ Others wrote “ Wonderful welcome always, care towards Mum is excellent, we are more than happy with the care she receives”. And “ My mother is well looked after “ All comment cards stated that families are kept well informed and consulted and were satisfied with the overall care provided. They also stated they were aware of how to make a complaint but had not had the need to. Five service user comment card were also received three forms confirmed they had been given information and had received a contract. Two residents could not remember but evidence was seen on files examined. One service user wrote, “ After a day spent at the home I knew I wanted to be a permanent client “ The Cherries DS0000025046.V318073.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): 7,8,9,10,11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users feel they are treated with respect and their right to privacy is upheld. The home has clear policies and procedures with regard to medication, all staff administering medication is trained to do so. Currently no one at the home self medicates. Service users are assured that at the time of death staff will treat them and their families with care, sensitivity and respect. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 11 EVIDENCE: The manager is very aware of the need for respect, sensitivity and dignity. This practice was also observed by the inspector when she joined the service users in the lounge areas. It was evident that there are good relationships between staff and residents, and respect is shown towards each other. Residents spent time talking with the inspector and confirmed that they are well looked after and are happy at the home. Staff who administer medication have all attended the required training. Staff on duty responsible for medication during the inspection explained the procedures and how it is implemented. There is evidence that checks are made by the pharmacist. Audits are also completed by the manager. MAR sheets were regularly completed with the exception of one gap left for the previous evening. The manager explained how this error had occurred and assured the inspector it would be dealt with. As the manager is resident at the home she has an excellent knowledge and understanding of service users needs. The manager is not only is able to implement the policies and procedures but also demonstrates an insight into the care she and the staff provide, in order to cover the small personal details. Care plans are recorded in a very detailed booklet, there is evidence of regular reviews and checks made by the manager and visiting professionals for example the GP. Comment cards received by the GP stated “a very well run home with an excellent family atmosphere” The district nurse also commented, “”very well run home –no concerns” Evidence is available of regular health checks and contact with hospitals and consultants where appropriate. Relevant professional services are requested to support the individual when and if required. Risk assessments to cover mental & physical health, pressure sores, personal needs and falls were in place on the files examined. Residents files examined are well maintained containing photographs of service users and the required detailed information to enable staff to provide them with appropriate individual care and cater for their cultural and religious beliefs. Relevant policies and procedures for handling dying and death are in place and followed by staff. As reported at the last inspection, the Cherries is a small family run home and many of the residents have been in living there several years, therefore the manager is fully aware of the impact on other residents in the unfortunate The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 12 event of a death. The manager and staff ensure residents are made aware if a resident is unwell sensitively without sharing confidential information. Support is available to them if needed in the event of a death. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users find the lifestyle in the home matches their expectations and preferences. Service users maintain contact with family friends representatives and the local community. Service users are helped to exercise choice and control over their lives. EVIDENCE: There is an active “Friends of The Cherries Committee” supported by friends and families of current and past service users. They raise funds and provide extra activities or entertainment for the service users. Inspection reports, requirements and recommendations are also discussed at the meetings. Events already taken place during the summer included a barbeque and a trip to Stourport. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 14 Plans were underway for a bonfire party being arranged for the weekend. About 40 visitors were expected to attend an evening of fireworks and traditional bonfire party food. A date has also been identified in December for an Xmas party. Mini buses are hired for trips out, during the outing to Stour port residents enjoyed a riverboat trip. Families take an active part in the home, and are encouraged to take part in the outings. This involvement is identified on admission and families are encouraged to be involved Residents informed the inspector that visitors are welcome anytime and residents are able to entertain them in the privacy of their rooms or communal areas. Some residents confirmed they had visitors who took them out. Residents are able to have telephones installed in there rooms but no one chooses to do so. They told the inspector they could use the office phone or the extension telephone whenever they needed to. During discussions with the residents the inspector was invited to look at some of their bedrooms. The rooms visited are personalised with pictures and ornaments and some items of furniture they which have been brought from home. The manager and staff encourage residents to be as involved as possible in contributing to exercise personal autonomy and choice. Residents meeting take place and service users confirmed to the inspector that they are asked and consulted regarding the day to duty living in the home. Minutes of the meetings were seen and discussions took place regarding food, menus, and forthcoming events, welcoming new residents and problems or concerns. The manager has taken part in a project being introduced for “safer food better business” Excellent records are maintained to cover all areas of health, safety and hygiene. Menus are completed for four weeks and these are completed with the residents. Alternatives are available, because of the size of the home staff informed the inspector we know what the residents preferences are and will always give them something else if they don’t fancy the main meal or change their minds. Records are maintained of any changes made. Residents confirmed they were happy with the choices and the food available. