Inspection on 04/10/06 for The White House

This inspection was carried out on 4th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 White House 30/10/07

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE The White House The White House Woodway Road Teignmouth Devon TQ14 8QB Lead Inspector Stella Lindsay Key Inspection (unannounced) 4th October 2006 9:30 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 White House DS0000066734.V307394.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 White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The White House Address The White House Woodway Road Teignmouth Devon TQ14 8QB 01626 774322 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) Langton Care Ltd Miss Deborah Lane Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19), Physical disability over 65 years of age of places (19) The White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users are only to be admitted in the categories of OP and PD (E) No more than 19 Service Users may be admitted. Date of last inspection 9th February 2006 Brief Description of the Service: The White House is a detached house in a quiet residential area in an elevated part of the town. The Home is on a bus route a little more than half a mile from the town centre. The White House cares for people aged sixty-five years and over, who may have a physical disability. There are 18 bedrooms. One is large enough to be a double room, but all are currently in single occupation. There are fine sea views from some windows. The first floor bathroom has a Century bath with a substantial chair hoist. Some bedrooms have an en suite WC, and those without one are quite close to a communal WC. There is a garden, sun terrace and car parking area. There is a separate Day Centre across a central courtyard offering activities each weekday. Residents of the home may participate in if they wish and are able. Activities are also offered in the Home for those who are not wanting or able to join in at the Day Centre. There is a stair lift installed on the back staircase, but no shaft lift. Fees range from £320 to £400. The White House DS0000066734.V307394.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 October 2006. It involved a tour of the premises, and discussion with ten residents, three visiting relatives, all staff on duty, the Registered Manager and the Director. Care records, staff files, the medication system, and health and safety records were examined. Comment cards and surveys were received by post from staff and residents’ relatives, and the Registered Manager provided supporting information prior to the inspection. This was the first inspection under the new ownership. All key standards were inspected. What the service does well: What has improved since the last inspection? The new management had increased staff levels, to meet the care needs of increasingly frail and dependent residents. A skills audit had been completed, and a training plan for the home was in place, to make sure that staff continue to develop the skills they need to assure good care. Two Carers were embarking on NVQ3 training, to work towards becoming Senior Carers. The White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 6 Much of the house had been refurbished, and was looking bright and attractive. The lounge has been redecorated and re-carpeted, and is much brighter with a white ceiling, new lighting, and mirrors. New upright easy chairs had been provided, which are easier for residents to get in and out of. The entrance hall is more attractive, having new lighting and carpeting. The corridors and stairs have also been redecorated and re-carpeted, and non-slip washable flooring laid along the corridor between the kitchen and the laundry. All communal toilets are equipped with liquid soap and paper towels, to assist with good hygiene and the control of infection. A ‘white board’ had been fitted to the lounge wall, so that the menu of the day and any other news of interest to residents could be displayed. The new management had introduced a quality assurance system introduced, to ensure that the care practices are audited, and feedback from residents, relatives, staff and others can be fed into the home’s plans. What they could do better: The risk assessments in residents’ care records alert staff to possible risks, but do not include advice for staff about how to reduce any risk. The Manager plans to introduce new formats for care planning and risk assessment, and these must include measures to control risks. With help from families and friends, staff should gather information about residents’ past lives, skills and interests, in order to improve understanding and the quality of communication in the home. All medication records must be kept accurately, and the storage and recording of Controlled Drugs must be carried out in accordance with professional advice. Any resident who is able to look after their own medication must be provided with a safe place to keep it. Staff must be made available throughout the day to give attention to residents sitting in the lounge, to ensure their safety and comfort. Care staff provide social activities every afternoon. It would be good practice to extend the range and variety of activities, for the added interest and stimulation of the residents. It could be helpful for the ‘sleeping-in’ night carer to start their waking duties at 6am (instead of 7am) to help residents who like to get up early. Staff must be brought up to date with their Moving and Handling training, to assure