Inspection on 08/11/06 for Victoria Court

This inspection was carried out on 8th November 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Victoria Court 11/02/05

Victoria Court 04/08/04

Victoria Court 16/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Victoria Court Nesfield Road Ilkeston Derbyshire DE7 8AY Lead Inspector Angela Kennedy Key Unannounced Inspection 8th November 2006 09:30 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 Victoria Court DS0000020113.V318688.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. Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Victoria Court Address Nesfield Road Ilkeston Derbyshire DE7 8AY 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) (0115) 9322303 keri.sherwood@anchor.org.uk Anchor Trust Keri Sherwood Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2005 Brief Description of the Service: The Home provides 40 places for older people of both genders requiring personal care, in a building that was built and commissioned in 1987 for residents who have retained a relatively high level of independence, yet who needed some levels of support. With the passage of time, however, referrals for care have been for people who have become increasingly more dependent and frail. The original culture of the Home has persisted to a degree and all residents occupy single ‘flats’ with en-suite facilities provided rather than ‘bedrooms’. The flats are all equipped with a refrigerator and, in some cases a kettle, so that residents can retain a degree of independence. The Home offers 24 hour staffed care, 3 meals per day, personal laundry and a range of leisure activities and social events. The weekly fees at Victoria Court for October 2006 to March 2007 were: Self Funding Residents Self Funding Residents higher rate Derbyshire County Council £365.00 £385.60 Low rate Medium rate High Rate £308.50 £322.55 £340.10 All council funded residents are requested to pay a third party top up fee of £15.00 per week Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection, which means that Victoria Court was assessed against all of the key national minimum standards. The inspection lasted for five hours and included: Looking at four residents care files to assess the care and support provided. Looking at two of the staff’s recruitment and training files to assess the recruitment practices and training provided. Looking at the activities provided for residents and the meals. Looking the medication practices A partial Tour of the building to assess the general maintenance, furnishings, equipment and décor. Looking at the safe working practices of the home Speaking with residents to gather their opinions and views on the service and the standard of care and support provided. Speaking with staff to gather their views on the training and support provided. This site visit also included a thematic enquiry. This consisted of asking a number of standardised questions to a sample of residents. This was part of a national pilot scheme. We informed the registered person and sought the agreement of the resident in advance of asking the questions about the care they receive. The registered manager was not on duty on the day of inspection; therefore the administration assistant was available throughout the inspection to provide the requested documents and information, and the deputy manager was available towards the end of the inspection and provided a guided tour of the building. What the service does well: Victoria Court was well maintained internally and externally, and provided a homely environment for the people who live there. Victoria Court provides a good standard of care and support to the people who live there. Residents have a lifestyle agreement, which identified their strengths and needs, identifying the areas where support and assistance was required and ensuring that strengths were maintained to promote independence. Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 6 Residents were asked to provide information that they would like staff to know about them such as their life history, which included information about their family, previous employment and interests and hobbies. This information gave each resident an identity which supported the staff team in getting to know them and demonstrated that each resident was treated as an individual person with their own knowledge, skills, interests, likes and dislikes. A good range of activities was provided, and the residents’ spoke with confirmed this. The meals provided were varied, of a good quality and included two choices at the lunchtime and evening meal. The rapport between staff and residents demonstrated that a positive and caring environment was provided. What has improved since the last inspection? What they could do better: As stated above the general care and support provided to residents is good and the only area identified at this inspection that requires action by the registered manager is with regard to the medication practices at Victoria Court. Two areas regarding medication require further development. A photograph identifying each resident must be in place on their individual medication Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 7 administration records, and for all residents that choose to self-administer and retain their own medication, risk assessments must be in place to demonstrate that they have the capacity to do so. Two areas identified that require improvement by the registered provider were with regard to the written complaints policy which must clearly state that all complaints will be responded to within 28 days, and the written Safeguarding Adults policy must be in line with the Derby and Derbyshire’s Local Authority Procedure. 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. Victoria Court DS0000020113.V318688.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 Victoria Court DS0000020113.V318688.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): 1,2,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents had the information needed to make an informed choice about the home and each resident had a written contract stating the terms and conditions of their residency. Resident’s needs were assessed prior to moving into the home to ensure their needs could be met. EVIDENCE: The service user guide at Victoria Court was in the process of amendment; therefore all residents at the time of inspection had a copy of the statement of purpose within their private accommodation, which provided the required Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 10 information regarding the service provided at Victoria Court, including the individual and communal spaces. Four residents files were looked and all four files had in place a written contract which set out the terms and conditions of tenancy, including the room to be occupied, the overall care and services that were to be provided and information regarding the fees payable and any additional costs that were not included in the tenancy fee. Within the four resident’s files seen all had a pre admission needs assessment in place that demonstrated that their needs had been fully assessed prior to moving into Victoria Court to ensure their needs could be met. The findings of the thematic enquiry questions asked to one resident at Victoria Court were: The resident said she had an up to date copy of the service user guide. The resident was not aware of any changes in the cost of her care since moving into the home, as her family would have dealt with this if any changes in cost had occurred. The resident said she had received a written contract from Victoria Court of her terms and conditions of Tenancy, but did not know if her contract had changed since she came to live at Victoria Court. As stated above all four files looked at had a written contract in place. The resident confirmed that before she came to live at Victoria Court someone had been to visit her regarding her care needs. As stated above a needs assessment was in place in the four residents files seen. Victoria Court DS0000020113.V318688.