Inspection on 09/08/05 for The Old Vicarage [Otterton]

This inspection was carried out on 9th August 2005.

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 Old Vicarage [Otterton] 03/03/08

The Old Vicarage [Otterton] 19/01/07

The Old Vicarage [Otterton] 01/02/06

The Old Vicarage [Otterton] 25/02/05

The Old Vicarage [Otterton] 06/10/04

The Old Vicarage [Otterton] 19/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE The Old Vicarage Ropers Lane Otterton Budleigh Salterton Devon EX9 7JQ Lead Inspector Vivien Stephens Unannounced 9 August 2005 th 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 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 Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Old Vicarage Address Ropers Lane, Otterton, Budleigh Salterton, Devon, EX9 7JF Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01395 568208 Mr Michael John Parkin and Mrs Patricia Ann Parkin Mrs Susan Gladys Tisdall Care Home 26 Category(ies) of OP - Old Age (26) registration, with number PD(E) - Physical Disability over 65 (26) of places The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25/02/2005 Brief Description of the Service: The Old Vicarage provides accommodation together with personal care to up to 26 older people who may also have a physical disability. The home is situated in the small village of Otterton in East Devon, midway between Sidmouth and Budleigh Salterton. Facilities in the village include a church, village hall, post office and general stores. The building is described in the brochure as a gracious and elegant house, mainly Georgian with Tudor origins that has been lovingly restored and converted to use as a care home. The home is fully carpeted, centrally heated and exceptionally well decorated, furnished and maintained. There is level access on both ground and first floors and a passenger lift between the two floors. There is level access to the gardens from the ground and first floors. All bedrooms are single occupancy with en suite facilities. All overlook the gardens; some have views of surrounding countryside. Trained level 1 and level 2 nurses are employed although there is no requirement for this in a care home not providing nursing. There is ample parking in the grounds. The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection began at 11am and finished at 2.30pm. During the visit the inspector talked to 8 residents, 2 visiting relatives, Sue Tisdall and some of the staff. The main focus of the inspection was to talk to residents and visitors and to find out what it’s like to live at The Old Vicarage. Some of the other subjects covered during the inspection were the administration of medicines, security, safety and the protection of vulnerable adults, recruitment of staff, and policies and procedures. What the service does well: Many of the residents already knew the home before choosing to move in permanently. Some had previously visited friends or relatives already living there, or were recommended by someone who knew the home well. Several have had short stays at the home. In this way the home already knew most of the prospective residents well, and have taken good care only to admit those people whose needs they are certain they can meet. Residents and relatives expressed the highest praise for the care and attention by the staff and confirmed that all needs have been met. Medicines are stored and administered safely. The home provides an excellent range of activities, outings and entertainments to suit all interests. Residents talked about the many things they enjoy doing and the happy and friendly atmosphere throughout the home. Friends and family are always made welcome. The home is an important part of the local community. Residents attend local events, and the home recently held a fete that the community were invited to attend, including the local school. The standard of meals provided is excellent. Fresh fruit and vegetables grown in the garden ensure the menus are nutritious and balanced. Individual likes, dislikes and dietary needs are catered for. The dining rooms are decorated and furnished to a high standard and attention is paid to the presentation of the meals. The home is a period style detached property set in large mainly level gardens. It has been maintained and decorated to a very high standard throughout. The decorations and furnishings are in keeping with the period style of the building and are of good quality throughout. There are 26 spacious single The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 6 bedrooms, each with en suite facilities. Residents are able to move about the home safely. Good procedures are in place to ensure that all concerns, grumbles or complaints are addressed promptly and satisfactorily. Residents are safeguarded from abuse by policies, procedures and staff training. The home employs a good level of staff to meet the needs of the residents. The home is well managed. The atmosphere is open, positive and supportive. 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 Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 4 The home takes good care to ensure they only admit people whose needs they can meet. All residents are given a clearly worded contract of residence that is updated when necessary. EVIDENCE: All residents have been given a contract of residence. A sample contract was seen and this showed that contracts are updated whenever a change is made. Each room has a copy of the residents’ handbook giving useful information about all aspects of the home. Residents talked about how they chose The Old Vicarage. Many residents knew the home well before they decided to move in. This was either through visiting friends or relatives already living at the home, through short stays at the home, or through personal recommendation by friends or professionals who know the home well. Sue Tisdall confirmed that she already knew those who have recently moved into the home. She said that she always visits prospective new residents wherever they are, either in their own home or hospital. She also obtains any professional assessments available. She The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 9 doesn’t, however, record her own assessment – this is recommended, especially where no professional assessment has been carried out. Residents, relatives and staff confirmed that all needs have been fully met by the home. Residents talked in glowing terms about the high standard of care provided, and praised the facilities and services. The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 9, 10 Medicines are stored and administered safely. Policies and procedures are in place but would benefit from expansion and updating. Staff treat residents with respect, and ensure their privacy is maintained. EVIDENCE: The home uses a monitored dosage system. The