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Inspection on 04/01/07 for The Gables - Sandwell Mind

Also see our care home review for The Gables - Sandwell Mind for more information

This inspection was carried out on 4th January 2007.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The Gables provides a comfortable and well-maintained environment, which is appropriately staffed, where service users are encouraged to maintain and develop their independent living skills. Care is provided in a way which meets their needs and takes account of their preferences and opinions. Records are kept up to date and are well maintained and good systems ensure all the required safety checks are undertaken. There are good systems for receiving and responding to complaints. The staff team is welcoming. Service users and visitors are pleased with the standard of care. One wrote, `The Gables is a very friendly place to be.`

What has improved since the last inspection?

The manager who was acting in post at the last inspection is now registered with the Commission for Social Care Inspection. She has ensured that the requirements made following the last visit have been implemented. The home`s policies and procedures are now signed and dated by the manager and staff to indicate that they have been read and understood. There have been improvements to the care planning for new service users. The systems for the administration of medication have been improved. There are better systems for recording staff training and the training supplied has improved. There is now a quality assurance system which is based on the views of service users and other stakeholders.

CARE HOME ADULTS 18-65 The Gables - Sandwell Mind 109 St Pauls Road Smethwick West Midlands B66 1EY Lead Inspector Chris Lancashire Key Unannounced Inspection 4th January 2007 10:00 The Gables - Sandwell Mind DS0000004865.V325476.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 The Gables - Sandwell Mind DS0000004865.V325476.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. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables - Sandwell Mind Address 109 St Pauls Road Smethwick West Midlands B66 1EY 0121 558 6085 F/P0121 558 6085 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) Jephson Housing Association Limited Sandwell Association for Mental Health Miss Pauline Marion Collins Care Home 14 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (14), Physical disability (2) of places The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 2 PD and up to 14 MD Date of last inspection Brief Description of the Service: The Gables is an independent sector home registered to provide residential care for 14 people experiencing mental ill health. The home was formally a vicarage and is situated in a residential area of Smethwick, close to shops, post office, and other local amenities. It is easily accessible by public transport and there are parking facilities to the side of the property. Landscaped gardens at the rear have level paving to enable access to all areas for wheelchair users. Entry is monitored through a security camera and intercom. Sandwell MIND has responsibility for both the management and staffing of the home whilst Jephson Housing Association is responsible for the maintenance of the building. Accommodation is provided over 2 floors accessible via 2 staircases or a vertical lift. This includes 14 single rooms, 2 of which are ensuite and suitable for wheelchair users. Two of the upstairs rooms are designated for rehabilitation and have their own kitchen and bathroom areas. On the ground floor there are 2 toilets, 1 for people with disabilities and the other with a shower room. A further 4 toilets are on the first floor, 1 for people with disabilities, 1 with a shower and 2 with a bath, 1 of which has a hoist installed. Communal areas include an activity room for art and craft and games, a quiet area, a main lounge and dining room. Two small kitchen areas are provided for residents to make their own drinks. The fees for this service are £540 per week. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a weekday and was unannounced. The inspector toured the building, examined records and spoke with five members of staff, six service users, the manager and the service manager. In addition, the manager provided pre-inspection information and the service users completed questionnaires. This information was used in the preparation of the report. What the service does well: What has improved since the last inspection? What they could do better: There are no requirements following this inspection. The manager intends to make an application for a variation in the registration of the home in order to continue to accommodate specific service users who are approaching their 65th birthdays and whose needs can still be met in the home. There are plans to implement further staff training and to continue to develop the quality assurance system. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 6 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 Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 7 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 The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4,5. Quality in this outcome area is good. Good admission procedures ensure that perspective service users have enough information to make an informed choice before moving in on a trial basis. The home also receives sufficient information to make an assessment as to whether they are able to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Upon receipt of a completed application form, Care Programme Approach (CPA) assessment, care plan, and other information as required, the manager completes an assessment on behalf of the home. Prospective service users are also given the opportunity to visit and stay overnight before making a decision to move in on a trial basis. One wrote, ‘I was asked if I wanted to move into The Gables. I was also shown around and I also stopped overnight to see if I liked it.’ Three service users’ files were examined. These were well-organised and contained basic information and photograph, referral form, initial assessment, CPA assessment, letter confirming placement, and licence agreement (contract). A record of trial visits had been made. Staff and a service user described pre-admission visits to The Gables and service users confirmed that they are happy with their choice to move into the home. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is excellent. Good procedures ensure that appropriate action plans are implemented to meet service users’ needs and that they are fully involved in the decision making process. There is a clear emphasis on having open and transparent procedures and sharing differences of opinion. