Inspection on 09/05/07 for The Rise Care Home

This inspection was carried out on 9th May 2007.

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

The inspector 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

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

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 The Rise Care Home The Rise Care Home Luscombe Hill Dawlish Devon EX7 0QL Lead Inspector Peter Wood Unannounced Inspection 9 May and 27 June 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Rise Care Home DS0000068434.V339139.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 Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Rise Care Home Address The Rise Care Home Luscombe Hill Dawlish Devon EX7 0QL 01626 863245 01626 863245 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) Michael Raven Mrs Julia Christina Raven Mrs Tracey Elizabeth Phillips Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31/01/07 Brief Description of the Service: The Rise is a care home which provides accommodation with personal care to older people (65 ). It is registered to provide a service for up to 20 people, both male and female. The Rise was previously used by a religious community, initially as a care home for elderly members of that community, latterly run by nuns for elderly people who need care from the wider neighbourhood. The building retains a few features which characterise its former use. Accommodation is provided over 3 floors: ground, mezzanine and first. There is a passenger lift between the ground and first floor and a stair lift connecting the first and mezzanine levels. There are 17 single bedrooms, 10 of which have en suite facilities and 2 double bedrooms, both of which are en suite. The Rise has 3 communal assisted bathrooms and 3 shower facilities. The home has 2 lounges and a dining room as well as another large corridor area with seating. The building itself is a large detached property set in its own park-like attractive grounds, which include patios and gardens. Within the grounds there are some former holiday apartments quite separate from the home. The Rise is located approx half a mile from the seaside town of Dawlish with its range of shops and amenities. The fees range between about £350 and £500 per week dependent on the size and other amenities of the bedroom. The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days in May and June 2007. The first day was unannounced, the second to coincide with the attendance of both the new owners, who took over the business on 31 January 2007. A focus of this inspection was to inspect all key standards and to seek the views of people who use the service, staff, relatives and professional visitors to the home, the latter mainly using survey questionnaires. At the time of writing this report only one questionnaire, from a person who lives at the home, has been returned. No other questionnaires have been returned - from staff, relatives or professional visitors. Another focus of this inspection was to meet the new owners after they had time to “get their feet under the table” but not yet “set in concrete”, and to ensure that they were “on the right track” in the proper running of the care home. The first visit coincided with a care management review of a person who lives at the home. Opportunity was granted to witness this review process. Several people who use the services who were home at the time of the inspection were consulted. Some relatives who happened to be visiting at the time were also consulted, as were staff while they were undertaking their duties. Considerable time was spent with the Registered Manager and new owners discussing their values, practice and plans, and examining documentation, particularly that relating to client assessment and care planning, staffing and health and safety. A full tour of the building was undertaken. The Annual Quality Assurance Assessment form (AQAA) was also later examined. What the service does well: The home produces good information about the services it offers and ensures that it can meet the needs of people who live there. The home ensures that their health, personal and social care needs are met. They are treated respectfully, and protected from harm by the policies and procedures of the home, including the complaints procedure. People who live at the home are able to maintain contact with their family and friends, to exercise choice, and enjoy activities as they wish. The meals are mostly appreciated by people who live at the home. They live in a very pleasant, comfortable home which provides sufficient facilities to meet their needs. The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 6 People who live at the home are cared for by staff who are properly recruited and well-trained so that they can meet their needs. The new owners, manager and staff strive to provide a quality, safe environment that protects and respects people who live at the home. 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 summary of this inspection report can be made available in other formats on request. The Rise Care Home DS0000068434.V339139.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 Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information about the services offered by the home and good systems for admission allow people who live at the home and their relatives to be confident that their needs can be met. The home does not offer intermediate care. EVIDENCE: The home has produced a 26-paged combined Statement of Purpose and Resident’s Guide which includes all the information necessary. It also refers for further detail to the “Cared 4 Quality Management System” which the home uses, and to relevant Schedules of the Regulations where appropriate. The new owners have built on the documentation of the previous proprietor and revised it. However, they are recommended to continue their revision. For example, The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 9 the “range of needs which are met” is stated to include “past or present alcohol dependent clients” which the home is not registered to care for. Examination of a sample of the care files of people who live at the home verifies the owners’ Statement in the AQAA (Annual Quality Assurance Assessment) form. “Full assessments are undertaken on all prospective new Residents involving relevant professional agencies and representatives of the individual being assessed. All Residents considering moving into the home have a one month trial. This will allow the home to continue the assessment process and ensure they can meet the Resident’s physical, medical, emotional, pastoral needs. This will also give the Resident and their families, representatives and friends the opportunity to assess the facilities and suitability of the home”. The home does not offer intermediate care. The Rise Care Home DS0000068434.V339139.