Inspection on 02/04/07 for West Port House Care Home

This inspection was carried out on 2nd April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

West Port House Care Home 21/11/05

West Port House Care Home 22/08/05

West Port House Care Home 27/01/05

West Port House Care Home 15/09/04

West Port House Care Home 20/01/04

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

CARE HOMES FOR OLDER PEOPLE West Port House Care Home 320 Fleetwood Road North Thornton Cleveleys Lancashire FY5 4LD Lead Inspector Christopher Bond Unannounced Inspection 2nd April 2007 10:00 02/04/07 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 West Port House Care Home DS0000055308.V334538.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. West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West Port House Care Home Address 320 Fleetwood Road North Thornton Cleveleys Lancashire FY5 4LD 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) 01253 856750 01253 864016 Thorntoncare@aol.com Mrs Lindsay Margaret Wylie vacant post Care Home 11 Category(ies) of Dementia (11) registration, with number of places West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Staffing to be provided in accordance with the residential forum staffing guidance. A suitably qualified and experienced manager, who is registered with the National Care Standards Commission, must be employed at all times. All further admissions to the home must be of the Dementia (DE) category. The home may continue to accommodate the four service users who are in Older Persons (OP) category. 21st November 2005 Date of last inspection Brief Description of the Service: Westport House is a care home for 11 elderly people who have dementia. The home is situated in Thornton, near Blackpool. All of the bedrooms within the home have en-suite facilities. A lift is available to the first floor and the home has a large conservatory at the rear of the house. A decking area has been constructed at the back of the house and the residents are able to sit out in good weather. There is a large convenience store across the road from the home and there are other shops and amenities close by. Bus services run into Cleveleys, Fleetwood and Blackpool from close by. There is parking available at the side of the house. Information relating to the home’s Service User Guide and Statement of Purpose is included in the welcome pack, which is given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (02/04/07) the information given to the Commission showed that the fees for care at the home are from £360.00 to £380.00 per week, with added expenses for hairdressing and chiropody. West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over a total of 5 hours. A tour of the home was carried out, which included bedrooms, lounge and dining areas, and bathrooms. All areas were clean and hygienic. The residents’ personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates for the home were also examined. Care staff and visitors to the home were spoken to during the inspection. What the service does well: This is a care home that specialises in the care of people who have dementia. There is an extensive activities programme and all of the residents are encouraged to take part. The home has an activities coordinator who produces a planned programme of events. Activities are designed to ensure that people with varying stages of dementia can take part. The activities coordinator described how the residents were enabled to visit local restaurants in small groups for lunch. Other activities included arts and crafts, dancing, music and movement, potting plants, gardening and reminiscence games and discussions. There were entertainers booked for the residents on a regular basis and relatives and friends were invited along to the home to participate. Care planning within this home is excellent. Extensive information regarding the residents backgrounds, family, interests and health issues is collected prior to admission and this information is used to create a plan of care which is reviewed regularly on a monthly basis to make sure that any changes in their condition is noted and acted upon. This is supplemented by ‘Client Reviews’ that take place every three months. These are formal meetings that the relatives of the resident are invited to. Relatives and friends are encouraged to take part in the care planning process. Many of the residents have communication difficulties and cannot be fully involved in their own care. The owner of the home is also the manager of the service. She positively encourages friends and families to meet and discuss how the home is run and whether improvements could be made. This helps to ensure that everyone has a say. There is also a monthly newsletter that is sent out to stakeholders. This helps to ensure that everyone has current information about what is going on at the home. All of the bedrooms are single and have en-suite facilities. The bedrooms were clean and fresh smelling. There were personal items, photographs and West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 6 ornaments in each of the rooms to help people feel more at home. The whole house had a homely feel to it. The residents looked relaxed and comfortable and there was a general feeling of wellbeing. 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. West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 and 3. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents are assessed properly by the home to ensure that their needs can be fully met. People are given good information about the service so that they can make an informed decision as to whether or not the home is right for them. EVIDENCE: It was clear that all of the people who lived at Westport House had been assessed before going to live there. This means that their social, health and cultural needs had been looked at and a decision had been made as to whether the home could look after them properly and attend to all of their particular requirements. There were very detailed assessments within the personal files of the residents. One of the visitors who was spoken to said that someone from the home had visited prior to admittance to assess their relatives needs. Each person who wished to live at Westport House had been given a Service User Guide. This was in booklet form and told all prospective residents about West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 9 the services that the home offered. This helped the residents and their families to make a decision as to whether the home was right for them. The Service User Guide also had a copy of the last report completed by the Commission for Social Care Inspection. This gave people some information about how the home was performing and if the home was suitable for their particular needs. West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 10 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): Standards 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents health and social care needs are met and well planned. Residents are supported and protected in their daily lives. The people in this home were looked after well and treated with dignity and respect. EVIDENCE: Everyone who lived at this home had a plan of care that documented all of their daily needs and how the staff would address these needs. There was lots of information written down. The inspector looked at five of the care plans and there was enough information