their safety and that of the residents who need assistance. The Home owners must provide covers for remaining radiators, to protect residents from hot surfaces. The White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 7 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 White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Quality in this outcome area is good, with careful consideration given to the care needs of new residents. EVIDENCE: A new Statement of Purpose has been produced. New contracts have now been sent to all residents and their families. Careful assessment of prospective residents’ needs is carried out by the Registered Manager before accommodation is offered, with reference to reports and recommendations from health and social service professionals. The decision regarding admission is clearly stated on residents’ original care plans, and signed by them to record their agreement. Some people attend the Day Centre and become familiar with the White House before needing residential care. The White House DS0000066734.V307394.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good, as personal and health care were seen to be good, though there are issues of risk assessment and recording of medication outstanding. EVIDENCE: All residents had care plans and these were seen to have been drawn up in consultation with residents, though not all had the signature of the resident or their representative. Personal care needs were specified. A record is made three times per day, and summaries written weekly. The Manager has started quarterly reviews, which were good for alerting staff to changes that were taking place. Staff were aware of the need for skin care and some residents’ vulnerability to pressure areas, although some had not had recent moving and handling training. Risk assessments seen in residents’ care records had not been up – dated to include pressure vulnerability. The Manager stated that she plans to introduce new care plan formats and risk assessments. These should include specific advice to staff on ways to reduce any risk to residents. Advice should be included for staff in dealing with residents’ pain, and psychological or behavioural issues. The White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 11 All residents’ appearance was cared for, and residents and their visitors said they were pleased with the care given. The home has a template for gathering social histories and significant lifetime events, but these were not filled in, or completed very briefly. It would be a benefit to understanding the residents and improving communication if staff could gather a fuller picture of the residents’ lives, either from themselves or from family and friends. Residents’ nutritional needs are monitored. A diary is being kept on behalf of one whose weight is causing concern, and a dietician was due to visit during the following week. A new set of bathroom scales has been obtained, but management must consider the needs of residents who are unable to use these. There was considerable evidence of consultation with health staff, including GPs and Psychiatric Nurses, dentists and chiropodists, dermatologists and opticians. The White House has a policy and procedure for the safe administration of medication. Ten staff had received training, and two staff on each shift take responsibility for the security and administration of medication. A monitored dosage system is in use. The recording was not entirely accurate. The medications are taken to residents’ rooms, then the staff come back to the office to sign the Medication Administration Record. The record should be signed at the time of administration. The Manager stated that a medication trolley is to be provided, which will make it easier for staff to take the MAR sheets with them and keep to the proper procedure. One resident had been prescribed a Controlled Drug. The recording of administration of this drug was not being carried out in accordance with the Guidance of the Royal Pharmaceutical Society, and safe storage should be reconsidered. One resident had been assessed as being able to look after their own medicines. They need to keep these in a safe place. The Manager undertook to provide a cabinet. Residents all have their own room, fitted with a suitable lock. Residents spoken to confirmed that staff treat them with respect at all times, and respect their privacy. Some residents have telephone lines installed in their private accommodation. A public phone is available on the upper corridor. The White House DS0000066734.V307394.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good, as social activities are promoted, and good meals are provided. EVIDENCE: Staff are available to help residents get up and dressed at the time of their choice, and residents said that their given bath times suited them. Housekeeping chores are generally completed in the mornings. Care staff provide social activities in the lounge every afternoon. This is good practice, and some staff have enhanced their skills in providing social activities through their experience of working in the White House’s Day Centre. Staff and management agreed that they would like to provide a greater variety of activities, including armchair exercises and reminiscence based quizzes. A new music centre has been provided, which has proved very popular with residents who use the lounge. Some residents are well enough to visit the Day Centre during the day for a change of scene, company and activity, but may go only if there is a vacancy, and at the