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Inspection on 31/01/06 for Tracey Vale Residential Home

Also see our care home review for Tracey Vale Residential Home for more information

This inspection was carried out on 31st January 2006.

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 homes internal individual needs assessment practices are good and provide enough information for the staff to draw up detailed care plans with the prospective service users and their representatives. The recorded care plans provide clear guidance for the staff about the level of support each of the residents needs, so that appropriate assistance can be given. The residents physical and mental wellbeing is monitored informally on a day to day basis by the staff and any concerns will be brought to the attention of the senior person on duty to ensure that the appropriate health care professional can be consulted. The residents right to privacy and to be treated with dignity and respect are recognised and respected. The residents right to receive visitors at any time are respected and meals will be provided for visitors for a small charge. Good safeguards are in place to ensure that the residents are protected from abuse. There are a number of light and spacious communal rooms, so the residents have a choice of areas to relax and/or socialise in. The staffing levels are good and there is always a senior officer on duty. All of the staff have received training and most of them have National Vocational Qualifications in Care at Level 2.

What has improved since the last inspection?

Since the last inspection a number of bedrooms and bathrooms have been redecorated. During the inspection the old wooden and metal windows and doors were being replaced with attractive new UPVC ones.

What the care home could do better:

The Statement of Purpose and Service Users` Guides are good, but need to be updated. More opportunities could be provided to enable the residents to join in social, occupational and recreational activities both within the home and outside the home if they choose to do so. The residents and their representatives are provided with good information about how to make a complaint internally and to Social Services but also need to be given information about their right to make a complaint to the Commission for Social Care Inspection. The registered service providers are (or were) planning to change the layout of the home in order to meet the current standards with regard to bedroom sizes and en-suit facilities. The Commission needs to have details of the proposed changes, including timescales and this information would also be beneficial to the people living and working in the home. The radiators in the service users bedrooms need to be replaced because the individual temperature controls on them no longer work and the residents cannot control the heating in their rooms. In light of the recent Fire Safety report, the manager needs to ensure that regular safety checks are carried out and recorded.

