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Inspection on 20/06/07 for Thurleston Residential Home

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

This inspection was carried out on 20th June 2007.

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 service users are well dressed and presented and have the choice whether they stay in their rooms or sit in the lounge. The meal served on the day of the inspection looked appetising. The home was clean and in a good state of repair.

What has improved since the last inspection?

The level of staffing in the afternoon has increased with a member of kitchen staff now working until five in the afternoon. This has meant that care staff are now able to undertake care duties and are not involved in meal preparation. The numbers of staff who have completed NVQ training has increased since the last inspection although the inspector was unable to confirm the exact numbers on the day, as this information was unavailable. An audit of staff training was being undertaken by the newly appointed manager. The newly appointed manager has begun to sort out the resident`s records and make them easier for staff to use. Key information is more accessible. Resident`s finances had been audited and the system in place was more accountable.

What the care home could do better:

This home has been without a registered manager for a significant period of time. The newly appointed manager had only taken up post a few weeks prior to the unannounced inspection and was still familiarising herself with the homes systems and processes. It was too early to reach any firm conclusion as to whether the shortfalls will be addressed but none the less it was positive tonote that work had begun on auditing records and identifying gaps in areas such as training, recruitment and care planning. A number of the matters which have identified at this inspection have been raised previously and it of concern that they remain outstanding. Omissions have been found in key areas which compromise resident welfare. Care plans are inadequate and do not provide sufficient guidance to staff on how they should be addressing residents needs. There were no nutritional assessments or guidance on pressure care. The risk assessment regarding residents who were at risk of falling were inadequate. Resident`s records are maintained separately to care plans and there was little correlation between the two. Medication administration arrangements were assessed as poor, and the inspector who looked at the records could not be confident that residents were getting their prescribed medication. Staff recruitment systems did not protect residents and staff were working at the home without all the required checks. The evidence on the staff files regarding induction training did not evidence that staff had an adequate induction to the carer role. This home needs a period of consistent and strong management and there is significant work required to move this home forward.

