Inspection on 20/02/06 for The Meadows

This inspection was carried out on 20th February 2006.

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

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

Other inspections for this house

The Meadows 28/06/06

The Meadows 02/08/05

The Meadows 07/03/05

The Meadows 11/08/04

The Meadows 26/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE The Meadows Wrenbury Crescent Berryhill Stoke on Trent Staffordshire ST2 9JZ Lead Inspector Mr Berwyn Babb Unannounced Inspection 20 & 27 February 2006 14:00 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 Meadows DS0000032500.V284115.R01.S.doc Version 5.1 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 Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Meadows Address Wrenbury Crescent Berryhill Stoke on Trent Staffordshire ST2 9JZ 01782 234750 01782 234751 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) Stoke on Trent City Council Mrs Diane Marie Ackley Care Home 54 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (54), Physical disability (5), Physical disability over 65 years of age (54) The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 Physical Disability (PD) - Minimum age 55 years on admission Date of last inspection 2nd August 2005 Brief Description of the Service: The Meadows is owned by Stoke on Trent City Council and managed by Stoke Social Services Department. The home was registered under the Care Standards Act to provide care for up to 54 elderly residents with a variety of needs, and five persons [min age 55] with physical disabilities [P. D.]. Currently work is almost completed to furnish it for the provision of Intermediate Care for 33 residents. Former permanent residents have been accommodated in a separate unit on the ground floor, and the intension is to take no new permanent residents into this unit, so that eventually it will close, and the providers will at that time, apply for a variation to reduce the number for whom the home is registered, from 54 to 33. Accommodation is currently provided in single bedrooms on two floors serviced by a lift. Because of their differing functions, these will be treated separately, commencing with the ground floor. The living/dining area on the ground floor is separated by a partition from the new activities area. This contained a video library, floor skittles, ball game, music centre, polythene blown up darts, quoits, a range of table top board games including the ever popular bingo, and in one corner there was a set of imitation stairs to assist with assessing mobility. This area leads on to the kitchen/diner with a section containing easy chairs, and a television. The windows give a view of the car park and grassed and sitting out areas. In the former entrance lobby, a set of exterior doors have been provided directly onto the path by the patio, giving protected access to the soon to be extended car park. This change aims to make it safer for residents entering and leaving the home, than the former route to the street that had the alwayspresent danger from passing vehicles. A hoped for extra benefit being that it will make it more amenable to other residents of the street. Currently 13 permanent residents occupy this ground floor, and the bedrooms being retained have all now been fitted with the type of door required by the fire officer, and fitted with suited privacy locks that can, in case of emergency, be overridden by staff. They are of a type approved by the fire officer, in that, The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 5 opening the door from the inside is achieved with the same single action, whether the privacy lock has been engaged or not. Until all the work required by the fire officer has been completed, no further redecoration will take place in this area, which consequently looks rather dowdy by comparison with the rest of the home. The L. A. representative also assured the inspector that the toilets were in line for a total refurbishment, as they no longer reflected the current expectations of 21st C. residents. Upstairs there is quite a different picture. Redecoration in lighter pastel shades has created an airy aspect that lifts the mood of corridors, and makes private and communal rooms positive places that reflect their new role. Work is almost completed to convert a former bathroom into a re-ablement assessment laundry and extra separate toilet. A stainless steel topped sink unit had already been installed, to be shortly followed by washer and dryer. Hot water pipes had been covered to prevent accidental scalding, and the inspector was given the date of 31st March 2006 for the fitting of protective covers to all radiators in the building to which residents will have access. There are also two assessment Re-habilitation Kitchens, one fitted with lower level work surfaces, for residents confined to a wheelchair. There is a doctor’s room, which is situated next to the Occupational Therapists Office. These adjoin a meeting/training room, where weekly reviews can be held. What was formerly the matron’s flat continues as sleep in quarters for staff, together with a room for the handyman, and toilet facilities for the meeting room. Like those on the ground floor, the old bedroom doors had been replaced with new fire retardant doors, fitted with suited privacy locks. There is a new lounge/diner and a separate, in addition to the dedicated dining room, and a quiet lounge. The nearby toilets are said to be under review for further upgrading. All bedrooms now have a television in them. Currently 27 are available for occupation, 20 of which were in use during this inspection. There are small Breakaway areas sitting two to four people found at intervals around the home. The spacious grounds are mainly put to grass, but former shrubberies have suffered wholesale pruning recently and now only exhibit discarded litter amongst the severed stumps. Future plans in hand to further extend the existing car park, which has already been re-ordered to provide a safe and secure putting down and picking up point. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection since The Meadows embraced its new role as one of the homes where Stoke City Council provides Intermediate Care [also known as “Step down beds”]. The remaining permanent residents were being accommodated on the ground floor, where further work has to be done to achieve the total dedication of space, referred to in the standards. Those permanent residents who spoke to the inspector were not anxious for this complete separation to happen, as they said that meeting all the new people passing through the home for Intermediate Care enlivened their lives, and made the days more interesting. Eventually, there will be no permanent beds. The actual inspection was carried out over two succeeding Mondays in February. The first was devoted to discussing with the Registered Manager and members of her management team the current status and implications of the alterations at The Meadows, and how they were meeting the needs of residents, what arrangements were in hand for staffing, what training was planned, and what already achieved, and reading a small sample of care plans chosen at random. The second was spent with her line manager, Mrs. Cumberbatch, touring the facility, and talking [unaccompanied], to residents, both those staying for a maximum of six weeks before returning to more independent living, and those who had made it their permanent home. Both groups were overwhelmingly positive in their praise for the staff, the care they were given, and the food they received. Those receiving Intermediate Care were also delighted at the existence of a service designed to help them regain their independence. Minor snagging work needed to be done to those recently redecorated surfaces where the new fire compliance work has caused minor damage. This is not intrusive, and the overall presentation was one of light and cleanliness, especially on the first floor, and in fact every area of the home was been found to be thoroughly clean. What the service does well: The Meadows has a good history of providing care for elderly frail residents, employing staff from the local area that understand, and are able to relate to and help residents continue to enjoy, the culture and regional identity of Stoke-on-Trent. It is hoped this will be carried over into its new role. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 7 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 Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 The home demonstrated an engagement with the need to provide both permanent and intermediate care to improve the life experiences of frail elderly people. EVIDENCE: The inspector was able to interview nearly half of the residents receiving intermediate care, and without exception they were delighted with the service being provided. On his tour of the facility he was able to observe equipment for treatment and therapies, but more importantly, those designed to assist residents resume independence in their activities of daily living, and in their mobility. These included low-level surfaces, exercise bars, perching stools, walking aids, and a variety of gadgets to help open things with one hand, or Arthritic hands, and for reaching objects and picking them up. He also saw the creation of new spaces, specifically designed to enhance re-ablement. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 10 In his discussion with staff, he learned of the training that had taken place to re-equip them for their new role, of the input of other professions such as occupational therapists, and of the redeployment of some staff from other establishments that had previously specialised in Intermediate Care. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Discussion, observation, and documentation demonstrated that good records of health and social care needs were supporting care practices that respected peoples individuality and ensured they received the right health and social care to enable them to live their lives as fully as possible. EVIDENCE: The inspector examined a random sample of care plans from both groups of residents, and found in them clearly set out details of the assessed needs and expressed choices of those residents, together with procedures for assisting them to meet these. It was pleasing to find in the plan of one gentleman permanent resident who is more physically active than many of his peers, that he had been introduced to the Social Club in Berryhill Village. He said that he now enjoyed visiting there, and feels this had done much to improve his quality of life. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 12 In the notes relating to health care, there was substantial evidence of the involvement of health care professionals, as dictated by the individually assessed needs of the resident. There were references to appointments with Consultants and General Practitioners, and records of body mass, tissue viability, known allergies, contacts for such specialists as the Diabetic centre, continence advisors, and wound care specialists. For short-term residents undergoing a period of rehabilitation, two General Practitioners had agreed to provide an intensive dedicated service. The choice of one resident not to take a prescribed medication was linked to the advice given to her about the possible consequences of her decision, and advice to staff on what to be aware of. In all plans [Intermediate Care group] there were risk assessments to establish the advisability of that resident administering their own medication, and a local pharmacy had agreed to dispense either in blister packs or in bottles according to individual preference, and to undertake home delivery following discharge, if this was desired. When touring the home the inspector was shown equipment now fitted to aid residents who needed to take exercises as part of their rehabilitation programme. The installation of these had been under the supervision of an Occupational Therapist, and the inspector was able to meet two such professionals who had moved their base to a dedicated office at The Meadows. They discussed with him the improvements being experienced by having an integrated service designed to assist people to recuperate and return home. One lady, who appeared a little confused, was concerned that she would not be able to pay for all the care she had received in hospital and was then receiving at The Meadows, so the Registered Care Manager agreed to ensure that she was regularly re-assured that National Health Service provision was free at the point of delivery. Everyone spoken to during this inspection, whether permanent residents, or those in for intermediate care, were very positive about the way they were looked after by the staff of the home, and two ladies, independent of each other [they were in different lounges], used the expression “Like a five star hotel”. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14,15 Residents stated their satisfaction with the food, and with the choices they experienced within the home. EVIDENCE: The inspector was able to talk to a cross section of the residents, and was told that staff were very good in attending to their needs and generally looking after them, in a manner that whilst friendly, did not invade their privacy or dignity in any way. They were all most satisfied with the management of daily activities, and as well as valuing the opportunity to exercise their religious freedom. The inspector was told by residents that the food had been wholesome and appetising all the time they had been in the home. Menus showed variation and inclusion of local dishes, and the cook, when questioned, confirmed that she had never experienced any trouble in being provided with the resources she needed to provide a balanced diet for the residents. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 14 Four ladies in one of the first floor re-habilitation lounges stated that whilst they were all looking forward to returning to their own homes, they fully appreciated the way staff were en-ableing them towards their goal, and wanted it put on record that they wanted their praises known for the “Absolutely amazing service”. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 Discussion with both residents and management demonstrated that there was an active and accessible complaints procedure, and that staff were concerned to ensure that civic rights such as voting, were protected for those residents needing assistance to undertake such tasks. EVIDENCE: A group of four ladies who entered into a discussion with the inspector told him that whilst they had been appraised of the complaints procedure available in the home, far from having any complaints, they were absolutely amazed at the quality of the service being provided, and wanted their praise recorded. In a discussion with the Registered Care Manager, the inspector learned of the steps taken to obtain postal votes for those residents unable to attend the polling stations in person. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,26 The environment in which residents were accommodated had undergone major refurbishment to fit it for its new role. With the exception of completion of work recommended by the Fire Officer, it was safe, and maintenance was catching up with areas mentioned in the previous report, making it generally pleasant, and clean. EVIDENCE: A full tour of the home was conducted on the 2nd day of the inspection, in the company of Mrs. Linda Cumberbatch, representing Stoke-on-Trent City Council Social Service Department. Talking [unaccompanied], to residents, both those admitted for Intermediate Care and those who had made it their permanent home, the inspector found both groups to be overwhelmingly positive about the current state of The Meadows The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 17 Those receiving Intermediate Care were also delighted at the existence of a service designed to help them regain their independence. Minor snagging work needed to be done to those recently redecorated surfaces where the new fire compliance work has caused minor damage, and the lower floor awaited completion of its refurbishment programme. This apart, the need to complete the decoration was not intrusive, and the overall presentation was one of light and cleanliness, especially on the first floor, and in fact every area of the home was been found to be thoroughly clean and hygienic. In shared facilities much improvement had taken place to make The Meadows a more pleasant place to live. Worthy of especial notice has been the expanding provision of smaller dining areas, often as a diner/lounge or diner/kitchenette combination, and these have to be a welcome step in deinstitutionalising the style of care provided. Similarly, especially on the first floor, there were small “Breakaway” areas, where two or three people could go for more privacy or some quiet time, without having to go to their bedroom. These areas would be especially useful for entertaining visitors. When touring the home the inspector was shown equipment now fitted to aid residents who needed to take exercises as part of their rehabilitation programme. The installation of these had been under the supervision of an Occupational Therapist, and the inspector was able to meet two such professionals who had moved their base to a dedicated office at The Meadows. They discussed with him the improvement this had brought about in their ability to assist people to recuperate, and then return to their own home. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 The assessed needs of the different groups of residents, was being met by a mixture of health and social care staff, whose histories showed them to be experienced, trained, and qualified to undertake their roles in promoting the care of the residents. EVIDENCE: In its new role, The Meadows undertakes the care of two separate groups of individuals, with differing assessed needs and long term outcomes. It seeks to meet these needs using a mixture of directly employed social care staff, and health care staff to whom it plays host, and health care staff operating in, and from, hospitals, clinics, surgeries, and other specialist centres. The matrix of how these different staff groups work together was still emerging, but early signs were most encouraging. Health staff said they valued having a base on site, and social cares spoken to said how much they were learning from their health colleagues. Residents commented on how enabling they found the input of the various people to be, and valued it as a prop to their desired outcome of returning home. [Intermediate Care residents]. Observations made on both days supported their views that they were receiving appropriate care in a manner that whilst professional, was also friendly and sensitive to their dignity. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 19 Records showed a commitment to continuous in service training, and an expansion in take up for N. V. Q. courses. Domestic cover was observed to be provided seven days a week between 8am and 7pm, with a separate worker for each floor of the home, together with one in the laundry and another in the kitchen. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 Other key standards were covered in the previous report of 02/08/05, and from this inspection it appeared that proper procedures were in place to measure the quality of the service being provided. EVIDENCE: Stoke-on-Trent City Council Social Service Department who own The Meadows operate an annual program for the maintenance and development of all their properties, to ensure they meet the current needs of the population of the city. At a provider level, the activity of their homes is monitored through regular monthly visits from a member of the senior management team, who then produces a report on what they found, and any items that need attention or placing on the agenda for the coming year. Copies of these reports have been received by The Commission for Social Care Inspection after each visit. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 21 They have recently extended the scope of the satisfaction surveys that were previously given to residents and their relatives, and these are now being distributed to other people concerned with the well being of residents, such as social workers, General Practitioners, and other health professionals. The inspector was able to peruse the file where returned questionnaires were collated, and saw that there was a high level of satisfaction expressed. This was further supported by the file of letters and cards received from families, many of whom had written to express their gratitude for the peace of mind they experienced because of the quality of care their relative had received. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 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 X X X X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 X X 3 X X X 3 STAFFING Standard No Score 27 4 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X X The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP19 Regulation 23 (4) Requirement Outstanding recommendations made by the Fire officer must be implemented by the agreed time of 31 March. Radiators and hot water pipes must either be of a low temperature surface construction, or have guards over them to prevent the danger of accidental burning to residents. Timescale for action 31/03/06 2 OP25 13 (4) 31/03/06 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 OP31 Good Practice Recommendations All staff must be issued with contractual documentation relevant to their current status. This particularly applies to ensuring that when a person is promoted, they have a written job description for their new post. The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Meadows DS0000032500.V284115.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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