CARE HOMES FOR OLDER PEOPLE Tracey Vale Residential Home Brimley Vale Bovey Tracey Newton Abbot Devon TQ13 9DA Lead Inspector Judy Hill Unannounced Inspection 31st January 2006 10:50 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 Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 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. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tracey Vale Residential Home Address Brimley Vale Bovey Tracey Newton Abbot Devon TQ13 9DA 01626 833066 01626 833567 tony.rooks@devon.gov 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) Devon County Council Anthony James Rooke Care Home 35 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10), Old age, not falling within any other category (35), Physical disability (6), Physical disability over 65 years of age (6) Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service Users who require adaptations or equipment such as hoists or wheelchairs, or who require care from more than one care assistant, shall be accommodated in rooms 7, 10, 18, 21& 22 only. Only Service Users in the MD(E) and DE(E) categories with less intrusive behaviour, specifically assessed by Tracey Vale staff to be able to meet their needs, shall be accommodated. Only those Service Users in the PD (aged 55 yrs ) and PD(E) categories, specifically assessed by Tracey Vale staff to be able to meet their needs, shall be accommodated. Numbers of residents in specific categories to be restricted as within brackets as above. One Service User (named elsewhere) who is under 65 years of age may reside at the home within the OP category, for a period of six weeks 20th July 2005 4. 5. Date of last inspection Brief Description of the Service: Tracey Vale is registered to provide care and accommodation for a maximum of thirty-five people who are elderly and who may have a mental disorder or dementia and people over fifty five years of age with physical disabilities. The home offers long stay, short stay and respite care and has a re-enabling unit that provides intermediate care and support for six people. The registered service provider is Devon County Council and the registered manager is Tony Rooke. The home is situated in a quiet residential area in Brimley, which is on the outskirts of Bovey Tracey. The house was purpose built in the 1970s and requires some refurbishment to bring it up to current standards, but high standards of cleanliness are maintained and the provision of communal space is good. Staff and managerial support is provided on a twenty-four hour basis. The staffing levels are good and most of the care staff hold National Vocational Qualifications at Level 2 in Care. Meals are prepared on the premises and a choice of set meals and alternative is always available. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was carried out by one inspector on Tuesday 31st January 2006. The information contained in this report was gained in conversation with the assistant manager who was in charge at the time of the inspection, the administrator/secretary, staff and residents at the home, from direct and indirect observation, from a partial inspection of the premises and from documentary evidence including service users assessments and care plans, staff training records, staff rotas, an Occupational Therapy Environmental Assessment Report and a report from the Fire Safety Inspection. What the service does well: What has improved since the last inspection? Since the last inspection a number of bedrooms and bathrooms have been redecorated. During the inspection the old wooden and metal windows and doors were being replaced with attractive new UPVC ones. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 6 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. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 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 Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 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 the following standard(s): 1&3 Statement of Purpose and Service Users’ Guides coupled with the homes good individual assessment practices provide prospective service users and their representatives with the information they need to make an informed decision about whether or not the service will be able to meet their needs. EVIDENCE: The service has a very informative Statement of Purpose but some of the information contained in this document is out of date. Each service user has been given a Service Users’ Guide but again some of the information is out of date. A sample inspection was made of three of the service users needs assessments. The initial case management assessments had been built upon and developed to provided enough information to enable detailed individual care plans to be drawn up with the service users and, where appropriate, their representatives. Standards 2, 4, 5 and 6 were not inspected on this occasion. Standard 6 was assessed as met at the last inspection. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 10 & 11 The care planning practices are very good and residents can be confident that their needs will be properly identified and recorded. EVIDENCE: A sample inspection was made of three of the service users care plans. These showed that the service users and, where appropriate their relatives, were actively involved in the care planning process. In addition to recording the service users individual needs and providing guidance to the staff on how their needs should be met, brief pen pictures and social histories on each of the residents had been written up. The care plans record the level of support that each of the service users needs to maintain their personal hygiene and relevant information about their physical and mental health. This enables the staff to monitor the service users health and to report any concerns that they may have between formal reviews with the manager or an assistant manager. Each of the service users has a single bedroom. Their bedroom doors and the bathroom and toilet doors can all be locked from the inside to ensure that the Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 10 service users privacy and dignity can be maintained. The staff are able to override the locks if they need to gain entry in an emergency but in non emergency situations have been trained to knock and wait for a response before entering a residents bedroom. Some of the residents have chosen to have private telephones installed at their own expense but a pay phone is available for the residents to use to make and receive telephone calls. The pay phone is situated in a small lounge that is reserved specifically to enable the residents to make and receive calls in private. Records were seen to demonstrate that the service users wishes in the event of their death are discussed with them as part of the assessment and/or care planning process and recorded. Standard 9 was assessed as met at the last inspection and was not inspected on this occasion. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 & 14 More opportunities could be provided to enable the residents to participate in social, recreational and occupational activities if they wish to do so. EVIDENCE: Although the quality of the residents needs assessments and care planning is good, more could be done to improve the provision of suitable social, occupational and recreational activities for those residents who may wish to remain active within their home or in the community. There are no restrictions on visitors. The residents are welcome to invite their families and friends to visit at any time and if they wish, meals will be provided for a small charge. Most of the service users who need help to manage their personal finances receive help from their families. The home does receive personal allowances for some residents and in some cases helps the residents to budget their money. The records of the home involvement with residents personal finances were seen to be immaculately recorded by the administrator, however, some of the service users have accumulated substantial sums of money which is being kept in a group account. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 12 Standard 15 was assessed as met at the last inspection and was not inspected on this occasion. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The complaints procedure is accessible to service users and their representatives but needs to be amended because it does not inform the reader how complaints can be made to the Commission for Social Care Inspection. Good safeguards are in place to protect the service users from abuse. EVIDENCE: The Complaints Procedure included in the Service Users’ Guide needs to be expanded to include stages and timescales for the process of dealing with complaints, which should not exceed twenty-eight days. A book is kept to record complaints in but the assistant manager said that no complaints had been recorded in it. The home also has leaflets ‘Making a Complaint’ which have been produced by Devon Social Services. This document provides information about how to make a complaint to Devon Social Services about the services that they provide but does not meet the National Minimum Standards because no information is given about the role of the Commission for Social Care Inspection in dealing with complaints. There are written policies and procedures to direct the management and staff on the action to take if they have any reason to suspect that any resident is at risk of abuse and Protection of Vulnerable Adult training has been provided for the staff. In addition to this the assistant manager said that the staff had been told that they could discuss any concerns that they may have with the Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 14 registered manager or an assistant manager in private without fear of reprisals. Standard 17 was not inspected on this occasion. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21, 23, 24 & 25 The bedrooms are small and do not have en-suite toilet facilities but the home is kept clean and there are a number of bright and comfortable communal rooms for the residents to use. EVIDENCE: The report of an Occupational Therapy Environmental Assessment carried out in September 2004 was seen to highlight a number of areas where the premises do not meet the National Minimum Standards. Tracey Vale was purpose built in the 1960’s and did meet the required standards at the time. It is understood that there are plans to change the layout of the home in order to create larger bedrooms with en-suite facilities but details and proposed timescales have not been forwarded to the Commission. Tracey Vale was purpose built in the 1960’s and did meet the standards that were required at that time. Each of the bedrooms has a washbasin. There are four communal bathrooms and two shower rooms. A programme of redecoration is being carried out in the bathrooms and this is softening their previously very institutional Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 16 appearance. One of the bathrooms has a hydrotherapy bath and suitable hoists are provided to enable the residents to use the baths safely. The assistant manager said that the water temperature in the bathrooms was monitored to remove the risk of residents scalding themselves. There are eleven communal toilets. Most of these are not suitable for people who use wheelchairs and people who require assistance from the staff. Because of the layout of the home, some of the toilets facilities are a little too far from some of the bedrooms and communal rooms for comfort. All of the bedrooms are single rooms. Most of the bedrooms are too small to comply with the current standards and none of them have en-suite facilities. They did however comply with the standards that were required when the home was built and because of this the Commission has no authority to require the rooms to be made larger or for en-suite facilities to be provided. It is, however, understood that there are plans for major alterations that will result in the current standards being met. Most of the bedrooms do not meet the recommended standards regarding the provision of furniture and power points. However, all of the bedrooms that were seen were clean and some had recently been redecorated. All of the bedrooms can be locked from the inside and the assistant manager said that all of the residents had a lockable piece of furniture or box in their rooms. At the time of the inspection smart new UPVC windows were being fitted. These have skylights to enable the residents to ventilate their rooms and opening main windows, which have been fitted with window restraints to prevent them from opening wide enough for people to climb or fall from. The lighting meets LUX standards although it could be improved in the hallways. A modern central heating boiler has been installed but the radiators are old and do not have individual thermostats to enable the residents to control the heating in their rooms. Standards 19, 20, 22 and 26 were not inspected on this occasion. Standards 19, 20 and 26 were assessed at met at the last inspection. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 28 The residents can be confident that their care will be provided by competent, trained and well managed staff. EVIDENCE: The staff rotas were inspected and showed that although the home has a number of staff vacancies, adequate staffing levels are being maintained. The staff rota records the first name of each member of staff on duty and the initial letter of their surname if two care workers share a name. This is sufficient to enable the recorded rotas to be cross-referenced with the staff records if necessary. The capacity in which each member of staff is employed should be included on the staff rota. Eleven out of the twenty care workers currently employed have achieved an National Vocational Qualification at Level 2 and a further two care workers are working towards gaining their qualification. The provision of staff training is satisfactory. Standards 29 and 30 were not inspected on this occasion but were assessed as met at the last inspection. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 & 38 Service users can be confident that any of their personal money that held by the home will be kept safe, but the homes practice of keeping such moneys in a communal back account is not acceptable. The home is not unsafe but more care needs to be taken to ensure that all safety checks are regularly carried out and recorded. EVIDENCE: Most of the service users who need help to manage their personal finances receive help from their families. The home does receive personal allowances for some residents and in some cases helps the residents to budget their money. The records of the home involvement with residents personal finances were seen to be immaculately recorded by the administrator, however, some of the service users have accumulated substantial sums of money which is being kept in a group account. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 19 Overall the health, safety and welfare of the residents and staff is being protected through the provision of staff training, regular servicing of appliances and through the provision of suitable aids and adaptations. However, a recent report from the Fire Safety Officer contained a number of requirements. These were discussed with the assistant manager who said following receipt of the report appliances had been tested weekly, that records were being kept of this and that the provision of fire safety training had been improved. It was established that two requirements remained outstanding. One concerned obstructions to a fire exit route from the home, which passes through a part of the building that is used as offices by the Domiciliary Care Service. Items belonging to the Domiciliary Care Service were seen to be causing an obstruction on the first floor landing. As this escape route would be used by the residents in the event of a fire, the registered service provide and registered manager have a responsibility to ensure that this route is kept clear. The second outstanding requirement concerned the requirement regarding the provision of a fire extinguisher to be situated near the deep fat fryer in the kitchen. Standards 31, 32, 33, 34, 36 & 37 were not inspected on this occasion but standards 31 and 33 were assessed as met at the last inspection. Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 X X 2 X 3 2 2 X STAFFING Standard No Score 27 2 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 2 X X 2 Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 21 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 OP1 Regulation 4, 5 & 6 Requirement Both the Statement of Purpose and Service Users Guide need to be updated. Updated copies of both documents must be sent to the Commission for approval. Previous timescale 20/10/05 not met. More opportunities must be provided to enable the service users to engage in social, occupational and recreational activities if they wish to do so. The service users money that is currently being kept in a communal bank account must be transferred into individual accounts in each of the service users names. The complaints procedure must be updated to give stages and timescales for the process of dealing with complaints and to inform readers of their right to make a complaint to the Commission for Social Care Inspection. Devon County Council must inform the Commission for Social DS0000032549.V262735.R01.S.doc Timescale for action 31/03/06 2. OP12 16 31/03/06 3 OP14 20 28/02/06 4 OP16 22 31/03/06 5. OP21 16 & 23 31/03/06 Tracey Vale Residential Home Version 5.0 Page 22 Care Inspection how it is to comply with the requirement that each service user has an accessible toilet within close proximity of his/her bedroom and the communal areas. Previous timescales for compliance 30/11/04, 30/7/05 & 20/10/05 not met. Arrangements must either be made to have individual thermostatic controls fitted to the radiators or to replace the existing radiators with radiators that can be individually controlled. 6. OP25 23 31/03/06 7 8 OP35 OP38 20 23 Previous timescale for compliance 30/4/05 & 20/12/05 not met. As Requirement 3. 28/02/06 All of the requirements contained 28/02/06 in the Fire Safety Officers report, dated 23rd January 2006, must be complied with. This includes the requirement regarding the removal of obstructions from the escape route through the Domiciliary Care Services section of the building. 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 OP24 Good Practice Recommendations In addition to a comfortable bed, wardrobe and drawer space and a bedside table, each of the bedrooms should contain comfortable seating for two, at least two accessible double electric sockets and a table to sit at. The staff rotas should include job titles. DS0000032549.V262735.R01.S.doc Version 5.0 Page 23 2. OP27 Tracey Vale Residential Home Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Tracey Vale Residential Home DS0000032549.V262735.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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