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users, families and friends are confident their complaints will be listened to taken seriously and acted upon. The manager ensures that all relevant procedures are in place to protect service users from abuse. EVIDENCE: The complaints procedure is available in the service user guide and the statement of purpose. Quality assurance questionnaires are also sent to residents and families to ensure they are aware of procedures and obtain their views. Comment cards received from relatives and residents confirmed that they are all aware of how to make a complaint. In discussion with service users they confirmed they were happy at the home but would tell the manager if they were worried or unhappy about something. The adult protection procedures are in place and staff receive regular training in adult protection. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 16 There have been no complaints recorded since the last inspection, however evidence was shown to the inspector of how a complaint and the outcomes would be recorded if a complaint was to be received. Records are maintained of compliments received a book containing thank you letters from families for social events and for the care their relatives have received. The whistle blowing policy is available and staff have signed to say they are aware and understand the policy. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe well-maintained environment, they have comfortable indoor and outdoor facilities. There are suitable lavatories and washing facilities. Bedrooms are personalised and meet the needs of the service user. The home is clean pleasant and hygienic. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 18 EVIDENCE: The Cherries is a converted, detached domestic property and has a homely welcoming atmosphere. Rooms are well furnished and bedrooms are personalised. The home is clean and free from unpleasant odours. Regular checks are in place to cover fire, electrical equipment, boiler/cooker and equipment such as stair lift and bath hoist. Excellent records are in place for the recording of food hygiene and kitchen equipment as the manger has taken part in a pilot scheme for safer food better business. Detailed daily records are maintained and reviewed regularly. Detailed information is given to staff on how to clean individual items of equipment, fridge and freezer temperatures are recorded daily. Locks are fitted on bathroom doors and there are suitable facilities available. Equipment such as wheel chairs, bath hoist, stair lifts are available to assist residents. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service There are adequate numbers of staff on duty who receive the appropriate training. Service users are supported and protected by the homes recruitment policies. EVIDENCE: On the day of the inspection a meeting with staff and training representative had been arranged. Two members of staff enrolled on the safe handling of medication training. Currently only staff who are trained administer medication and the manager is keen to develop the team. A matrix of the overall training plan for staff is maintained as well as individual records on staff files. The manager is active in promoting training for the staff and providing training in areas specific to the needs of the residents. Dementia training has been discussed and will follow on after the medication training has been completed Four staff files were examined and all showed evidence of regular training in basic food hygiene, fire safety, adult protection, manual handling, and infection control and incontinence workshop. One file showed evidence of manual handling training. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 20 Evidence was also available to confirm that all the appropriate checks take place when recruiting new staff. There is a core permanent staff team that is supported by agency staff when required. The manager is aware of the need to offer a consistent approach and there for when using agency staff is mindful of using the same group of people. Yearly staff appraisals take place and now identify training needs. One staff file examined was a recently appointed member of staff evidence was on file that induction had taken place. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home, which is run and managed by a person who is fit to be in charge. Service users benefit from the ethos, leadership and management approach. The home is run in the best interest of the service users Staff are appropriately supervised. The health, safety and welfare of service users and staff are promoted and protected The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 22 EVIDENCE: The responsible individual holds a registered general nurse and State Enrolled Nurse qualification. The registered manager is a State Enrolled Nurse and is currently undergoing The registered managers award. At the last inspection the manager was working on a very detailed quality assurance system, which she has continued to develop. It covers all the required areas including, heath and safety, complaints, medication, employment, inspection visits, report requirements, staffing and training. Evaluations are made and improvements from information gained are implemented. Questionnaires are sent to families, professional visitors, staff and service users in order to get their views in order to improve practice. Comments made are addressed, discussed and where possible suggestions are implemented. These questionnaires are completed yearly therefore questionnaires and evaluations have not been renewed since the previous inspection. The Cherries was one of five homes to be chosen to pilot a new quality assurance system for the kitchen area. At the previous inspection the manager had only just received the information pack and so had only just begun to complete the records. Eight months later records are now in place. Daily records are maintained to cover cleaning, chilling, defrosting and cooking safety; the manager has monitored records daily, weekly and monthly. Records are very detailed and will provide excellent preparation for the new regulations and complement the managers own quality assurance records. Evidence was available on all four files of regular supervision. Staff informed the inspector that they felt supported both professionally and personally. Staff felt able to approach the manager at any time and not just at supervision. They felt training was available and they also commented that they had learnt a lot of good practice from examples set by the manager of the home. Financial records are not maintained for service users at the home as the manager does not hold any of the residents’ monies. The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 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 3 3 X 3 3 3 3 The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 24 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. 1 Refer to Standard OP9 Good Practice Recommendations The manager should ensure that the staff record all medication dosage in a timely manner. i The Cherries DS0000025046.V318073.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands 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.V318073.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. 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