Inspection on 16/05/05 for Westleigh Avenue

This inspection was carried out on 16th May 2005.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Westleigh Avenue 13/06/06

Westleigh Avenue 01/09/05

Westleigh Avenue 14/12/04

Westleigh Avenue 18/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Westleigh Avenue 45 Westleigh Avenue London SW15 6RJ Lead Inspector Simon Smith Unannounced Inspection 16th May 2007 1:30pm Westleigh Avenue DS0000010237.V339410.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 Westleigh Avenue DS0000010237.V339410.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. Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westleigh Avenue Address 45 Westleigh Avenue London SW15 6RJ 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) 020 8788 2111 /4356 020 8788 4356 www.thresholdsupport.org.uk Threshold Housing & Support Ms Lorenza Hosten Care Home 14 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15 June 2006 Brief Description of the Service: Westleigh Avenue is a purpose built care home for 14 people with learning disabilities, who may also have physical disabilities. The management of the service has recently transferred from Threshold Housing and Support to the Metropolitan Support Trust. All residents have single bedrooms. There are four bathrooms and several communal living areas. The home is situated in a residential area near local community facilities, open spaces and public transport networks. There is parking for several vehicles at the front of the home, which is protected by CCTV. Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector used evidence from a range of sources when making judgements about the home. These included visiting the home and talking to residents and staff. Residents, relatives and staff returned surveys about the home to the CSCI. A sample of records was examined, including staff and residents’ files. The inspector was made welcome during the visit and wishes to thank residents, staff and all those who gave their views about the home. The home met 23 of 31 National Minimum Standards assessed at this visit. Seven Standards were almost met and one Standard was not met. Residents’ surveys said that they feel safe and well cared for at the home. Residents also said that their privacy is respected and that they are involved in making decisions about their lives. Relatives’ surveys said that staff know residents well and that the home meets residents’ needs. Staff said they have good support to do their jobs and that they meet regularly as a team. Most people who returned surveys said that the condition of the building, and some of the furniture, is poor. The garden is not accessible to residents, especially those who use wheelchairs. Some rooms were being used to store equipment, which meant the rooms could not be used as they should be. The Metropolitan Support Trust has just taken over the management of the home. It is hoped that the Trust will find out what work needs to be done to improve the standard of decoration and maintenance as the condition of the building as it is affects the quality of the service provided to residents. What the service does well: What has improved since the last inspection? Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 6 Care plans have continued to improve and residents’ files contained good information on residents’ needs, preferences, personal history and important events. The fire risk assessment has been reviewed and updated. 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. Westleigh Avenue DS0000010237.V339410.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 Westleigh Avenue DS0000010237.V339410.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): Standards 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear information about the home is available to residents and other stakeholders. Residents’ individual needs are appropriately assessed. EVIDENCE: Information about the home is available in a Statement of Purpose. This gives details of the service and facilities provided and the aims and objectives of the home. Needs assessments were in place on the sample of care plans examined. These assessments had been carried out in November and December 2006. The assessments identified residents’ skills, strengths and need. Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 9 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): Standards 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home records residents’ needs and strengths and works with residents to identify goals that are important to them. Some information held on file about residents is very old and should be archived. Risk assessments are in placed where necessary but some needed review. Residents receive good support to make choices about their lives. EVIDENCE: The inspector looked at four residents’ files. These contained some good information on residents’ needs, preferences, personal history and important events. However some information held on file about residents is very old and Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 10 should be archived. This issue was also highlighted at the last inspection. Risk assessments were in place for residents, although in some cases the date entered for review had passed. See Requirement 1. Residents were encouraged and supported by staff to make choices during the inspection, such as what they had for dinner, where they ate and how they spent their time. Residents are also supported to make choices about their daily lives, such as how they spend their time during the day and how they personalise their own space. Residents are able to access advocacy services if they wish to do so. Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 11 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): Standards 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents access a range of day opportunities appropriate to their needs and preferences. Residents are involved in their local community. The home provides good food but the menu does not always reflect residents’ preferences. EVIDENCE: Residents access a range of day opportunities appropriate to their needs and preferences and are involved in their local community. Residents were involved in a number of activities on the day of inspection, including attending resource centres. Three residents go to a social club weekly. Residents have the Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 12 opportunity to take an annual holiday. Staff said that some residents are to visit Blackpool this year and others have a trip planned to the Caribbean. Residents are supported to maintain relationships with their friends and families. Interaction between staff and residents was positive during the inspection. Residents have unrestricted access to all communal areas of the home. Residents’ wishes and needs are clearly identified in their individual plans. Staff used appropriate forms of address when speaking to residents. The preinspection questionnaire returned by the home states that all residents use direct payments and that one resident manages their own money. One member of staff is responsible for planning and organising the home’s menu. The home has a regular chef. The evening meal served during the inspection was appetising and well received by residents. Some residents have specific dietary needs. A dietician has input into some residents’ diets and the home incorporates any dietary guidelines into the menu. Some residents need help with eating and staff provided appropriate support where necessary. One resident’s survey said that he does not always get the food that he likes. The home should ensure that all residents’ dietary needs are met, including those who identify ethnic food as their preference. Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 13 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): Standards 18, 19, 20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ healthcare needs are met. Residents receive one-to-one support where necessary. Residents’ medication is appropriately stored and accurately recorded. EVIDENCE: Six residents have one-to-one support during the week. Most one-to-one workers are agency rather than permanent staff. The deputy manager said that the home uses only those agency staff able to offer a regular commitment. The deputy manager said that one-to-one workers have an introduction to the resident with whom they are going to work from the resident’s keyworker, who works alongside them for the first few sessions. Care plans provided evidence that appropriate support is in place to meet residents’ healthcare needs. Healthcare professionals including district nurses, Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 14 general practitioners, speech and language therapists, physiotherapists and dieticians are involved in residents’ care where necessary. Residents’ files also contained Health Action Plans but in some cases these were blank or incomplete. It is recommended that the home develop an up to date Health Action Plan for each resident. There is an appropriate system for the storage and administration of medication. All medication coming into or leaving the home is recorded. There are clear protocols governing the administration of medication. Inspection of medication records for four residents revealed no gaps or errors. No residents self-medicate. One resident had passed away in the week prior to inspection. This bereavement had clearly affected residents and staff at the home. Discussion provided evidence that staff had provided good support to residents following the bereavement. Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 15 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): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an appropriate Complaints procedure. Complaints are investigated properly. Staff receive training in the recognition and prevention of abuse. EVIDENCE: The Complaints procedure is available in a format accessible to residents. There has been one complaint in the last year. There was evidence that the complaint had been investigated properly and that appropriate action had been to resolve the issue. The deputy manager said that all staff have training in the protection of vulnerable adults (POVA) in their induction when they start work. The home has appropriate POVA procedures. The deputy manager said that, following a Requirement made at the last inspection, the POVA policy has been discussed at a team meeting. Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 16 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): Standards 24, 25, 27, 28 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The condition of the home is poor in many areas. Some equipment is stored inappropriately in communal areas of the home. The garden is not fully accessible to residents. There is no evidence refurbishment. EVIDENCE: The home is purpose-built and is situated near local community facilities, open spaces and public transport networks. There is parking for several vehicles at the front of the home, which is protected by CCTV. There is a large lounge/dining room and several further lounge areas, one with a pool table. Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 17 of a planned programme of maintenance and There are also four communal bathrooms. All residents have single bedrooms. Some residents showed the inspector their bedrooms. These were very personalised and had evidence of residents’ interests and hobbies. The condition of the home is poor in many areas and this affects the overall quality of the service provided to residents. Most of the surveys returned to the CSCI identified poor maintenance as a problem and said that the home needed considerable refurbishment. Some of the areas identified for refurbishment at this inspection were: • • • • Broken tiling in one ground floor bathroom Flaky and peeling paintwork in a number of communal rooms Broken toilet seat in a ground floor toilet Lighting in some corridors consisted of bare bulbs. Lampshades should be installed. See Requirement 2. There were several examples of equipment, such as wheelchairs and commodes, being stored inappropriately in communal areas including several bathrooms and one of the lounges. See Requirement 3. The home’s garden is not accessible to residents, especially those who use wheelchairs. There is a path around most of the home but this is uneven and there is a lot of overhanging foliage. This was identified as an area for improvement in the last inspection report, although there was no evidence of progress at this visit. See Requirement 4. As highlighted earlier in this report, management of the home has recently transferred to the Metropolitan Support Trust. It is recommended that the Metropolitan Support Trust conduct an audit of the property to identify the work that needs to take place to achieve acceptable standards of décor and maintenance. Standards of cleanliness and hygiene were acceptable at the time of inspection. Domestic staff are employed to clean the home in the mornings from monday to friday and in the evenings on monday, wednesday and friday. Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 18 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): Standards 31, 32, 33, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff have a good awareness of their roles and responsibilities and the needs of residents. Some staff need to undertake NVQ training. The home needs to arrange First Aid training. The service has obtained Criminal Records Bureau (CRB) disclosures for staff but must ensure that the disclosure is specifically for their role at the home. Staff said that they receive appropriate training and support to do their jobs. Some supervision records were out of date. All staff must have access to individual supervision at least six times a year. EVIDENCE: Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 19 Staff on duty demonstrated a good awareness of their roles and responsibilities and the needs of residents. There was shift plan in place and a nominated shift leader. Staff support at night is provided by one waking night staff and one member of staff who sleeps in. Two staff have left the home since the last inspection and these posts were still vacant at the time of this visit. These posts are covered by long term agency staff. The deputy manager said that the home only uses those agency staff able to offer a regular commitment to the home. The pre-inspection questionnaire returned by the home states that, of the 14 care staff employed, six have achieved NVQ level 2. This does not meet the National Minimum Standard in this area. Staff files indicated that one member of staff had not achieved NVQ level 2 despite working at the home for four years. See Requirement 5. The pre-inspection questionnaire also states that only four staff have current First Aid qualifications. The questionnaire reports that the home plans to arrange training to address this. This training will become a Requirement if it has not taken place by the next inspection. The inspector looked at four staff records. All contained evidence of preemployment checks including proof of identity, references and Criminal Records Bureau (CRB) disclosures. The Criminal Records Bureau (CRB) disclosure on file for one member of staff had been obtained for another role. The Care Homes Regulations (2001) require that staff obtain a separate Criminal Records Bureau (CRB) disclosure when they take up a new post. See Requirement 6. The inspector was able to observe a team meeting on the day of inspection. Staff finishing their shift handed over to those staff beginning work. The handover contained good detail, with staff reporting on those residents with whom they had worked in the morning. Staff said that they have opportunities to contribute their views about the development of the service and that they receive appropriate training and support to do their jobs. Staff said that the manager and deputy manager share responsibility for supervision of the staff team. The inspector looked at supervision records for four staff. Two supervision records were up to date but one member of staff had no recorded supervision since none since January 2007 and another had no recorded supervision September 2006. The Registered Person must ensure that all staff have access to individual supervision at least six times a year. See Requirement 6. Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 20 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): Standards 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has much experience of the home and staff said that she provides good support to the team. Residents have opportunities to contribute their views about the service they receive. All recommendations made following the fire risk assessment should be carried out and the fire fighting equipment must be annually. EVIDENCE: Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 21 The manager was not available at the time of inspection. The manager has worked at the home for many years and staff said that she provides good support to the team. Residents have opportunities to contribute their views about the service they receive at regular residents’ meetings, which take place every month. Discussion with staff confirmed that there is a commitment to running the home in the best interests of residents and to ensuring residents’ wishes are met wherever possible. The home’s fire risk assessment was reviewed in August 2006 following a Requirement at the last inspection. Most of the areas identified for action at this review have been addressed but some recommendations were outstanding at the time of inspection. The Registered Person must ensure that these recommendations are addressed. The pre-inspection questionnaire states that the home’s fire equipment was last checked in May 2006. This equipment should be inspected annually and is therefore due for retesting. See Requirement 8. Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. 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 ENVIRONMENT Standard No Score 24 1 25 3 26 X 27 2 28 X 29 2 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 X X 2 X Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA9 YA24 YA27 YA28 Regulation 13(4) 23(2) Timescale for action The Registered Person must 30/06/07 ensure that all risk assessments are regularly reviewed. The Registered Person must 30/07/07 arrange to: • Replace or repair the broken tiling in one ground floor bathroom • Repaint any discoloured or peeling paintwork. • Replace or repair the broken toilet seat in a ground floor toilet • Install lampshades to cover the bare bulbs in the corridors. The Registered Person must 30/06/07 ensure that equipment is stored appropriately within the home. The Registered Person must 30/07/07 ensure that external grounds are properly maintained and suitable for residents use. This Requirement is outstanding from the last inspection. The Registered Person must ensure that 50 of the staff team have achieved a minimum of NVQ level 2. DS0000010237.V339410.R01.S.doc Requirement 3 4 YA24 YA28 23(2)(l) 23(2)(o) 5 YA32 18(1) 30/09/07 Westleigh Avenue Version 5.2 Page 24 6 YA34 19 Schedule 2 18(2) 7 YA36 8 YA42 13(4) The Registered Person must obtain a Criminal Records Bureau (CRB) disclosure for each member of staff specifically for their role at the home. The Registered Person must ensure that all staff have access to individual supervision at least six times a year. The Registered Person must ensure that: • All recommendations made following the fire risk assessment are carried out. • An appropriately qualified person checks the home’s fire fighting equipment annually. 30/07/07 30/06/07 30/06/07 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 2 3 4 Refer to Standard YA6 YA17 YA19 YA24 Good Practice Recommendations Ensure that resident files are reorganised so that useful and required documents are easy to locate. The home should ensure that all residents’ dietary needs are met, including those who identify ethnic food as their preference. Develop an up to date Health Action Plan for each resident. Conduct an audit to establish which areas of the home need refurbishment and draw up a programme of works to achieve this. Westleigh Avenue DS0000010237.V339410.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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