Inspection on 12/04/07 for The Liberty Of Earley House

This inspection was carried out on 12th April 2007.

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

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

Other inspections for this house

The Liberty Of Earley House 10/02/06

The Liberty Of Earley House 23/05/05

The Liberty Of Earley House 29/11/04

The Liberty Of Earley House 06/07/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Liberty Of Earley House Strand Way Earley Reading Berkshire RG6 4EA Lead Inspector Jane Handscombe Unannounced Inspection 12th April 2007 11:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000011357.V331563.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. DS0000011357.V331563.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Liberty Of Earley House Address Strand Way Earley Reading Berkshire RG6 4EA 0118 975 1905 0118 931 4912 libertyofearleyhouse@hotmail.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) The Trustees of the Earley Charity Mrs Penelope Anne Smith Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places DS0000011357.V331563.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th February 2006 Brief Description of the Service: The Liberty of Earley House is a two-storey purpose-built residential care home owned by the Earley Charity, and as a residential care home is unique in the accommodation provided. There are 29 individual flats/bedsits, the majority are flats and accommodate up to thirty-five people aged 65 or over. There is a large communual open plan lounge with adjoining dining room on the ground floor, and a dining room on the first floor; various seating arrangements are situated in alcoves overlooking the gardens and at other convenient locations along the corridors. The home also has one guest room that is available to older people, with low care needs, for respite care. Car parking is available at the front of the building, and to the rear is an attractive courtyard garden with raised borders filled with an array of mature plants that is accessible from patio doors within the communual areas and ground floor flats. The homes admission criteria is that on admission the service user has low dependency needs and that people from the Earley catchment area are given first priority. Public transport is available and local shops are within a five-minute drive; the towns of Reading and Wokingham are within a 20 Minute Drive. The fees for this service range from £414 to £475 per week. DS0000011357.V331563.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’ involving one inspector, which took place on 12th April 2007 and was in the service for 8 hours. It was a thorough look at how well the service is doing and involved case tracking three service users care from their initial assessment to date, speaking with service users, the registered manager, members of staff, looking into policies and procedures and touring the home. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out to service users, health and social care professionals, relatives, carers and advocates, as part of the inspection process. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. Comments received from residents during the inspection included: Before moving in ‘ I received a book explaining every aspect of life here – even including plans of the building and room specifications. Very detailed!’ ‘there is a wide ranging social calendar’ ‘I receive all the care I need…’ ‘friendly, non intrusive support whenever needed’ ‘you only have to go to the manager or staff and they will sort any problem out’ ‘Its marvellous here, its lovely…they really do cater for all our needs’ ‘food is always good and in a nice congenial setting’ Comments from relatives include: ‘This is an excellent residential home where people are encouraged to live as independently as possible while at the same time help is always on hand when required’ DS0000011357.V331563.R01.S.doc Version 5.2 Page 6 I visit most days ‘and can honestly say I can’t see any need for improvement’ Comment from a GP: ‘The care at liberty of Earley is excellent. The inspector would like to thank the residents, staff and relatives/visitors for their warm welcome and their assistance during the inspection process. What the service does well: What has improved since the last inspection? Since the last inspection undertaken in February 2006 the service has recently sought the views from those who use the service, their families and friends, advocates, health and social care professionals and other stake holders within the local community through an annual questionnaire gaining feedback on the services and care that they provide. Whilst the findings are still in the process of being collated, this will enable the registered manager to ascertain what they do well and where any added improvements could be made to the service they deliver. DS0000011357.V331563.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 summary of this inspection report can be made available in other formats on request. DS0000011357.V331563.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 DS0000011357.V331563.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users are provided with information about the home and the services it offers through a Service Users Guide and a Statement of purpose. All prospective service users undergo an assessment of needs prior to being offered a place, to ensure that their assessed needs can be met appropriately. The home does not offer intermediate care. EVIDENCE: Information about the services offered at the home is provided through a detailed service users guide and the homes statement of purpose. Whilst viewing information held by a current service user, it was noted that some of the information within these were out of date, namely that of the DS0000011357.V331563.R01.S.doc Version 5.2 Page 10 hairdressers’ price list and the numbers of staff with training related to certain areas of care. Likewise the Commission for Social Care’s contact details need updating to reflect their new address. It was acknowledged that both the hairdressers price list and the Commissions new address were posted throughout the home and speaking with the service user evidenced that they were aware of the new prices, however it is recommended that current users’ guides are monitored to ensure that people are holding relevant up to date information. When a prospective service user is interested in coming to The Liberty of Earley, they undergo an assessment of need to ensure that their needs can be met appropriately; this is undertaken by the registered manager after which a key worker visits the client to introduce themselves and every effort is then made to ensure that the key worker is on duty on the day of their arrival to allow for familiarity. Propspective service users are encouraged to visit the home and spend some time with current service users and staff to gain a ‘feel’ of the home and experience life at the home, allowing them to make an informed choice about where they wish to live. From the evidence seen by the inspector and comments received, the inspector considers that this service is able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. DS0000011357.V331563.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Detailed care plans are provided for each service user detailing their needs and how these are to be addressed. Where appropriate service users are enabled to maintain responsibility for their own medication. Staff treat users of the service with dignity and respect at all times. EVIDENCE: All service users have an individualised plan of care, detailing their health, social and personal care needs. Whilst inspecting, the inspector viewed a sample of care plans and found them all to be very detailed and comprehensive, giving the carers a holistic view of the needs they are to address and where any risks may be apparent, how these are to be minimised. Within each plan were very useful pieces of information about the users’ DS0000011357.V331563.R01.S.doc Version 5.2 Page 12 background, their interests, days and dates of importance to them and a memory bank giving those who provide for their needs a good all round picture and an understanding of their present situation with a greater clarity. The wishes of individual residents about dying and terminal care, and the arrangements they want after death are openly and sensitively discussed with both the residents and their family during the development of the care plan. These are clearly recorded, respected and known to the staff delivering the care. Generally, a recent photograph of service users is held on file, however there were two files which failed to contain a photograph. The manager assured the inspector that this would be attended to. Regular reviews of the care plans are undertaken and changes made where necessary. Evidence highlighted that service users are involved in all aspects of the care planning and assessment procedures. It was explained that service users are given the option to view their care plans whenever they wish if they so require. Those files viewed during the inspection evidenced that this had been the case; the individual files contained a record which the residents sign each time that they have viewed or requested to view their care plans. The homes policies and procedures around medication serve to protect the service users although there were a few incidences which evidenced these are not always adhered to. There were incidences evident, where staff failed to record the administration of medication appropriately; gaps were found within some of the medication administration records (MAR) and the coding system to give reasoning as to why the medication was not administered was not used, making it difficult to ascertain if the medication had infact been given. There was evidence in which an individuals’ medication dosage had been changed on the MAR sheet and poor recording had taken place. It was explained to the inspector that the GP had infact changed the dosage over the telephone and therefore staff had changed this on the medication administration records. In instances in which a change to medication has been relayed over the telephone, the home must ensure to cancel the original direction, write the new directions legibly and in ink on a new line of the MAR, write the name of the doctor or other prescriber who gave the new instructions and date the entry and sign (including a witness) with cross reference to the daily notes made. The registered manager acknowledged the deficit and assured the inspector that this would be dealt with and implemented appropriately. The home works closely with external professionals for advice and support and accesses them when the need arises. DS0000011357.V331563.R01.S.doc Version 5.2 Page 13 Where services users wish to maintain responsibility for their own medication, they are encouraged and enabled to do so within a risk management process. Lockable facilities are provided for them to store their medication safely. Feedback gained from speaking with service users and from responses within the questionnaires sent out prior to the inspection informed the inspector that staff treat them with the utmost respect and care is provided in a dignified manner. Staff were observed to knock on all doors prior to entering and addressed residents appropriately. DS0000011357.V331563.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Contact with family, friends and the local community is encouraged and support is given where required. A varied programme of activities satisfies the recreational interests of the residents. Service Users are encouraged to exercise choice and maintain independence. EVIDENCE: The home has maintained high standards and always strives to make improvements where possible. The home considers that visitors, relatives, family and friends are important to the care provision and always provides a warm welcome at any reasonable time. Feedback from questionnaires sent out prior to the inspection, informed the inspector that visitors feel welcome and know they can visit at any time, DS0000011357.V331563.R01.S.doc Version 5.2 Page 15 that staff make time for them and share information, with the consent of the resident. Links with the local community are encouraged and maintained. Volunteers from the local community are encouraged to play a part in the home life. The home has allowed for an activities coordinator’s post within their budget and is presently advertising the post, whilst staff members provide activities for residents in the interim. Activities are provided for those who wish to partake, which include quizzes, keep fit, art and shopping. Service users have access to computer lessons, provided by the rotary club, and the use of a computer with internet access is provided for those who require. Two hairdressers visit the home offering their services as does a chiropodist and the mobile library visits every third Tuesday of the month. There is a communion service provided on a monthly basis and a group from the church provide a service twice a month for all denominations. Details of trips provided by the wider community are advertised within the home which residents are enabled to partake if required. Residents said that the food is very good, and on the day of the inspection visit the inspector and residents enjoyed the food served, which was plentiful and offered a choice. The home’s dining room was well set and provided a homely environment. Within the dining room is a comments book, which enables individuals to enter comments on the food provided and which one person who uses the service stated this ‘allows for good or adverse comments, which the kitchen staff act on’. Residents have access to facilities where they are able to make any snacks or drinks when required; their flats/bedsits provide a kitchenette for this purpose and any provisions required may be ordered from the kitchen staff. DS0000011357.V331563.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to the complaints procedure and are confident that any complaints will be acted upon appropriately. The service’s policies and procedures serve to protect service users from abuse EVIDENCE: Feedback gained through discussions with service users and from questionnaires sent out to family members and service users, provided the inspector with evidence that service users, relatives and visitors are aware of the complaints procedure and are confident that any concerns or complaints would be listened to, taken seriously and acted upon appropriately. Three complaints have been made directly to the service, all of which were recorded and dealt with appropriately and in a timely manner. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. The safeguarding of vulnerable adults is taken seriously, and staff members receive training at induction and regularly thereafter. DS0000011357.V331563.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 24 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The care home provides a safe, clean environment for all those who live there. EVIDENCE: The home presented as homely with a real family atmosphere. All areas viewed were clean, tidy and presented with no odours. Sufficient washing, bathing and WC facilities are available for service users use, which contain grab rails, and any specialist equipment required to ensure maximisation of their independence. All care staff are trained in the use of aids and equipment. DS0000011357.V331563.R01.S.doc Version 5.2 Page 18 Discussions with service users informed the inspector that they were happy with their flats/bedsits and their surroundings, that the home is kept to a high standard of cleanliness at all times. The flats/bedsits provide users of the service with a kitchenette where they are able to make snacks and drinks, a living room, bedroom and have en suite facilities. Communal rooms are provided where service users are able to take meals, enjoy activities and socialise with others whilst able to enjoy the privacy of their flats/bedsits if preferred. Service users are encouraged to bring personal possessions with them, many of which were seen to be on view in their flats/bedsits viewed by the inspector. One individual informed the inspector that ‘when I moved into The Liberty of Earley it was nice, I could have my own furniture in the flat to make it feel like my own home’ DS0000011357.V331563.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s staffing levels appeared adequate to meet residents’ care needs. The home has robust recruitment procedures, to ensure that suitable staff are employed to look after their vulnerable clients. Staff are trained to meet the needs of people using the service. EVIDENCE: The recruitment of staff is thorough and a sample of staff files were viewed which showed that there are good systems in place, all relevant checks are undertaken and all are provided with induction training, followed by shadowing an experienced carer until both parties feel the new member of staff is capable of undertaking their role on their own and in a competent manner. It was also noted that whilst one staff file contained a copy of their passport a recent photograph of the staff member was not held on file to enable clear identification. The registered manager acknowledged this shortcoming and assured the inspector that a recent photograph would be obtained and added to the staff members file. DS0000011357.V331563.R01.S.doc Version 5.2 Page 20 The inspector was informed that all members of staff undergo induction training upon appointment to their posts, are provided with mandatory training and are offered ongoing training and support which equips them to meet the assessed needs of the residents within the home. Staff members are encouraged to undertake the National Vocational Qualification (NVQ) in care. 24 members of staff currently hold NVQ (National Vocational Qualifications) in care, representing 71 of the staff. Recent training has included caring for stroke victims, updating of core training, death dying and bereavement, managing a disaster, preventing hospital admission and peniflow training. It was noted that whilst some staffs were due to refresh their food hygiene training, the training plan evidenced this was planned and accounted for. DS0000011357.V331563.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 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 is well managed, delivering a consistent service to those who live there and is run in their best interests. Staff are well supported and supervised. Policies and procedures within the home, ensure that service users and staff members’ health and safety is promoted and protected at all times. EVIDENCE: The registered manager is experienced, knowledgeable and competent to manage the home. She displays a good sound knowledge of matters related to DS0000011357.V331563.R01.S.doc Version 5.2 Page 22 the management and running of the care home for older people. Residents and staff spoke in complimentary terms about her management ability and the support she gives. The management approach of the home creates an open, positive, transparent and inclusive atmosphere. The manager obtains feedback from residents and visitors when talking to them in the home, and has an ‘open-door’ policy that encourages people see her without the need to make an appointment. Formal feedback is gained through residents meetings, which are held with service users and through regular staff meetings, both of which are minuted and distributed. These meetings enable all who take part to discuss any areas of concern, discuss matters related to the home and enables voices to be heard. Likewise monthly quality assurance systems are in place which seek the views of the service users and monitors the health and safety procedures within the home. An annual questionnaire to gain feedback on the care and the services offered at the home is undertaken and feedback is gained through service users, family members, staff and health and social care professionals, to enable everybody who has an interest in the home to have a say. The feedback received from these quality assurance systems enables the registered manager to reflect on the care and services provided and make any changes to improve the service. The registered manager does not act as appointee for handling service users financial affairs, this is undertaken by family members or the service users’ representatives. Where the home holds service users spending money, records are kept of all transactions. All records required for the inspection were made readily available. The home has a health and safety policy statement and provides training and equipment for staff. Safety checks relating to fire safety and infectious diseases are regularly carried out. DS0000011357.V331563.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x 3 x x 4 x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 DS0000011357.V331563.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 21/05/07 1 OP9 13(2) The registered manager must ensure that staff adhere to the procedures for the safe administration and recording of medications at all times, to ensure the health, safety and welfare of those in their care. • Where medication has not been administered the appropriate coding system must be used. • When a resident’s medication is altered, this must be recorded appropriately. DS0000011357.V331563.R01.S.doc Version 5.2 Page 25 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 OP1 Good Practice Recommendations It is recommended that current users’ guides are monitored to ensure that people are holding relevant up to date information. It is recommended that a recent photograph is held on all staff personnel files, as opposed to photocopied passport photographs, to allow for clear identification. 2 OP29 DS0000011357.V331563.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 DS0000011357.V331563.R01.S.doc Version 5.2 Page 27 - 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!