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. Resident’s health, personal and social care needs were set out within their individual plan of care and demonstrated that health care needs were met and that residents were treated respectfully. The medication practices require further development to ensure resident’s safety is further enhanced. EVIDENCE: Four residents files were looked and all had a lifestyle agreement, which identified their strengths and needs, identifying the areas where support and assistance was required and ensuring that strengths were maintained to promote independence. Residents were asked to provide information that they would like staff to know about them such as their life history, which included information about their family, previous employment and interests and hobbies. This information gave Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 12 each resident an identity which supported the staff team in getting to know them and demonstrated that each resident was treated as an individual person with their own knowledge, skills, interests, likes and dislikes. All residents had a key worker who was responsible for ensuring that each area of need was reviewed each month and any changing needs were addressed and recorded. Of the four residents files seen monthly reviews had taken place to ensure any changing needs were identified. Within the four resident’s files seen risk assessments were in place to identify any area of risk these included mobility, risk of falls, tissue viability, nutrition and record of food intake, weight recordings, physical health and previous medical history. Health care needs had been addressed within the four residents files seen and records were kept of visits from doctors and other health care professionals The medication practices at Victoria Court were assessed and in general were satisfactory. Two areas regarding medication require further development. A photograph, identifying residents must be in place on their individual medication administration records, and for all residents that choose to self administer and retain their own medication, risk assessments must be in place to demonstrate that they have the capacity to do so. All residents had access to a telephone although some residents at Victoria Court had chosen to have their own telephone line within their private accommodation. Resident’s spoken with said the staff treated them respectfully. The rapport observed between staff and residents demonstrated that a positive and caring environment was provided. Victoria Court DS0000020113.V318688.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 good. This judgement has been made using available evidence including a visit to this service. Activities provided at Victoria Court match the expectations of the residents and residents are encouraged to maintain contact with family and friends and exercise choice and control over their lives. The meals provided were varied, nutritious and served in pleasant surroundings. EVIDENCE: Victoria Court employs an activities coordinator who works for twenty-four hours a week. A record is kept of the activities provided and undertaken. The activities records were seen and residents were spoken with regarding the activities and stated that they were enjoyed and welcomed. Evidence was in place to demonstrate that resident’s thoughts, ideas and participation in activities and events was encouraged and promoted. Such as Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 14 the residents committee, that looked at the activities planned and made suggestions for activities. The activities provided included; bingo, film afternoon, craft work, carpet games, nail painting, Saturday events- which began with brandy coffees in the morning, light snacks and bingo in the lounge in the late afternoon and a fish and chip supper in the evening followed by a ‘boozy night and sing a long’. Other events included visits from local school children, external companies and entertainers, exercise sessions and a charity market stall, where residents who wished could support staff at weekends in the local town. Also Games afternoons, seasonal events and seasonal menus- Fathers Day, St Georges Day, Easter Sunday and Monday, and trips out to local public houses for drinks and meals. A free day was also provided for residents who wished to simply have a chat or an escorted walk about where one to one support can be given. Different churches within the area provided services at Victoria Court each month for any residents who wished to attend. One of the local reverend’s visited Victoria Court each Tuesday. These activities clearly demonstrated that the staff at Victoria Court made good efforts to provide a stimulating and friendly environment for the people who lived there. Visiting at Victoria Court was open and residents were able to receive their visitors either within their private accommodation or within the communal areas provided. A facility for making drinks was available to residents and visitors both within their residents’ private accommodation and within the communal areas. In all of the four resident’s files seen an inventory of their personal possessions was in place, which demonstrated that residents were able to bring their own personal possessions with them in order to personalise their own private accommodation. Advocacy services were available to residents at Victoria Court and residents had access to information regarding local advocacy services. The residents spoken with regarded the meals provided as very good. The menus were seen and demonstrated that at lunch time and evening meals two main options were always available. Special diets such as diabetic diets were catered for. Breakfast was available to residents as and when it was required, to ensure that each individual was able to rise at their preferred time. Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 15 Staff had undertaken training in food service and presentation to ensure the meals provided were presented attractively and in pleasing surroundings. Catering staff prepared all of the meals for the home and were on duty seven days a week. Kitchen areas were available within the dining areas for residents and their visitors to prepare drinks and snacks if required. Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Further development is required to ensure residents are aware that their concerns will be responded to within the required timescale and to ensure that any suspicion or evidence of abuse is responded to appropriately. EVIDENCE: The written complaints procedure for Victoria Court does not provide written confirmation that complaints will be responded to within 28 days. Victoria court had received two complaints within the last twelve months and both of these complaints were assessed and had been dealt with satisfactorily. No Adult Protection investigations or referrals had been made by the service in the last twelve months. The policy for Safeguarding Adults (adult protection) was seen and did not demonstrate that the policy used was in line with Local Authority procedures, Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 17 who take the lead in all Safeguarding Adults referrals. The policy stated it would consider informing the police, social services and the commission for social care inspection. Two members of care staff spoken with had limited knowledge on the procedure that should be taken if they suspected or were made aware of abuse or neglect. The findings of the thematic enquiry questions asked to one resident at Victoria Court were: The resident did not think they had received any written information that told them how to make a complaint but felt they had all the information they needed to raise any concerns they had about their care. Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): .19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Residents lived in a safe well-maintained environment that was kept clean. EVIDENCE: A partial tour of the building was undertaken and the general maintenance of the home was good. A new fire alarm system had been fitted which had left some small areas of the building in need of redecoration. The deputy manager confirmed that this work was due to be undertaken within the near future and stated that the whole building was to be redecorated. The laundry area was seen and found to be in good order with satisfactory standards of hygiene in place. Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 19 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 good. This judgement has been made using available evidence including a visit to this service Resident’s needs are met by the numbers and skill mix of staff, who have the training and skills required to meet their needs, and residents are supported and protected by the recruitment policies and practices in place. EVIDENCE: The staffing levels at Victoria Court were assessed and were found to be satisfactory to meet the needs of the residents. The numbers of staff on shift were four care staff and one team leader in the mornings, three or four care staff with one team leader in the afternoon, one activity coordinator that worked twenty –four hours over five days and two night staff and a senior sleep-in each night. Additional to care staffing hours were catering cover seven days a week, housekeeping cover seven days a week, laundry assistance and a handyperson. An assessment was made regarding the number of care staff that had achieved a National Vocational Qualification (NVQ) in care. Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 20 All of the senior care staff had achieved an NVQ at level 3 in care, of the twenty-three care staff employed, nine had an NVQ 2 and two had an NVQ 3. Two staff files were looked at to assess the recruitment practices of the service and to look at the training undertaken. All of the required recruitment documents were in place to ensure resident’s safety is maintained and promoted. However it was noted that the employment application forms did not request the applicant’s date of birth. It is recommended that this be included to ensure that full employment histories can be cross referenced against the applicants age, to ensure any gaps in employment history can be identified. The training certificates demonstrated that the staff had undertaken the appropriate training required to meet residents needs, this included mandatory training and training specific to residents needs, such as fire training, food hygiene, food service training, nutrition monitoring, medication administration training, first aid, infection control, positive dementia care, health and safety and adult protection training. The two members of staff whose files were seen were spoken with regarding their views of the support and training provided and to ascertain their understanding of the Safeguarding Adults procedure. Both staff said they felt that the training provided was good and felt it was relevant in assisting them to support the residents. However on discussion regarding adult protection and the safeguarding adults procedure both members of staff appeared to have limited knowledge in the local authority procedure that should be followed. (See standard 18) Both of the staff spoke with confirmed that the support and supervision provided was good. Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s live in a home that is well managed and their views and opinions are regularly sought. Resident’s financial interests are safeguarded and the health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The registered manager has several years experience in management and has achieved a Management Qualification. Both staff and residents spoken with were very positive regarding the manager’s ability to manage Victoria Court. Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 22 The Quality assurance systems in place at Victoria Court were assessed. Quality systems used included residents meetings and resident’s, relative’s and staff satisfaction questionnaires. The systems now provide a report of the findings and any action taken, this was achieved putting notices out to residents, minutes of meetings and actions taken and feedback reports to residents, relatives and staff. The financial transaction records were examined and were found to be satisfactory. All transactions undertaken were documented correctly and signed by two people. Small amounts of money was kept for residents and stored securely, any additional monies were banked within an interest free account and separate financial transaction records were in place to ensure residents financial interests were safeguarded. Some of the safe working practices of the home were assessed and all were found to be satisfactory, this included weekly fire alarm tests and other fire safety checks, fire risk assessments, accidents recorded, gas safety certificate, water systems hygiene certificate, servicing of moving and handling equipment such as hoists and slings, baths and lifts. Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 24 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 OP9 Regulation 13 (2) Requirement Resident’s choosing to selfadminister and retain their medication must have a written assessment in place to demonstrate their capacity to do so. The written complaints procedure must inform complainants that their complaint will be responded to within 28 days. The written procedure for Safe guarding adults must be in line with Derbyshire’s local authority procedure. Timescale for action 01/01/07 2. OP16 22 01/02/07 3 OP18 13 (6) 01/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP29 Good Practice Recommendations Employment application forms should request applicants DS0000020113.V318688.R01.S.doc Version 5.2 Page 25 Victoria Court date of birth to that full employment histories can be cross referenced against the applicants age, to ensure any gaps in employment history can be identified. Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Victoria Court DS0000020113.V318688.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!