Inspection on 16/07/07 for Unique Lodge

This inspection was carried out on 16th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Unique Lodge 08/07/09

Unique Lodge 11/05/06

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Unique Lodge 8 Llanthony Road Morden Surrey SM4 6DX Lead Inspector Janet Pitt Unannounced Inspection 16th July 2007 1:30 Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 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 Unique Lodge DS0000065479.V346515.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 and Care Homes for Adults 18 – 65*. 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. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Unique Lodge Address 8 Llanthony Road Morden Surrey SM4 6DX 020 8648 3871 020 8648 3728 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) Mrs Grace Aghoghovbia Miss Ayra Clemence Ablavi Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 2006 Brief Description of the Service: Unique Lodge is registered with the CSCI to accommodate a maximum of four adults with mental health problems. The home is located in a residential road in Morden and is in keeping with neighbouring homes. It is situated close to bus routes and local amenities at Morden and Sutton. Accommodation is provided over three floors and includes a lounge, kitchen/dining area, bathroom and separate shower area. There is a paved area to the rear of the property. The home is staffed twenty-four hours a day. Information about the service is available in the Statement of Purpose and Service User Guide. Unique Lodge charges fees which range from £650 to £950. There are no additional charges. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this unannounced inspection. A site visit lasting a total of three hours was made. Residents care records and staff files relating to recruitment and training were examined. Two members of staff were spoken with. The inspector also spoke briefly with one resident. The home completed an Annual Assessment form (AQAA); information from this was used in this report. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5 Quality in this outcome are is adequate This judgement has been made using available evidence including a visit to this service. The service consults the assessment information to see if they can meet the prospective individual’s needs. Evidence suggests that needs are identified prior to an individual moving into the home. This information needs to be included in the home’s documentation. Individuals are provided with a contract, which sets out terms and conditions of occupancy. EVIDENCE: Residents receive a copy of the Licence agreement, which details their contribution to fees and what service is provided. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 8 The Statement of Purpose indicates that mental health; mild learning disability, or mobility where assessment confirms a reasonable level of independent skills, needs can be catered for. At the time of the site visit there were two residents. Pre admission information was in place. However, some of this information had not been detailed in the home’s own assessment e.g. alcohol consumption and harassing children for money. Residents’ assessments covered their abilities and needs, in areas such as cooking, self care, budgeting. Preferences for same gender care were noted. Residents are able to engage in intimate relationships if they chose. This was noted to be addressed on admission. The assessments also detailed the individual’s insight into their illness and eventual aims. Residents were noted to be involved in the assessment process. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome are is adequate This judgement has been made using available evidence including a visit to this service. The service recognises the right of individuals to take control of their lives and to make their own decisions and choices. Each individual has a care plan but development and review of the plan is variable. Plans are person centred, but do not consistently reflect the care being delivered. EVIDENCE: Residents support plan lead from assessments. These must be completed to make sure all needs are addressed. One of the plans was not completed fully and there were blank pages. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 10 The other plan was person centred and contained good information relating to biographical details, medication, health needs, relationship status and religion. Evidence of professionals input was present in the plan. Individualised risk assessments promoted independence. Risks covered included: suicide, self-neglect, self-harm, sexual assault, and sexual exploitation by others. Details were provided on those with ‘yes’ response and indicated behaviours and interventions e.g. cognitive behavioural therapy for relationship issues. It was noted that risk is minimised as far as possible e.g. keeping medications stored safely, without infringing on the individuals right to choose. The home has a keyworker system in place and residents were involved in the care planning process. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 12 12, 13, 15, 16 and 17 Quality in this outcome are is good This judgement has been made using available evidence including a visit to this service. Individuals are able to develop and maintain important personal and family relationships. The staff enable individuals to access the community if they chose. EVIDENCE: Residents are able to choose how they spend their day. Residents are able to access college courses and leisure activities. Contact with family and friends is maintained. On the day of the site visit one resident was visiting family members. If any residents chooses to have an intimate relationship, then staff within the home supports this. Residents’ plans indicated that they are encouraged to assist with meal preparation and household tasks. Information received on the Annual Assessment (AQAA) states that residents are involved in choosing weekly menus and participate in purchasing of the required food. Records show that staff give support when needed, but the emphasis is on developing and maintaining independent living skills. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome are is good This judgement has been made using available evidence including a visit to this service. Personal health care plans include details of input by other health professionals. Personal support is given according to the needs of the individual. Residents are treated with respect and their privacy is maintained. Medications are safely stored and administered. EVIDENCE: Support plans are structured to cover health and emotional needs, when completed fully. Residents’ thoughts on ageing, illness and death must be addressed, to make sure that their needs are met. The policy relating to death Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 14 and dying was examined. This contained good information on how needs could be met. Progress reports were done routinely, these covered all aspects of support plans. When changes to plans were identified these were evidenced as being actioned. Residents, other professionals and the keyworker were involved in reviewing of support plans. Residents’ privacy is maintained; staff were observed to knock on doors prior to entering. Residents can be confident that medications are handled safely within the home. Medications were examined, they were seen to be stored securely and there was a clear audit trail in place. Staff undertake regular spot checks of medication and any issues are identified and acted upon. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome are is good This judgement has been made using available evidence including a visit to this service. Residents are able to express their views and concerns, in a supportive environment. Any issues are acted upon. Staff have been trained in Safeguarding Adults and have access to clear policies and procedures. EVIDENCE: The AQQA indicates that all current residents hold their own money. The home has obtained a copy of the Safeguarding Adults procedure from the local authority and staff stated that training had been given on adult protection in February 2007, although this was not recorded in training records. Residents are made aware of how to complain and are able to use keyworker sessions to raise concerns. The home has not received any complaints since the previous inspection. Staff at the home and the AQAA evidenced this. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome are is good This judgement has been made using available evidence including a visit to this service. Residents live in a home, which is suitable for their needs. There is sufficient communal and private space. Residents are able to personalise their rooms. EVIDENCE: Residents live in a place that has homely atmosphere. The premises are domestic in style and residents are able to personalise their rooms. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 17 The home was clean and tidy at the time of the site visit and was in good decorative order. It was observed that the shed door in the garden was broken and needed repair. More could be done to the garden to make it a pleasant place for residents to use, such as the provision of tables and chairs. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome are is good This judgement has been made using available evidence including a visit to this service. Residents can be confident that the recruitment process is thorough and required checks on staff are made. Staff receive relevant training for the work they have to perform. It is important that training given is accurately recorded. EVIDENCE: Residents are protected from harm by the home’s recruitment process. Staff files examined contained information as required by the Regulations. Minor amendments are needed on the application forms to make sure that equal opportunities are respected. Application forms need to be reviewed and Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 19 personal details of the applicant removed, i.e. date of birth, religion. There should only be a record of the person’s initials and last name. Previous education and employment history is covered. Interview questions and responses were in place. There were copies of passports, two references and a contract Appropriate checks had been made such as Criminal Records Bureau check, but a request for information regarding previous cautions as well as convictions needs to be present on the application form. Supervision of staff has been planned and undertaken. Records and the AQAA indicated that training has been undertaken in severe mental health illness and substance misuse, Infection control and medication handling. There was no evidence of safeguarding adults training on either file. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome are is good This judgement has been made using available evidence including a visit to this service. The acting manager is capable of managing the service. Health and safety is maintained and regular checks are carried out. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 21 EVIDENCE: Residents’ health and safety is maintained by procedures within the home. Appropriate checks are made routinely, such as gas safety and storage of hazardous substances. The provider undertakes monthly monitoring visits and supplies copies to CSCI. At the time of the site visit there was an acting manager in place. She has the necessary skill and experience to run the home and is in the process of applying for registration with CSCI. As previously mentioned residents are able to express their views and are involved in the running of the home. Unique Lodge DS0000065479.V346515.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 Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 X 2 2 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 3 40 X 41 X 42 3 43 X 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Unique Lodge Score 3 3 3 X DS0000065479.V346515.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA2 Regulation 14 Requirement The registered person must ensure that pre admission information is detailed in the residents’ assessments. This will make sure that all needs are identified. The registered person must ensure that support plans are completed fully. This will make sure that all identified needs are addressed. The registered person must ensure that residents’ wishes on ageing, illness and death are sought. This will make sure that residents wishes are known and acted upon. The registered person must ensure that training given in Adult Protection is recorded. This will evidence that staff have received up date information on current policy. The registered person must ensure that Equal Opportunity law is complied with, and information on cautions is requested. This will protect DS0000065479.V346515.R01.S.doc Timescale for action 30/12/07 2 YA6 15 30/12/07 3 YA21 12 (1) (a) 30/12/07 4 YA23 13 (6) 30/12/07 5 YA34 10 (1) 30/12/07 Unique Lodge Version 5.2 Page 24 residents from harm. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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. Unique Lodge DS0000065479.V346515.R01.S.doc Version 5.2 Page 26 - 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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