CARE HOMES FOR OLDER PEOPLE
The Franciscan Convent 26 East Park Road Blackburn Lancs BB1 8BB Lead Inspector
Jane Craig Unannounced Inspection 10:00 24 January 2007
th 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 Franciscan Convent DS0000005822.V313149.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 Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service The Franciscan Convent Address 26 East Park Road Blackburn Lancs BB1 8BB 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) 01254 53962 0161 7946420 fmsj@aol.com Franciscan Missionaries of St Joseph Mrs Jennifer Sturgess Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The service should at all times employ a suitably qualified manager who is registered with the Commission for Social Care Inspection 14th March 2006 Date of last inspection Brief Description of the Service: Franciscan Convent is a registered charity, run by the Franciscan Missionary of St. Joseph. The Roman Catholic faith underpins the life of the home, and many of the routines are those of Convent life. Franciscan Convent is a home caring for the elderly Sisters of the Congregation; there are also places for lay people. The house is a detached property set in its own grounds in a quiet residential area of Blackburn. There is level access to the lawned gardens and flowerbeds surrounding the house, and garden furniture is provided. There is ample car parking space. There are local shops within walking distance and a bus stop nearby. Accommodation is provided for thirteen people in 9 single and 2 shared bedrooms, some bedrooms are en-suite. Bedrooms are situated on the first floor. A passenger lift enables ease of access. There is ample communal space in 3 lounges and 1 large dining room. The convent also has its own chapel on the ground floor and services are held daily. Offices are situated on both ground and first floor. The kitchen is on the ground floor and the laundry at basement level. Various aids and adaptations are provided throughout the home. Bathrooms and toilets are well equipped with appropriate aids to help independence. Residents’ en-suites are equipped with seats and grab rails in the shower. There is ample space to ensure staff can offer assistance if necessary. Information about Franciscan Convent is sent out to prospective residents when they enquire about admission. There were copies of the latest CSCI inspection report on display in the manager’s office and available to residents on request. At 24th January 2007 the weekly fee was £354.00 per week. There were additional charges for hairdressing and extra newspapers. The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at Franciscan Convent on the 24th of January 2007. At the time of the visit there were 9 residents accommodated. The inspector met with a number of residents and, wherever possible, asked them their views and experiences of living in the home. Some of their comments are quoted in this report. Seven residents had completed questionnaires before the inspection. Their comments were all positive and have been taken into account when writing the report. Discussions were held with the manager and two staff. The inspector also spoke to a visitor to the home. A partial tour of the premises took place and a number of records and documents were viewed. This report also includes information submitted by the home prior to the inspection visit. What the service does well:
Residents were assessed before admission or as soon as they came into the home. This meant that staff understood what care the person needed. The manager made sure that prospective residents had enough information to help them to make a choice about whether the home was right for them. Residents said that they were well looked after and received the care they needed. One resident said “anything you ask for they will try to get it for you.” Another resident wrote in their comment card that the care was absolutely wonderful. Residents also said that staff respected their privacy and treated them with dignity. One said, “if the door’s shut they don’t come in,” and another said, “we’re all different with our own funny ways and they let us get on with it.” Residents were happy with their lifestyle in the home. One resident said, “it couldn’t be better,” and another said, “I am very happy to be living here.” Residents were able to make choices about when to get up and how to spend their day. One resident wrote on their survey, “I’ve stayed in hotels and they haven’t been as good as the convent.” All the residents made very positive comments about the meals. One wrote, “there is always plenty of food and a wide variety.” Another said, “the food’s marvellous, fresh vegetables all the time.” The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 6 Residents were able to have visitors at any time. Visitors said they were made to feel welcome and enjoyed visiting the convent. One relative commented, “I have never been in a place as good as this.” Residents said they knew they could go to the manager if they were not happy about anything and they were confident she would deal with it. One resident said, “If I wasn’t happy I would see (the manager) I wouldn’t worry or be frightened to open my mouth.” The home was nicely decorated and furnished. Residents said it was always clean and fresh smelling. One resident wrote, “this home is absolutely spotlessly clean at all times.” Another resident said that the lack of odour was one of the things that attracted her to the home in the first place. There were always enough staff on duty to meet the needs of the residents. Residents were very complimentary about the staff. They said they were, “kind, polite and very helpful.” One resident wrote, “there is no reason for anyone to be unhappy here, as the management and staff do everything to make you happy.” Staff had opportunities for training, which meant that they understood the needs of the residents and had the skills to provide the right care. Most of the staff held a nationally recognised qualification in care. A qualified and experienced manager runs the home. Staff said they felt supported by her and residents said they could talk to her if they had any problems. The manager made sure that the health and safety of residents, staff and visitors were protected through policies and practices. What has improved since the last inspection?