pharmacist visits the home regularly to provide advice and support. A number of the resident’s selfmedicate and lockable storage is provided. The staff have recorded all medicines received into the home, administered or returned to the pharmacy. A policy has been drawn up covering the administration of medicines but the information is limited and should be expanded to cover all aspects of administration including homely remedies. Staff received training on the administration of medicines a few years ago – it is recommended that all staff that has responsibility for administering medicines have updated training. Some of the bedroom doors have been fitted with suitable locks. Sue Tisdall said that residents are offered a lock on their door if one hasn’t already been The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 11 fitted. All residents are accommodated in single rooms with en suite facilities. Residents confirmed they are always treated with respect and privacy. The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 The home provides an excellent range of activities, outings and entertainments to suit all interests. Relatives and friends are encouraged to visit the home, keep in touch, and to feel a part of the home. Residents are able to exercise choice over all aspects of their lives. The standard of meals provided is excellent. Great attention is paid to both the nutritional value and the presentation of the meals. EVIDENCE: Residents talked enthusiastically about the many activities, outings and entertainments provided by the home. On arrival at the home there were groups of residents sat outside in the garden chatting, and others were walking on the paths around the house and gardens. There are safe pathways and comfortable chairs, tables and parasols around the gardens, making this a popular place for socialising during warmer weather. One resident who was admitted with a leg injury talked about how the regular ‘Action Sport’ sessions had helped her to regain mobility. Other residents The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 13 talked about the regular outings provided including trips to see local shows and entertainments. Communion is held regularly in the home. Residents talked about a reading club and video shows. On Sundays the home has a regular ‘Sherry Meeting’ that is both a social occasion and an opportunity for everyone to discuss issues of interest or importance regarding the home. Earlier in the summer the home held a fete in the grounds. Children from the local school attended the fete, and the day was a great success enjoyed by all. All of the residents talked about individual interests and hobbies that they have been able to continue since moving into the home. Relatives visiting the home talked about how they are always made welcome whenever they visit. They said they are always offered refreshments as soon as they arrive, and if they wish they could pre-book a lunch, which can be served in the small dining room. Residents gave examples of how they are able to lead their lives as they wish. They are able to exercise choice over all aspects of their daily routines, with support from the staff where required. Everyone expressed great praise for the high standard of meals provided. During the summer much of the fruit and vegetables are grown in the gardens. Neat rows of runner beans, rhubarb, blackcurrants and herbs were growing outside the kitchen. In the greenhouse salad plants grown include lettuce, tomatoes, cucumbers and courgettes. During the visit staff went around to each resident with a list of the supper options, asking residents for their choices. The dining room has been decorated and furnished to a very high standard in keeping with the period style of the house. The kitchen has recently been refurbished with new units, wall cladding, ovens and air filtration system. This room is now bright, modern and easy to maintain. The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, 18 Residents feel confident that they can voice any concerns or complaints and that they would be listened to and acted upon appropriately. All legal and civic rights are protected. The home has good systems in place to prevent any form of abuse. EVIDENCE: There have been no complaints received by the home or by the Commission in the last year. A copy of the residents’ handbook is held in each bedroom, and this contains a copy of the complaints procedure. Residents said they felt confident that they could talk to any member of staff or management if they had any problems, and that these would be sorted out promptly and satisfactorily. Residents have access to independent legal services if required. Those who wish to vole in elections can either have a postal vote or will be taken to the polling station if preferred. The home has policies and procedures in place to safeguard residents from any form of abuse. One member of staff has received training in this subject and has been given the responsibility for making sure all staff receive training and updates on this subject. The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26 The home has been maintained, furnished and decorated to a very high standard throughout. The gardens are beautiful. All areas of the home are spacious, comfortable and homely. There is a high standard of facilities provided, including en suite facilities for each bedroom. There are plenty of communal areas. Bedrooms are large, bright and well furnished. Residents can move around the home safely. Cleanliness of the home has been given a high priority. EVIDENCE: The home is situated close to the centre of Otterton Village. It is a period style detached property set in large mainly level gardens. The house has been maintained and decorated to a very high standard throughout. The decorations and furnishings are in keeping with the period style of the building. The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 16 The kitchen has recently been upgraded. On the day of this inspection a number of residents and visitors were sitting in the garden, or strolling in the grounds. There are level or gently sloped paths all around the house, one of which had only just been completed. There are various sitting areas around the grounds. Mature trees and shrubs, lawns, attractive flowerbeds and a well-stocked vegetable garden contain plenty of interest for the residents. Inside the home there are 2 lounges and 2 dining rooms (one of which is smaller and used mainly for entertaining visitors). These rooms are above the minimum space required and have been well decorated and furnished. Fresh flowers from the gardens and attractive pictures and ornaments are displayed around the home. There are 26 single bedrooms, all well above the minimum required size. Residents are encouraged to bring furniture, pictures and personal