time of this inspection the centre was fully occupied. An increasing proportion of the residents at the White House are frail and unable to keep themselves occupied, and more are encouraged to spend the day in the lounge than in previous years. The home’s Management recognises this change that has taken place and will ensure that staff are available throughout the day to give attention to residents in the lounge. The White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 13 Some staff work in both the day centre and the residential home, which is good for new residents as they are familiar faces, and also good for the care staff as they gain more experience in providing social activities. Visitors to the home told the inspector that they find the staff kind and helpful. On the day of the inspection there was a choice of chicken curry and rice, or chicken with vegetables. Normally there is a main meal, and alternatives offered as necessary. A white board has been mounted in the lounge, to show the menu of the day, which is good practice. Most residents still need staff to draw it to their attention, and discuss the options with them. Menus had been revised recently, and a thorough gathering of feedback is recommended. Residents said that they enjoy their meals. Fresh fruit was available. A fish and chip supper was planned for the evening following this inspection, and a successful ‘Chinese evening’ had recently been held. These are good developments in the social life at the White House. The White House DS0000066734.V307394.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good, with policies and procedures in place for the protection of residents. EVIDENCE: The White House has a suitable complaints procedure, which is included in the Statement of Purpose and displayed in the home. The only complaint received under the new ownership has been about contracts for residents. The new owners have not yet provided these, as they are awaiting legal advice, and this has lead to some anxiety, though assurance had been given that the previous contracts were with the White House, not the individual owner, and therefore still applied. The Manager is aware of action to be taken if abuse is suspected, and has booked training for senior care staff in the protection of vulnerable adults during the month following this inspection. The White House DS0000066734.V307394.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,25,26 Quality in this outcome area is good, with refurbishment in progress throughout the building, to provide a bright, comfortable, accessible and safe environment. EVIDENCE: The new owners have invested in the up-grading of the environment, considering areas of the home in turn. The lounge has been redecorated and re-carpeted, and is much brighter with a white ceiling, new lighting, and mirrors. New upright easy chairs have been provided, which are easier for residents to get in and out of. The entrance hall is more attractive, having new lighting and carpeting, and is no longer used for storing wheelchairs. The corridors and stairs have also been redecorated and re-carpeted, and non-slip washable flooring laid along the corridor between the kitchen and the laundry. New curtains have been provided in the lounge and hallway, and the house is looking bright and attractive. The dining room is to be considered. The Director has agreed to provide fitted cushions for the dining chair backs, to improve the residents’ comfort. The White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 16 Seating arrangements will be considered, as residents with mobility problems need to be accommodated, and the space is limited. The dining room has a large window and patio door. Residents cannot go to the garden this way, as there are steep steps down, but it gives a lovely view. Alarms have been fitted to external doors, and keypads to the front doors, to ensure the safety of residents. Attractive covers had been fitted to most radiators where residents might be at risk from the hot surface. The remaining radiators need to have covers fitted, unless risk assessment shows that no resident could be at risk. Occupants of the flats beside the day centre would benefit from brighter lighting in their en suite facilities, possibly including a shaver point. A new outside store had been provided to house the freezers and fridges, which is a great improvement as frozen foods had previously been stored on the second floor of the house. New electricity sockets had been fitted in the kitchen, for improved safety. Communal toilets have liquid soap in dispensers, paper towels, and laminated flooring. This is good for infection control and good hygiene. The White House DS0000066734.V307394.