in each of these plans to show that the care needs of the residents were being dealt with properly and appropriately. It was also evident that each resident had their needs assessed on a monthly basis to make sure that any changes in their condition was noted and acted upon. This was supplemented by ‘Client Reviews’ that took place every three months. These were formal meetings that the relatives of the resident were invited to. Important information regarding the progress of the resident could be passed on and people could be more involved in the care planning process. This is West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 11 important because families were being enabled to have a say in the care of their relative. There was lots of good, recent information in the care plan about the health needs of the residents and how the staff at the home were addressing these needs. There was also good information written down about how the home had asked for the involvement of health care professionals such as doctors, district nurses, psychiatrists, physiotherapists etc. One the visitors to the home commented, “ The manager always lets me know about my mother’s health, she rings me when there’s a problem to keep me informed. The care here is good, I’ve no complaints.” No one at the home had any pressure sores. The residents were regularly monitored and action was taken to prevent these. There was equipment within the home to help prevent pressure sore development. The manager said that she would seek the help and advice of the district nurses should a pressure sore be discovered. All of the care staff had the responsibility of helping the resident with their prescribed medication. There had been recent training in the correct handling of medication. This is important because it meant that staff had the necessary skills to ensure that residents received their medication safely as prescribed. The medication record sheets of each resident were looked at and they were completed appropriately. Everyone had a photograph attached to his or her records to help identification. Systems were in place that ensured that all medication was handled correctly and professionally ensuring the safety of service users. None of the residents were able to look after their own medication. There were lots of good examples seen during this inspection of how the residents were treated with respect and dignity. The staff were speaking people to politely, care was being taken when assisting residents to move around the home. One visitor to the home commented, “I have absolutely no worries about how (their relative) is being treated. I visit the home regularly and the staff are always great.” There was a key –worker system in operation at the home. This meant that particular care staff had the responsibility of ensuring that the needs of individual residents were being met properly. A recording system called a ‘Lifestyle Improvement Plan’ had been devised to help the staff to ensure that individual interests and activities were being regularly provided and enjoyed to their full extent. People who have dementia sometimes need extra help to enjoy some of the things that others take for granted. This system helped both residents and staff to ensure that areas such as joining in household tasks or enjoying a manicure could be productive. West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13,14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Activities were varied and well planned, which contributed to the well being of the residents. Visitors were welcomed and valued family relationships were encouraged. EVIDENCE: There was an activities coordinator working at the home during the inspection. The residents were busy making Easter bonnets and listening to Vera Lynne or other music. The residents were smiling and interested in the activity. There was a planned and extensive activities programme and information was available on the notice board as to what activities were going to take place. The inspector was able to observe this activity during the inspection and there was a clear atmosphere of well being evident within the home. The activities coordinator described how the residents were enabled to visit local restaurants in small groups for lunch. Other activities included arts and crafts, dancing, music and movement, potting plants, gardening and reminiscence games and discussions. There were entertainers booked for the residents on a regular basis and relatives and friends were invited along to the home to participate. West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 13 There were people visiting the residents during the inspection. It was clear that emphasis was placed on ensuring that valued relationships were encouraged. One visitor said, “I’m always welcomed and looked after when I’m here.” The home had it’s own regular newsletter which had been published monthly for some years. This held lots of information about forthcoming events, new staff, entertainment, and support groups. This helped the families and friends of the residents to be involved and informed about what was happening at the home. The care plans held lots of valuable information about each resident regarding their lives, occupations, interests and family. This is important because good information helps the carers to develop a good knowledge of the residents and initiate conversation regarding past lives. The manager had enabled a group of relatives to hold meetings about the care of their relatives. These were important because families and friends were able to have a say in how the residents were being cared for. One visitor commented, “If things weren’t right the manager would make a point of changing them for the better.” The menus for West Port House were available and lunch was being prepared during the inspection. Meals were well planned and nutritionally balanced. Fresh fruit, vegetables and meat were delivered regularly from the local supermarket. The dining area was pleasant and tables were set properly and attractively for the lunchtime meal. The care plans showed that the residents likes and dislikes regarding food were recorded properly. It was also written down when someone had a special diet, or needed specific help with their eating. West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are safeguarded through good training, policies and procedures. Complaints are treated seriously to ensure that the residents’ rights are protected. EVIDENCE: The manager had enabled some of the relatives and friends of the residents to meet together as a ‘client support group’. Concerns could be raised and presented as part of the group’s function. Many of the residents at Westport House have cognitive disorders, which prevent them from speaking out on their own behalf, and so this support group would provide a valuable function. All of the staff that were spoken to said that they knew what to do if someone was unhappy about the service. The complaints procedure was displayed in the home and was part of the Service User Guide. The manager was aware of her role regarding the complaints procedure and how complaints can be used as a quality tool to ensure that the home is run in the best interests of the residents. There were policy documents for the staff to read about how to ensure that people were safeguarded from harm. All of the staff that were spoken to said that they had a good awareness of this important issue and knew what to do if they were not happy about something they had seen. The manager was aware of her responsibilities and knew whom to contact should there be any question West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 15 regarding how the residents were being supported and safeguarded. Recent training had taken place regarding safeguarding adults for all of the staff. It is important that all of the care staff that work at the home have access to this information as it helps to ensure that people are safeguarded from harm. Copies of all the home’s policies and procedures were available in the main office for the staff to read to help them in their roles as carers. West Port House Care Home DS0000055308.V334538.