Inspection on 29/05/08 for Trelawne

This inspection was carried out on 29th May 2008.

CSCI found this care home to be providing an Adequate service.

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

Other inspections for this house

Trelawne 20/05/09

Trelawne 22/05/07

Trelawne 18/08/06

Trelawne 23/02/06

Trelawne 22/09/05

Trelawne 16/03/05

Trelawne 19/01/05

Trelawne 29/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Trelawne 31 Lancaster Gardens West Clacton On Sea Essex CO15 6QG Lead Inspector Helen Laker Unannounced Inspection 29th May 2008 10:00 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 Trelawne DS0000017985.V364298.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. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Trelawne Address 31 Lancaster Gardens West Clacton On Sea Essex CO15 6QG 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) 01255 220259 N\A Mrs Monica Roberts Mrs Monica Roberts Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd May 2007 Brief Description of the Service: Trelawne Rest Home is situated in an established area of Clacton-on-Sea, known locally as the Gardens, close to the sea front and within easy walking distance of all local amenities. The home is registered for thirteen older people. The registered person is Mrs Monica Roberts who has managed the home for a number of years. The home provides accommodation on two levels. A passenger lift is provided for access to the first floor. A number of communal areas are available. The home has a large garden area to the rear of the property. The fee range for the home is between £345.24 - £417.27 per week, additional charges are made for the following: Hairdressing, Chiropody, and Toiletries. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This inspection was carried out as part of the annual inspection programme for this home. The inspection focused on all of the key standards. A tour of the premises was undertaken. Discussions were held with people living at the home, staff and the home manager, as well as the opportunity to look at records of how people living at Trelawne were supported and how staff were recruited and trained. Evidence was also taken from the Annual Quality Assurance Assessment (AQAA) completed by the management of the home and submitted to CSCI. The AQAA provides an opportunity for the service to tell us what they do well and areas they are looking to improve and/or develop. It is anticipated that some improvement be noted as this contributes to the inspection process and indicates the home’s understanding of current requirements, legislation changes and own audited compliance. The judgements made within this report are based upon evidence found on the inspection visit along with information submitted by the service and feedback from service users, staff and other parties since the previous inspection. One survey was returned by a service user and one by a relative to CSCI. Mrs Monica Roberts, the proprietor/manager of Trelawne, was available at the inspection visit and took an active role in the inspection process. What the service does well: People living at Trelawne speak highly of the staff and of the meals offered. Trelawne continues to provide care of an intuitive nature, supporting people in an environment that is homely and well maintained. During the visit to Trelawne, people living at the home and staff were spoken with. All were positive about the home and the people living there appeared at ease and were happy to talk to the inspector. Interactions between staff and the people living at Trelawne observed during this inspection were positive. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 6 Staff at Trelawne were positive in their approach to their work and worked well together to meet the needs of those living at the home. The staff respected the needs and rights of those living at Trelawne. What has improved since the last inspection? What they could do better: Although care records had improved at this inspection with regard to the frequency of reviews, individual plans did not show details of all the assessed needs. Greater attention needs to be paid to care plan needs assessment and risk assessments being in place. Through assessment and consultation with service users the team at the home must ensure that residents’ individual social care needs are met and that their independence and self worth is promoted. Social histories of residents should be completed and consideration should be given to ensuring residents are provided with appropriate activities that meet their interests and wishes? Radiators in areas where service users may be at risk i.e. bedrooms have still to be attended to. Although improvements had been made to the training of staff at Trelawne at the last inspection there was still little evidence of formal induction for new carers. Staff did not receive adequate formal supervision. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 7 Trelawne needs to develop a robust quality assurance process to demonstrate the home is run in the best interests of those living there, as well as a business plan to show the home’s continued financial viability. Since the last inspection, there has been little improvement in relation to meeting the requirements made. They have increased by two and seven have been repeated. The manager is aware of the importance of ensuring these be met and has assured us that this will be the case by the next inspection. Although the AQAA showed the manager had an understanding of the home, some more detail could have been included to demonstrate this, as it was quite brief in parts. 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. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & Standard 6 does not apply to this service Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users can expect to have the information they need to make an informed choice about where to live and to have his/her needs assessed before moving into the home. EVIDENCE: The home has a published Statement of Purpose and Service User Guide, both of which are made available to existing and prospective residents at Trelawne. The examination of care records showed that people living in the home had had their individual needs assessed prior to moving in and these assessments formed the basis of individual care plans. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 10 Discussions with the proprietor/manager, staff and service users supported the evidence found in care records and indicated that these assessments gained views and insights from the individual, their families and professionals involved in the individual’s care. The home’s AQAA identifies that improvements made are that pre admission visits to the home with service users and their relatives have been more inclusive process involving all members of the staff team. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care planning standards in the home are generally good but do not always ensure that the care of residents is monitored carefully enough. The development of a more person centred approach would improve outcomes for residents further. EVIDENCE: The examination of care records and individual plans of care showed that there had been good improvements to the frequency of the reviews of plans and the quality of entries in the daily records. Although the assessment of need was completed the needs had not all be transferred into the care plan For example, during the tour of the home it was noted that one bed had bed rails in place although this was not mentioned within the person’s care plan and although a risk assessment had been Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 12 formulated it was out of date and not in place to support this decision. Another person had apparent breathing difficulties, which was not referred to within their plan of care. New paperwork is to be introduced and the AQAA acknowledges the home’s need to develop the ‘person centred’ approach more. The home’s general policies and procedures and practices for the storage, administration and recording of medicines were seen to be appropriate and offered sufficient protection to those living at Trelawne. The proprietor was advised that all transcribed medications should have two signatures. The observation of interactions between staff and people living at the home provided evidence that people were treated with respect and their right to privacy was upheld. Staff were seen to knock on doors before entering private bedrooms and address those living at the home in a respectful and caring manner. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 13 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. This judgement has been made using available evidence including a visit to this service. Generally staff are aware of the need to support residents to develop their skills, including social, emotional, communication, and independent living skills. Some residents are consulted or listened to regarding the choice of daily activity, but this process could be improved. The meal service at the home is satisfactory and ongoing consultation would enhance this further. EVIDENCE: The examination of social care plans within the home showed there were activities on offer to people living at Trelawne. There was a programme displayed on the wall showing tabletop activities on a daily basis and records were maintained detailing how people had participated and whether they had appeared to enjoy the activity. Some people living at Trelawne were more independent and were able to independently pursue activities outside the home, others are supported to go to the shops or to the seafront. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 14 Discussions with staff and with people living at the home indicated that the activities offered were enjoyed and people generally felt there was ‘something to do’. However one relative survey stated “It would be nice if in the nice weather they were taken out in their wheelchairs, and that the TV in the lounge is not just only on in the afternoon which is a shame!” Care records showed that people living at Trelawne were encouraged to make decisions about how they lived and how they spent their time. However there were time gaps in recording and a discussion with the manager highlighted the need to be consistent with entries and recording one to one or group activity participation. The home’s AQAA identifies the need for the home to research new skills and undertake training to meet all the diverse needs of the service users. The home was open to visitors at any time and people living at Trelawne stated that they had regular contact with relatives and friends. There were some visitors in the home at the time of inspection and all spoke of being made to feel very welcome at Trelawne. People living at the home spoke well of the food offered at Trelawne. Records showed there was a good range of meals provided and snacks and drinks were available throughout the day. The main meal of the day was served at lunchtime and this was seen to be nutritionally balanced and attractively presented. The home generally provide choices on a daily basis and set menus are not in place. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. The home has an open culture that allows residents to express their views and concerns in a safe and understanding environment. Residents and others involved with the service say that they are happy with the service provided, feel safe and well supported by an organisation that has their protection and safety as a priority. EVIDENCE: Trelawne has a robust and accessible complaints procedure and appropriate Protection Of Vulnerable Adults protocols that are understood by staff. Service users spoken with felt safe at the home and indicated that they could raise issues of concern with the proprietor and these would be acted upon. Staff spoken to were aware of whistle blowing procedures and had attended POVA training and were aware of the safeguarding procedures? We have not been made aware of any complaints and the home’s AQAA identifies the need to be vigilant via audit processes. The complaints procedure was noted to need updating with the CSCI’s new address. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people to live in a safe, well-maintained and comfortable environment, which encourages independence. Some health and safety issues require attention to ensure service users safety. EVIDENCE: The home employs a handyman and a domestic who maintain Trelawne to a good standard. All areas are generally well decorated, clean and free from offensive odours. The sink in one bedroom required attention at the last inspection and this has now been attended to. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 17 The home is furnished in a domestic style and met the needs of people living there in a homely fashion. The home was considered fit for its stated purpose, accessible and safe. There were adequate bathrooms and WCs and all but two bedrooms had en-suite toilets. Since the last inspection two new showers have been renewed in bedrooms and a downstairs bathroom has been converted to a wet room. At the last inspection, some radiators at Trelawne had been covered to minimise surface temperatures. However, there were radiators in some rooms that had not been covered and, although the proprietor/manager believed these to be safe, there was still no evidence of risk assessments being conducted. This was discussed with the proprietor on the day of inspection who agreed that she will speak to the builder/maintenance man and address this issue urgently. The pathway to the front of the building has been levelled to maintain easy access. Individuals living at the home expressed satisfaction with their environment and were happy to allow the inspector access to their rooms. Rooms were noted to be personalised to individual taste and looked homely and inviting. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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 adequate. This judgement has been made using available evidence including a visit to this service. The recruitment processes of the home generally have sufficient safeguards in place to ensure residents are protected. Improvements in training would help to develop the staff team, which should enhance the quality of the individual care and support that residents receive. EVIDENCE: Discussions with the manager and the examination of records showed that staff were employed in adequate numbers to meet the needs of those living at the home. Two staff files were appropriately maintained and showed the home’s recruitment practices generally offered protection to those living at the home by ensuring that all necessary pre-employment checks were undertaken. There was little evidence of staff receiving training to develop their skills further and competences and formal inductions were poor or not evidenced at all. One member of staff spoken with could not clarify what their induction had involved. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 19 Discussions with those living at the home gave evidence that they felt safe at Trelawne and that they felt staff were able to meet their needs. For example one relative commented that the home was “highly recommended by the social worker” and another commented that “although sometimes it didn’t seem like there weren’t many staff on duty they always got attended to quite quickly and were generally happy”. Duty rotas inspected clarified the ratio of staff on duty and in relation to the number of current service users and dependency levels. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 20 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, 34, 35, 36 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, and has a qualified, competent manager. Service users are adequately protected by the home’s practice, policies and procedures. EVIDENCE: The home is managed by the proprietor who has a number of years experience in caring for the client group. She is undertaking her NVQ level 4 in management and does attend the training sessions that have recently been made available to the staff group. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 21 Discussions with staff and people living at the home showed that the general ethos of the home is open and understanding and there were records of staff meetings being held although none have been undertaken recently the manager stated that these will recommence. Views of those living at the home are sought through questionnaires although there was no evidence of a formal quality assurance process being undertaken. There was also no evidence of there being a business plan for the home to demonstrate its continued financial viability despite this being a requirement of the previous inspection. Records of staff supervision were poor. In one case evidencing just a brief discussion in eight months. The proprietor agreed and has identified in the AQAA that this had been allowed to lapse. Although some staff had received supervision, this was infrequent and insufficient. Although most records relating to the welfare of people living at Trelawne were in place, not all of the individual records examined contained photographs as required in Schedule 2 of the Care Home Regulations 2001, for example medication records. There were appropriate policies and procedures in place regarding the health, welfare and safety of those living in Trelawne, staff and visitors which included electrical and gas safety checks which had been conducted at appropriate intervals and the home displayed relevant insurance and registration Certificates. Fire procedures were displayed in prominent positions and regular checks of fire alarms and safety equipment had been undertaken. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 22 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 Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 23 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 2 9 2 10 3 11 X 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 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 2 3 2 2 3 Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 24 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 14(2)(b)1 5(2)(b) Requirement Staff must ensure that where possible residents and/or their representatives have input into the care planning system. Staff need to ensure that changes identified at the time of review are updated on the residents care plan. Residents care plans must reflect their individual preferences and choices regarding their care and be more person centred to evidence that staff appreciate the diversity of individual residents. The previous timescale of 31/10/07 was not met. Appropriate risk assessments must be in place for more dependant residents especially where bedrails are in place and staff must maintain records of such. This will ensure that residents needs are identified. Through assessment and consultation, the team at the home must ensure that residents’ individual social care needs are met and that their DS0000017985.V364298.R01.S.doc Timescale for action 31/07/08 2 OP8 Reg 13(4) (c) 31/07/08 3 OP12 16 (2) m & n (3) 31/07/08 Trelawne Version 5.2 Page 25 4 OP25 13(4)(a) independence and self worth is promoted. Social histories of residents should be completed with staff being aware of the content. Consideration should be given to the appointment of an activities officer to help ensure that residents individual and group social needs are met. The registered person shall make 31/07/08 sure there are risk assessments conducted to assess the safety of all radiators through Trelawne and take appropriate actions to minimise the risks these present. This will safeguard residents from harm. The previous timescale of 31/10/06 and the 31/10/07 was not met. The registered person must ensure that all staff receive formal induction at the point of commencing employment in the home to ensure that people living at Trelawne are protected from the risk of harm and or abuse. The previous timescale of 31/10/06 and the 31/10/07 was not met. The registered person shall develop a formal process for assessing the quality of the service provided at Trelawne to ensure the home continues to operate in the best interests of the people living there. The previous timescale of 31/10/06 and the 31/10/07 was not met. The registered person shall develop a business plan for Trelawne to demonstrate the continued financial viability of DS0000017985.V364298.R01.S.doc 5 OP30 13 (6) & 18 (c)(i) 31/07/08 6 OP33 24 31/07/08 7 OP34 25 31/07/08 Trelawne Version 5.2 Page 26 the home. The previous timescale of 31/10/06 and the 31/10/07 was not met. Staff must have regular supervision and the staff supervision system needs to be developed further to ensure staff are competent to meet service users needs. 8 OP36 18 (2) 31/07/08 9 OP37 17(1)(a) Schedule 3 The previous timescale of 31/10/06 and the 31/10/07 was not met. The registered person shall 31/07/08 ensure all care records for people living at the home contain up to date photographs of the individual to ensure the persons best interests can be protected. The previous timescale of 31/10/06 was not met. 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 OP9 Good Practice Recommendations All transcribed medications should have two signatures. To ensure mistakes in administration are avoided. Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Trelawne DS0000017985.V364298.R01.S.doc Version 5.2 Page 28 - 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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