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good, with staff levels and training being adjusted to meet the needs of increasingly frail residents. EVIDENCE: Staffing levels have been increased under the new management, to meet the needs of increasingly frail and dependent residents. There are generally four care staff on during the mornings, at least one of whom is a Senior Carer, and three during the afternoons. The cook is additional, and a cleaner is employed five days per week. A maintenance man and a gardener are also employed. At night there is one awake carer, and one sleeping in. During this inspection the suggestion was made that the sleeper’s waking duties should start an hour earlier, at 6am, as this can be a busy time of day. Ten staff had achieved NVQ 2 in care or equivalent, which represents good achievement of a qualified workforce. Two Carers were embarking on NVQ3 training, to work towards becoming Senior Carers. A skills audit had been completed, and a training plan for the home was in place. A recently recruited staff member had their training needs listed on their Personal Development Plan. Four staff were undergoing induction training, and three more had started working for their NVQ. Six had completed Basic Food Hygiene, four had received training in Control of infection, and one in Risk Assessment. Some had received training in the care of people with dementia. All care staff should receive this, as residents who are mentally frail and have mental health The White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 18 issues are being cared for at the White House, although the home is not registered for the care of people with Dementia, and the service is not designed or appropriate for people with advanced dementia. The Manager stated that the local PCT is offering Mental Health Awareness training. It will benefit staff understanding of residents’ problems to obtain this training. Recently recruited staff files showed that the home has a sound procedure for recruiting staff, as two good references had been obtained, the POVA list checked, a CRB clearance sent for, and proof of identity kept on file. The White House DS0000066734.V307394.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,38 Quality in this outcome area was found to be good, as the new Home owners and Manager are introducing effective systems, and achieving good communication with staff. EVIDENCE: Langton Care Ltd became the owners of the White House in March of this year, with Mr Robert Sell as Responsible Person, and Mrs Christina Sell as Director of Operations. They are introducing their plans for the service with energy and commitment. Ms. Deborah Lane was registered as Manager of the White House just prior to this and she has demonstrated that she has the knowledge, values and experience to effectively manage the care of residents, and ensure that the National Minimum Standards are implemented in the Home. Ms Lane has completed the Registered Managers’ Award, and is engaged in NVQ4 in Care. Some problems were experienced while changing systems, and some staff expressed anxieties. These had been addressed, and staff were pleased to tell The White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 20 the inspector that they now feel supported and that teamwork in the home is very good. In particular, a staff meeting had been held on 26th September, when the Director explained her plans, and feedback was invited. Regular Seniors’ meetings have been instigated, to share ideas and work through problems of daily work and residents’ care. A professional company has been engaged to assure that all policies and employment issues are dealt with correctly. The Director of Operations has introduced a system of quality assurance, and has presented to the staff what will be done to carry it through. She has carried out an audit of the staff training needs, and the Manager has been arranging training as found to be necessary. The Manager has continued giving 1;1 supervision sessions to staff, to discuss their performance, training needs and any issues. The Manager has a good track record of fire safety in the home. Training is provided four monthly, and recently recruited staff had received instruction. The fire alarm system was serviced professionally on 03/10/05 and is due again during October 2006. The call bell system was serviced in March 2006. COSSH assessments are being carried out, with all information being moved to the care office where it will be accessible to staff. The inspector was concerned that staff were not up to date with their moving and handling training. The Manager stated that training had been obtained for the following month, to ensure the safety of staff and residents. The White House DS0000066734.V307394.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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 X X X X 2 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 The White House DS0000066734.V307394.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 OP7 Regulation 13.4 Requirement The Manager must introduce risk assessments which give control measures and advice to staff for reducing any risk to residents. The storage and recording of Controlled Drugs must be in line with professional guidance, and accuracy maintained in all medication records. The Manager must ensure that any resident looking after their own medication keeps it in a safe place. Staff must be available throughout the day to give attention to residents in the lounge. The home owners must provide covers to any remaining radiators, to protect residents from hot surfaces. Staff must be up to date with Moving and Handling Training. Timescale for action 11/11/06 2 OP9 13.2 11/11/06 3 OP9 13.2 11/11/06 4 OP12 12.1 11/11/06 5 OP25 13.4 31/12/06 6 OP38 13.5 11/11/06 The White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP7 OP12 OP27 Good Practice Recommendations The gathering of information about residents’ life histories, significant events, skills and interests should be promoted. There should be more variety in social activities provided within and outside the home. The sleeping in carer should start their waking duties at 6am, to help meet residents’ needs. The White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The White House DS0000066734.V307394.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!