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, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of people who live at the home are met and they are treated respectfully. The home’s practices relating to medication administration protect people who live at the home from risk. EVIDENCE: A sample of the detailed care plans, generated from comprehensive assessments, was examined. This verifies the owners’ statement in the AQAA that: “A comprehensive care plan is compiled with the involement of a multidisciplinary team for the individual Residents gathering all relevant information. The care plan is an evolving document that is added to and updated frequently and encompasses all the points laid out in standards 7 to 11”. The Registered Manager reviews each care plan monthly. Opportunity was taken during the first visit to the home to witness a care manager’s review of one of her clients who lives at the home. This demonstrated the knowledge the manager has about the client and her holistic needs, and the proper process The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 11 the home uses to ensure that the home can (or cannot) continue to meet the needs of the individual. Examination of the care plans (including “daily recording”), discussions with the Registered Manager and consultations with people who live at the home evidence that their health needs are met. The home now uses a different monitored dosage system for the administration of medication from a different pharmacist, which has proved to be a more reliable and safe system. People who live at the home were observed to be, and told us that they were, treated with respect by staff. We observed that staff address people who live at the home by Christian name or surname as they wish, to knock on bedroom doors before entering, and to guide people who have mobility problems gently. The home has a competent and experienced staff team whom the service users described as “kind” and “caring. The Rise Care Home DS0000068434.V339139.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. People who live at the home are able to maintain contact with their family and friends, and to exercise choice. Social activities provide interest for people who live at the home. Meals are mostly appreciated by people who live at the home, though further consultation may produce greater satisfaction. EVIDENCE: Most people who live at the home whom we spoke to said that they were satisfied with their lifestyle at the home. They can get up and retire to bed as they wish and come and go as they wish, socialise with other residents in the lounges or retire to their own rooms as they wish, and take part in any or none of the activities offered at the home as they wish. The social interests of people who live at the home are recorded on admission. The home offers weekly bingo, monthly Church services, monthly piano recitals, Devon County Council library service including talking books, quizes, board and card games, and DVD player. Staff are happy to arrange bus trips to interesting places, subject to the enthusiasm of people who live at the home. The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 13 The new owners are keen to find ways to encourage people who live at the home to participate in the activities offered, and are considering employing a dedicated Activities Co-ordinator. The home also arranges regular themed evenings at which relatives are invited. People who live at the home are encouraged and enabled to maintain contact with their family, friends and the local community as they wish, and to exercise as much choice and control over their lives as possible. Relatives and friends are welcome to visit the home, and a lounge is made available for private meetings. Some people who live at this home are particularly discerning, to the extent that they have their own copy of the National Minimum Standards, and obtain other Government literature relating to care homes. Those we consulted on this occasion mirrored what they and other people who live at the home have said on previous occasions. Most said that the food was mostly good, though the quality of the ingredients, and / or the cooking is a constant item of criticism for some residents. Some of this has been justified as there have been problems securing a permanent cook, which should now be settled. The new owners are to review the menus. Most people who live at the home choose to take their meals in the very pleasant dining room, though they can have meals in their own room if they prefer. The new owners are introducing music during mealtimes, which in the past have been quite silent. The new owners are also introducing tables for more than one person for those who want to sit with other people during mealtimes. The Rise Care Home DS0000068434.V339139.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 takes complaints and suggestions from people who live at the home, relatives or other visitors to the home seriously, and has appropriate policies and procedures. EVIDENCE: Examination of the Annual Quality Assurance Assessment and the combined Statement of Purpose and Resident’s Guide evidence that “The Rise has a comprehensive complaints procedure that specifies all the steps to be taken when a person who lives at the home wishes to make a complaint, who will deal with the complaint and how long the home will take to respond to the complaint within the maximum of 28 days following standards 16 and 17. All people who live at the home have the same human rights as any other citizen including the protection of their legal rights. If a resident has no family to act as an advocate on their behalf then the Manager will access an available advocacy service. All residents are actively encouraged and helped in the political process. All new residents are registered on the electoral roll. The home has policies and procedures to safeguard the people who live at the home from any kind of abuse stated in Standard 18.1 including whistle blowing. A strict employment service is undertaken for all staff. The Rise is registered under the Data Protection Act”. The Commission for Social Care Inspection has received no complaints. The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who live at the home live in a very pleasant, superior, well-maintained home that is comfortable and warm and which provides sufficient facilities to meet their needs. EVIDENCE: The home is a quality building within extensive, well-kept grounds, and maintained to a high standard both inside and out. All areas have relevant easy access taking into account the Disability Discrimination Act. Bedroom and communal space is more than sufficient. The new owners have undertaken considerable work on the renewal of the fabric and decoration of service user rooms as they have become vacant. They have re-designed a bathroom with a new hydraulic bath hoist, bath, and sink. The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 16 A new walk-in shower room is in progress. Redecoration to the main reception hall and stairway has been undertaken, together with a new carpet. The new owners have undertaken a complete inspection and upgrade of the central heating boilers and water supplies, and a comprehensive inspection and testing of the Fire equipment, including completion of any upgrade works required as a result of the inspection. Fifteen new armchairs and foot stools, a large TV and DVD player have been installed in the lounge for the benefit of residents. The new owners have commissioned a full service and inspection of the building electrics, (upgrade works ongoing) and pat (portable appliance testing for smaller electrical items) testing of all electrical appliances. There are suitable toilet, washing and bathing facilities to meet the needs of people who live at the home. The majority of residents have ensuited rooms. The home has a range of aids and adaptations to support those with mobility problems, including a shaft lift, chair lift and access ramps. We saw the bedrooms of those people who live at the home who were willing to be interviewed and found them to be furnished and decorated to a good standard, some of which contained items of their own furniture as well as smaller personal items. Bedroom doors are fitted with locks. The home has measures in place to prevent the spread of infection. The large kitchen now has a new impermeable floor surface. The whole house was clean and free from offensive odours. All radiators have been assessed for the risk they may pose to scalding people who live at the home, and those considered at risk have been covered or otherwise made safe. Inspection of the physical environment verifies the statement in the AQAA: “the home is sufficiently ventilated, heated and lit to enable residents to feel comfortable and safe. Sufficient and approriately temperature controlled hot water is available on demand. The home encourages good housekeeping in all areas to prevent offensive odours and provides a maintenance book to report any problems or repairs. A clear protocol for the cleansing of soiled areas is inplace. Infection control is of the utmost importance with all staff receiving relevant training as prescribed by the Health Protection Agency. Residents are encouraged to remain in their rooms if feeling unwell with their GP or District Nurse advised and visiting as necessary. Paper towels and bacteriocidal soap is available in all areas for staff use. Appropriate gloves and aprons are provided. All staff are provided with sufficient uniforms to enable appropriate rotation for laundering. A full laundering service using currently approved and well maintained equipment washing at the required temperature, is provided to all residents with appropriate specialist laundry sluice bags provided for soiled clothing or bedding. Clinical waste bags and bins are available for use as required with an approved regulated contractor collecting weekly. General refuse is disposed of as appropriate with an approved regulated contractor collecting twice weekly”. The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 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 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. People who live at the home are cared for by well-trained and motivated staff in sufficient numbers to meet their needs. Recruitment processes protect the vulnerable people who live at the home. EVIDENCE: Examination of a sample of personnel files evidences that the home has a good mix of NVQ qualifed staff ranging from level 2 to 4 in care. Three staff members hold the Registered Manager’s Award, including the Registered Manager. The home exceeds the minimum requirement of 50 percent trained members of staff (NVQ level 2 or Equivalent). Examination of a sample of personnel files, policies and procedures, discussion with the manager and owner, and consultation with staff evidences that The Rise has a thorough and robust recruitment and employment process complying with all current legislation. These include the use of a proper application form, a check with the Criminal Records Bureau and the taking up of two references. The manager was able to demonstrate the extent to which she goes to ensure that staff are suitable, particularly in those cases where, for whatever reason, it is not possible to obtain a suitable reference from a recent employer in the care industry. These polices and practices protect people who The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 18 live in the home by ensuring that unsuitable applicants do not become staff at this home. A programme of statutory training has started such as Safe handling and administration of Medication, Moving and Handling and Fire Training. All staff are required to attend training seminars and staff now have Personal Development Portfolios to evidence training records. Any care staff employed with no formal training will complete a TOPSS certified Common Induction Standards (Passport to Care) work book within their probationary work period and then be supported in persuing an NVQ qualification. People who live at the home told us that that staff were good, kind, professional and respectful. People who use the services reported there were always sufficient staff on duty evidenced by the quick response should they need to be called, and by the time they were able to spend talking to them. The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home live in a well managed home. The new owners, manager and staff strive to provide a quality, safe environment that protects and respects people who live at the home. EVIDENCE: The new owners and Registered Manager hold the relevent qualifications and experience working within the relevant care setting over many years to enable them to work as a team to ensure that all required standards are met. The qualifications, experience and team ethos of the new owners promises to enhance the running of the home. The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 20 Questionnaires have been issued to people who use the services and relatives in an effort to measure the quality of the service provided. The new owners have plans for these to be properly audited. Care staff receive formal supervision, which covers all aspects of practice. The home has employed an external company to advise and guide on all health and safety matters. The evidence we saw, from examining documentation, talking to the owners, manager, staff and people who live at the home suggests that the home is run in an open and inclusive way. The home has good policies, procedures and practices to protect people who use the services from harm and promote their health and safety. The manager is responsive to suggestions and good practice recommendations, as are the new owners. The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 17 X 18 3 4 4 4 X 3 3 4 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 22 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 OP1 Regulation Reg 4 (1) (b) (c) Requirement You must continue revision of the Statement of Purpose and Resident’s Guide to ensure that it accurately reflects the services the home currently offers. Timescale for action 27/09/07 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 OP15 Good Practice Recommendations We recommend that the providers consult people who live at the home regarding the menu and cooking of meals and respond to their views to achieve greater satisfaction. The Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Rise Care Home DS0000068434.V339139.R01.S.doc Version 5.2 Page 24 - 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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