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): Standards 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents are provided with a comfortable, clean, hygienic and homely environment. Bedrooms were personalised, meaning that residents should feel at home with their belongings around them. EVIDENCE: All of the bedrooms at Westport House had en-suite facilities. There were also main bathroom facilities with showers and baths. There were toilets close to the lounge and dining areas. The residents’ bedrooms looked very comfortable and there were lots of personal possessions around to make the rooms more homely. This is important because residents feel more at home with their own pictures, ornaments and important memento’s around them. West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 17 The home was well maintained throughout. The manager confirmed that maintenance tasks were generally dealt with quickly so as not to inconvenience residents. All of the rooms were well decorated and there was a nice homely feel to the bedrooms and communal areas. There were two lounge areas, one being a conservatory at the back of the house. On the day of the inspection the home was warm, clean, hygienic and fresh smelling. There was a garden area at the back of the house. This had decking to make it more accessible and there were points of interest around, such as an old mangle. The residents and care staff used this as a conversation piece. It helped to bring back memories for the residents. West Port House Care Home DS0000055308.V334538.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): Standards 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents were protected by good staffing numbers and well trained care staff. Good recruitment practices helped to make sure that people were safer. EVIDENCE: There were enough care staff on duty during the inspection to ensure that the assessed needs of the residents were adequately dealt with. The staff rotas showed that staffing was good and that there were plenty of staff on each shift to ensure that people were being properly looked after. The rota also showed that the residents were being properly supported at night. Most of the care staff had achieved a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). There was a good induction process to help ensure that new care staff were competent before commencing their role. There was also a good training programme to ensure that the care staff were able to improve their skill and learn new ways to care for people. There had been recent training in handling medication, dementia awareness, customer care, skin care, and oral healthcare. Four of the care staff were spoken to during the inspection and it was clear that they had the knowledge, skills and abilities to provide a good standard of care for the residents of the home. West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 19 It is also very important to ensure that the staff are taught how to help move people who may not be able to move properly themselves. There had been regular moving and handling training to ensure that people were assisted to move the residents safely and professionally. Staff records showed that new carers had been properly checked before starting their jobs, including obtaining Criminal Records Bureau checks. This helped to make sure that the residents were safer by ensuring that suitable staff are employed. There was evidence within the care staff files to show that the correct information had been gathered prior to employment. West Port House Care Home DS0000055308.V334538.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): Standards 31, 32, 33, 35, 36 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is managed in a competent and a professional manner. The residents are protected by good safety procedures and a well-trained staff team. The home is being run in the residents’ best interests. EVIDENCE: The manager of Westport House is also the owner of the service. She has a nursing qualification and a nationally recognised management qualification. This means that she is well qualified to run the home and has the necessary skills and ability to do this successfully. The care staff that were spoken to were complimentary of her management style and the way that the home was being run. West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 21 It was clear that this home was being managed in the best interests of the residents who lived there. Their care was well planned and the home was run safely and professionally. Good records were being kept of safety checks within the home. These showed that professionals were checking the lift, electric and gas equipment and the fire alarm system regularly. This helped to ensure that the residents lived in a safe home. Trained maintenance people were also checking the lifting equipment in the home on a regular basis. Staff were being instructed in safety aspects within the service. They were being shown how to move those residents, who had difficulty in supporting their own weight, safely and respectfully. Other safety training included fire safety awareness, food hygiene and health and safety. All of the care staff that were spoken to were able to confirm that they had received safety training. There was evidence on the personal files of the care staff to show that everyone was being supervised properly. This means that time was set aside for regular one to one meetings with the staff to ensure that they were happy and doing there jobs successfully and professionally. There were several weekly and monthly quality checks undertaken by the manager on all aspects of the running of the home. Questionnaires were given to the families and friends of the residents asking them to comment on how the home is run and whether or not the service is meeting people’s needs. There is another home close by that is part of the Thornton Care group and the manager of that home also does unannounced quality checks on Westport House. All of these things help to make sure that Westport House remains a good service. West Port House Care Home DS0000055308.V334538.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 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 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 X 4 West Port House Care Home DS0000055308.V334538.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. Standard Regulation Requirement Timescale for action 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 West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 West Port House Care Home DS0000055308.V334538.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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