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Inspection on 11/05/05 for Thornbank Residential Home

Also see our care home review for Thornbank Residential Home for more information

This inspection was carried out on 11th May 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a programme of activities for residents which is well advertised around the building. On the day of the inspection some residents had enjoyed a talk given by a guest speaker on "Life on a Farm". A selection of residents spoken to during the inspection reported that they were well looked after, that the staff were very kind and helpful and that they had a good rapport with staff members. The majority of residents spoken to were very happy with the accommodation provided and many had made their own rooms look homely with the addition of personal belongings. All areas of the home seen at the time of the inspection were maintained to a good standard of decorative order and repair. During the inspection it was evident that residents are enabled to receive community health services.

What has improved since the last inspection?

On this occasion it was identified that all prospective staff members are subject to a POVA check. The management of the home has also ensured that any personal bars of soap are not left in communal toilets and bathrooms. All communal bathrooms are provided with liquid soap and disposable paper hand towels. Since the previous inspection nailbrushes have also been removed from communal bathrooms.

What the care home could do better:

Whilst Greensleeves Homes Trust provides a detailed template on which resident care plans can be based, at the time of the inspection thesedocuments were not used to their full potential. The home needs to ensure that all care plans are reviewed on a regular basis and that these reviews are documented and signed by the author. As identified in previous inspections the home must also ensure that risk assessments are signed and dated. Although in general residents were provided with a safe environment, the staff and management of the home need to address a few health and safety issues and actively seek out any hazards which may be present within the building. It was identified during this inspection that the home was providing accommodation and care to a resident with a diagnosis of dementia. The home must ensure that it does not accommodate residents who are outside their category of registration.

