Inspection on 13/09/06 for The Chilterns

This inspection was carried out on 13th September 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Chilterns 26/07/07

The Chilterns 15/12/05

The Chilterns 16/08/05

The Chilterns 01/11/04

The Chilterns 30/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

1 Marten Road

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Bay Court Residential Home 5-7 Sea Road Westgate on Sea Kent CT8 8SA Lead Inspector Tina Thomas Key Unannounced Inspection 13th September 2006 10:00 Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 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 Bay Court Residential Home DS0000057494.V305635.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 Adults 18-65. 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. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bay Court Residential Home Address 5-7 Sea Road Westgate on Sea Kent CT8 8SA 01843 832628 01843 833649 baycourt@btinternet.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) Optima Care Limited Post Vacant Care Home 34 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (34) of places Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th April 2004 Brief Description of the Service: Bay court provides residential care and support for up to 34 people who require varying degrees of assistance due to their mental health problems. The home has access to specialist services within the local community. The home comprises of two adjoining properties adjacent to the sea front in a residential area of Westgate. The home is within short walking distance of local amenities such as rail and bus services, health centres, shops, churches and library. The Responsible Individual has a high level of input into home on a daily basis. Fees: £363-£500 Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over a 2 day period. The inspector was assisted throughout the inspection by the manager Mr Scot Melville. To form judgements the inspector spoke with people that live in the home, the manager, the staff and the Provider. The manager had filled in documentation pertaining to the home prior to the inspection. The inspector also viewed comments made in surveys sent out to service users, and other health care professionals. This was a key inspection and therefore all key standards were inspected. The home has continued to improve and met all but one of the requirements made at the last inspection. What the service does well: What has improved since the last inspection? The home has appointed a new experienced manager. Staff expressed that there is now a strong management team. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 6 Care planning has improved and become more person centred. Residents have been encouraged to be more proactive in the day to day running of the home. The home aims to recruit and retain good quality staff to complement their existing team, they have improved recruitment procedures and have introduced a new thorough induction for new staff and also new supervision and appraisal practices. The home now has the additional operational support of a Registered Mental Nurse. It has also appointed external employment practice consultants and external health and safety consultants. The homes policies and procedures have been overhauled and some new working practices adopted, for example induction and supervision. Environmentally the home is continuing with its on-going improvement programme. The garden area has been improved and new garden furniture and a BBQ has been purchased. Some rooms have been re-carpeted, redecorated and refurnished. The home has a new front door and the corridor between the two houses has been laid with new vinyl. Communal areas in house 5 are almost complete. What they could do better: The statement of purpose must be updated to more fully provide prospective Service users with current information. The on-going development of the environment must continue to be improved to provide in some areas to make it more homely and inviting. Staff must adhere to the homes robust medication policy and procedures to ensure the well being of service users. The manager should apply to become registered by the Commission to manage Bay Court. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 Quality in this outcome area is adequate. The judgement has been made using available evidence including a service visit. Information provided to prospective service users is not current. New service users are admitted only on the basis of a full assessment undertaken by people competent to do so. EVIDENCE: The home does have a statement of purpose. It was last updated in May 05. It needs to be updated to reflect changes such as the new manager. Some of the service users are now over 65, which should be reflected in the Statement of Purpose. It also means that their care is now judged under the Standards for older people. The Provider should seek a variation to his registration to reflect these changes. Prior to any service users coming to live at the home, the Manager seeks a needs assessment from either the local health authority or Care Manager. Once the home has the information two senior members of staff visit the service users and conduct their own holistic assessment, taking into account the prospective service users compatibility to other existing service users. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 10 The home develops with each prospective service user an individual service user plan based on the Care Management Assessment and care plan or the home’s own needs assessment. Rehabilitation and therapeutic needs are assessed by state registered health professionals using regulated assessment methods. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. The judgement has been made using available evidence including a service visit. Each Service user has a plan of care. Staff respect service users’ rights to make decisions. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: Three Service users care plans were viewed. They were holistic in nature. They discussed service users physical, physiological and social needs. The care plans were signed by the service users indicating that they had been part of the care planning process. Two service users who spoke with the inspector expressed that they knew what was in their care plans. The plans established individualised procedures for service users likely to be aggressive or cause harm or self-harm, focusing on positive behaviour, ability and willingness. