Inspection on 24/09/07 for The Old Rectory

This inspection was carried out on 24th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Old Rectory 08/07/08

The Old Rectory 20/12/07

The Old Rectory 24/11/06

The Old Rectory 30/01/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Old Rectory (The) Langton Matravers Swanage Dorset BH19 3HB Lead Inspector Catherine Churches Key Unannounced Inspection 24th September 2007 11:00 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 Old Rectory (The) DS0000064826.V351032.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. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Old Rectory (The) Address Langton Matravers Swanage Dorset BH19 3HB 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) 01929 425383 F/P01929 425383 JLH Healthcare Ltd vacant post Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of six service users in the category DE(E) may be accommodated. 24th November 2006 Date of last inspection Brief Description of the Service: The Old Rectory is situated in the centre of Langton Matravers, a rural village on the outskirts of Swanage. The village has a Post Office, newsagents, bakery, public house and church. There is a bus stop outside the home. The home is registered to accommodate a maximum of 19 people in the category of Old Age. There were 12 people living in the home on the day of the inspection. Accommodation is arranged on the ground and first floor levels in thirteen single rooms and 3 double rooms. All except one of the rooms have ensuite facilities. There is a passenger lift to the first floor. The home is a very old building and in some areas there are additional small flights of stairs to some bedrooms and the dining room. The home is in the middle of a major extension which will provide new a new kitchen, dining room and lounge as well as improved hygiene facilities and sixteen new bedrooms. Fees at the time of the inspection ranged from £414 to £650 Old Rectory (The) DS0000064826.V351032.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, which took place on 24th September 2007. In total five hours were spent in the home undertaking the inspection. The home currently has no registered manager – the owner, Mr Haigh has appointed a person who is acting in the role whilst awaiting registration. The inspection took place as part of the regular, programmed inspection schedule for the home. The last inspection was November 2006. The purpose of this visit was to monitor the homes compliance with National Minimum Standards and progress with requirements and recommendations made during the previous inspection. Also, to check that the home is run in a satisfactory manner and that the people who are living in the home are properly cared for. The premises were inspected and a number of records examined. Time was also spent time observing routines within the home and talking with residents, visitors and staff. The home is in the final stages of a very large extension which has lasted many months. The owner, proposed manager, and staff have done their utmost to minimise the disruption caused to residents. However, the work is now in its final stages and has meant that residents have had to cope with a higher level of disruption than previously. This has lead to concerns being voiced by relatives and visiting professionals. None of the residents themselves raised any concerns during the inspection. What the service does well: The proposed new manager has made a good assessment of the performance of the home and has prioritised those issues to be addressed as well as taking a hands on approach both with the care of the residents, staff management and the completion of the building work. This has boosted staff morale and attitude, which in turn has given residents a better outcome. Activities have been more difficult to undertake with limited communal space but the manager and staff have done their best in a difficult situation. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Assessments and care plans need to be more detailed about each need and how it is met, as currently the home does not evidence the actual care that is given. Reviews must reflect any changes noted elsewhere in notes and include a plan of action to meet any changes in need. Nutritional assessments should be undertaken and the information gathered in the monthly review should be used to inform and update the care plan. Risk assessments need to become real documents rather than a paper exercise so that where a risk is noted action is then taken and recorded to reduce the hazard. Scales should be provided which can weigh all residents. Any healthcare problems or visits from health professionals must be clearly documented together with an audit trail of actions taken, visits made etc. Medications prescribed but not printed by the Pharmacy on the Medication Administration Recorded must be checked and counter signed by a second person, trained in the administration of medicines. An audit trail for the receipt and investigation of a complaint should be in place and available for inspection. The reason for the presence of offensive odours in some areas of the home should be investigated and addressed. Their presence suggests either/or poor cleaning practices or poor management of continence problems. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 7 Staffing structure needs to be improved to ensure that there are other senior staff on duty and able to take charge of the home in the absence of the proposed manager. Quality monitoring systems in the home are being reviewed and improved. This means that in future the home will be able to evidence that it is meeting its stated Aims and Objectives and delivers effective outcomes for the people who use the service or show where improvements are required. To ensure the best possible response to an emergency, the home should carry out unannounced fire drills to test staff learning and ensure that theoretical plans will work in practice. 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. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory pre admission procedure is in place. Assessments are undertaken and this means that the home tries to ensure that only those residents whose needs can be met by the home are offered places at The Old Rectory. EVIDENCE: One person has been admitted to the home since the appointment of the proposed manager. The pre-admission assessment for this person was examined and found to contain all of the required information. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 10 Evidence was available that the resident and/or their representative had been involved. Advice was given that assessments should be carried out on people returning to the home from hospital or for additional respite visits. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Each individual has a care plan and these have been reviewed. The care plan does not reflect the care that is being delivered. The review does not reflect that changes in need have occurred. This means that the home cannot provide consistent evidence that appropriate care is delivered at all times. EVIDENCE: The care documentation for three residents was reviewed. Each file contained a variety of risk assessments, care plans, daily records and reviews. Care plans lacked detail about individual care needs and how these were to be met. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 12 Some assessments of moving and handling needs, pressure sores and mental health problems had assessed residents as high risk but no action to reduce the risk was recorded and there were no instructions to staff. Evidence was available that the resident and/or family member had been involved in the creation of the care plan. Mobile residents were being weighed once a month on standard bathroom scales. There is no provision for the less able to be weighed, therefore little or no monitoring of their nutritional health is taking place. Residents confirmed that they have access to medical services. Records of visits from GP’s, district nurses, chiropodist, optician and dentist were not always up to date. It was found in various records that illnesses such as a Urinary tract infection and the actions taken were not documented, a request for a District Nurse visit had also not been recorded nor had any follow up. Medicines are stored securely and only those staff that have undertaken appropriate training in medicines administration are authorised to give medicines to the residents. Records were kept of the receipt, administration and disposal of medicines. Examination of records indicated that medicines are properly administered in accordance with the prescriber’s instructions. However, where additional items have to be handwritten on the Medication administration record, these were not being checked and counter signed by a second member of staff. All residents spoken with said that their privacy is respected and that they were treated with dignity. Staff were seen to knock at bedroom doors and treated residents with courtesy and kindness. All residents seen were well presented. Old Rectory (The) DS0000064826.V351032.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 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Social, cultural and recreational activities are dependent on individual preferences and the resident’s capacity for involvement. Open visiting arrangements are in place enabling residents to retain contact with families and friends. Residents have the opportunity to choose their own lifestyle within the home and this means that their individual preferences and routines are respected. Dietary needs of the residents are well catered for with a balanced and varied selection of food available that meets resident’s tastes and needs. EVIDENCE: Residents are encouraged to continue any interests that they followed prior to moving to the home. They are assisted to get to a community tea once a Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 14 fortnight, there is a weekly communion service in the home, visiting entertainers, reminiscence therapy, visiting library service and various videos, music etc is available in the lounge. Due to building works and the effect this has had on the communal spaces in the home, there have been fewer group or planned activities. Staff confirmed that they will undertake an activity whenever possible and that more time has been given to one to one sessions in resident’s rooms. Visitors have been encouraged to come more often and to take residents out wherever possible. The proposed manager also plans to hire a minibus for some day trips on days where building works will be at their worst. The visitor’s book was not seen but staff confirmed that there is a constant stream of visitors to the home and discussions with staff confirmed. Discussion with residents and staff as well as examination of records evidenced that residents are assisted appropriately to exercise choice and control over their lives. Residents confirmed that a suitable and varied diet is provided in the home. The new kitchen was almost complete and a new chef will be employed. At this point it is planned to review menus and further improve choices available to residents. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Old Rectory has a satisfactory policy and procedure for the making of complaints. This means that residents and others involved in the home that may wish to make a complaint should feel confident that they would be listened to and matters of concern will be acted upon. Arrangements for protecting service users from abuse were satisfactory. This means that The Old Rectory is a safe environment that tries to ensure that residents are protected from abuse. EVIDENCE: The Old Rectory has a satisfactory complaints procedure that is displayed in the home as well as included in the Service Users Guide. Those spoken to confirmed that they knew how to make complaints and would feel able to do so should the need arise. One complaint had been made to the home since the last inspection. The proposed manager confirmed that he had passed this to the owner of the home to investigate. No paperwork was available to allow an assessment as to whether the complaint had been dealt with satisfactorily. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 16 Policies and procedures for adult protection and whistle blowing were checked and found to be satisfactory. Staff have also received training in the signs and symptoms of abuse and action they should take should they suspect abuse is taking place. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is in the final stages of a major extension and refurbishment. Resident’s bedrooms remain unaffected except for the dust caused by the building works. They are able to personalise their rooms and the home is warm and well lit. A number of issues such as the unreliable lift, poor door locks and problems with provision of hot water, which were highlighted at the last inspection, are being addressed through the current works. Offensive odours were detected in some areas of the home. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 18 EVIDENCE: A tour of the premises confirmed the extent to which the building work has now affected the home: All communal space except one lounge with a television and four chairs has been lost, carpets were being removed from corridors and other work involved in knocking together the new and old parts of the home was in its final stages. The proposed manager and staff confirmed that they had taken every step they could to minimise disruption wherever possible and that extra staff were on duty whenever they were available to help provide a higher than normal one to one service to residents whilst in their rooms. During the last inspection it was noted that once building works were complete there would be a major access issue to the upper floor of the old part of the building. This has been reviewed and a second lift shaft was in the process of being installed in the original part of the home. All residents have keys to their rooms but the locking system used is not acceptable as it could be abused. A review has also highlighted that some doors are not of a specification that the owner and manager are happy to accept so a programme of fitting new doors with suitable locks has been implemented. At the last inspection it was noted that the supply of hot water to resident’s rooms, ensuite facilities and bathrooms can be unreliable. Again, it is anticipated that this will be addressed during current building works. Staff had a good understanding of infection control procedures and the relevant protective clothing was available. There was a detailed infection control policy in the home that covered all of the required areas. Training records were available to demonstrate that most staff have undertaken appropriate training and a plan was in place for those still requiring training. Continence management should be reviewed as offensive odours were detected in some areas of the home. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 28 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The deployment and number of available staff was sufficient to meet the needs of the residents. Further progress has been made in ensuring that staff have achieved recognised training courses. This means that staff a higher ratio of staff now have the basic competencies required of them. EVIDENCE: Examination of the staff rota and observation throughout the inspection demonstrated there was a sufficient number and skill mix of staff to meet the needs of residents. Staff and residents spoken with confirmed that they were satisfied with staffing levels. The staffing structure of the home is very flat with only senior carers and no deputy manager. There is also no admin support. All this gives the proposed manager less time for the day-to-day management of the home. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 20 Four of the thirteen care staff have achieved NVQ level 2 and a further three are studying for NVQ level 2. Three of the staff with level 2 have also achieved level 3 and 2 have gone on to study at level 4. No staff have been recruited under the management of the proposed manager. Procedures were discussed and it appeared that the proposed manager had a good understanding of suitable policies and procedures. The proposed manager confirmed that he was aware if the Skills for Care Induction programme and that this will be implemented when new staff are recruited in the future. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management arrangements for the home support good care practice for the residents. Quality monitoring systems are being improved and this provides further evidence that the home will be run in the best interests of the residents. Resident’s finances are safeguarded with clear policies and procedures and management guidance. The health, safety and welfare of residents and staff is potentially being put at risk due to poor practice in staff training relating to fire prevention. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 22 EVIDENCE: Systems for quality assurance and resident consultation have been developed with the aim of ensuring that the home is run in the best interests of the residents and that performance issues are identified and addressed. These are not yet fully implemented but progress is being made. The proposed manager confirmed that residents are encouraged to retain control of their own finances for as long as possible. Where they state that they no longer wish to or they lack the capacity to do so then the home ensures that either family or other representatives such as solicitors take on this role. The home holds a small amount of cash for a number of residents. A sample number of cash balances and records were checked and found to be satisfactory. Fire records, staff training records and accident books were examined and found to be up to date. Staff fire training was due for renewal and plans were in place to address this. It was noted that the content of the training was not recorded and that drills were being undertaken as part of the training rather than without warning to test skills. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 2 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 2 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X 2 Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(1) Requirement All residents must have a plan of care from the day of admission which sets out in detail the actions that must be taken by staff to ensure that all aspects of their health, personal and social care needs are met. Care plans must be reviewed regularly and any changes must be reflected in the care plan. If changes occur before the planned date of review then these must be added to the care plan. All medical/healthcare needs must be recorded and suitable action taken. Nutritional assessments must be carried out and regularly reviewed. Scales, which can weigh all residents, must be provided. Further work must be undertaken with regard to quality assurance systems in the home in order to demonstrate that the home is meetings its aims and objectives and is run in the best interests of the residents. DS0000064826.V351032.R01.S.doc Timescale for action 30/11/07 2. OP8 12(1) 30/11/07 3. OP33 24(1) 31/12/07 Old Rectory (The) Version 5.2 Page 25 4. OP38 23(4) 24/09/07 This repeated for a third time but progress has been made The content and duration of staff 30/11/07 training in fire safety should be recorded. Fire drills should be held without prior warning of the staff to enable management to assess the adequacy of training 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. 2. Refer to Standard OP9 OP16 Good Practice Recommendations Handwritten entries on the Medication Administration Record should be checked and counter signed by a second trained member of staff. A record must be kept of all complaints made and this must include details of the investigation and any action taken. 24/09/07 This repeated for a second time. Doors to service users private accommodation must be fitted with locks suited to service users capabilities and which are accessible to staff in emergencies. 24/09/07 This repeated for a second time but progress has been made Action must be taken to eradicate offensive odours which were detected in the home. A review of the staffing structure should be undertaken to ensure that the manager has back up and support to enable the management of the home to be undertaken. 24/09/07 This repeated for a second time but progress has been made 3. OP24 4. 5. OP26 OP27 Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 26 6. OP28 A plan must be developed and implemented to ensure that the minimum requirement of 50 of staff trained to NVQ 2 is achieved as soon as possible. 24/09/07 This repeated for a third time but progress has been made. Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Old Rectory (The) DS0000064826.V351032.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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