Inspection on 21/07/05 for The Willows

This inspection was carried out on 21st July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Willows 19/06/07

The Willows 09/01/06

The Willows 24/11/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOMES FOR OLDER PEOPLE The Willows 90 Uttoxeter Road Blythe Bridge Stoke-on-Trent Staffordshire ST11 9JG Lead Inspector Lynne Gammon Unannounced 21 July 2005 9:30am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Willows Address 90 Uttoxeter Road Blythe Bridge Stoke-on-Trent Staffordshire ST11 9JG 01332 726 913 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Gary Leslie Day and Stuart Kirk Gary Leslie Day CRH 12 Category(ies) of DE(E) - 7 registration, with number MD(E) - 5 of places The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 24 November 2005 Brief Description of the Service: The Willows is a Victorian villa that has been sympathetically extended to provide accommodation for twelve older people of either sex, seven of whom may have Dementia as their primary diagnosis, and five of whom may have any other form of mental illness that is not Dementia or Learning Disability. The accommodation provides one shared and ten single rooms that are located on both floors of the registered facility. All rooms meet the size requirements of current legislation and eight benefit from en-suite facilities. Residents all live together in an integrated group, with no distinction being made because of registration category. There is no designated bed kept for respite care, but should there be a bed available, then respite care will be offered. There are bathing facilities to both floors and adapted toilets sited close to the ground floor lounge and dining room. There is a small laundry and a good sized domestic type kitchen. The home is situated on a former trunk road in easy reach of local amenities of shops, public house, bank, railway station and buses and since the building of the A50 road, enjoys the status of being in a quiet residential area. To the rear of the house is an enclosed garden that has been lovingly created to give enjoyment and stimulation to residents with differing levels of appreciation and physical and mental ability. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit was made on the 21st July 2005 at 9.30am. The inspection was carried out using the National Minimum Standards for Older People as the basis for the inspection. The total time spent for the inspection, including pre and fieldwork, amounted to 6 hours. The registered care manager, Mr Gary Day was in charge of the home on the day of the inspection plus the deputy manager, with one care assistant on the early shift, two care assistants on the late shift, a cook and a domestic. There were 12 residents living in the home and these staffing levels were satisfactory to meet their needs. The inspection included a tour of the home, inspection of records, observation and discussions with residents and the care manager. Since the last inspection on 24th November 2004, no complaints nor any incidents or reports of abuse of any kind had been received and no requirements or recommendations, against the regulations or the minimum standards, were outstanding from the last inspection report. The pre-admission assessments were carried out by Mr Day or the deputy manager and residents and their families were involved in the whole process of deciding if the home was right for them, being sure that it could meet their needs and once in the home, having those needs met very well. All aspects of health, personal and social care needs were addressed to a high standard and recorded accordingly. Residents spoke highly of the quality of care provided by Mr Day and the staff within the home and confirmed that they were treated with dignity and respect. The registered providers, (one of which was also Mr Day), had owned the home for less than twelve months but they had made commendable efforts to improve the home itself and the processes within the home. Both externally and internally, the home had been re-decorated in most areas and was well maintained and fit for purpose. It was a safe and homely environment for the residents and was very clean, warm and tidy. The fixtures and fittings were of a high standard and all but four of the bedrooms had been redecorated tastefully and complemented with colour co-ordinated bed covers and curtains. The remaining four bedrooms were due to be redecorated in the very near future. The bedrooms contained a range of resident’s personal furniture and other individual items. The lounge and dining room had also been redecorated to a high standard since the new providers had taken over and the bathing and washing facilities were sufficient and suitable for the residents. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 6 Mr Day had worked in the care industry for a number of years and was in the process of completing NVQ Level 4 and the Registered Manager’s Award. All staff had received training in the protection of vulnerable adults and staff were able to contribute to the running of the home and the service delivery. The home was well managed and organised, and the residents were supported to have their say and to make decisions about the day-to-day activities within the home. Good robust systems were in place to safeguard resident’s health, safety and welfare. What the service does well: As stated, the registered providers, one of which was the registered care manager, had owned the home for less than twelve months. Considering this time frame, they must be highly praised for their professional and consistent approach to: • • • • • The development and maintenance of care planning methods, (which identifies the needs of residents and how those needs should be met). Quality assurance systems, (for checking if needs are being met properly and how to improve if not) meeting the needs of the residents within the home improving the home through a structured maintenance plan for the benefit of the residents staff training There was an open, inclusive ambience in the home, provided by a team of care staff who knew the needs of the residents and were well able to meet those needs. The cook and domestic were also important parts of the team and each contributed to the quality service endorsed by the residents. What has improved since the last inspection? What they could do better: No requirements were raised as a result of this inspection and one minor recommendation was made to update the Complaints Procedure to show the change in name from NCSC to the Commission for Social Care Inspection. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 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 Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 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 standard(s) 3 and 5 The care manager or the deputy manager met with all prospective residents to carry out pre-admission assessments to identify their needs and assured them that those needs could be met. Trial visits were offered to enable residents and relatives to make an informed choice about the home. EVIDENCE: The care manager or the deputy manager carried out pre-admission assessments for all potential residents. Inspection of records evidenced a thorough, detailed assessment of needs including personal care, social history etc. Documentation and discussion with the care manager confirmed that prospective residents were able to visit the home for a meal, or to stay for the day before moving in and trial periods were offered for the first 8 weeks. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 The care planning processes were very good. They were professionally documented, very thorough and enabled staff to have a clear understanding of resident’s needs. All health care needs were met and residents had access to a range of health professionals. Medication policies and procedures were satisfactory for the protection of the residents. Residents were treated with dignity and respect. EVIDENCE: Individual plans of care were examined and included all aspects of health, personal and social care. They were easy to understand, and extensively detailed to enable staff to have a clear understanding of resident’s needs and how those needs should be met. Each care plan contained a photograph of the resident, a pre-admission assessment plus a completed Clifton assessment for each resident to determine the dependency levels of the individual. Care plans were set out to cover all aspects of daily living including social, spiritual and cultural needs. Also included were nutritional assessments, continence assessments etc. All care plans were reviewed monthly. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 11 Residents were weighed monthly and had access to a range of health care specialists including the GP, dentist, optician, and chiropodist, whose visits were recorded on a Medical Services Form. Specialist equipment was available for the benefit of the residents e.g. mat buzzers to alert staff when residents, who were known to wander during the night, got out of bed. Risk assessments were completed in detail and reviewed monthly. The Medication Administration Records and the Controlled Drug Register were examined and found to be accurate and authorised appropriately. The home had regular contact with the pharmacist. No resident was self-medicating at the time of the inspection. One of the toilets downstairs had recently been converted into a treatment room and provided a safe and secure environment for the storage of medicines including controlled drugs. Staff were observed knocking on bedroom and bathroom doors before entering and residents confirmed that they were treated politely and respectfully, and their privacy was upheld. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. There were a range of social, religious and recreational opportunities available to meet the expectations of the residents within the home. Relatives and visitors were welcomed in an open and friendly manner and residents were supported and encouraged to maintain contact with family and friends. Residents were able to exercise their rights to have control over their own lives and to fulfill their individual wishes and choices. Dietary needs of the residents were well catered for and meals were well presented and nutritious. EVIDENCE: A wide selection of recreational activities was available for the residents, both in the home and in the local community. These included: visits by various entertainers, a wild life show, a hairdresser, garden games such as croquet, gardening using raised beds, etc. In addition, residents had trips out using community transport to local places of interest, went shopping, had pub lunches, received large print books and tapes from the community library, occasional visits by the Boy’s Brigade, access to the Women’s Institute and Mother’s Union, and one resident had recently visited a local stables to see ‘Blue’ the care manager’s horse. The home had also arranged monthly visits by a group called ‘Progressive Mobility’ who provided a variety of healthy activities including a type of ‘chair aerobics’. One resident was a member of a ‘sponsor a dog’ charity and received mail regularly from the organisation. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 13 Another resident liked to feed the fish in the pond and the birds that nested in the bird boxes in the back garden. Religious needs were also catered for and visits to the Home by the local clergy took place regularly and a Holy Communion service was held each month. The care manager and residents confirmed that there was an open visiting policy at the Home for relatives and friends and residents told the inspector that they were able to see them in their own rooms if they so wished. The inspector, having viewed some electoral voting forms, was informed by the care manager that he had recently sent an updated list of residents living in the home to the Local Authority, to ensure that each resident would be on the electoral register at the correct address and subsequently receive postal voting forms for any future elections. Residents confirmed that they were able to get up and retire to bed at times to suit them and were observed making their own choices throughout the inspection. During the inspection lunch was served and seen to be well presented and nutritious. Residents told the inspector that the food was ‘delicious’ and ‘very good’. The cook asked the residents each morning what they would like for their meals for that day. Four weekly menus were in place providing a range of variety and choice and two residents were on ‘soft’ diets, which were recorded on their individual care plans. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home had a satisfactory complaints procedure and residents were listened to and their comments acted upon. Residents were protected from abuse by the home’s Adult Protection procedure and training and supervision sessions on the protection of vulnerable adults. EVIDENCE: The Commission had not received any complaints since the last inspection and none had been made to the home during the last twelve months. Residents confirmed that they did not have any complaints, and the inspector observed a positive and supportive relationship between the staff and the residents in the home. It was clear that if any complaints were raised, the manager and the staff would make every attempt to resolve them as far as possible. This was confirmed by a resident who said ‘I had no confidence when I came here, but now, I feel so much better – whatever I want is sorted out for me’. The home had a comprehensive complaints policy on view in the hallway for the benefit of relatives and residents and the inspector made a recommendation for it to be updated to show the change in name from NCSC to the Commission for Social Care Inspection. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 15 The home had an Adult Protection procedure and all staff had received training in April 2005 on how to protect residents from abuse. Staff records showed a number of questions on ‘abuse’ that were used as a basis for discussion as part of the supervision sessions between members of staff and the manager. This was an excellent example of the home’s on-going commitment to ensure that staff were kept up-to-date and knowledgeable about all aspects of abuse and to know how to protect residents from the risk of abuse. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20, 21, 24 and 26. The home provided a well-maintained environment throughout and recent redecoration, both inside and out, had been carried out to a high standard for the benefit of the residents. There were accessible, safe and pleasant communal areas with adequate lavatories and washing facilities. The home was very clean, warm and tidy, and had a comfortable, homely atmosphere. EVIDENCE: The location and layout of the home was well suited for the residents. The two-storey home was located in a quiet residential area with bedrooms available on both floors. Externally, the home had been partly re-decorated to a high standard and had a variety of tubs and hanging baskets full of flowers providing a positive and welcoming first impression of the home. The communal areas included a large lounge, a dining room and a large rear garden. The lounge and dining room had recently been redecorated to a high standard and were bright, very clean and presented a homely and comfortable environment for the residents. The garden, accessible via a small ramp, contained a wide range of shrubs and flowers and a fishpond, which was The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 17 guarded with a grill to prevent residents falling into it. A gazebo, garden pedestal lights, bird boxes and raised garden beds were also in place for the benefit of the residents. There were 4 toilets, 1 assisted bathroom and 1 bathroom which was due to be turned into an assisted shower room. The home was maintained, both internally and externally, to a high standard. All of the bedrooms, apart from 4, had recently been redecorated and new colour co-ordinated bed linen, curtains and border paper had been purchased which complemented the rooms. Each bedroom was of a good size and each contained a range of personal items of the individual resident. It was observed that radiators were protected, adequate numbers of sockets were available and smoke detectors were fitted. A good standard of furnishings and fittings were witnessed. The kitchen was not inspected on this occasion but the home, overall, was spotlessly clean, free from offensive odours and hygienic. Laundry facilities were satisfactory and soiled laundry was washed at appropriate temperatures to control the risk of infection using easily identifiable, red bags. The home was in the process of purchasing a new laundry system and the inspector was provided with details of this. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 29 Staffing at the home was satisfactory to meet the needs of the residents. Residents were safely cared for by well-trained staff and the recruitment and selection procedure operated within the home was thorough, robust and well documented for the protection of the residents. EVIDENCE: On the day of the inspection, the registered care manager and the deputy manager were on duty all day, plus a care assistant from 7.30 a.m. to 2.00 p.m. and 2 further care assistants from 2.00 p.m. to 9.00 p.m. Night duty was covered by one care assistant and the registered care manager who slept on the premises and available for emergencies. Examination of staff files and discussion with the care manager identified that of the 14 staff employed by the home, 6 members of staff had achieved NVQ Level II, 1 care assistant was in the process of completing NVQ Level 2, the deputy manager had achieved NVQ Levels 2 and 3 and the registered manager had almost completed NVQ Level 4 and the Registered Manager’s Award. Two staff files were examined and a thorough recruitment and selection process was in place, which included a photograph of the staff member, application and interview records, CRB clearance, two references, proof of identity, contract of employment, training history, etc. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33 and 36 The care manager was experienced in providing care for the elderly and fully committed to ensuring that the needs of the residents and meeting those needs, remained a priority at all times. This was also embodied within the staff and regular supervision and staff meetings took place to enable staff to contribute to service delivery. Residents and relatives were encouraged to provide feedback to enable effective audit of the service provided. The documentation and records within the home were extremely well organised and professional. EVIDENCE: Inspection of records and discussion with the care manager evidenced that he was experienced and competent to run the home and meet its stated purpose, aims and objectives. His management approach was open, approachable and positive creating a relaxed and inclusive atmosphere within the home. This The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 20 ethos was supported by robust procedures and policies, which he had developed and communicated to his staff. The care manager’s commitment to the residents was evident throughout the inspection. One service user did not have any visitors and was unable to provide details about the whereabouts of her children. The care manager went to considerable lengths to trace her family that she had not seen for many, many years, who subsequently came to visit their mother. The inclusive approach by the care manager included bi-monthly staff meetings to enable staff to contribute to the way in which the service was delivered. Also, quality questionnaires were used to survey satisfaction levels of residents and their relatives. These questionnaires were professionally designed by one of the registered providers and the inspector viewed some of those that had been completed and returned. Positive action was taken and recorded by the management from comments received from both the staff meetings and the completed surveys. Staff supervision records were inspected and the inspector was impressed by the detailed format of the supervision form that covered all aspects of care. In addition to this, annual appraisals took place for all staff. The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 4 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 x 3 3 x x 3 x 3 STAFFING Standard No Score 27 3 28 3 29 4 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 4 4 3 4 x x 4 x x The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 22 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation NONE Requirement Timescale for action 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 1, 16 Good Practice Recommendations To update the Statement of Purpose and the Complaints procedure to show change of name from NCSC to Commission for Social Care Inspection The Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Willows E51-E09 S60725 The Willows V239042 20.07.05 Stage 4.doc Version 1.40 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. 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