Inspection on 17/01/07 for Thornbury Villa

This inspection was carried out on 17th January 2007.

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

Thornbury Villa 07/12/05

Thornbury Villa 07/06/05

Thornbury Villa 10/11/04

Thornbury Villa 06/07/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Thornbury Villa 128 Peverell Park Road Peverell Plymouth Devon PL3 4NE Lead Inspector Jane Gurnell Unannounced Inspection 17th January 2007 09:45 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 Thornbury Villa DS0000003541.V290589.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. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Thornbury Villa Address 128 Peverell Park Road Peverell Plymouth Devon PL3 4NE 01752 262204 NONE 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) Mr James Marinus Van Deijl Mrs Jacqueline Anne Van Deijl Mr James Marinus Van Deijl Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 07/12/05 Brief Description of the Service: Thornbury Villa is a care home situated on the edge of Central Park, Peverell, Plymouth, and within walking distance of Mutley Plain shopping precinct. The home has a family atmosphere due to there being a maximum of 13 service users at any one time, and due to the efforts of the owners and staff to ensure a non-institutionalised and homely environment. All the accommodation is in single/ en-suite bedrooms located on two floors. Stair lifts ease access to the 1st floor. The house is spacious and provides sufficient shared space for the numbers and needs of the 13 people who live there. The home is Registered to provide care for up to 13 older people aged 65 years . Thornbury Villa does not provide care for people with Dementia or severe physical disability. The home is not Registered to provide Nursing care. Thornbury Villa sets out to provide care services for people whose assessed needs are of a lower level and who maintain a certain level of independence. Information regarding the services provided at Thornbury Villa can be obtained directly from the home. The current weekly fees range from £296.30 to £365. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on 17th January 2007. Prior to the inspection the Commission had sent surveys to all the residents’ relatives and the staff to enable them to comment directly and anonymously about their experiences and the quality of the services provided at Thornbury Villa. All of those returned commented very favourably: comments such as “Thornbury Villa is a well run care home providing excellent care”, “each resident is treated as a valued individual” and “the staff are really wonderful” were received from relatives, and from staff, “the home is run in such a way that staff residents and visitors are all working together” and “never would anybody find a more supportive, caring and progressive employer or care provider”. The inspector made a tour of the building, spoke to 8 residents and one visitor as well as the staff on duty; reviewed in detail the care plans of 3 residents and 2 care staff personnel files and reviewed the medication storage and records as well the documents relating to the home’s quality assurance and consultation processes. Mr and Mrs Van Deijl, the homeowners, were available and they and their staff team assisted the inspector throughout the inspection. What the service does well: Thornbury Villa provides a friendly personal service in a comfortable, homely environment. Mr and Mrs Van Deijl lead the staff team in promoting a warm, caring atmosphere where the residents feel relaxed and at home and are encouraged to make decisions about their daily routines. Good information is passed to anyone who may consider moving to the home and a thorough assessment is completed prior to admission to ensure that needs can be met. The care manager regularly reviews the care needs and care plans of residents and clear information is documented regarding general and complex healthcare needs. Living rooms are comfortably furnished and set out in a style that encourages conversation and socialising. Arrangements are made for entertainment and social opportunities in the home and residents are given the choice if they wish to partake. Family and friends are welcomed by staff and can visit at any time. The homes complaints procedures and service users questionnaires ensure that all concerns are listened to and addressed. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with sufficient information to help them make an informed choice about where they live. The homes’ admission process ensures that residents are properly assessed prior to moving in to ensure that their needs can be sufficiently met. EVIDENCE: The home provides prospective residents with sufficient written information regarding the home and the services provided to assist them the make an informed decision about the suitability of Thornbury Villa. One newly admitted resident described how welcome she had been made by the staff and owners when she had visited the home prior to her admission. She said “I had no need to look elsewhere, I knew this was home”. Pre-admission assessments are comprehensive and ensure that each prospective resident’s needs are known prior to their admission and allows confirmation that these needs can be met. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans are comprehensive and ensure residents’ needs are identified and met in a manner that protects each resident’s rights and choices. EVIDENCE: Residents said that they are well cared for by kind, caring and competent staff. Many residents said that Thornbury Villa was a real “home from home”. Mr and Mrs Van Deijl and the senior staff in the home liaise regularly with health care professionals to promote the health and well being of all residents. For example, following the nutritional screening of all residents, 3 were found to be at risk from malnutrition: following extra support their health has improved significantly. Screening and intervention such as this demonstrates the owners’ commitment to not only maintaining the residents’ well being but to improve their health and their quality of life. One resident who had felt unwell on the day of the inspection, said that she was being very well cared for, and the staff were “spoiling her”. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 10 Care plans are the documents by which the home records a resident’s care and support needs, thereby ensuring that residents are supported in a consistent manner that promotes their independence and choice. Three care plans were examined and these provided a very detailed description of the residents’ needs as well as information regarding complex health and medical care needs. These records provided clear guidelines for staff and information about how residents like their care to be delivered. Those residents spoken to said that staff respected their privacy when assisting them with washing and bathing, and were always ‘kind, caring and gentle’. Throughout the day staff were observed knocking on residents’ bedroom doors and treating them with dignity and respect at all times. The home has a falls register and has completed risk assessments for residents at risk of falls and fractures. Paying attention to the risk of falls has resulted in a significant reduction in the number of falls by many of the residents. Medication is stored safely and administration records were accurate. The balance of all medicines is recorded daily and a member of staff with responsibility of ordering medicines audits these balances every week: this is very good practice and enables any issues relating to an individual’s medications be to easily identified. All staff who administer medication have received training from the local pharmacist ensuring they are aware of the principles of safe medication practices. Residents are supported to retain responsibility for their own medication should they be able to do so. The owners have recognised that many older people have prescribed multiple medications and the home’s practice is to have all medication reviewed by the local pharmacist within one month of admission. Should there be concerns over the level of medication taken by the resident a referral is made to their GP. This again demonstrates the owners’ commitment to protecting the well being of each resident. Mr and Mrs Deijl have given consideration to the care of the residents towards the end of their life and as such are developing an “End of Life Care Plan” to ensure that the residents’ wishes are known and respected. Residents who are terminally ill may remain at Thornbury Villa should the Community Nursing Service and the care staff be able to meet their needs. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can be confident that the lifestyle in the home will be relaxed, interesting and promote their independence and choices. EVIDENCE: The atmosphere in the home was relaxed and comfortable whereby people wandered in and out of the living rooms and did as they pleased. Residents said that there were no rules as such: they could get up when they wanted and went to bed when they liked. The inspector spoke to one visiting relative who said she was always made welcome and praised the staff for their kindness. Those relatives who responded using the surveys also confirmed that they were welcomed into the home and kept fully informed. The following comments are some of those received: “I am completely satisfied with the care my Aunt receives and would add that very often staff go beyond their call of duty in their care of residents”, “my Grandfather receives first class care from all members of staff and his dignity is fully maintained”, “I find all staff very welcoming, kind, caring and informative. My Grandfather is extremely happy at the home” and “the atmosphere is one of happiness and homeliness. I would be more than happy to live there myself”. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 12 Prior to lunch, residents meet in the dining room for a glass of sherry, or should they prefer to take their meals in their room, a glass of sherry is offered to them there. Residents said how much they enjoy the food served and praised the cook for the quality of the meals and the standard of cooking. People were offered alternatives if they didn’t want what was on offer. Tables were immaculately laid with table linen and china providing a very pleasant environment within which to eat a meal. Daily activities are facilitated by staff as well as external entertainers and include indoor football, skittles, darts, painting, bingo and exercises. These activities provide interest and exercise for the residents. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users and relatives can be confident that their views will be listened to and any complaints will be taken seriously. Procedures and training are in place to ensure that service users are protected from abuse, neglect and self-harm. EVIDENCE: The Commission has received no complaints regarding this service. None of the residents spoken to or the relatives consulted said that they had ever had to make a complaint. If they wanted anything or had a worry they would speak to the manager or any of the staff and know it would be taken care of. The complaints procedure was posted on the notice board and included in the Statement of Purpose and Service User Guide. All residents are entered on the electoral register to ensure they are able to continue to be involved in the electoral process. Mr Van Deijl is a member of the local authority’s Protection of Vulnerable Adults review committee and is conversant and very knowledgeable about the procedures in place for the protection of the residents in the home. All residents in the home are risk assessed as to their vulnerability with regards to all types of abuse. He gave examples whereby the risk assessments had revealed the need to refer residents for legal advice regarding protection of their property and finances. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 14 The latest Alerter’s Guide published by the local authority and prevention of abuse procedures were available to staff. All staff have either undertaken or are due to undertake formal adult protection training ensuring they are aware of the signs and symptoms of abuse and also their responsibility should they suspect a resident is at risk. The NVQ training undertaken by staff includes elements of protection of vulnerable adults. Mr Van Deijl has accessed Equality and Diversity training to ensure staff are knowledgeable about anti-discrimination practices and issues of equality for residents who may have differing needs due to their age, sexual orientation, race, belief or disability. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are assured of a safe, clean, well-furnished home where they can maintain their privacy and live in comfort. EVIDENCE: Thornbury Villa is a stylish corner property with accommodation on two floors. A stair lift provides access to the upper floor. One separate bedroom off the lounge involves stairway access. The home provides 13 single bedrooms all with en suite toilets. All the rooms are lockable and central heating radiators have been covered to protect the residents from burns should they come into contact with them. The rooms are well furnished and reflected the style and interests of the person living in the room. Rooms were bright, clean and tidy. The living room is a large lounge with a dining area at one end. There was sufficient space for residents to sit and watch TV or participate in leisure activities. Large patio doors open out onto the enclosed garden where seats and tables provide a pleasant to sit and relax in the better weather. On the Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 16 first floor there is a balcony that provides further seating areas overlooking the road and gardens. There are two bathrooms one of which is assisted with a hoist, there are raised toilet seats where required and hand rails to provide support and to aid mobility around the home. The kitchen was clean and well ventilated and housed all the usual equipment and utensils for cooking and storing food which was reflected in the high standard of meals provided. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can feel assured that the staff working at Thornbury Villa have the skills and are sufficient in number to meet their needs. The homes robust recruitment process protects residents. EVIDENCE: All staff, including ancillary staff, demonstrated a good understanding of residents needs and were aware of their own role and the role of others working in the home. Staff were observed responding promptly and sensitively to the request of residents, and the good rapport between staff and residents added to the warm and happy atmosphere. Residents and visitors spoke highly of the staff team. Most of the staff team have been there for a considerable time and staff turnover is low. All the care staff surveys returned said that they felt fully supported in their role. One member of staff said “never would anybody find a more supportive, caring and progressive employer or care provider”, another that the home “provides a warm welcome and a natural environment to all who live there”. There is a sense of pride amongst the staff team to be working in a care home that provides an excellent standard of care to its residents. The staff rota and discussion with residents confirmed that there are sufficient care and ancillary staff (domestic and catering staff) on duty throughout the day and night to meet the needs of those currently living in the home. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 18 Personnel records were seen for two members of staff, one of who had recently been appointed in the home. The necessary pre-employment checks had been carried out, including obtaining 2 written references, a Criminal Record Bureau Disclosure and a check against the Protection of Vulnerable Adults List, ensuring as far as possible only suitable staff are employed. Minutes from residents meetings confirmed that residents are asked their opinions of staff members during their induction stage. The newly appointed member of staff said that she had been well supported by the other staff members: she was being supported to undertake the Skills for Care induction programme which provides new staff with the information they need regarding the principles of care and the protection of the rights of residents. The staff team has received training in Food Hygiene; Fire Safety; Health and Safety; Moving and Handling; Infection Control; Medication management; Hearing Impairment: an Osteoporosis course as well as their NVQ training. This training programme ensures staff have the knowledge and skills necessary to support older people and to respond appropriately in an emergency. The home has achieved over 90 of care staff with a National Vocational Qualification indicating the owners’ and the staff’s commitment to training. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37, 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents and staff benefit from an open, inclusive and positive style of management. The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which include seeking the views of residents, staff, relatives and other agencies. EVIDENCE: Mr and Mrs Van Deijl have owned and managed this home for over twenty years. They have attended courses, participated in working groups, and continue to be actively engaged in the Residential Care Homes Trust, ensuring they provide a service at Thornbury Villa that is in line with professional good practice guidelines. It was evident throughout the inspection that staff and residents benefit from an open, inclusive and positive style of management. Mr & Mrs Van Deijl are in charge of the day-to-day running of the home and project a friendly, welcoming attitude, which was reflected by the staff on duty. Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 20 Residents said that Mr and Mrs Van Deijl very approachable and they felt the home was well managed. Residents are supported to remain in control of their finances however should a resident find that they are unable to do so, Mr Van Deijl has made arrangements with an independent solicitor to provide advise and support ensuring the resident’s protection. Mr & Mrs Van Deijl and their staff team work hard to ensure that the necessary records are in place and are well maintained to ensure the safety of residents and the effective and efficient running of the home. Information regarding the needs of each individual is clearly documented and can be accessed and understood by those providing care. Policies such as the Prevention of Malnutrition in Care Homes, Prevention of Residents at Risk of Polypharmacy (adverse effects of four or more prescribed drugs), and Prevention of Urinary Tract Infection promote residents’ well being and avoid unnecessary health deterioration. Radiators have been covered and hot water outlets accessed by service users have been fitted with temperature regulation valves to protect residents from the risk of burns and scalds. Staff confirmed that they receive regular supervision to ensure their work practice is satisfactory and that their training needs are identified and met. A quality assurance system is well established and residents’ and relatives’ views are sought monthly either through meetings or the use of questionnaires. Views were sought on issues such as the day-to-day running of the home, menu planning, laundry services, leisure activities and staff performance. The minutes of meetings and questionnaires were available and indicated that residents and their relatives were very satisfied with the services provided at the home. Thornbury Villa DS0000003541.V290589.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 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 4 4 4 3 3 3 4 3 3 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 4 3 3 3 Thornbury Villa DS0000003541.V290589.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. Standard Regulation 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. Refer to Standard Good Practice Recommendations Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Thornbury Villa DS0000003541.V290589.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!