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 12 Care plans held suitable risk assessments, and were suitably reviewed on a monthly basis. Daily notes were of very good quality and relevant to the care plan and there was evidence that they were well used by staff. The manager expressed that he would like to develop care planning even further. Staff provide service users with the information, assistance and communication support they need to make decisions about their own lives and this is well recorded in care plans. Peer support within the home is good. The home users the key worker scheme and there are 4 teams that have day, night and senior members. There is usually always someone available from each team. Service users manage their own finances with support, this was evidenced at inspection. Service users care plans held robust and appropriate risk assessments. Action is taken to minimize identified risks. The homes unexplained absences policy was viewed and was found to be robust and time specific. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. The judgement has been made using available evidence including a service visit. Service users are encouraged and supported to access the local community and develop hobbies and interests. Service users rights are respected and they recognise responsibilities in their daily lives. The meals in the home are good, offering both choice and variety. EVIDENCE: Staff try and help service users to find and keep appropriate jobs, continue their education or training and /or take part in fulfilling activities. Some service users have been to college for art and IT classes. Some service users work for the league of friends and some service users have been placed by Rethink, volunteer back to employment. Service users spoke with the inspector about using local facilities, i.e. the shops, swimming pool. One service user talked about their acting role in a community project that was being filmed. Service users were aware of local Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 14 services, facilities and activities. Some service users have lived at the home for many years and are well known and have made friends within the local Community. Staff support service users to maintain family links and friendships inside and outside of the home. The Manager expressed that whilst some service users had family contact, for a lot of the service users there was not close family contact. The service users recently held a BBQ in the gardens of the home for friends and supporters. The daily routines of the home promote independence, and individual choice, subject to restrictions agreed in individual care plans. Service users have keys to their bedroom doors and many of them had chosen to lock their doors. Staff including the provider were observed to interact well with service users. Service users spoken with expressed that they were able to have time alone if they chose. Service users spoken with expressed that they took responsibility and enjoyed undertaking some house keeping tasks. Service users and staff all agreed that the food in the home was wholesome and plentiful. They expressed that hot and cold drinks and snacks are offered regularly. Some service users are able to go to the kitchen and make their own. One service user has their own fridge in their room. Service users are asked at meetings if the are happy with the menu. There is a daily choice of menu. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is adequate. The judgement has been made using available evidence including a service visit. Personal care and support is offered in a way that promotes service users privacy, dignity and respect. Physical and emotional health needs are met. Staff do not always adhere to the home’s robust policies and procedures regarding the administration of medication. EVIDENCE: Service users spoke of staff providing personal care in a manner that promoted their individual rights and privacy. Guidance and support in meeting personal hygiene standards is freely offered by staff and is available at all times. The home has a key worker system in operation. Service users choose their own clothes, hairstyle and makeup and their appearance reflects their personality. Times for getting up/going to bed, baths, meals and other activities are flexible. Sometimes service users stay up to 3am if they are chatting or Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 16 watching something on the TV. Staff spoken with expressed that they welcomed individual behaviour because they were very conscious that they did not want the home to become institutional. Records viewed identified that staff promptly report and address any healthcare concerns. The home accesses the local dental surgery, health centre and chiropodists. Annual opticians visits are also encouraged. One care manager return a questionnaire sent by the commission, which reflected that they had no concerns with the home. The policy and procedures for the administration of medication were viewed. The home has a descriptive and informative medication policy. It does not however refer to depot injections, which some service users receive. A recommendation that this is included in the policy has been made. The home uses monitored dosage systems prepared by a local chemist. One member of staff is responsible for checking medication into the home. Medication is administered by members of staff that are trained in administering medication. Medication administration records (MAR) were viewed. They were generally well maintained, with photographs of each service users on their individual MAR sheets. One MAR however, had blank spaces where it had not been signed and no explanation as to why the medication may not have been administered. A requirement has been made regarding this matter. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The judgement has been made using available evidence including a service visit. The home has a good complaints policy with evidence that service users feel that their views are listened to and acted on. Arrangements for protecting service users are good, protecting them from possible risk of abuse. EVIDENCE: The homes complaints policy was viewed and found to be clear and concise. Copies of the policy are included within the statement of purpose, service user guide and displayed within the entrance of the home. 5 Questionnaires returned to CSCI prior to the inspection by service users, contained positive comments regarding the running of the home and service available. The homes policy and procedure on adult protection was examined and found to contain clear and concise information for staff to follow. The home also has a whistle blowing policy. Staff files viewed confirmed that enhanced criminal records bureau checks and POVA first checks are completed for all new members of staff. The Manager confirmed that all members of staff have completed prevention of abuse training. Staff members spoken with had a sound understanding of adult Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 18 protection and were aware of the procedures to follow when reporting possible incidents of abuse. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is adequate. The judgement has been made using available evidence including a service visit. Areas of the home are comfortable, homely and safe, whilst others are still subject to an ongoing improvement programme. The home is generally hygienic and clean. EVIDENCE: The home has an on-going improvement plan. Some areas of the home had been recently redecorated, re-carpeted and refurnished. The home has had a new front door and the hallway between the two houses has been laid with vinyl. Most of the communal spaces in House 5 are now almost complete In house 7, the smokers lounge needs to be made comfortable and homely, the decoration and furnishings are aged. Some other communal areas in house 7 are in need of redecoration. One bathroom that is not currently used by service users needs attention to the floor, ceiling and window. Requirements made regarding these matters. Service users have locks on their bedroom doors. Some doors have been fitted with automatic closures to minimise risk in case of fire. The home has nice gardens that are used by the service users. Good quality garden furniture has been purchased and also a BBQ. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 20 The home has increased domestic staff hours, so that is now an afternoon domestic. One isolated area of the home had an unpleasant odour, which was discussed with the manager, however in general the home was clean and hygienic throughout. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. The judgement has been made using available evidence including a service visit. Staff have the competencies and qualities required to meet service users’ needs. Service users are supported by the homes recruitment policies and practices. Staff are appropriately trained. Staff are well supported and supervised. EVIDENCE: Service users expressed that staff were friendly and approachable. Staff have the skills and experience necessary for the tasks they are expected to do. The home has the addition of operational support from an RMN, for management, staff and service users. The induction process has been strengthened. Staff undergo a thorough induction, which is in line with skills for care. The principles and reasons of care practices are clearly explained. Knowledge is evidenced by multi-choice and open questions. A new member of staff expressed that when they first started working at the home that they did not work alone but were supported and shadowed by experienced members of staff. The home is working towards achieving 50 of staff trained to NVQ Level 2 or above. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 22 Recruitment procedures have been improved and now a panel of three make decisions regarding recruitment issues. Staff files examined contained enhanced criminal records bureau and POVA checks and at least two written references for all staff. All staff receive job descriptions and terms and conditions. The manager is working to improve the homes training programme. Evidence was shown that the manager has increased the training matrix and a good selection of training including service specific training has been booked. As previously mentioned an induction programme is in place. Staff have received mandatory training. The new manager has recently implemented new supervision and appraisal procedures. Staff will have supervision 6 weekly. Staff have access to specialist supervision from an RMN as previously mentioned. The home has also appointed external practice consultants. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is adequate. The judgement has been made using available evidence including a service visit. Service users benefit from a well run home. The home has a quality assurance process in place. The health and safety of service users is in place. EVIDENCE: A new manager has been appointed. The new manager is an experienced manager, who has previously been registered with the Commission to manage another home. He has an NVQ Level 4 in management of care and also the registered managers award. He is also an NVQ assessor. Staff who spoke with the inspector expressed that they felt well supported by a strong management team, which included the provider, the manager and the operational manager. They felt that the whole staff team were working well together with common goals. The new Manager has not as yet applied to become the registered manager of Bay Court and therefore, unfortunately, this standard cannot be fully met. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 24 The home ensures good quality assurance through its processes. All policies and procedures have been over hauled and some new working practices implemented i.e. supervision. The home also regularly audits care plans and risk assessments. The Registered Provider conducts an audit monthly and produces an in depth report. The home produces questionnaires for service users and results are collated. The manager ensures safe working practices and the health and safety of service users. The registered manager ensures compliance with relevant legislation. Documentation was reviewed which evidenced this, including the fire log and the accident book. Suitable risk assessments including environmental are conducted. The home has also appointed external health and safety consultants. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 2 x x x x x 3 Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) Timescale for action The registered person shall make 20/12/06 arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home. (Ensure medication administration records accurately reflect drugs administered). The Provider must ensure that the Statement of Purpose is suitably updated with current information. The Provider must produce a plan of action regarding repairs to the top floor bathroom with suitable timescales. The Provider must produce a plan of action regarding redecoration and refurnishing of communal areas of house 7 with timescales of no longer than six months. Some areas of the home need re-carpeting .The Provider must also provide a plan with suitable timescales for the re-carpeting or the making good of those areas. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 27 Requirement 2 YA1 4 19/11/06 2 YA24 23 15/12/06 4 YA24 23 19/11/06 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 YA20 Good Practice Recommendations Reference to depot injections should be made in the homes medication policy. Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 0845 015 0120 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 Bay Court Residential Home DS0000057494.V305635.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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