Inspection on 15/12/06 for The Red House

This inspection was carried out on 15th December 2006.

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 Red House 24/11/08

The Red House 29/09/05

The Red House 12/04/05

The Red House 20/09/04

The Red House 29/04/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE The Red House Norwich Road Kilverstone Thetford Norfolk IP24 2RF Lead Inspector Mrs Jacky Vugler Key Unannounced 15th December 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Red House Address Norwich Road Kilverstone Thetford Norfolk IP24 2RF 01842 753122 01842 760337 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) Miss Rachael Claxton Miss Rachael Claxton Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th September 2005 Brief Description of the Service: The home is registered to provide accommodation and personal care to up to 14 older people. It is not registered to deliver nursing care. It is situated set back from a main road out of Thetford, near to a large supermarket. There is a gravel driveway to the main door of the home, with parking to the side and rear. The grounds are extensive, but parts are not easily accessible. Service users can access the garden, lawns and patio to the front of the home. Accommodation is provided in two main areas, leased by the registered proprietor. The older part of the home is on two floors, with bedroom accommodation on the first floor. There is assisted access via a stair lift. Communal areas (lounge and dining facilities) are provided in the ground floor. An extension provides additional ground floor bedrooms. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key, unannounced inspection taking place on 15th December 2006 and lasting approximately 7 hours. A pre-inspection questionnaire had been completed prior to the inspection, which the manager had returned to the Commission with all the relevant details. The deputy manager was present throughout the inspection, as the proprietor/registered manager was on leave. Care plans, staff files and other records were examined and a tour of the building was undertaken. Comment cards had been sent by the Commission beforehand for residents, relatives and healthcare professionals to complete. Ten residents had returned completed surveys, three indicating they would like to speak to an inspector, but none wished to do so on the day. There were three comment cards returned by healthcare professionals and five from relatives/friends, all positive, and the views are reflected in this report. On the day, two members of staff were spoken to in private. Most of the 14 residents were seen during the day, two residents were spoken to in private, as well as four in a group. Overall, the information received prior to the inspection and the information and evidence observed and inspected on the day, suggested that Red House is a good service offering good quality care to those who live there. What the service does well: What has improved since the last inspection? The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 6 • • • Locks are provided on all bedroom doors, although no residents choose to use them. Adequate supervisory arrangements are now provided for staff appointed, subject to satisfactory CRB disclosures. A system for monitoring the quality of care has been instituted, but this is now over a year ago and needs to be carried out again. However, there was a high return of residents’ comment cards to the CSCI, as well as healthcare professionals and some from relatives/visitors. What they could do better: • • Care plans and risk assessments have been expanded, but there are still improvements to be made. Although there is evidence of communication and staff are supported by informal supervision, and some evidence from staff records of areas of training they wish to develop, there is a lack of written evidencefor one to one, regular supervision. Further liaison should take place with the issuing pharmacy in order to ensure that the MAR sheets are securely bound in the medication file, to further protect residents. The necessary recruitment documents for staff should be kept on the premises. • • Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Written assessments are made prior to admission and form the basis of the care plans and there are opportunities to visit the home where possible. The home does not offer intermediate care. EVIDENCE: The care plans for the newest residents were seen, including the preassessments. These are carried out by the manager and/or the deputy manager and were a comprehensive assessment of needs and whether the home could meet these needs. One resident was spoken to and was pleased to be receiving respite care in the home, with the view of long term care. The deputy manager described the procedure for prospective residents being able to come to stay, or to visit on as many occasions as necessary before choosing to stay, or relatives visited on residents’ behalf. There was also evidence of healthcare professional input of information where appropriate. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 9 From the ten residents’ comment cards, six said that they had received sufficient information before entering the home. Three said they had not received any information, and one said of the information, “Not a lot, but some”. These three residents had indicated that they wished to speak to an inspector, but none wished to do so on the day. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There has been work undertaken in the care plans and risk assessments, but setting all this information out in individual files would make it easier for staff to follow. The care and administration of medication appeared to be sound and residents felt they are treated with respect and their dignity respected. EVIDENCE: There were seven comment cards, which said residents received the care and support they needed, two said they usually did and one said they sometimes did. Eight comment cards confirmed they always received the medical support they needed, although one said that this support was usually available and one said it never was, although this was not evident from the care plan. All the residents spoken to, said they were very well cared for at the home. Three healthcare professionals’ comment cards commented favourably on the quality of care in the home, as did four comment cards received from relatives/friends. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 11 Three care plans were examined in detail. These were comprehensive individual care plans with evidence of resident involvement, also the involvement of relatives, if appropriate, and there were regular reviews. The home has a system of asking residents’ relatives to sign if they wish to be involved in their relatives’ care plans and reviews. Care plans contain photographs and the resident’s agreement to the photograph appearing in the plan and good information regarding social history and, where appropriate, residents’ wishes for their funeral arrangements. The daily notes are in a separate file, not individually filed. The home has worked hard to carry out comprehensive risk assessments for residents following the last inspection, but these are in a separate file under specific activity assessments, such as bathing or walking up and downstairs. Residents’ weight was regularly recorded, but this was kept in another book. There is therefore a requirement that all this information be filed in individual files to enable staff to gain an overall picture of residents’ care needs and to better audit incidents of falls, for example. There was evidence of the involvement of healthcare professionals, the GP, Psychogeriatrician, District Nurse, Chiropodist and Optician, with relatives involvement, if appropriate. The medication round was observed and the member of staff administering this had received training. The MAR sheets were in order. However, the MAR sheets were coming loose in the file – there is therefore a recommendation to liaise with pharmacy regarding more secure binding for MAR sheets. There were policies and procedures for the safe administration of medication, and a clear procedure for action in case of mistakes and the Deputy Manager was responsible for ordering and auditing. All residents spoken to felt their privacy and dignity was respected and from observation of staff interaction with residents it was evident that offers of personal care or general assistance was given in an appropriate way which promoted this. Locks had been provided on bedroom doors as a requirement from the previous inspection. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities and outings take place, although this area could continue to be developed, as more information is available with regard to specific hobbies and interests of individual residents. Relatives and friends are made welcome in the home. The meals provided are wholesome and nutritious and served in a comfortable environment. EVIDENCE: Comment cards offered mixed views with regard to activities, ranging from there always being activities, to there never being any activities in which residents can participate. However, all the residents spoken to were enthusiastic about the activities they had participated in, particularly outings to the sea and to Sandringham. One resident goes regularly to day care and one resident had been on a long haul holiday to visit family and this was not for the first time. Staff spoken to also confirmed that there was time in the afternoons to spend with residents and that the previous day there had been a spontaneous sing song, one member of staff had baked cakes with the residents and those residents wishing to could participate in quizzes. The residents spoken to were looking forward to the activities planned from The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 13 Christmas. However, there was scope for developing individual hobbies and interests in house. All the relatives/friends comment cards confirmed that they were made welcome in the home and there were visitors on the day and it was evident that they were able to talk to staff about any concerns they had. There was evidence on the day that residents are helped to make their own decisions and choose where they spend their time. One resident chooses to smoke and a walkie talkie is used so that she can let the staff know when she wants to move from the designated smoking area. This resident also uses her mobile phone to keep in touch with her family and friends. All the residents spoken to were positive about the quality of the meals on offer, which are home cooked, varied and well presented. One resident said: “the food is good”, and “ we have two options”. Eight comment cards reported that the residents always liked the meals, one reported that the resident usually did and one that the meals were enjoyed sometimes. (This may have some bearing on the replies regarding complaints and concerns in the following outcome area of this report). During the afternoon staff were asking residents what their choice of menu was for the following day. The dietary needs of residents are noted in the care plans and menus are planned by the cook with the residents, with individual needs being taken into account. The dining room is a pleasant area in which to eat. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure and had not received any complaints, all the residents spoken to on the day of the inspection were aware of what to do if they wished to make a complaint, although the comment cards suggested some misunderstanding. The home has a policy to safeguard service users and those staff spoken to were aware of this policy. EVIDENCE: The complaints policy and procedure is in place, and all residents spoken to on the day were aware of to whom to make a complaint, but had not had occasion to do so. Four of the resident comment cards said they always knew how to make a complaint, one said usually, but five said in reply to the question “Do you know how to make a complaint”, that they never knew how to make a complaint, but there was no further expansion on this, which suggests some misunderstanding of the question, as eight resident comment cards said they knew to whom to speak if they were not happy and two said they usually did. There had been a concern expressed to the Commission. It had been agreed that this would be taken up with the management, and that if not satisfied, the Commission would hear further. Neither the Manager, nor her Deputy, had The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 15 been approached with this concern and no more had been received in the Commission. There had been no other complaints and as stated elsewhere in this Report (Daily Living) it is evident that relatives feel comfortable talking of any concerns to the staff, as they arise, and this is borne out by the comment cards received from Healthcare Professionals and relatives. There is a policy and procedure in place with regard to safeguarding vulnerable adults and all those staff spoken to were aware of the whistle blowing policy and gave a good account concerning adult protection procedures. There is a high proportion of staff with NVQII or above in the Home. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The comfortable, clean environment provides a homely atmosphere, which meets the needs of the residents. EVIDENCE: The communal areas are pleasant, comfortably furnished and the lounges are divided into three separate areas, two with TVs and one quiet, giving choice to residents as to where to spend their time. One resident spoken to in the quiet room said how much she enjoyed sitting there. The home was pleasantly decorated for Christmas. There is a water dispenser available in the hall for all to use if they wish. The bedrooms seen on the day were personalised with residents’ own furniture and possessions and residents spoken to were appreciative of this. One The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 17 resident spoken to shares a room and said she was pleased to be able to help the person with whom she shared, although there are privacy curtains in all shared rooms. All rooms have locks on the doors, for residents to use for privacy if they wish, although none were doing so. The placement of the laundry is not ideal. Access, internally, is through the kitchen, and this is made clear by notices on both entries into the kitchen prohibiting linen to be taken through this area. It has, therefore, to be taken around the outside of the house, where there is no protection for staff from the weather. This area, too, is rather isolated from the rest of the home and washing is carried out during the day, rather than by the night staff. Nine of the residents’ comment cards reported that the home was always clean and fresh, one said that it usually was. On the day of the inspection, the home appeared clean and fresh in all areas seen, although some of the paintwork is showing signs of wear and tear. