Inspection on 08/02/07 for The Limes

This inspection was carried out on 8th February 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 Limes 11/10/05

The Limes 26/05/05

The Limes 07/10/04

The Limes 15/04/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Limes, The The Limes 43 Foreland Road Bembridge Isle of Wight PO35 5XN Lead Inspector Liz Normanton Unannounced Inspection 8th February 2007 09:30 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 Limes, The DS0000054200.V326867.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. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Limes, The Address The Limes 43 Foreland Road Bembridge Isle of Wight PO35 5XN 01983 873655 01983 874170 the.limes@btconnect.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) Mrs Susan Jennifer Betteridge Mrs Alison Neve-Dewen Mrs Lynne June Preston Care Home 32 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (18), of places Physical disability over 65 years of age (9) Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th October 2005 Brief Description of the Service: The Limes is a care home providing personal care and accommodation for up to 32 older people. It is located in a residential road in Bembridge village; a few minutes walk from a range of local shops and the nearby beach. There is some off road parking for visitors or on road parking is to the front of the premises. The accommodation offers a range of mostly single rooms on 3 floors, all with en-suite facilities. Access for residents is via a passenger lift to all but 4 rooms on the mezzanine floor, which are not suitable to be occupied by people with mobility difficulties. There is access to an enclosed garden at the rear with a seating area for residents. Weekly Fees:£430.00 to £485.00 Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken on the 08/02/07 and focussed on what the commission considers to be core standards for a care home for older people as defined in the Department of Health (DOH) National Minimum Standards and looked for evidence of compliance with regards to requirements made at the last inspection. The information in this report has been collected from a variety of sources, which includes a pre-inspection questionnaire completed by the manager, three relative comment cards, a visit to the home, discussion with a care manager district nurse, several residents, manager, provider and three staff. Three residents’ care files and three staff files were audited. There was evidence that the manager had complied with the requirement made at the last inspection. There have been no requirements made at this inspection but two good practice recommendations have been made. The majority of residents spoken with are very satisfied with the service provided at the home and felt well cared for. What the service does well: The home will not provide accommodation to prospective residents until it is satisfied that their needs can be met. Resident’s care and health needs are understood and staff provide a consistent and caring approach in meeting these needs. The home provides residents with a nutritious, well balanced diet and can cater, for specialist dietary needs. Residents live in pleasant, homely surroundings with ample communal areas, which are well furnished and decorated. Residents’ rooms are spacious with ample room in which to receive personal care, consultations and examinations by health and social care professionals. Each has an en-suite facility. There are further toilets and assisted baths to meet the needs of the residents. Staff are well trained, supervised and deployed in such numbers to ensure residents are in safe hands. Over 70 of care staff are trained at NVQ level 2 or above. The home is well managed and administrated. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. The home will not admit prospective residents until it is satisfied that the needs of the individual can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In discussion with the manager they reported that they visit people at home or hospital and undertake a needs assessment. We looked at four residents files and found them to contain comprehensive needs assessments. In discussion with two staff they confirmed that the manager consults with them following the needs assessment in respect of prospective residents whom may have high care needs to ensure the staff feel able to meet the individuals needs. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 9 Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 &10 Quality in this outcome area is good. The health and personal care, which a resident receives, is based on their individual care needs. The principles of respect, privacy and dignity are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at four residents files and found them to contain a comprehensive care plan, which included risk –assessments had been drawn up using information in the needs assessment. There was evidence that care plans are altered, as an individual’s care needs change. The manager does not review the care plans monthly and explained that the care plans are looked at daily and changes are made as and when peoples needs change. If there are any changes to an individuals care needs these are discussed at the staff handover and recorded in the handover book advising staff to read the new information in the care plan. An overall review Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 11 of the care plan is done every six months. In discussion with the manager they reported that residents are not involved in the review of their care plans. In discussion with three staff they reported that the information in the residents files was good and enabled them to provide consistency of care. Resident’s health needs are recorded on their individual needs assessment, and care plan. All residents are registered with a general practice. A district nurse was observed visiting the home at the inspection visit to attend to a patients needs. Prior to the visit the inspector consulted a district nurse who visits the home regularly and they reported that they have a good relationship with the manager and staff, they are able to visit their patients in private and that they find the home to be clean. In discussion with one resident they commented that they felt their bath time was rushed and finds the water a bit hot. A chiropodist visits the home six weekly to provide foot care to those who require treatment. Residents were observed to be in good health and were wearing glasses and hearing aids as required. In discussion with one resident they stated that they had undergone eye surgery since they had lived at the home and had also got new glasses to improve their vision. Information provided in the pre-inspection report indicates that several people are designated to administer medication. In discussion with three staff they reported that the manager and responsible individual usually administer the medication. Staff responsible for the administration of medication, have all completed training in this area. Medication is stored safely and a record is kept in the Medication Administration Record (MAR) charts. A sample of MAR records was viewed and all were accurate apart from the omission of a signature on one residents record which was at the lunch time medication on the day of the inspection visit. This was raised with the manager who agreed to ask staff member to rectify this. The home keeps a record of all medication being received into the home and being returned to the chemist. In discussion with several residents they confirmed that they always got their medication on time. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 12 Residents are seen in the privacy of their own rooms by visiting health professionals. Several residents spoken with stated that they felt the staff cared for them very well and that they were always treated with dignity & respect. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 &15 Quality in this outcome area is good. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. The social, cultural and recreational activities at the home meet with resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A list of weekly activities is on display in the hallway and dining room. At this inspection visit ten residents had chosen to join in the exercise session, which is provided weekly every Thursday in the afternoon. Several residents were observed joining in with the exercises whilst others chose to listen to the music. All looked to be having an enjoyable time. Other activities available at the home include, reminiscence/discussion, regular sing along, entertainment, hairdressing and manicures. The home is equipped with many board games, cards, dominoes and other in house entertainment Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 14 but in discussion with the manager they reported that the residents do not want to engage in these activities and prefer to watch television. Since the last inspection the home have purchased a minibus, which is fitted with a hydraulic lift. This is used for taking residents to the hospital but is also available for shopping trips and outings. In written feedback received from three relatives all reported that they are made welcome at the home at anytime. In discussion with a resident they said the home would make a meal for their visitors who come over from the mainland. Residents can meet their visitors in the privacy of their rooms or in the communal seating areas. In discussion with the manager they reported one resident goes out independently in to the local community and also travels to Ryde by bus. A hairdresser visits the home every week and several residents have their own choice of mobile hairdresser. With regards to meeting resident’s spiritual and religious needs the home is regularly visited by a representative of the Catholic church and a C E vicar who give communion. Residents can attend church services if this is their wish. Residents are able to bring their own personal possessions from home and some items of their own furniture if they so wish. In discussion with three staff they reported that residents are able to make choices on a day - to -day basis and their wishes are respected. Residents were observed throughout the inspection making choices about what they ate and drank, and how they wished to spend their time. Staff stated that residents awake and retire as they wish. A sample of the homes menu was sent to CSCI prior to the inspection and indicated that residents are offered a variety of wholesome, traditional English meals and use fresh produce in preference to frozen and processed foods. At the inspection visit it was observed that the home has a sweets trolley where residents can choose from a wide variety of deserts. Residents can choose whether to eat in the dining room or their own rooms. The home does not display a menu, care staff tell people what the menu is for the following day and take residents choices down. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 15 In discussion with several residents they said, “the food is excellent”. One commented about the Christmas meal and said, “you could not get better at the Ritz.” Limes, The DS0000054200.V326867.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 & 18 Quality in this outcome area is good. Residents have access to a robust, effective complaints procedure, are protected from abuse and have their legal rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home displays a copy of the complaints procedure in the reception and is available to both residents and their relatives and other visitors to the home. There have been no formal complaints made since the last inspection. In feedback from three relatives two reported that they knew about the homes complaints procedure whilst one did not. All three were satisfied with the service and had never had to make a complaint. One commented that there mother was very happy with the care and consideration shown to her by the staff. In discussion with one member of staff they demonstrated that they were aware of the homes complaints procedure and knew what action to take if a resident made a compliant. With regards to safeguarding vulnerable adults, the manager and several staff have attended training in this area with plans for an additional nine staff to Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 17 receive this training in 2007. The home has adopted that Isle Of Wight Adult Protection Procedural Policy to respond to any allegations of abuse. The home also displays a “NO SECRETS” poster on the kitchen door as a reminder to staff that they should report any concerns to the manager. In discussion with several resident they reported that they were well cared for and felt safe. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 18 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 & 26 Quality in this outcome area is good. The physical design and layout of the home enables residents to live in a safe, well-maintained, comfortable, homely, safe environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A partial tour of the premises was undertaken and included several resident’s bedrooms and all communal areas. Resident’s bedrooms were equipped with all the appropriate furnishings as required by the national minimum standards and there was evidence that residents had brought pieces of furniture from home and their personal possessions. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 19 The bedrooms were clean and free from offensive odours. Two of the bedrooms viewed required some maintenance repairs and one needed the flooring in the en-suite replacing and the carpet re-fitting due to being raised in places. These matters were discussed with the manager and responsible individual who agreed that these works would be undertaken. The two lounges and dining room were well furnished, and decorated to a good standard all these areas were clean and free from offensive odours. The conservatory was out of use as there are plans to convert this area into a dining room and sitting areas. In discussion with the manager and the responsible individual they reported that they have plans for redeveloping some areas within the home. They are considering using a first floor vacant bedroom as an office and making the current office into a multifunctional room, which will be available for hairdressing, a treatment room and place were GPs and district nurses can attend to people without them having to go up to their rooms. They also have plans to convert a lounge into a ground floor bedroom but are creating a much larger lounge in what is now the dining room to compensate. The home has an annual business plan for improvement and renewal. The home also employs a maintenance person four hours a day five days a week to attend to problems as they arise. The carpet in the reception area was raised in places and could be a potential trip hazard for those with mobility difficulties, the responsible person was aware of this and explained that they had contacted the carpet fitters to come and re-fit this and as they had not done so had asked workmen in the home to attend to it. Workmen were observed in the home installing a new shower. The laundry is situated away from food preparation areas and is fitted with an impermeable floor. The home have purchased as specialist system, which is linked to the washing machine and eradicates all bacteria, which may be present in washing. Residents clothing is labelled to ensure people are wearing their own clothing. All Staff are trained in infection control and the home provides staff with appropriate protective clothing and gloves. Liquid soap and paper towels are available in all areas with communal hand washbasins. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. Staff in the home are trained, skilled and employed in sufficient numbers to fill the aims of the home and meet the changing needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home currently employs nineteen care staff who are supported by the management, and ancillary staff. A copy of the staffing roster was sent to CSCI prior to the inspection, which indicated that there is sufficient staff on duty to meet the needs of the residents. The majority of the care staff working in the home prefer to work 12hr shifts, they are on duty from 08.00am to 08.00pm and waking night staff work from 08.00pm to 08.00am this enables staff to provided greater consistency of care to the residents and develop positive relationships. One member of staff had rung in sick on the day of the inspection visit and arrangements were made for the shift to be covered by a bank worker who had previously worked at the home for four years. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 21 Information provided in the pre-inspection report showed that 70 of the staff team have now completed National Vocational Qualification (NVQ) in care at level 2 or 3. The home has improved its recruitment procedures with all new employees now being checked via an umbrella agency in respect of Criminal record Bureau (CRB) checks and Protection of Vulnerable adult Checks (POVA). Three staff files were viewed and contained evidence that these checks had been completed prior to the home employing new staff. One file only contained one reference, however there was evidence that the manager had requested a second reference and was awaiting its return, this was in respect to an ancillary worker who would not have individual contact with residents. One file contained old references which were not relevant to a persons recent re-employment at the home this matter was discussed with the manager who gave a reasonable account as to way they had not taken up new references however the manager was advised to obtain recent references in respect to this person. There was evidence that the home is committed to staff development by providing mandatory and additional training. Staff training needs, are discussed in supervision and each member of staff has a staff training record. In discussion with staff they reported that they have completed several training courses. The home was awarded the investors in people award in 2004 and this is due to be reviewed. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 22 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 & 38 Quality in this outcome area is good. The management and administration of the home is based on openness and respect and has effective quality assurance systems developed by a qualified, competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes manager is qualified and experienced to manage a care home for older people and is committed too personal and staff development. In discussion with the manager they reported that they attend regular training courses to keep them up to date with changes. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 23 Residents meetings are held every six months and relatives and friends are invited to attend. The home feeds back information from the annual questionnaire at the residents meetings. Evidence provided in the pre-inspection questionnaire indicates that the manager has reviewed the home policies and procedures in light of changing legislation and good practice advice from the department of health. The home employs a maintenance person who makes repairs to the property. The manager also has plans to make changes to the home to improve the environment for the residents these plans were discussed earlier in the report. The home prefers residents to manage their own finances but there are facilities for safe storage of resident’s monies and valuables if required. Records and receipts of transactions are kept. In discussion with the manager they reported that they have taken on the responsibility of collecting one resident’s pension on their behalf, this is not the norm and has been arranged due to the persons, circumstances. The manager was advised to make out a contract for this arrangement and to obtain the persons signature. We saw evidence that the home arranges the regularly service and maintenance of electrical and gas installations. Hoists are also regularly checked the last date being Jan 2007. The manager has undertaken a fire risk assessment and in discussion with staff they demonstrated that they understood the fire procedure. There was evidence that fire safety equipment is serviced and a record is kept of weekly fire alarm tests. The manager ensures that staff adhere to heath and safety procedures within the home buy setting an example and providing mandatory training which includes health & safety in the workplace, food hygiene, manual handling, fire safety and infection control. The home has a locked storage facility for substances considered hazardous to health (COSHH) and a COSHH risk assessment had been undertaken. The manager has undertaken a generic risk-assessment of potential hazards throughout the home and has taken action to minimise or eliminate these hazards. Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 24 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 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 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 Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations Development of leisure and recreational activities is recommended to increase opportunities for stimulation, in line with residents’ needs, preferences and capacities. It would be advisable that you obtain 2 references in respect of the staff member discussed at the inspection. 2. OP29 Limes, The DS0000054200.V326867.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Limes, The DS0000054200.V326867.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. 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