CARE HOMES FOR OLDER PEOPLE Thornbank Residential Home 6 Westerfield Road Ipswich Suffolk IP4 2UJ Lead Inspector Jane Higham Unannounced 11 May 2005 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. Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Thornbank Residential Home Address 6 Westerfield Road Ipswich Suffolk IP4 2UJ 01473 253346 01473 639218 None Greensleeves Homes Trust 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) Mrs P O Hadden Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number of places Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 20/01/05 Brief Description of the Service: Thornbank Residential Home is situated in a pleasant residential area of Ipswich and provides accommdoation and care for up to 33 older people. The home is owned and administered by the Greensleeves Homes Trust, a non profit making organisation and looks out onto Christchurch Park. The home is sited within easy reach of Ipswich town centre with all its facilities and resources. The building has been registered as a care home since 1945 when it was first purchased by the WRVS. In 1995 the neighbouring property was acquired and an extension with a link between the two houses was built. Accommodation is sited on three floors but all are accessible via a passenger or stair lift. The home has 29 rooms for single occupancy and two shared rooms all of which benefit from ensuite facilities with a minimum of a washbasin and toilet. Twenty-eight rooms also have the advantage of an ensuite shower facility. Additionally the home has 5 assisted bathrooms which are located across 3 floors. The home has three communal lounges, a small conservatory and a large dining room. One of the lounges is located on the first floor of the building and is often used for religious meetings or hairdressing services. Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection of Thornbank, a thirty-three bedded residential home for older people, which is owned and administered by the Greensleeves Homes Trust. This was the first inspection in the inspection year 2005/2006. The inspection was carried out on 11 May 2005 over a period of four and a half hours. During the course of the inspection, the majority of service users were spoken to during the lunchtime meal and others were seen in the privacy of their own rooms. Pre-admission assessments, resident care plans and risk assessments were examined as were the procedures for the administration and safe keeping of resident medication. Staff personnel files were examined and an environmental tour of the building was undertaken. What the service does well: What has improved since the last inspection? What they could do better: Whilst Greensleeves Homes Trust provides a detailed template on which resident care plans can be based, at the time of the inspection these Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 6 documents were not used to their full potential. The home needs to ensure that all care plans are reviewed on a regular basis and that these reviews are documented and signed by the author. As identified in previous inspections the home must also ensure that risk assessments are signed and dated. Although in general residents were provided with a safe environment, the staff and management of the home need to address a few health and safety issues and actively seek out any hazards which may be present within the building. It was identified during this inspection that the home was providing accommodation and care to a resident with a diagnosis of dementia. The home must ensure that it does not accommodate residents who are outside their category of registration. 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. Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 & 6 In most cases, prospective residents undergo a detailed assessment of need prior to admission taking place. However, the home must ensure that this occurs in all cases in order that they do not breach regulations by providing care and accommodation to residents outside of their category of registration. EVIDENCE: On the day of the inspection the pre-admission assessments carried out for two recently admitted residents were examined. These assessments had both been completed by the prospective resident’s allocated social worker, were very detailed in their content and provided enough information on which care staff could base initial individual care plans. Additionally, both prospective residents were visited by the Manager in their previous care settings, where they were assessed as to whether the home could meet their current care needs. Pre-admission information gained as part of the inspection did indicate however that one prospective resident with a diagnosis of dementia had been admitted to the home. The Manager was therefore reminded that the home is not registered to offer care and accommodation to service users within this category. Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 9 It was determined during the inspection that the home does not offer an intermediate care service. Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 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 and 9 Each resident is provided with a care plan which sets out their individual care needs. Greensleeves Homes Trust provides a detailed care planning template but in some instances the home did not use this document to its full potential. Residents are able to access all community health resources and the home operates an appropriate and safe procedure for the administration and storage of medication. EVIDENCE: During the course of the inspection, the care plans of two recently admitted residents were examined. Greensleeves Homes Trust has produced a care plan template for all its homes which enables the writer to indicate the individual care needs of each resident and the interventions required. On the day of the inspection, care plans seen included such areas of need as personal care, diet and weight, sight hearing and communication, mental state and cognition and mobility and dexterity. Care plans seen also included information on the preferred daily routine of individual residents. In general the care plans seen provided an adequate amount of information to enable care staff to deliver appropriate care to each person. However some areas of the care plan were found to be incomplete and there was no evidence available to confirm that care plans were being reviewed on a regular basis as set out in Standard 7.4 of the National Minimum Standards: Care Homes for Older People. In both Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 11 cases each care plan contained a moving and handling assessment, although as found in the previous inspection, these documents were not signed and dated by the author and no evidence was available to confirm that a regular review of these assessments took place as part of the care planning system. Records seen as part of the inspection evidenced that service users are enabled to access community health facilities such as GPs and during the day several residents were visited by the local optician to fit new glasses. Another resident reported that they had been visited by the district nurse that day and another had been to the dentist. The system used for the administration and safe keeping of medication as examined and found to be both secure and appropriate. The home operates a monitored dosage system which is delivered from Boots The Chemist in blister packs. During the inspection staff were observed administering medication to residents during the lunchtime meal. Greensleeves Homes Trust has produced a detailed medication procedure although it did not include any guidelines on how to administer medication to individual service users who were going out for the day. The recording of administered medication was carried out appropriately, although it was suggested to the Manager that when service users go out for the day any medication provided to them which was to be taken later should be recorded using the code under “social leave” and not just the usual signature to confirm it was administered. Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 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 and 15 Residents are provided with a planned programme of activities throughout the week. In general meal provision is of a good standard and a varied and nutritious menu is available, although further discussion may be warranted about when residents are asked to chose the following days meal option. EVIDENCE: During the inspection, it was noted that residents are provided with a programme of planned activities and these are advertised via various posters around the building. On the day of the inspection, a visitor to the home was giving a talk on “Life on a Farm” and was attended by approximately twelve residents. Several service users spoken to after the event reported that they had enjoyed this talk very much. Residents were observed eating their mid-day meal which on the day of the inspection consisted off beef stew and dumplings, fresh vegetables and potatoes. Residents who did not like this option were offered an omelette. A dessert was offered to all residents with an option of fresh fruit, fruit salad or jelly. Residents sat in small groups around the dining room and food arrived at each table whilst still hot. As part of the inspection process, each resident was asked whether they had enjoyed their meal and the majority reported that it was most enjoyable. Several residents were asked for their feedback about meal provision during the rest of the