Inspection on 29/08/07 for The Seymour

This inspection was carried out on 29th August 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

The Seymour 08/06/06

The Seymour 09/03/06

The Seymour 04/08/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Seymour The Seymour 327 North Road Clayton Manchester M11 4NY Lead Inspector Joe Kenny Unannounced Inspection 29 August 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 Seymour DS0000063622.V340428.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 Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Seymour Address The Seymour 327 North Road Clayton Manchester M11 4NY 0161 220 8688 0161 231 4306 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) The Seymour Home Limited Mrs Susan Jones Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 26 older people (OP) may be accommodated. The staffing arrangements at the home at the home must be maintained in line with the minimum levels set out in the guidance published by the Residential Forum, Care Staffing in Care Homes for Older People`. The home must employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 6th September 2006 3. Date of last inspection Brief Description of the Service: The Seymour is a privately owned residential home providing personal care for up to 26 older people. The home is located in Clayton, north of Manchester City Centre and is close to public transport links into Manchester, Oldham, Droylsden and Ashton. Bedroom accommodation is provided on the ground and first floors accessed via a passenger lift. Sufficient toilet and bathing facilities were provided within close proximity to bedrooms and communal areas. Accommodation is provided in 18 single rooms and 4 double rooms. Three of the single rooms were fitted with en-suite facilities. Wheelchair access is provided and there is parking space to the front of the building. There is a large rear garden that is pleasant for residents who are able to sit out in the warmer weather. The current range of accommodation fees charged is between £358. 00 and £373. 54. Those items not included in the fees are: Newspapers, hairdressing, private treatments, some transport costs and some entertainment costs (such as trips to theatres etc). A full range of ‘extras’ charged for are included in the ‘Terms and Conditions of Residence’ provided to all residents on admission. The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on the 28 August 2007. During the course of the inspection discussions were held with people living at the home, relatives and staff. A completed self assessment and quality assurance statement was received by the Commission from the owner and manager and comment cards were forwarded to people to seek their views about the care they received and life in the home. A selection of records were viewed as part of the inspection and included care plans, medication, complaints register, health and safety records and staff files. A tour of the building was conducted. What the service does well: What has improved since the last inspection? Programmes of social care were well established and promoted positive life experiences for people. There was evidence of ongoing commitment to ensure standards of décor and maintenance were well established to ensure a homely environment. The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 6 Staff had received updated health and safety training and training in abuse awareness 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 Seymour DS0000063622.V340428.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 Seymour DS0000063622.V340428.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, 2 and 3. Standard 6 is not applicable to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives are provided with information about the home and care it provides. The assessment process ensures people’s needs are identified and appropriately met. EVIDENCE: The home’s Statement of Purpose and Service User Guide contained information about the care to be expected by people considering moving to the home. The information in the statements required reviewing to ensure it reflected current staffing and personal and social care arrangements. The registered manager is responsible for leading on referral and assessment procedures for people considering moving to the home. The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 9 Information is initially received from the social worker supporting people. The manager will also take the opportunity to meet people to discuss their care needs and wishes in relation to the planned move; relatives are also consulted. People considering moving are encouraged to visit the home in person or relatives will visit on their behalf. A selection of files was examined and contained information from the time of admission, the manager’s pre admission assessment of needs and information relating to personal and health care needs. The assessment process also looked at areas of risk relating to such issues as moving and handling, diet and health issues. The particular risk is identified on the plan and sets out the action to be taken to support and assist the named resident. People privately funded are provided with a contract of their placement, contracts were seen for people who are self funded. People funded by a local authority are provided with a statement of the terms and condition of their placement. The home does not provide intermediate care. The Seymour DS0000063622.V340428.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal health and social care needs of people are met by the home. Medication procedures required monitoring to ensure people are protected. EVIDENCE: There were 25 people living in the home at the time of the inspection. Individual files contained information on the care and support required by the named person in relation to health and personal care needs. Plans of support had been drawn up from information received from the persons care manager, the home’s own assessment documents and discussions with people being supported or their representatives. On touring the building a programme of support relating to personal care was displayed and accessible in a public area. The manager was advised to move the record to a more private, discrete area, accessible to staff only in order to respect residents’ privacy and dignity. The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 11 People living in the home did however, say that they were treated with dignity and respect by staff when supporting them on personal and social aspects of care. Information relating to health care support is detailed on people’s care plans and a record made of when people received support from their general practitioner and other health professionals. Three health practices are used by people living in the home. District nurses attend to administer injections and renew dressings. No resident required pressure care management. Optician, dental and chiropody care programmes were located in residents’ files. Plans of care also contained information to indicate that internal reviews of care and review of risk assessments were conducted on a monthly basis. Each person living in the home has a named member of staff as their key worker. The home is in the process of looking at training to support the development of person centred care planning. The home’s system of medication was examined. Thirteen