Inspection on 26/07/07 for Westacres

This inspection was carried out on 26th 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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Claremont House

Chesham House

Argyll House

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Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

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

CARE HOME ADULTS 18-65 Westacres 65-67 Somerset Road Basildon Essex SS15 6PP Lead Inspector Diana Green Key Unannounced Inspection 26th July 2007 10:00 Westacres DS0000067903.V336274.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 Westacres DS0000067903.V336274.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 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. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westacres Address 65-67 Somerset Road Basildon Essex SS15 6PP 01268 540734 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) Minster Pathways Limited Mr Steven Monaghan Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (6), of places Physical disability (2) Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection First Inspection since registration. Brief Description of the Service: Westacres is a large detached house situated in a residential area of Basildon within easy reach of local amenities, shopping facilities and a local park. There is public transport close by for access to the town centre and other areas within Basildon. The premises comprise two houses that have been joined to provide accommodation for six residents with staff facilities. The home has a well-fitted kitchen. There is a separate dining room that leads to a large lounge and can be separated by folding doors. A conservatory overlooks the garden to the rear of the property and there are patio doors opening to the garden. There are two bedrooms on the ground floor one of which has a separate lounge. There is a separate assisted bathroom. Stairs lead to the first floor where a further four bedrooms are provided, three of which are en-suite. All remaining bedrooms have washbasins. In addition there is a separate assisted bathroom and toilet. The gardens to the rear of the premises are laid mainly to lawn and shrubs and seating is provided. The gardens are secure. The home is wheelchair accessible on the ground floor only. Ramps have been installed to allow wheelchair access. Parking is available on the driveway and in the road outside. The fees range from: £1050.00 – £1400.00 per week Additional costs apply for toiletries and additional outings. This information was provided to the CSCI on 15/10/07 Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first inspection since being registered in October 2006. The manager provided support during the inspection and two residents and a staff member was also spoken with. Evidence was also taken from the Annual Quality Assurance Assessment completed by the management of the home and submitted to the CSCI. Residents completed surveys and relatives and health and social care professionals also gave feedback. All these comments were taken into account when writing the report. A full tour of the premises was undertaken including viewing of all residents’ rooms, bathrooms, administrative offices and communal areas. During the course of the inspection a range of documentary evidence was sampled. Twenty- eight of the forty-three standards were inspected, of these twenty-five were met and three requirements were made. What the service does well: What has improved since the last inspection? This is the first inspection since initial registration of the service. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 1, 2. The home ensured prospective residents had the information they needed to make an informed choice about where to live. The needs and aspirations of people living at the home were assessed through comprehensive multidisciplinary assessment and their full involvement. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The home had a Statement of Purpose and Service User Guide that were comprehensive documents. The statement of purpose reflected the client group and philosophy of person centred planning and the facilities offered. A completed survey from a resident confirmed that they had received sufficient information about the home before making a decision. Each resident had a service user guide which was individuallly tailored to them. The format used clear and simple language with pictoral formats. Information received from the home stated that this was also available in widget symbol systems, audio and large print on request. A full multi-disciplinary assessment of care needs was undertaken for potential residents prior to admission to ensure their needs could be met. A social worker confirmed that the manager had attended the resident’s home to Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 9 undertake the assessment prior to the admission, as this had been the relative/advocate’s choice. The assessment had been thorough and had involved the resident, relative and social worker. From discussion with the manager it was evident that potential residents are encouraged to visit the home and spend time with other residents to determine if they feel comfortable with them. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 6, 7 & 9 People living at Westacres are in control of their lives and are fully involved in planning their care and independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home have individual care plans that were either generated from a Care Management assessment or the home’s own assessment of need. Care plans viewed were person centred and included a basic independence assessment of activities that covered all aspects of the person’s personal, emotional, health and social support needs. Each individual was designated a key worker to assist with all aspects of their daily lives. The care plans were generally good and provided clear guidance to care staff. The care plans had been drawn up jointly with involvement of the service user, relatives and health and social care professionals. Information received from the home stated that quality assurance questionnaires had confirmed that service user; relatives and professionals involved in their lives were satisfied with the care. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 11 Care plans viewed indicated that people living in the home were supported to make decisions about their everyday lives with assistance as required, one person having an advocate to support them. Feedback from one person living at the home indicated they were always able to make decisions about their lifestyle. The routine of the home on the day of the visit was witnessed to be flexible to the wishes of the people living in the home. The manager confirmed that all three residents had their own bank account and full information was available to confirm they received the appropriate allowances. The home has secure facilities for the storage of any money looked after on behalf of residents. There were clear individual records of this, with receipts kept and cash held individual purses. Two residents’ records were inspected, and records, receipts and cash all balanced. The records included risk assessments demonstrating that residents were supported in taking responsible risks and that risks were minimised as far as possible. From discussion with the manager it was evident that this was carried out so as to promote residents’ personal development. Residents were enabled with staff support to have experiences outside their usual routines such as going on outings. Policies and procedures in place demonstrated the home’s commitment to minimising identified risks and hazards and promoting the health and safety of residents. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 12, 13, 14, 15, 16, 17. Residents’ lives are enhanced by the support and encouragement they receive to maintain contact with friends and family and to engage in educational and social activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Due to the level of need of the people residing at the home none are currently able to undertake any paid or voluntary employment. However from discussion with the manager it was evident that staff had discussed opportunities for further education with a recently admitted service user who was new to the locality. The manager said that arrangements were being made for them to enrol at the local college when staff next attended. Each person living in the home has a weekly planner that included leisure and educational activities. Those viewed detailed activities such as attendance at Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 13 college, listening to music, attendance at sports clubs (trampoline), outings to bingo, watching TV etc. A trampoline had been purchased to enable one service user to continue to practice in the garden, weather permitting. Taxis with disability access had been arranged to take residents out for leisure activities and for appointments at chiropodist and dental clinics etc. As the home was recently registered staff were still developing links with the local community. Discussion with a person indicated that the home has an open door policy on the receiving of visitors, and that they are free to receive their visitors in the privacy of their own rooms, or in the lounge or conservatory. The records also confirmed that relatives regularly visited and took a resident out for walks and outings. On the day of the visit the daily routines of the home appeared to promote peoples’ independence, individual choice and freedom of movement. Residents were seen to have unrestricted access to all communal areas of the home. Staff were seen and heard interacting with people living in the home and not exclusively with each other. One person was observed spending time alone in the conservatory as they wished. The records confirmed that nutritional needs were fully assessed with individuals on admission. Care plans included pictorial advice on the healthy food that should be eaten each day. Special dietary needs were agreed in consultation with individuals and on advice of dieticians and recorded in the care plans viewed. The menus seen were provided over a four-week rota and were varied and nutritious, and provided for at least one hot meal a day with choices accommodated. Meals were provided flexibly to meet people’s needs and wishes. Snacks and hot and cold drinks were also provided. The manager said that residents are encouraged to choose where they sit at the dining table. Visitors were also able to have a meal with them. Support staff were seen to provide individual assistance with eating and drinking for those people who required it, in a discreet and sensitive manner. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. 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. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 18, 19, 20 Residents’ individual personal and healthcare needs are met with dignity, respect and privacy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents were allocated a key worker who was responsible for taking care of their general needs and updating the care plan. Residents’ physical and emotional needs were met through regular discussion and support of the multidisciplinary team, with specialist support as needed. Feedback received from a resident indicated that staff always treated them well, listened to them and enabled them to make decisions about their care. The records confirmed their personal care needs were discussed with them and their care provided as they chose and with respect and dignity. All of the people living in the home were registered with a general practitioner. Referrals were made to district nurses for healthcare as needed. The records confirmed that people were supported to attend outpatient clinics for chiropody, physiotherapy occupational therapy, and dentists. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 15 The home had a medication policy and procedures for staff guidance. A list of homely remedies agreed by the GP was available together with a PRN (as required) protocol for paracetamol. Medication was stored in a medication cupboard secured to the wall situated in the administrative office that was lockable. A domestic type fridge was also provided for medication storage as relevant. The home received supplies of medicines through Boots local pharmacy via a monitored dosage system and in individual containers. Prescriptions were seen by the home for checking and were returned to the pharmacy for dispensing. Monitoring and recording of refrigerator temperatures was undertaken but there were no monitoring of room temperatures. Care staff administered all medication and a list of staff signatures and initials was available. The manager had completed the Boots medication foundation training and all staff received medication training during their induction. Medication for the three people living at the home was checked and found to be available as prescribed. Records included a photograph of each person living at the home. Medication records were viewed and were completed accurately and in full. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon sampled inspected standards 22 & 23. People living in the home can expect that their views will be listened to and acted upon accordingly and that the home’s practice, policies and procedures will protect them from the risk of harm and/or abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had a complaints procedure that included timescales for a response and was referred to in the statement of purpose. The policy/procedure was also available in pictorial format for ease of use by the people living in the home and seen in the care files viewed. Since registration of the home there had been no complaints received. Feedback from a person living in the home indicated they knew how to make a complaint. The home had a protection of vulnerable adults policy and procedures and a whistle blowing policy. Staff induction included protection of vulnerable adults training. The records viewed confirmed that recently employed staff had received training in safeguarding adults and had signed a protection of vulnerable adults (POVA) agreement. POVA booklets were also seen to be available for staff at the home. There had been no incidents/allegations of abuse. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon standards 24, 25, 26 & 30. Westacres provides residents with a clean, bright and homely place to live with their room being decorated and furnished to suit their lifestyle and to promote independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The premises were clean and bright with full access to wheelchairs throughout the ground floor and gardens. Individual rooms visited showed that people were encouraged to have their rooms decorated as they chose and were enabled to bring their own furniture. All rooms were spacious and one had a separate lounge where they could entertain friends and family. The records and staff practices confirmed that the building complied with the requirements of the local fire service and environmental health. Four rooms are single/ en-suite and two had their own hand washing facilities. All residents’ rooms are above average size. The two on the ground floor were Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 18 accessible for wheelchairs and specialist equipment. All people living at the home were able to have their own television, music system etc. The standard of cleaning at Westacres was observed to be very good. The home was hygienic with no unpleasant odours. Staff hand washing facilities were provided in areas where people were assisted with personal care. However there were no paper towels provided in the staff toilet. The home had corporate health and safety policies and procedures in place for staff guidance that were kept under review. The laundry room was clean and well organised and was equipped with a large washing machine and a dryer. Feedback received from resident indicated they were satisfied with the cleanliness at the home. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate based upon standards 32, 33, 34, 35 & 36. Westacres has a staff team who are competent and skilled but recruitment practices are not sufficiently robust to ensure the protection of people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All staff employed at the home are over the age of eighteen, three of the seven permanent care workers are qualified to N.V.Q level 2, and a further four agency staff employed at the home are also qualified to the same level. The manager has NVQ level 4. The records viewed showed that each member of staff on taking up their appointment, received induction to Skills for Care Common Induction Standards. Throughout the fieldwork visit care staff were observed to engage with residents in a friendly and relaxed way demonstrating skill and sensitivity to their needs. There were two residents at the home and a third was in hospital. Two care workers and the manager were employed on each shift. One care worker was supporting the individual in hospital. From observation and the records Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 20 inspected care staffing levels were appropriate to meet the personal, healthcare and social needs of residents and to enable staff to receive training and supervision. The recruitment records of three staff were inspected. Relevant checks had been undertaken prior to employment (Identification, full employment history and Criminal Records Bureau Disclosure (CRB)/POVA first check etc.). However one of the three had only one reference obtained prior to appointment. The recruitment records confirmed that recently employed care workers had received training health and safety, fire safety, food safety and adult protection training. An induction review had been undertaken and a training plan commenced. An ongoing training programme was seen (some had commenced) and included training in moving and handling, Control of Substances Hazardous to Health (COSHH), first aid, Protection of Vulnerable Adults from abuse, fire safety, epilepsy and food hygiene. The manager had only recently been employed and planned to establish a programme of supervision programme. The list of dates and staff names provided confirmed that this was arranged every two months for all care staff. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. 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 home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good based upon standards 37, 39, 41 & 42. People living at the home benefit from a well run home that promotes the health and safety of service users and staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager was new in post, having been employed at the home for several weeks. She had experience as a manager for a care home for learning disabilities and had achieved the Registered Manager’s Award. The home operated within the philosophy of care based on privacy, dignity, respect, choice, diversity etc. that was evident in care practices observed and records inspected. Policies and procedures had been developed as part of the registration process and personalised to the client group. Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 22 The home was first registered with the Commission for Social Care Inspection in October 2006, and a full quality assurance programme had yet to be established. Questionnaires had been distributed a range of stakeholders including people who live in the home, relatives and care managers. Information received from the home stated that the response had been very positive regarding the approach taken by the home. Records held on behalf of residents were kept up to date and stored safely in secure facilities in a locked office in accordance with the Data Protection Act 1998. Records viewed at this inspection included: care plans, medication records, statement of purpose, service user guide, staff recruitment and training records, residents personal allowances, maintenance records, accidents/incident records and fire safety records. The home had a health and safety policy and procedures for staff guidance. All staff had received training in health and safety during induction and updated training was planned. Evidence of a sample of records viewed showed that there were systems in place to ensure the servicing of equipment and utilities (e.g. gas, electricity certificates). Hoists equipment was newly purchased and therefore still under warranty. Westacres DS0000067903.V336274.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 Adults 18-65 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 3 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 3ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 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 Score 3 3 2 x 3 X 3 X 3 3 x Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 YA20 Regulation 13(2) Requirement Timescale for action 15/09/07 2. YA30 13(3) 3. YA34 7, 9, 19 Schedule 2 Room temperature monitoring and recording must be undertaken regularly to ensure medication is stored within recommended safe limits (25°Centigrade). Paper towels must be provided in 15/09/07 staff toilets to ensure staff are able to follow safe practice that minimises the risk of infection for staff and people living in the home. Two satisfactory references must 15/09/07 be obtained prior to appointment to safeguard people living at the home. 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 Westacres DS0000067903.V336274.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Westacres DS0000067903.V336274.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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