day and were very positive in their comments. It was confirmed that residents who do not wish to eat their meal Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 13 in the dining room are at liberty to have their meals delivered to their bedroom. During the evening residents are offered soup and a light main course or sandwiches, followed by a desert or cheese and biscuits. The evening meal is prepared by the home’s cook before their duty is finished. Nearing the end of the lunch-time meal residents were informed of the lunch options for the following day Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 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 Residents and their relatives are provided with relevant information about how to make a complaint regarding the quality of the service. Since the previous inspection the Commission has received two complaints in relation to this service. These are both being investigated by the service provider. EVIDENCE: During the inspection, the home’s complaints procedure was examined. This was presented in the form of a complaints leaflet which provides details of the owning organisation’s procedure for the investigation of complaints. This leaflet is available to residents as part of the home’s service user guide and copies are also available in the entrance hall of the building. The complaints leaflets also provide the current contact details for the Commission for Social Care Inspection although it was noted that the current telephone number had been omitted. The home was able to evidence that regular residents meetings are held where issues surrounding the day to day running of the home can be discussed. Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 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 standard(s) 19-26 The home provides accommodation for residents which is maintained to a good standard of decorative order and repair and provides a comfortable and homely environment. All residents are provided with single room accommodation apart from two rooms which are allocated for shared use. In addition to the ensuite facilities available in each bedroom, the home has an adequate amount of communal bathroom and toilet facilities to meet the needs of residents. The home is maintained to a good standard of hygiene and cleanliness and in general terms the environment is safe for both residents and staff, although two health and safety issues were identified. EVIDENCE: An environmental tour of the home was undertaken as part of the inspection. There are three lounges for the use of residents and a large dining room. All these areas were furnished to a good standard and provided a pleasant area in which residents could socialise. Resident bedrooms seen at the time of the inspection were maintained to a good standard of decorative order and repair and good use had been made of attractive soft furnishings and wallpaper borders. Many of the rooms seen had been made to look very homely with the addition of personal belongings. All bedrooms have the advantage of ensuite Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 16 facilities which include either a shower or bath. In addition to these facilities the home has five communal bathrooms with assisted bathing. Communal corridors had recently benefited from re-decoration and each zone was decorated in a different colour to assist new residents and staff to orientate themselves around the building. The home has a large kitchen which is located centrally within the building and the owning organisation has plans to refurbish this area during June 2005. All areas of the home were found to be maintained to a satisfactory standard of hygiene and cleanliness. In the main all areas were maintained in a safe manner, although it was noted that the laundry room contained an unlocked cupboard which had been used for the purposes of storing a bottle of toilet cleaner and was accessible to service users. It was noted that specialist mobility equipment and aids were provided throughout the home and all floors of the building are accessible either by a passenger or stair lift. Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 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 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 & 29 The procedures used for the recruitment of staff are appropriate and offer protection to people living within the home. The staffing levels currently provided during the day are appropriate to meet the individual social and personal needs of residents. Staffing levels provided at night are at a minimum level and require monitoring to ensure that residents are not placed at any risk during the night period. EVIDENCE: On the day of the inspection, the staffing rotas were examined and evidenced that a sufficient number of staff were on duty to meet the individual care needs of residents. In addition to the manager and Deputy Manager, four care staff were on duty during the waking day and during the night period residents are attended to by two care staff on an “awake” basis. As part of the inspection process, the personnel files of the two most recently employed staff were examined which evidenced that the home had been in receipt of written references prior to either member of staff commencing their duties. Residents spoken to at the time of the inspection confirmed that staff were very kind and helpful. One resident described how they enjoyed their relationship with staff and a young male member of staff was observed having a light hearted conversation with this person. Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 18 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) 33 and 38 The home has quality assurance procedures which seek to regularly monitor the standard of care and accommodation provided to residents. Whilst in general the home provides a safe environment the registered persons must eliminate any hazards that may exist and may place residents and staff at risk. EVIDENCE: During the inspection process the home was able to evidence that resident meetings are held on a regular basis and provide a forum for service users to air their views and opinions about the day to day running of the home. The Commission can confirm that the home is visited on a monthly basis by a representative of the owning organisation for the purposes of quality assurance as required by Regulation 26 of the Care Homes Regulations. Whilst in general terms the home provides a safe environment to residents, it was noted during the inspection that in one resident’s room an additional length of string had been tied to the existing pull cord of the “nurse call” system in order that it could be reached by the resident when sitting in their chair. This meant that Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 19 the string was draped across a portion floor within the room and presented a health and safety hazard to the staff entering the room as well as the occupant. Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 20 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 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x 3 x x x x 2 Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 21 yes 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 3 Regulation 3(4)Sch4( 5b) Requirement The Registered Persons must ensure that no service user is admitted to the home who falls outside their category of registration. The Registered Persons must ensure that all service users care plans are kept under review as set out in the National Minimum Standards: Care Homes for Older People. The Registered Persons must ensure that the medication procedure includes the processes adopted when medication is issued to residents going out for the day. The Registered Person must ensure that the homes complaints procedure includes the contact telephone number for the Commission for Social Care Inspection The Registered Persons must ensure that all hazardous substances are stored securely. The Registered Persons must ensure that all risk assessments in relation to moving and handling must be signed and dated by the author.This is a Timescale for action 11/05/05 2. 7 15(1)(b) 11/05/05 3. 9 13(2) 01/06/05 4. 16 22(7)(a) 01/06/05 5. 6. 20 22 13(4) 13(5) 11/05/05 11/05/05 Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 22 7. 38 13(4) repeat requirement brought forward from the previous inspection. The Registered Persons must ensure that the string attached to the pull cord of the nurse call sysytem located in Room 7 is removed as it presents a health and safety risk to both residents and staff. 11/05/05 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 15 Good Practice Recommendations The Registered Persons should consider asking residents to make their meal choices for the following day at some stage during the afternoon and not whilst they are having lunch. The Registered Persons should consider the provision of light music when residents are enjoying lunch in order to further enhance the atmosphere. The Registered Persons should ensure that the level of staffing provided at night is continually monitored to ensure that the individual needs of residents are adequately met during this period. 2. 3. 15 27 Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 5th Floor, St Vincent House 1 Cutler Street Ipswich Suffolk, IP1 1UQ 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 Thornbank Residential Home v226753 i54-i04 s24512 thornbank v226753 050511 stage 4.doc Version 1.30 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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