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users have their own individual plan of care. These set out the ways in which their needs will be met and the goals towards which they are working. Two sampled plans were detailed and reflected the assessed needs and specified actions required to meet them. This included physical and mental health, medication, personal care, daily living tasks and preparations to move onto independent living, where appropriate. Once completed, copies of the care plan are given to the service users if required and shared with others involved in their care including the consultant and social worker. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 10 Service users expressed satisfaction with the key worker allocated to them and confirmed that regular meetings take place to discuss their progress & plans for the future. There is clear evidence on files that service users are encouraged to be involved in making decisions about all aspects of their lives. There are regular group meetings, but the manager is aware that some people prefer not to express their views in a group setting and are more comfortable on a one to one situation. She ensures that she spends time on an individual basis with each service user and demonstrated that this approach has been useful in gaining information about changes which were needed and areas of practice which needed to be addressed. One particularly good example of change which had been prompted by this process was shared with the inspector. Risk assessments are completed including agreed boundaries, the views of service users and other stakeholders. There are records of early warning signs of mental ill health and relapse prevention plans. There are also risk assessments on the building and individual activities carried out both inside and outside the home. Individuals are enabled to take risks, within agreed boundaries, in order to develop skills and confidence. All records are kept locked in the main office and any information shared complies with the home’s confidentiality policy and Data Protection Act 1998. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17. Quality in this outcome area is excellent. Improvements continue to be made to the range of activities and level of support offered to service users engaging in individual interests. There are good opportunities available for involvement in the home and local community. Service users enjoy their meals and efforts are made to ensure that these are well balanced in terms of nutrition whilst recognising the need for personal choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are involved in a range of activities and interests. These are agreed on at service user meetings and through individual consultation. Activities within the home include darts, karaoke, table-top games, dominoes and cards. There are occasional coffee evenings and mornings. Service users also participate in a range of activities in the local community, including bowling, pictures, walks, football matches and meals. They also go on holidays The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 12 to destinations of their choice. Staff were seen participating in activities with service users and they were aware of the need to make continuing efforts to expand the range of activities available. The notice board displays local information including public transport routes, taxi numbers, MIND newsletters, and college/day centre options. Visitors can be seen in either in one of the lounge areas or the service user’s own bedroom between the hours of 9am and 9pm or with prior agreement. These rules are also clearly displayed. All bedrooms and bathrooms are lockable with an override device fitted in case of emergencies. Service users have their own key, have unrestricted access to the homes communal areas and gardens, and receive mail unopened. Staff were observed to interact well with the service users and to treat them with respect. General interaction was relaxed. The home has a full-time cook, who works six days a week and service users confirmed that they are very pleased with the meals. On the cook’s day off, care staff prepare a small meal at lunch time and the service users choose a take-away in the evening. Menus are clearly displayed offering a variety of options. Two meals are offered as a matter of routine, but other alternatives are provided when requested. Fresh fruit and biscuits are freely available in the lounges and drinks can be made at any time in the kitchenette areas. Individual dietary requirements and preferences are recorded and meal times are flexible. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,9,20. Quality in this outcome area is good. The home provide a good level of care with staff committed to ensuring service users live their own lifestyle and regain or maintain a level of independence. Improvements have been made so that the arrangements for the administration of medication are appropriate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has an individual training plan, which describes how their identified needs will be met and includes a plan of daily living. This describes their responsibilities around the home, personal preferences, and activities they are involved with. Residents were seen to be coming and going from the home, making their own drinks, and getting up when they preferred (as agreed in their plan). Physical and mental health care needs are identified in their individual assessment and referrals are made to the relevant specialist i.e. dentist, chiropody, when needed or requested. When assistance is declined by the resident this is recorded on their file. All appointments are entered into the homes diary and a log sheet is used to record outcomes. A key worker system The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 14 helps to ensure that individual staff members continue to assess service users’ needs. Appointments are maintained with the service users’ consultant psychiatrists, Social Workers and Community Psychiatric Nurses (CPN) and regular reviews take place at the home. A 4-stage approach based upon a risk assessment is used for service users who want to manage their own medication; otherwise a consent form is used to allow staff to administer for them. Regular, random checks are made by the staff to ensure this continues to be a safe method. These records had improved since the last inspection and were found to be up to date, with evidence of regular review. Records of the storage and administration of medication had also improved and were appropriately completed. The medication folder was well organised and, in addition to the administration sheets, contains samples of staff signatures and details of the medication take by service users with its effects. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is excellent. The Grange has good procedures in place to ensure that service users are protected from abuse. They also welcome feedback on how well their service is being received and involve residents in any decisions that may affect them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaints procedure is clearly displayed in reception and contains all the required information including contact details for the Commission for Social Care Inspection. Other notices include an advocacy service, minutes from in-house meetings, the home’s Statement of Purpose, service users’ guides and a copy of the latest inspection report. There is also a collection box available for written feedback. Service users confirmed that staff and listen to their views and, as has been explained earlier in this report, there are excellent arrangements whereby the manager spends time with individual service users, listening to their opinions. MIND has a policy and procedure relating to adult protection and whistle blowing (available on their website). Staff sign to confirm that this has been read and understood. The home also has a copy of the social services’ procedures for Adult Protection and staff receive training in this area. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,27,30. Quality in this outcome area is good. The environment is maintained to a good standard. The facilities meet the needs of the service users. The atmosphere is relaxed and there are good arrangements to ensure that the building is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Several areas of the home had been decorated since the last inspection. This visit took place just after Christmas and communal areas had festive decorations. Communal lounges are well maintained and comfortably furnished. Despite the size of the building, the home has a homely atmosphere and is kept clean. Toilets and bathrooms were also clean and well presented. The kitchen was clean and tidy. Suitable Health and Safety procedures are followed in respect of food hygiene. The laundry room is suitable for the current needs of the service users who all undertake their own washing. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 17 Security cameras are limited to the front door only. The grounds are landscaped, maintained, and accessible to wheelchair users. There is space for off-road parking at the front of the building. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36. Quality in this outcome area is good. The home has recruitment policies and practices, together with staffing arrangements which ensure that the service users are supported and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Gables has good recruitment and selection procedures in place to ensure that service users’ safety is protected. All staff met and observed during the inspection demonstrated professional skills, a detailed knowledge of the service users’ needs and an optimistic attitude. Staff have designated roles and responsibilities. In addition to the manager, there are shift leaders, who have clearly defined responsibilities. They are encouraged to develop their skills so that they can undertake a range of management tasks. Care staff are allocated to a service user in the role of ‘key worker’. A senior member of staff is appointed to supervise and support the worker in this role. The care staff are supported by a cook and housekeeper who play a valuable role in maintaining the high standards. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 19 Sufficient numbers of staff are allocated to provide care for service users, including a senior member of staff on each shift. When there are shortfalls on the rota, use is made of agency staff when there is no cover available from within the team. Efforts are made to maintain consistency by using staff who are known to the staff and service users. Staff are very well supported by the manager who undertakes all supervision and annual appraisals. She is also available for discussion as required by staff. Staff indicated that there is a high level of support from managers. There are monthly staff meetings and these are read and signed by staff who have missed the meetings to indicate that they have read them. The agenda and contents of the minutes show that discussions include the progress of service users, practice and staff training issues. Staff undergo a structured, six-week induction programme and this is followed by a 6-month foundation-training programme. Improved arrangements for training ensure that staff have access to a variety of relevant courses in addition to their mandatory training, for example, mental health awareness and medication administration. There is a matrix in each staff file, which shows their progress and training needs. All of the shift leaders are registered for or have attained the NVQ level 4 and the remainder of staff are registered for or have attained level 3. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is excellent. Service users benefit from a well rum home, where their views underpin monitoring and development and their health, safety and welfare is promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been registered with the Commission for Social Care Inspection since the last inspection. She has ensured that the requirements made in the last report have been addressed. One person wrote, ‘Since the new manager has taken over the home has improved and I am very pleased with the service’. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 21 The Gables has systems to receive feedback from service users, visitors, and others people who come into contact with the home. The manager has worked to ensure that the home’s quality monitoring is robust and service user focussed. The first of the planned quarterly reports has been produced and outlines the home’s strengths and areas for development. There are plans to publish the results of the monitoring on an annual basis. Visits under Regulation 26 are made on a regular basis to the home and the service manager visited on the day of the inspection. Reports of previous visits were made available. There are clear plans for the further development of the home and these are focused on the needs and views of the service users. Prompt action has been taken in relation to issues which have needed to be addressed in order to maintain the home’s high standards. A tour of the building’s communal areas showed that the home was clean and tidy and well maintained, with no obvious health and safety hazards. The fridge, freezer, cooked food, and water temperatures are being recorded and monitored. No issues were raised by the Environmental Health Officer at the last visit. There are good systems for ensuring that appropriate checks are made on services to and equipment in the home. Appropriate checks are made on fire detection and fighting equipment and there is a completed fire risk assessment. Weekly, monthly and quarterly audits are undertaken in respect of Health and Safety. Stress risk assessments are undertaken as part of the staff supervision process. The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 x 2 4 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X 3 X The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 24 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 Gables - Sandwell Mind DS0000004865.V325476.R01.S.doc Version 5.2 Page 25 - 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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