effects in order to make their rooms feel homely. Each room has en suite toilets and washbasins, and some also have en suite baths. All toilet and bathing facilities are of a high standard. There are toilets close to the dining and lounge areas. All areas within the home are level. There is a passenger lift between floors. All areas of the home were warm, bright, clean and free from any unpleasant odours. The home employs 2 Housekeepers to ensure standards of cleanliness are always maintained. Many of the radiators have been covered to prevent the risk of burns. The remaining radiators are due to be covered on an ongoing basis to be completed by October 2006. Residents talked about the laundry service. Overall they were very satisfied with the service, although they said that at times items have gone missing. They said that the staff will always search for missing items, and these have usually turned up within a day or so. Staff normally aim to wash, dry and return items the same day. The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 The home has plenty of staff to meet the needs of the residents. Overall the home takes good care when recruiting new staff to ensure residents are safeguarded by honest, reliable and capable staff. However, the practice of appointing staff before POVA checks have been received may place residents at risk. The staff team are confident, friendly and welcoming. Residents expressed the highest praise for the caring manner of the staff. EVIDENCE: On the day of this inspection the staffing levels were as follows Between 8am and 4pm Mornings 8am to 11am Afternoons 11am to 4pm Afternoons 4pm to 5pm Evenings 5pm to 8pm Nights 8pm to 8am - 1 Registered Manager or Deputy Matron - 3 care assistants - 2 care assistants - 3 care assistants - 2 care assistants - 1 waking and 1 sleeping-in care assistant The home employs 2 Housekeepers, 5 Catering Staff and an afternoon kitchencleaning assistant. In addition the owners, Mr and Mrs Parkin are fully involved in the day-to-day management of the home. The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 18 Residents, visitors and staff expressed complete satisfaction in the level of staff provided. Staff files were sampled during the inspection. These showed that an application form has been completed by applicants, at least 2 satisfactory references received, and CRB and POVA checks carried out. However, staff have started work before the CRB and POVA checks have been received. The home must ensure that, in future, no staff are confirmed in post until a satisfactory POVA check has been received. The home encourages a happy working atmosphere among the staff team through various support methods as well as social functions. Staff appraisals have recently been carried out, and later this week there is a staff outing being held. The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35, 37 The home is well run by a competent and highly experienced manager. Residents’ financial interests are safeguarded by the home. The home has satisfactory recording procedures in place, although a few recommendations were made in order to improve clarity and evidence. EVIDENCE: Sue Tisdall has been employed at the home since 1987 as the Registered Manager. She is a qualified State Registered Nurse. She has recently undertaken NVQ level 4 and the Registered Managers’ Award and hopes to complete this in the very near future. The home holds cash on behalf of some residents who are either unable or unwilling to hold this themselves. The money is kept in a secure place in individual wallets, and with separate records for all transactions. Receipts are The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 20 held for all transactions. In order to provide a quick and clear method of checking balances it is recommended that a balance is recorded after each transaction. Where possible all transactions should be signed by the person responsible, plus either the resident or a second member of staff to witness. Balances should be checked regularly. The home has a policies and procedures manual in place covering a wide range of relevant subjects. Records seen during this inspection include Medicines administration Records of money held by the home on behalf of residents Policies and procedures Staff files. The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 2 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION 4 4 4 4 4 2 4 3 STAFFING Standard No Score 27 4 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 x x x 2 x 3 x The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 22 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP25 Regulation 13(4) Requirement Timescale for action 1.10.06 2. OP29 19 (5) schedule 2 The home must ensure that all areas of the home to which residents have access are free from hazards to their safety. (This relates to hot water and hot surfaces to ensure systems are in place to prevent accidental burns and scalds. Many radiators have already been covered, and more are due to be covered in the near future. The home is well on target to meet the agreed timescale). New staff must not start work at 9.8.05 the home until satisfactory references and checks have been received to confirm that they are of integrity and good character. (This relates to CRB and POVA checks) 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 OP3 Good Practice Recommendations The home should make a record of their assessment of D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 23 The Old Vicarage 2. 3. 4. 5. OP9 OP24 OP28 OP35 6. OP38 prospective new residents, particulalry where no other professional assessment has been received. The policy on adminsitration of medicines should be updated to ensure it covers all aspects of administration and storage, including the use of homely remedies. All bedrooms doors should be fitted with suitable door locks that can be easily opened in an emergency. The home should continue to work towards a minimum of 50 trained staff (NVQ level 2 or equivalent) (This standard was not inspected in full at this inspection) Records of money held on behalf of residents should contain a running balance. Wherever possible 2 people should sign to witness and agree each transaction and balance. All staff should receive fire drills or fire training at intervals laid down by Devon Fire and Rescue Service. (This standard was not inspected in full at this inspection and will be checked again at the next inspection) The Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Exeter Office, Suites 1 & 7 Renslade House Bonhay Road EXETER, EX4 3AY 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 Old Vicarage D54-D06 22065 The Old Vicarage 235585 090805 Stage 4.doc Version 1.30 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. 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!