staff are designated with responsibility for administering medication. Sample signatures are located at the front of the medication records. All staff had received training in administration and recording procedures, provided by the pharmacist and an independent adviser. The home must ensure the Medication Administration Records (MAR) retain a balance of medication held on the premise to assist in monitoring and accounting procedures. The manager is advised to ensure all records are checked to ensure such information is entered on the medication administration record. The records for one person who was prescribed three different medications in ampule form, recorded that 10 ampules of each medication were in stock when only 9 of each remained. The manager was advised to consult with the district nurses service on this matter. One other person was prescribed a liquid medication, “as and when required”. This medication was consistently administered on alternate days. The manager is advised to consult with the person’s general practitioner on the current administration practice by the home. On touring the building a prescribed cream for a named resident was located in another persons room. All prescribed creams must be held in the named person’s room or in the medication trolley. The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 12 In another room a prescribed oral spray did not have the prescribing label attached as the spray had been removed from the dispensing package. All such medication must be retained in the original package with prescribing directions. A pestle and mortar were located on the medication trolley. Staff said they did not use it and were requested to remove it from the trolley. Medication procedures must be monitored and audited on a regular basis to ensure residents receive the correct medication. The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The arrangements for daily living reflected people’s choices and preferences. EVIDENCE: There was a good range of social care arrangements available for people living at the home. On arrival at the home it was encouraging to note that a number of people were preparing to go out on a planned day trip. This activity would be repeated over the following two days to enable a number of people to participate in the planned event. Each day trip enabled a small group to participate in the event with appropriate cover from staff, volunteers and relatives. One person commented they looked forward to having her grand daughter accompany her on the trip. There was evidence of a commitment to social care programmes with a range of activities in house and through accessing resources in the local community. The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 14 This included going to local coffee mornings, the bowling green and a range of in house social events and activities. The manager stated that she encouraged staff to proactively develop leisure and activity programmes and had set aside three hours per day to develop such programmes. There were also plans to appoint an activities organiser to support staff and further develop activities to address the choices and preferences of people living in the home. People wishing to continue religious interests are supported by ministers visiting for prayer and communion services. Some people are supported to go out to local churches. The home encourages relatives to maintain contact and encourages visitors to attend the home. People living in the home spoke about the care and support they received from staff and commented that they were happy with the support and care they received. Meal and menu arrangements were drawn up in consultation with people living in the home. People confirmed they were offered choice and that they enjoyed the meals provided. The menu plans confirmed that a choice or alternative was offered each day. The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures were in place to address concerns raised by people about the care they received. Procedures were also in place to protect people from harm. EVIDENCE: A clear procedure is in place to address concerns raised by people living in the home and their representatives. This clearly sets out the name and contact details of people to contact, however it is written in a very prescriptive style with steps to take. The manager is advised to amend the procedure to inform people they can access the procedure at whatever level they choose. The home keeps a register of complaints it has received. No complaints had been received by the home or by the Commission in the period since the last inspection. During discussion with people and relatives they said they were confident to discussion any concerns with the manager or staff. Since the last key inspection staff have received training in adult protection procedures from the training section of the local authority. Staff confirmed they were aware of the procedures to follow in the event of an allegation of abuse and staff were able to clearly indicate what they would do if they were to witness or be informed about a protection issue. The Seymour DS0000063622.V340428.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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a well maintained, clean and homely environment. EVIDENCE: Programmes of ongoing maintenance and refurbishment continue to be undertaken to establish a homely and safe environment. This included provision of new bed bases and decorating of bedrooms. The grounds to the rear offered a large secure area for people to access. Work had been undertaken to level the paved pathway around the garden to ensure it was safe. One person accessed the grounds on a daily basis to exercise. A large marquee is located in the garden and had been used by relatives and residents to celebrate a social event. On touring the home a number of freestanding wardrobes presented as a risk to people accessing such units. The manager was advised to have these units The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 17 secured to the wall, where identified, following a risk assessment of all bedrooms. Bedroom doors have a “coin” turn locking device and not handles on doors. It is recommended that consideration is given to fitting appropriate locks on bedroom doors so that residents can have their own key. A lockable facility is located in each bedroom. The manager is advised to discuss with people on admission whether they would like a key to their door. The brass plates on all doors required cleaning as most were stained. One emergency call point was activated in one bedroom; the response by staff was very prompt. New call points have been fitted in bedrooms. Additional programmes of cleaning were required in the kitchen area to ensure standards were being maintained. Paper towels must be available at all times and the sink, used by staff, must be easily accessed. On the day the mop and bucket system obstructed access. Table cloths and tabards used by staff rested on the floor below the service hatch. These should be stored off the floor. The pantry required cleaning and all plastic containers required cleaning or replacing. All containers should be labelled and dated. The extractor fan in toilet facility numbered 6 did not engage when the light was turned on, this required attention. The corridor carpet outside this facility required securing down as it presented as a tripping hazard. The side exit door next to the kitchen required attention to the frame and plaster work. The home had taken action to replace 12 emergency lights following a maintenance check. The Seymour DS0000063622.V340428.