Inspection on 04/10/07 for Wheatley Lane

This inspection was carried out on 4th October 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wheatley Lane 26/02/07

Wheatley Lane 23/03/05

Wheatley Lane 19/07/04

Wheatley Lane 21/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Wheatley Lane 21-25 Wheatley Lane Lee Mount Halifax West Yorkshire HX3 5HN Lead Inspector Cheryl Stovin Key Unannounced Inspection 4 and 19th October 2007 15:00 th Wheatley Lane DS0000001020.V352264.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 Wheatley Lane DS0000001020.V352264.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. Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wheatley Lane Address 21-25 Wheatley Lane Lee Mount Halifax West Yorkshire HX3 5HN 01422 320986 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) lmacdonald@bridgewoodtrust.co.uk Bridgewood Trust Limited Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th February 2007 Brief Description of the Service: 21,23 and 25 Wheatley Lane are properties that are managed by the Bridgewood Trust, which is an organisation that provides accommodation and care for adults with a learning disability in the Calderdale and Kirklees areas. The three houses on Wheatley Lane are situated in a residential area with easy access to the town centre of Halifax. The houses, which are adjoining, each provide accommodation for two people. The houses are well maintained and are furnished and fitted to a good standard. The weekly charges in the home are subject to individual assessment depending upon the level of care to be provided. Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Wheatley Lane. This included an unannounced visit I made to the home on 4th October 2007. An additional visit was made on 19th October to meet with the manager of the home. The purpose of the inspection was to make sure that the people living at the home are receiving the care and support they want and that they and their families are satisfied with the service. During this visit a partial tour of the building was undertaken, records were examined and I spoke to the manager, staff and the people living at the home. In addition to this visit comment cards were sent out to give people an opportunity to share their views of the service with CSCI. One relative, four people living at the home and two members of staff returned their surveys. The information received from the surveys is included in this report. The last inspection of Wheatley Lane was on 26th February 2007, an additional visit was made on 27th June 2007 to a meeting to discuss the management arrangements of the home. An Annual Quality Assurance Assessment (AQAA) completed by the home was returned and gave useful information. I would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: There is a warm, homely and lively atmosphere in the home with staff and people living at the home appearing to work together as a team. The staff team are well trained and were seen to be providing assistance to people in a manner which promotes independence and dignity. People living at the home said that the staff are “brilliant” and relationships between them were seen to be relaxed and friendly. There is a new acting manager and staff team in place and the staff are highly motivated and enthusiastic about developing new ideas and ways of working. Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 6 The home is well maintained throughout with a routine programme of refurbishment in place to make sure the standards remain high. All people living at the home have their own bedrooms which are highly personalised reflecting their individual hobbies and interests. People are obviously very proud of their rooms and of their possessions. People said that they liked living at Wheatley Lane and enjoy all of the social activities they undertake. One person living at the home demonstrated his line dancing skills to me during my visit. People living at the home are protected by the recruitment procedures in the home which ensure that all the necessary checks are carried out before staff are employed. All of the people who completed a survey expressed satisfaction with the care given and the facilities provided at Wheatley Lane. What has improved since the last inspection? What they could do better: The acting manager must register for and complete a National Vocational Qualification (NVQ) level 4 in management and care to make sure that the home is effectively managed. To comply with the Care Homes Regulations the acting manager must make an application to be registered as manager of the home. To make sure that staff are adequately trained the home must continue to work towards 50 of the staff being qualified to NVQ level 2 in care. Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 7 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. Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 8 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 Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 9 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): 2,3,5 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are assessed before moving into the home and they are given written information about the services and facilities provided. EVIDENCE: People living at the home have their needs assessed continually and their care plan adjusted to reflect their changing needs. There have been no new admissions to the home since 1993, therefore, it was not possible to assess the admissions procedure. The staff team were able to demonstrate that they have the skills and experience to deliver the care to the people living at the home in a caring and professional manner, and to communicate effectively. Each person has a licence agreement which gives details of the terms and conditions at the home. Wheatley Lane DS0000001020.V352264.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): 6,7,9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s current needs are recorded in their plan of care to make sure that support is given in accordance with their needs and preferences. EVIDENCE: All of the care records of the people living at the home were seen. New documentation has been put in place and the care plans are now much clearer. Each person has an individual personal support plan, which is detailed and holistic and covers activities of daily living as well as social and emotional needs. The care plans clearly show how the care needed is actually to be delivered. The home uses a person centred planning approach and the personal support plans are reviewed on a regular basis. A daily record is kept which clearly details how people have spent their day. Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 11 Staff have a good knowledge of the communication needs of people living at the home. They are skilled in using the person’s preferred communication method. One person living at the home made the following comment in their survey: “I have problems communicating so staff help me by being patient”. Detailed risk assessments are in place which are reviewed on a regular basis, this makes sure that risks are minimised and people are kept safe. People are encouraged and enabled to be fully involved in the day to day running of the home and participate in all activities of daily living. Staff were seen to be offering people choices and all people said in their surveys that they can do what they want during the day, in the evening and at weekends. One person made the following additional comment: “I am happy because I can do what I want but if I need staff they will help me”. Wheatley Lane DS0000001020.V352264.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): 12,13,14,15,16,17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People enjoy active and varied lifestyles and participate in a wide range of community activities whilst living at the home. EVIDENCE: The atmosphere in the home is warm and welcoming with a homely feeling. People are actively encouraged to develop and maintain their own interests and are enabled to participate in a wide range of community social and recreational activities. Recent activities have included going out for meals, shopping, theatre trips and days out. On first day of the visit to the home people were looking forward to going line dancing in the evening. On the second visit people were going out for the day and visiting Huddersfield. People have the opportunity to attend day centres, college and craft and horticulture activities. One person is a volunteer in a charity shop. One person Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 13 living at the home made the following comment in their survey: “I am happy at Wheatley Lane. Happy at weekends enjoying a couple of beers and watching T.V in my room”. People living at the home are very much part of the local community and make use of a wide range of local facilities Holidays are enjoyed by the people living at the home, this year most people wanted to go to a hotel in Scarborough. People are actively encouraged to maintain relationships with family and friends, with key dates of birthdays and special occasions recorded in their individual support plan Visitors are welcomed into the home and the relative who returned a survey said that the home helps their relative to keep in touch with them. The following additional comment was made: “I have no complaints at all about anything at the home. My son has always been happy there are has a good home and a good social life”. The staff were seen to be treating people with respect at all times and relationships were observed to be relaxed and friendly with appropriate use of informality and humour. People living at the home receive a healthy and varied diet. The main meal of the day is served in the evening and on the first day of the visit was: pork chops, carrots, cauliflower and mashed potatoes, followed by a dessert of their own choice. People said that they enjoyed the meals served at the home. At the present time the staff generally cook the meals, however, the manager said that she wants the people living at the home to be more involved in cooking their own meals. This will promote their independence and give people opportunities for more choice. Wheatley Lane DS0000001020.V352264.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): 18,19,20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health care needs are met and personal care is given in accordance with their preferences. People are protected by the medication practices in the home. EVIDENCE: People’s personal support needs are assessed and form part of their plan of care. People’s physical and psychological health care needs are assessed and detailed in their individual support plans. An ‘OK’ health check is completed for everybody, this is a recognised tool to make sure that the health care needs of adults with a learning disability are met. All personal care is given in private, and people were seen to be treated with dignity at all times. One person living at the home made the following comment in their survey: “I enjoy staff treating me with respect and having a laugh and joke with me”. