Inspection on 19/06/07 for The Lodge Walton

This inspection was carried out on 19th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Lodge Walton 18/12/08

The Lodge Walton 26/09/06

The Lodge Walton 26/01/06

The Lodge Walton 31/08/05

The Lodge Walton 27/01/05

The Lodge Walton 10/08/04

The Lodge Walton 11/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Lodge - Walton 82 Kirby Road Walton On Naze Essex CO14 8RJ Lead Inspector Ray Finney Unannounced Inspection 19th June 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Lodge - Walton Address 82 Kirby Road Walton On Naze Essex CO14 8RJ 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) 01255 850809 N/A Mr Ramesh Chandra Chopra Mrs Renuka Rani Chopra, Mr Rajeev Chopra Mrs Rosalind Beechener Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20), of places Physical disability (2) The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 20 persons) Three persons, under the age of 65 years, who require care by reason of a physical disability, whose names were made known to the Commission in May 2003 The total number of service users accommodated must not exceed 20 persons 26th September 2006 Date of last inspection Brief Description of the Service: The Lodge is a detached two-storey property, situated in a quiet residential area on the outskirts of Walton-on-the-Naze. There is a car park to the front of the property and well-maintained attractive gardens to the rear. The property is on a local bus route, and has easy access to the town. The home provides care and accommodation for up to 21 older people in single rooms. Accommodation is provided on two floors; access to the first floor is by means of a passenger lift and stairs. Communal areas include a lounge and a pleasant dining room. The home charges between £375.00 and £500.00 per week with additional charges for hairdressing services and for personal items such as newspapers, toiletries and sweets. This information was provided to us in June 2007. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was looked at when compiling this report. Documentary evidence was examined, such as menus, staff rotas, care plans and staff files. Completed surveys were received from people living in the home and their relatives. The manager and proprietor completed an Annual Quality Assurance Assessment with information about the home. Any references to this document throughout the report will be referred to as the AQAA. A visit to the home took place on 19th June 2007 and included a tour of the premises, discussions with the manager, the proprietor, members of staff and conversations with people living in the home. Observations of how members of staff interact and communicate with people living there have also been taken into account. On the day of the inspector’s visit the atmosphere in the home was relaxed and welcoming and the inspector was given every assistance from the manager and the proprietor. What the service does well: What has improved since the last inspection? Overall record keeping has improved since the last inspection and significant work has been done in improving and developing care plans. The care plans contain sufficient detail to ensure that people living there receive care in the way that they need and want. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 6 Improvements have been made to the gardens, including replacing fencing and paved paths, making security better for the people living in the home. 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. The Lodge - Walton DS0000018013.V343699.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 The Lodge - Walton DS0000018013.V343699.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): 1 and 3 (standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People choosing to live at The Lodge can be confident they will receive appropriate information about the home and their needs will be assessed before admission. EVIDENCE: Since the last inspection the home has updated it’s Statement of Purpose and Service User Guide so that people wishing to move in have enough information about what the home offers. All eight completed surveys received from people living in the home or their relatives indicated that they had received enough information about the home before moving in. One person said, “I visited a total of five homes in the area before deciding on The Lodge”. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 9 There have been improvements in the way the needs of people wishing to move in to the home are assessed. A sample of three peoples’ records was examined and all contain a full assessment of needs that includes a past medical history and details of social interests and hobbies. The pre-admission assessments now contain more detail and cover a wide range of areas including a physical health assessment, a mental health assessment and assessments of the person’s needs around nutrition, moving and handling, falls, behaviour and pressure sores. Records examined also contain evidence of recent review of people’s assessments. The Lodge - Walton DS0000018013.V343699.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals can be confident that their personal and healthcare needs will be met in The Lodge. There are appropriate systems in place that make sure the administration of medication is safe for people living in the home. People can be confident that they will be treated with respect and dignity. EVIDENCE: At the time of the last inspection, care plans needed to be improved to provide greater detail that would ensure that individual’s needs are being met. A discussion with the manager confirmed that care plans have been developed further. A sample of three care plans was examined and all have been updated recently. There is clear evidence that people’s care plans are linked to the assessment process. Care plans identify the need or the problem and set goals and objectives. The plans of care to meet the identified needs contain sufficient detail to ensure care is provided in the way people wish. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 11 There was a discussion with the manager about finding ways to include further details such as a background history of the person. The manager said they are aware that there are always ways to improve and they are continuing to develop the process for recording care plans. Care plans examined contain monthly progress and evaluation sheets. Care plans are personalised with individual photographs. The home continues to meet people’s healthcare needs. Care plans examined contain evidence of input from healthcare professionals including GP, optician and hospital visits. Completed comment cards were received from GPs and contain positive responses about the home’s healthcare. Individual records examined contain charts for monthly recording of weight and details of the person’s current prescribed medication. There are risk assessments in place covering areas identified through the assessment of needs process. Risk assessments identify what the risk to the individual is and what precautions are to be taken to reduce the risk. One relative who responded to our survey commented that they are “very satisfied with the level of care provided”. The home operates a Monitored Dose System for administering prescribed medicines. At the time of the inspection, one person in the home was selfmedicating and keeps the medication in the cupboard in the bedroom. There was a discussion with the manager about ensuring that all those living in the home have a lockable cupboard. As part of the home’s improvement plan they are considering the best way to ensure people have secure storage for valuables. A tour of the premises showed that medication is stored securely. Medicines Administration Record (MAR) sheets were examined and found to be completed appropriately. On the day of the inspection interactions between staff and people living in the home were observed to be appropriate and polite. One relative who completed a survey commented, “The staff are efficient, polite and caring. My relative feels safe and happy there and I feel confident that they are in good hands.” The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall The Lodge provides people who live there with variety and choice, although their lifestyle would be better if there was more stimulation in their daily lives. People living in the home benefit from maintaining good contact with family and friends and they are provided with wholesome, appealing meals that they enjoy. EVIDENCE: There has been some improvement since last inspection when it was reported that there was no evidence that planned activities were taking place. Records examined indicate that the home has a programme of weekly activities including word games such as ‘compete the proverb’ and ‘cockney rhyming slang’. However, discussion with the manager and observations on the day of the visit indicate that they don’t always stick to a formal programme. On day of inspection visit the morning activity involved singing to old time records. Daily activity records indicate that there is quite a lot of watching TV and reading. A significant amount of time was spent observing what was going on in the lounge area. People living in the home spend time chatting to one another and some very friendly relationships are obvious. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 13 One person plays on the keyboard twice a day and was observed to enjoy the music and was singing with enthusiasm. One person commented, “Because of my medical condition I choose not to take part in activities as I get breathless very easily”. However, not all comments were favourable; one person responded, “I haven’t been told of any activities. It would be nice if there was”. Overall, a greater variety of activities would improve the quality of life for people living in the home. The home continues to support people to maintain family links and this is reflected in the good response to completed surveys received by us. Relatives say they can visit at any time. There is a quiet sitting area upstairs and quiet seating at one end of the dining room for people to entertain visitors in private if they wish. As at the last inspection interactions between people in the home and staff were observed to be friendly and appropriate. Staff spoken with said that they do try to involve people in doing things around the home. Menus were examined and show that there is a choice of hot meals at lunchtime. In the evening there is also a choice of sandwiches or a cooked light meal like bacon and eggs. The menus are varied and include a variety of foods. The cook explained that they use both fresh and frozen vegetables. Special arrangements for conditions like diabetes are well understood and the cook was able to demonstrate a good awareness of how to meet these needs. People spoken with said that they could choose what they want for dinner and staff find out what they want for lunch the following day and give the information to the cook. One person said, “There is a good variety of food, which is well cooked and appetizing” and another commented, “If I do not like what is on the menu one day they always offer an alternative”. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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. People who use the service have access to a clear and understandable complaint procedure that ensures that they are listened to. The home operates robust practices and procedures to ensure the protection of the people who live there. EVIDENCE: The home continues to have an appropriate complaints procedure in place. A copy of the complaints procedure is displayed in the hallway of the home. Relatives who responded to surveys and people spoken with confirm that they are aware of how to make a complaint and who to go to. Records examined show that there have been no complaints documented in the past year. There was a discussion with the manager about improving the process by recording minor concerns and how they have been dealt with, this was addressed promptly and the manager has adapted the recording format to include minor concerns. People living in the home are protected by staff who have had training to help them recognise signs of abuse and to understand their responsibilities about reporting any concerns they may have. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 15 Staff in the home are working through the abuse awareness package developed by the Essex Vulnerable Adults Protection Committee (EVAPC). In addition, further Protection of Vulnerable Adults (POVA) training is booked and there is a workforce planner in place identifying the training needs of all staff. Staff files examined contains enhanced Criminal Records Bureau (CRB) checks and discussion with the proprietor confirms that the home is to carry out further CRB checks for staff who have been employed for a number of years. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 16 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, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in The Lodge benefit from a safe and well-maintained environment that is clean and pleasant. People may be confident that their bedrooms are comfortable and they are surrounded by their own possessions. EVIDENCE: A tour of the premises confirmed that The Lodge is homely and comfortable. One relative commented, “It is not a large home and does not have the atmosphere of an institution. It is very homely”. The carpet in the lounge was due to be replaced; the proprietor was able to provide evidence that a new carpet has been purchased and it was to be delivered the day after the inspection visit. This is to be laid promptly by the home’s maintenance person. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 17 The carpet in the hallway has some minor repairs with tape and is in need of either more permanent repairs or replacement if people living in the home are to be safe. The gardens are well maintained and very pleasant. There have been improvements to the gardens since the last inspection to make sure that people are protected by secure gates and fencing. The paved path has been re-laid to ensure that it is level and there are no trip hazards. The proprietor explained that they have plans in place for making further improvements including widening the path to improve access for people living in the home. People’s bedrooms are well decorated and there is ample evidence that people are surrounded by their personal possessions. One person had a small fridge and this has been replaced with a full size one so they can be more independent about making snacks and drinks. The standard of cleanliness around the home remains good overall with no evidence of odours throughout. The equipment in the laundry is appropriate for the size of the home and there is an additional sluice room upstairs. However, the flooring in the laundry is damaged where one of the machines was removed and should be replaced to ensure people are protected by good infection control. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 18 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. People living in The Lodge benefit from a competent staff team, who are provided with an effective programme of training. The home’s recruitment procedure provides the safeguards to ensure that appropriate staff are employed. EVIDENCE: A discussion with the manager confirmed that the proprietor works out staffing levels using the Department of Health’s ‘Residential Forum’ assessment tool. Observations on the day of the inspection show that staffing levels are appropriate to meet the needs of people living in the home. Rotas were examined and they confirm that there are either two or three members of care staff per shift plus the manager, cook and cleaner. There are two members of staff on ‘awake’ duty at night. People spoken with are complimentary about the staff. Interactions between members of staff and people living in the home were observed to be relaxed and friendly. One person who completed a survey said, “My relative feels safe and happy in the home and I feel confident that they are in good hands”. Another responded, “I find the helpers/carers very kind and helpful”. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 19 Overall surveys and comment cards contained positive responses about staff. However, one person indicated that they feel there are not always sufficient staff on duty. The manager said that 50 of care staff have a National Vocational Qualification (NVQ) at level 2 or above. This information was also documented in the AQAA. One of the staff files sampled contains evidence that the member of staff has NVQ level 2 and level 3 and a member of staff spoken with confirmed this. The Lodge has an appropriate process in place for the recruitment of staff. A sample of three staff records were examined and all contain evidence of appropriate recruitment documentation. Enhanced Criminal Records Bureau (CRB) checks are carried out. Staff files could be improved by the addition of a checklist or contents sheet at the beginning to ensure all information required by regulation is present. The manager explained that the staff induction package has been updated in line with the Skills for Care Induction standards. The new package contains worksheets for staff to complete to demonstrate they understand the principles of care, the organisation and role of the worker, to maintain safety at work, to communicate effectively, to recognise and respond to abuse & neglect and to develop as a worker. The induction package also contains an Abuse Training pack. The workforce planner was examined and this confirms that essential training is provided, including Moving & Handling, Food Hygiene, POVA, Care Planning, Food and Nutrition in the elderly, Health & Safety, Dementia Awareness and Basic first Aid. The cook confirmed that domestic staff receive training in Moving & Handling of loads. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 20 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 Lodge is well run by a competent management team and people living there can be confident that the home is run in their best interests. There are health and safety systems in place to ensure the welfare of both individuals and staff. EVIDENCE: The manager has completed the Registered Manager’s Award and has a number of years experience in care. Since the last inspection there is improved communication between the manager and the proprietor and, as previously reported, there is a supportive relationship between the management team. The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 21 Discussions on the day of the inspection confirm that they are both committed to developing and improving the home and this is reflected in the improvements documented throughout this report. There have been improvements to the home’s Quality Assurance system. Records examined show that there has been a Quality Assurance audit and the information has been collated into a report. Evidence was examined that indicates the views of relatives are sought through periodic relatives’ meetings. The proprietors do not act as appointees for any of the people living in the home. Only small amounts of money are held to pay for items such as newspapers and toiletries. The process for recording and storing people’s money was examined. Monies are stored securely in individual folders in a lockable cabinet. People living in the home can be confident that they are protected by the home’s system for handling personal monies. Records examined indicate the home carries out appropriate maintenance checks. The home’s updated fire Risk Assessment was examined. Records show that fire training took place in June 2007, fire equipment was tested in September 2006 and the home received a visit from the fire officer in May 2007. The Lodge - Walton DS0000018013.V343699.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 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 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 16(2)(l) Timescale for action People living in the home should 31/08/07 each have a lockable storage facility so that they can store personal items securely. This relates to the person who is selfmedicating having secure storage for prescribed medication. People living in the home must 30/09/07 have access to a range of social and recreational activities that will provide stimulation and improve their lifestyle. The damaged area of the laundry 31/10/07 floor must be appropriately repaired or replaced so that people living in the home can be sure that there are good infection control measures in place. Requirement 2. OP12 16(2)(n) 3. OP26 23(2)(b) The Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 24 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 Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Lodge - Walton DS0000018013.V343699.R01.S.doc Version 5.2 Page 26 - 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!