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing arrangements were appropriate to meeting people’s needs. EVIDENCE: Support arrangements for people going out on a planned trip at the time of the inspection were appropriate. Three care staff and the registered manager supported the 21 residents remaining at the home. The staffing arrangements at the time of the inspection were appropriate to meeting peoples assessed needs. Staff deployment indicated sufficient cover throughout the day and night. There are two domestics employed at 30 hours each per week, a catering assistant, one full time and one part time cook. The home’s manager has the necessary qualification and experience to manager a care service for older people and holds the registered managers award. The registered owner had also completed this training and is available on site throughout the week. A designated deputy manager supports the manager. There were no vacancies in the staff team, with a full complement of staff in place. The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 19 There were a total of 21 care staff employed and information relating to National Vocational Qualification (NVQ) training indicated that 20 members of staff had achieved level 2 or above. All staff had achieved training in basic food hygiene and infection control. Training had taken place in relation to dementia awareness. The manager said staff had found this course very interesting and enlightening. Files contained the required documents to evidence each person’s appointment. This included references and CRB checks. The manager was advised to review the application forms to ensure persons signed a criminal declaration form and to request applicants to give a full dated history of employment. The applicant should initial any amendments made to the application. Each person had a plan of training on mandatory health and safety issues and in Manual Handling and First Aid. Staff had recently attended training on abuse awareness and safeguarding procedures run by the Local Authority training section. The registered owner is present on site for 3 to 4 days per week and is available on the premises for emergency/on call during these periods. The Seymour DS0000063622.V340428.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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration procedures ensure the home is run in the best interest of people living there. EVIDENCE: The manager holds the necessary qualification and experience to manage the service in a way, which reflected people’s expectations and preferences. Staff are sufficient in number to deliver a service which supported people’s assessed needs. The registered owner demonstrated a commitment to support management and development programmes which enhances the lives of people living there and enabled staff to develop their skills and knowledge. The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 21 The registered manager and registered owner are involved in and hold regular meetings with staff, residents and relatives to discuss issues relating to care and the day to day running of the home. The home conducts annual surveys to gather the views of people about the service offered and life in the home. On admission, procedures relating to finances are discussed as the home continues to encourage relatives to retain responsibility for the management of personal allowances and other finances. Staff induction and supervision are overseen by the registered manager and are held on a regular basis. Certificates of achievement are displayed in the foyer and held in staff files. A current insurance liability cover certificate is also displayed in the hallway, along with other information notices and previous inspection reports. Records of accidents are held in a separate folder once completed. The manager was advised to reference number each accident and to develop a system to section reports for each person in order to audit and monitor frequency of accidents for each person. All required tests and checks and fire drills were being sustained at the required intervals and a record maintained to confirm they are carried out. This record was check on inspection and staff sign the register to confirm their attendance at fire drills. Records relating to portable appliance tests indicated the last test took place in 2004, the manager is advised to have such tests conducted on an annual basis. The Seymour DS0000063622.V340428.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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13 Requirement Medication Administration Records (MAR) must retain a balance of medication held on the premise to assist in monitoring and accounting procedures. The general practitioner must be consulted for advice on administration procedure for medication prescribed “as and when required”. Prescribed creams must be held in the named persons room or in the medication trolley. Prescribed oral spray must be retained in the original package with prescribing directions. The registered person must ensure regular audits and monitoring of medication is conducted to assist auditing procedures. A risk assessment of the used free standing wardrobes must be carried out and the corridor carpet secured to reduce risk to residents. All areas of the kitchen should be kept clean. DS0000063622.V340428.R01.S.doc Timescale for action 24/10/07 2 OP9 13 24/10/07 3 OP9 13 24/10/07 4 OP9 13 24/10/07 5 OP19 23 24/10/07 6 OP19 23 24/10/07 The Seymour Version 5.2 Page 24 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 OP1 Good Practice Recommendations The information in the statement of purpose required evidencing that an annual review had been conducted to ensure it reflected current staffing and personal and social care arrangements. The manager is advised to ensure all people funded by local authorities have a statement relating to their placement. Personal care plans should be moved to a more private, discrete area, accessible to staff only in order to respect residents’ privacy and dignity. A pestle and mortar located on the medication trolley should be removed from the medication trolley. The complaints procedure needed amending to inform people they can access the procedure at whatever level they choose. The manager is advised to discuss with people on admission whether they would like to have a lock fitted to their bedroom. The manager was advised to reference number each accident and to develop a system to section reports for each person in order to audit and monitor frequency of accidents for each person. Tests on portable appliance equipment should be conducted on an annual basis. The side exit door next to the kitchen required attention to the frame and plaster work. Tablecloths and tabards used by staff rested on the floor below the service hatch and should be stored off the floor. 2 OP1 3 OP7 4 5 6 7 OP9 OP16 OP19 OP31 8 9 10 OP31 OP19 OP23 The Seymour DS0000063622.V340428.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Seymour DS0000063622.V340428.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. 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