At the last inspection it was identified that the care plans were not detailed enough. The care plans had all been rewritten. The new plans provided staff with a clear picture of the residents’ needs and what help they needed. The plans also contained assessments to show whether the resident was at risk of falls and what to do if they were. Records of medicines given to residents had improved since the last inspection. However, the manager must make sure that labels are kept on all medicine packets to avoid the risk of residents receiving the wrong medicines. There was a wider variety of activities on offer. Most residents preferred to spend their time in their rooms but staff were available to escort residents on individual activities. There were a few group activities such as keep fit classes and trips out that were enjoyed by everyone. The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process ensured that residents had sufficient information to help them to make a decision about moving in and staff had enough information to understand the new resident’s care needs. EVIDENCE: Residents who completed questionnaires said that they received enough information about the home to help them make a decision about moving in. Prospective lay residents were assessed before being offered a place at the home. Those residents from out of the area were assessed on admission. Staff said they had access to the assessment information, which provided a detailed profile of the resident’s strengths and needs. Residents received written confirmation that their assessed needs could be met at the home. Intermediate care is not provided at The Franciscan Convent.
The Franciscan Convent DS0000005822.V313149.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs were met in accordance with their wishes. Medication practices generally safeguarded residents. EVIDENCE: The files of two residents were inspected as part of the case tracking process. The manager had re-introduced the old style care plans, which were detailed and provided staff with clear directions as to how residents’ individual health, social and personal care needs were to be met. Residents were consulted and read through their care plans. One resident wrote her own plan with some help from staff. Plans were evaluated every month and full care plan took place every three months at which time all plans were re-written. Health care risk assessments were carried out on admission and reviewed as necessary. There were risk assessments for falls on both of the files seen. Staff monitored residents’ ongoing physical and psychological healthcare needs. They made timely referrals to other professionals where necessary, for
The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 11 example, staff had arranged an emergency chiropodist appointment for one resident when she complained of a sore toe. Residents who completed surveys indicated that their they received the care and medical support they needed. One resident wrote, “ it’s absolutely wonderful the care,” and another commented, “the staff are fully aware of my medical needs and make all the necessary arrangements. Residents spoken with during the inspection said that they were well looked after and one said, “it’s a wonderful place, you don’t have to ask for anything twice. They’re all so helpful. There were complete records of medication received into the home and returned to pharmacy where necessary. There were no gaps or unexplained omissions on Medication Administration Record (MAR) charts. Handwritten amendments were signed and witnessed. There was a discrepancy in the amount of liquid antibiotics for one resident. The amount signed as given exceeded the amount dispensed, which indicated that staff may not always be recording accurately and the resident may not be receiving the correct dose of medication at the correct time. There was secure and appropriate storage of medicines and storage temperatures were recorded. Controlled Drugs were appropriately stored, recorded and administered. The stock balance in the home matched that in the records. A label had been removed from a packet of paracetamol thought to belong to a resident no longer in the home. This indicated that the medication could be being shared with other residents. Residents who returned surveys made some positive comments about their medication. One wrote, “My doctor prescribes tablets and eye drops for me and the carers see that they are given to me three or four times a day. They are very punctual over this.” Staff received training in care values, including promoting residents’ privacy and dignity, during their induction training. Staff spoke about how they promoted residents’ privacy and dignity by knocking on doors and making sure that the resident was always asked before they carried out any care. During the course of the inspection staff were seen to speak with residents in a polite and friendly manner and all personal care was carried out in private. Residents said that staff were “respectful and polite.” The Franciscan Convent DS0000005822.V313149.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents had choice and control over their daily lives. Daily routines and meals suited all residents. EVIDENCE: Residents’ social and recreational interests were recorded on their care plans. There had been an increase in the variety of activities on offer at the home. Residents mainly preferred to pursue one to one activities and staff accompanied them on walks and shopping trips. One resident liked to go out to bingo and staff escorted them once a month. There were some group activities such as keep fit and trips out. All the sisters and most lay residents attended Mass every morning. The religious needs of residents who were not Roman Catholic were met at the home. Residents who completed surveys indicated that there were enough suitable activities. Residents had choice and control over all aspects of their daily lives. They were encouraged to choose their own routines, which were recorded on their plans. One resident said that staff did not bother that she liked to stay up late and watch TV. Another talked about enjoying having her breakfast in her room
The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 13 whilst reading the morning paper. One resident said that they didn’t feel bossed. There were no restrictions on visiting. One visitor said they loved going to the convent and felt welcome at any time. Residents were supported to make full use of community facilities, either independently or with staff. Many residents attended various meetings in the community. Residents who completed comment cards all said they always enjoyed the meals. Their comments included, “the meals are very enjoyable and well planned for dietary needs,” and “I really enjoy all the meals I eat here, you have a choice of several things at each meal so there is always something you really like.” Several residents made comment about the quality of the home cooking and the fresh vegetables served. Special diets were catered for and residents could choose whether to have their meals in the dining room or in their bedrooms. The Franciscan Convent DS0000005822.V313149.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were confident that any complaints would be acted upon. Staff understood adult protection issues, which safeguarded residents. EVIDENCE: There had been no complaints about the home, either to the manager or directly to the Commission. The complaints procedure was displayed in all bedrooms. Residents said they were very happy living at Franciscan Convent and had no complaints about their care. All residents spoken with said they could approach the manager or any of the staff if they had any concerns and they were confident they would be dealt with. One resident wrote that if she needed to she would complain to “Jenny (the manager) or any of the ladies that are around and they will sort it out.” Another resident said, “I haven’t any problems personally but if I did I would talk to Jenny.” Staff had access to written guidance on safeguarding vulnerable adults, including the Blackburn with Darwen vulnerable adult procedure. The manager stated that all staff had received training in safeguarding issues. Those staff spoken to were clear about how to report any allegations to their line manager. The manager understood the protocol for reporting allegations outside the home. The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 15 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was clean and well maintained. The standard of décor and furnishings provided residents with a safe, comfortable and homely place to live. EVIDENCE: The home was well maintained and the registered manager confirmed that any repairs were carried out quickly. The home was due for its annual audit and there were plans for a large-scale redecoration and refurbishment project this year. There was a good standard of décor and furnishings throughout the home. Residents said they were happy with the environment and found their bedrooms comfortable. At the time of the inspection the home was clean and fresh smelling. Residents who completed comment cards indicated that it was always like that.