CARE HOMES FOR OLDER PEOPLE Thurleston Residential Home Whitton Park Thurleston Lane Ipswich Suffolk IP1 6TJ Lead Inspector Cecilia McKillop Key Unannounced Inspection 20th June 2007 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Thurleston Residential Home DS0000060474.V344195.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. Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Thurleston Residential Home Address Whitton Park Thurleston Lane Ipswich Suffolk IP1 6TJ 01473 240325 F/P 01473 240325 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) Guyton Care Homes Ltd Post Vacant Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 One named person under the age of 65 as detailed in the application for variation dated 2nd February 2006. 28th June 2006 Date of last inspection Brief Description of the Service: Thurleston Residential Home is registered as a care home for older people. The home can accommodate up to a maximum of 24 service users. Guyton Care Home Ltd, with Mr Balaratnan as the Responsible Individual, owns the home. The home is located to the north east of Ipswich about three miles from the town centre. The easiest approach is from the Norwich Road and Whitton Church Lane areas. The home was first registered in July 1996. It is a single storey building located in parkland, some of which is lawned and includes shrubs and ornamental trees. Some of the rooms look over adjacent fields, others over the grounds. The whole setting is tranquil and pleasant. There is parking at the front of the home. The original bungalow has been developed with the addition of ten bedrooms. The building is of wooden design built on stilts and incorporating beamed walls and ceilings. The main lounge and dining areas are located within the original bungalow and another lounge is situated in the new part of the home. Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced inspection, which was conducted over a five-hour period. A tour of the home was undertaken and care delivery was observed. Five residents were spoken with about life in the home. Three staff were interviewed, and a sample of records were examined. The newly appointed manager Mrs Teresa Foot was present during the inspection and contributed fully to the process. What the service does well: What has improved since the last inspection? What they could do better: This home has been without a registered manager for a significant period of time. The newly appointed manager had only taken up post a few weeks prior to the unannounced inspection and was still familiarising herself with the homes systems and processes. It was too early to reach any firm conclusion as to whether the shortfalls will be addressed but none the less it was positive to Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 6 note that work had begun on auditing records and identifying gaps in areas such as training, recruitment and care planning. A number of the matters which have identified at this inspection have been raised previously and it of concern that they remain outstanding. Omissions have been found in key areas which compromise resident welfare. Care plans are inadequate and do not provide sufficient guidance to staff on how they should be addressing residents needs. There were no nutritional assessments or guidance on pressure care. The risk assessment regarding residents who were at risk of falling were inadequate. Resident’s records are maintained separately to care plans and there was little correlation between the two. Medication administration arrangements were assessed as poor, and the inspector who looked at the records could not be confident that residents were getting their prescribed medication. Staff recruitment systems did not protect residents and staff were working at the home without all the required checks. The evidence on the staff files regarding induction training did not evidence that staff had an adequate induction to the carer role. This home needs a period of consistent and strong management and there is significant work required to move this home forward. 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. Thurleston Residential Home DS0000060474.V344195.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 Thurleston Residential Home DS0000060474.V344195.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): 3,6 Quality in this outcome area is good. Prospective residents can be assured that they will have their needs assessed prior to moving into the home. The home does not provide intermediate care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence in a sample of residents files examined of a pre admission assessment having been undertaken. The assessments seen outlined prospective residents care needs. The newly appointed manager said that there was a statement of purpose in place and it was planned that a new admission pack would be developed which would be used as part of the admission process. Thurleston Residential Home DS0000060474.V344195.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 poor. Residents cannot be assured that their needs will be clearly identified and met or that they will be protected by the homes medication practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care records on three residents were examined as part of the inspection process. The newly appointed manager had begun the process of sorting out the files and had begun to subdivide them into sections, which should make it easier for staff to use. New front sheets were being developed listing key details about the resident such as the name of their GP and next of kin. The home has a care file containing the care plan and a separate booklet in which staff record resident’s daily progress. In the sample examined the two records were found to operate separately with little correlation between the two. New care plans had been introduced but these were at an early stage of development and had not been completed for all residents. Four care plans were examined and the inspector found that these were all insufficiently detailed and did not provide guidance to staff on how they should address resident’s health personal and social care needs. Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 10 One resident had been identified as having depression but there was nothing recorded about how staff should be working with this resident and promoting independence. Another resident had been identified as having a pressure sore but little was recorded about this, although the district nurse was visiting regularly and specialist equipment had been provided. Key information was not recorded about resident’s wishes in the event of their death and it was unclear how the home was monitoring areas such as hearing and sight. One resident had been identified as blind in one eye and there was nothing recorded in the care plan about how this would impact on care delivery. There was little evidence of nutritional screening. One resident was noted as having been discharged from hospital with nutritional supplements and the file records that nutritional supplements were to be given, however staff told the inspector that these were not needed. No decision was recorded with regard to this and the inspector noted that the resident had only been weighed on one occasion. There were some risk assessments in the file, where cot sides were being used. Agreement to use cot sides had been sought from the family of the resident concerned. One resident was noted to have fallen on 10 occasions over the last two months but did not have a risk assessment in place. It was unclear from the care plan how the home were addressing this issue. There were some notes relating to this in the daily records and the manager was able to outline some of the avenues that the GP was pursuing. However it is unsatisfactory that there was no documented plan or risk assessment in place outlining the steps that staff should be taking on a day-to-day basis to safeguard the resident. Residents interviewed reported that they had access to a GP should they require an appointment and a chiropodist visits regularly. The inspector was told that carers knock before entering resident’s room and that residents have choices about their routines, such as what time they get up and go to bed. The inspector was told that carers are generally kind although some were better than others. The arrangements for the administration of medication were examined as part of the inspection. The home uses a monitored dosage system and a sample of MAR charts was examined. There were no significant gaps in recording however the deputy manager was unable to locate the medication for one resident, which they had been prescribed. The medication had been signed on the MAR chart as having been given. The inspector queried why they were signed for if none were available and was informed that they had been given Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 11 out of another packet belonging to another resident. This is not acceptable or safe practice. Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. Residents can expect to see a development in activities on offer to them and to receive a wholesome diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The newly appointed manager informed the inspector that a new activities programme was being developed and was due to be implemented shortly. The existing activity programme was on display in the homes entrance. This was very limited and consisted mainly of armchair exercises and sing-alongs. On the day of the inspection music from the war was playing, which the inspector was informed had been newly purchased. Residents were observed to be enjoying listening to the music. Residents who were interviewed reported that they were able to receive visitors when they wished and the staff were welcoming. Residents said that the homes routines were not too inflexible and they were able to get up and go to bed when they wished. The menu was on display and the meal served on the day of the inspection looked wholesome and appetising. Residents told the inspector that they were able to have an alternative if they did not like what was on offer. Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 13 One resident was observed being fed by a member of staff and while this was generally satisfactory it could have been made better for the resident with smaller spoonfuls and more account of her lack of sight. Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. Residents can expect to have any complaint handled properly and be protected from abuse by the staff knowledge. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints log was inspected in June 2006 and October 2006. There was evidence at both these inspections that when complaints are made the homes management investigates them. The staff files were in the process of being audited on the day of the inspection and it was not possible to ascertain whether staff had all undertaken training in the protection of vulnerable adults. Staff interviewed said that they had received guidance on what to do if they became aware of abuse. The newly appointed manager said that she intended to undertake updating training. The inspector was informed that the arrangements in place for the safeguarding and storage of resident’s moneys had recently been reviewed and greater accountability introduced. Thurleston Residential Home DS0000060474.V344195.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): 19,26 Quality in this outcome area is good. Residents who live in this home can expect to be provided with a comfortable and clean environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The communal areas were comfortable and nicely decorated. The home was in a good state of repair and no hazards were noted on the day of the inspection. Resident’s bedrooms had been personalised with pictures and other mementoes. Residents interviewed confirmed that they were able to bring some of their own belongings with them when they moved into the home. The home was clean and tidy and there were no unpleasant odours in evidence. Liquid soap and paper towels were available for hand washing. The laundry was not visited as part of this inspection but was found to be suitable for its purpose at the last key inspection. The home has bath but no shower although the inspector was informed that there are plans in place to install one for residents use. Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 16 Thurleston Residential Home DS0000060474.V344195.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 poor. Residents can expect to be cared for by adequate numbers of staff who will have received some training for their role. Residents cannot be confident however that staff recruitment procedures will safeguard them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing levels were adequate on the morning of the inspection. There were 2 senior staff and 2 care staff on duty along with two housekeeping staff, the cook and a kitchen assistant. There have been issues identified at previous inspections about care staff having to prepare the evening meal however the inspector was informed that a member of the catering team is now on duty each day until 5pm to assist with meal preparation. This is a positive development. Residents reported that staffing levels were generally adequate and they did not have to wait excessive periods for staff to respond to requests. The recruitment records on two newly appointed staff were examined as part of the inspection. There were application forms in place but it was noted that they did not give prospective staff a lot of space to record previous employers and positions. The records were incomplete in a number of respects. One member of staff had only one reference and a POVA first check had been undertaken three and a half months after they had stated work. A second member of staff had a Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 18 record of interview and a record of identification checks having been undertaken but no CRB or POVA first check were in place. Induction of staff was referred to in staff files but there was no documentation in place to identify what areas the induction addressed. The new manager was in the process of undertaking an audit on the staff files to look at recruitment and what training had been undertaken. The inspector was informed that there had been an increase in the numbers of care staff who had completed their NVQ2. The home have been asked to provide evidence to the commission of the numbers of staff with NVQ2 and NVQ3 and details of staff training. Staff spoken with as part of the inspection confirmed that they had received training in dementia, POVA, manual handling, health and safety and first aid. Thurleston Residential Home DS0000060474.V344195.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): 31,33,35,38 Quality in this outcome area is adequate. The strengthening of the management arrangements at the home should lead to improvements in resident’s care and safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has been without a registered manager for approximately 18 months. The newly appointed manager had taken up post a few weeks prior to the inspection and had begun to audit the homes records and systems. The manager was available during the inspection and while not yet familiar with all the homes processes was helpful and constructive. Staff interviewed reported that the manager was approachable and had started to supervise staff. Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 20 The inspector was informed that questionnaires had been sent out to all residents and their relatives to ascertain their views on the care being delivered but the results have not yet been collated. The inspector was informed that residents meetings are not organised at the home. As outlined earlier in the report the new manager had amended the arrangements in place for the storage and oversight of resident’s moneys. There are clear system in place for access, recording and safekeeping. Accidents were being recorded in the accident book but as outlined earlier in the report greater emphasis must be placed on risk assessment processes. Water temperatures were tested as part of the inspection and were within the recommended levels. One hoist was in use at the home and there was evidence that this had been serviced within the last 6 months. Records were maintained of testing of the fire prevention equipment. Thurleston Residential Home DS0000060474.V344195.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 1 9 1 10 3 11 1 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 (1) Requirement All residents using the service must have an up to date detailed care plan. This will ensure that they receive person centred support that meets their needs. Any incidence of pressure sores must be recorded and there should be a clear plan in place with regard to management and monitoring. This will ensure that people using the service receive the care they need. Risk assessments must be in place with regard to residents identified as at high risk of falling to minimise any identified risk Medicines are administered only to residents they are prescribed for and not to other residents prescribed the same medicine The service provider must ensure that there are adequate supplies of prescribed medication so that residents do not miss doses. Staff who are responsible for the ordering and administering medication must be competent to do so to ensure that residents DS0000060474.V344195.R01.S.doc Timescale for action 01/08/07 2 OP8 12 01/08/07 3. OP8 13 01/08/07 4. OP9 13 (2) 01/08/07 5. OP9 13 (2) 01/08/07 6. OP9 13 01/08/07 Thurleston Residential Home Version 5.2 Page 23 7. OP29 19 8 OP30 17 9 OP30 18 receive medication correctly When staff are being recruited by the home they must ensure that that this is undertaken in accordance with the regulations in order to protect residents The home must maintain a record of all training undertaken by staff to ensure that the staff on duty are trained to meet the needs of the residents accommodated. Details of staff training must be forwarded to the Commission Staff working at the home must receive a comprehensive induction to the role to enable them to care for residents properly 01/08/07 01/09/07 01/08/07 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 OP12 Good Practice Recommendations The activity programme for residents should be expanded Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Thurleston Residential Home DS0000060474.V344195.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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