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a stable, experienced and trained staff team who interact well with residents, however the necessary recruitment documents should be available on the premises for the further protection of residents. EVIDENCE: The questions regarding staff on the comment cards received from eight residents said that staff always listened and acted on what they said, two said that they usually did. For the question of staff being available when they were needed, six answered that they always were and four that they usually were. Two comment cards from relatives said that “I find the staff very considerate and helpful” and “..if you ring for them they are always there quickly”. Two members of staff were spoken to in private and staff files examined. Both had had previous experience of working in care, and both had NVQ 2 qualifications and training in medication and in other areas such as Diabetes and Pressure Sores. Both commented on the good quality of the induction training and the time allowed to familiarise themselves with the policies and procedures in the home, which was supervised by both the Manager and the Deputy Manager. Both were enthusiastic about working in the family-run atmosphere of the home. They confirmed that there were regular staff meetings, time for handovers between shifts and also time to spend in talking or undertaking activities with residents in the afternoons. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 19 From the staff rota it is evident that staffing levels are above the minimum and from the training records that staff receive the full range of mandatory training, as well as NVQ and above. Discussion with the Deputy Manager revealed that changes had been made regarding the supervisory arrangements for any staff appointed subject to a satisfactory CRB disclosure, although there had been no such situations, since the last inspection. However, although the numbers of the CRB’s were available, and those for established staff had been seen on previous inspections, the documents were held by the staff and there is therefore a requirement that these records should be held on the premises to be seen by an inspector. Other necessary identification documents were available. However, in changing the application forms for employment, no space for details of gaps in previous employment is available, therefore there is a recommendation that these forms should be expanded to include this to further protect residents. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The home has a history of being well-managed and offers a safe environment for residents to live in. As well as an ongoing informal process, there has been an initial formal self- monitoring process, which needs to be regularly repeated. Although informal supervision of staff takes place, this needs to be more rigorously recorded to further ensure the protection of residents. EVIDENCE: It was evident on the day, as on previous inspections, that the Manager has an effective strategy to ensure that the home runs in the best interests of the residents, by maintaining an ongoing dialogue with the residents and their relatives, which is maintained, even in her absence. On the day of the inspection, the Manager, although still closely in touch with the home, was on maternity leave and the responsibility for the day to day running of the home was being undertaken by the Deputy Manager, who has been at the home for three years, having had experience previously in residential care. She holds The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 21 an NVQ 3 and is a trained trainer in POVA, First Aid and Manual Handling. She came to the home as the Deputy Manager, having worked with the Manager previously, of the family run home. The home is run on egalitarian lines, inasmuch as the cook has also completed Dementia training and it was evident on the day that there is good communication between the staff team. The Manager was presently on leave and was in touch, either visiting or on the phone. The residents are aware of the situation and there are arrangements in place for staff cover during this period. Since the last inspection there has been a formal system set up for the self monitoring of the service, but this is overdue and needs to be undertaken again, in order to collate the views not only of the residents, but their relatives, staff and associated healthcare professionals. There is therefore a repeated requirement for this The home does not handle any of the residents’ finances; these are managed by their relatives or solicitors and any services, such as chiropody or hairdressing are paid by invoice. The home has made some progress in recording the supervision process, in addition to the informal system of supervision observed on the day, but this is still not being recorded regularly and rigorously enough to meet the standard, so that this requirement is repeated. The home has a good history of attending to the health, safety and welfare of the residents, and various records, such as the fire records and bath temperature records were seen to confirm this. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 3 The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP8 Regulation 13(4) C Requirement Timescale for action 30/04/07 2. 3. OP29 OP33 19(2)(7) 24(1) 4. OP36 18(2) The registered person must ensure that care plans and risk assessments provide clear information for staff to follow (Repeated requirement) The registered person must 31/01/07 ensure that CRB checks are available to an inspector The registered person must 30/04/07 maintain a system for reviewing and improving the quality of care provided at the home. (Repeated requirement) The registered person must 30/04/07 ensure that staff at the home are appropriately supervised. (Repeated requirement) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 24 No. 1. 2. Refer to Standard OP9 OP29 Good Practice Recommendations It is recommended that the home continue to liaise with the pharmacy regarding more secure binding for MAR sheets. It is recommended that the application forms for prospective staff should specify information concerning any gaps in previous employment. The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Red House DS0000032102.V324560.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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