The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 16 One commented that “wonderful standards are maintained,” and another wrote, “this home is spotlessly clean at all times.” The manager stated that all staff had received training in infection control and they had access to written procedures. The laundry was sited in the basement and away from resident areas. It was adequately equipped for the size of the home. There were no complaints about the laundry, one resident said that their clothes were looked after very well. The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 17 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were sufficient staff on duty to meet the needs of the residents. Staff were trained and competent and the majority held a relevant qualification. Minor shortfalls in the recruitment process may result in residents not being completely safeguarded. EVIDENCE: Duty rosters provided an accurate record of staff on duty. Staff said that their numbers were sufficient to meet the needs of the current residents and the manager said that staffing levels could be increased immediately if residents’ needs changed. Residents who completed questionnaires indicated that staff were available when needed. One wrote, “the staff respond readily to a call on the button and are always attentive at other times.” During the inspection a resident said that there were always staff available to take her out for a walk. Residents made very positive comments about the staff team. They wrote that staff were, “amazing,” “helpful,” and “staff do everything to make you happy.” Comments to the inspector included, “lovely staff, smiling all the time and very polite,” and “always kind and polite.” The files of two recently employed staff were inspected. There was no evidence of a POVA first check on file of a member of staff who started work before their full CRB disclosure was returned. However, the manager later
The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 18 submitted evidence that a POVA first check had been carried out. There was no proof of identity for one member of staff and no photographs on either file. New staff received initial induction training, which included orientation to the home and emergency procedures. Staff without qualifications or experience went on to complete a full induction programme. The manager was aware that the induction standards had changed and was adjusting the programme accordingly. Staff said there were good opportunities for external training. Although not all training records were viewed, the manager stated that all staff had up to date training in safe working practice topics. Information submitted by the registered person indicated that over 50 of care staff were trained to NVQ level 2 or above. The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 19 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed to the satisfaction of the residents, however, the lack of formal quality monitoring procedures may hinder the future development of the service. The health and safety practices protected residents, staff and visitors. EVIDENCE: The registered manager had many years experience of working with the resident group. She held the NVQ level 4 in care, the Registered Managers Award and an advanced management qualification. The manager updated her knowledge and skills through attending short courses, self-directed study and networking with other managers. Staff and residents were very positive about the management of the home. One member of staff said that there was a
The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 20 good management structure and she felt well supported. A number of residents wrote positive comments about the management. The home held the Blackburn with Darwen quality assurance award. There were no formal systems for seeking residents’ views of the home, such as residents’ meetings or satisfaction surveys. However, the registered manager said that residents were consulted in an informal way and could make suggestions for changes at any time. All the residents who returned CSCI surveys said that staff listened to what they said. One resident wrote, “ I have found the staff are very helpful, they take time to listen to you and they act on what you say.” The manager was looking towards developing systems to audit care procedures such as care planning and administration of medication. The home did not handle any money on behalf of residents. Lay residents were encouraged to manage their own money if able, otherwise families or representatives handled their financial affairs. There were health and safety policies and procedures in place and the manager was aware of her responsibilities to protect the health and safety of residents, staff and visitors. All staff had received training in fire safety. The manager was aware that this was due to be renewed. Practice drills took place about every three months and there were records of staff attendance and outcomes. Servicing and maintenance of fire safety systems and equipment was up to date and the fire risk assessment had recently been reviewed. Information provided by the registered person indicated that the servicing and maintenance of other installations and equipment in the home was up to date. The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 2 X 3 X X 3 The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP9 OP29 Regulation 13(2) 19 Schedule 2 Requirement Medication must not be shared. Labels must not be removed from medicine packets. All documents and information required under this schedule must be obtained and retained on staff files. Timescale for action 25/01/07 31/01/07 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 OP33 Good Practice Recommendations The registered person should further develop systems for evaluating the quality of the service. The system should provide for consultation with residents. The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 The Franciscan Convent DS0000005822.V313149.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!
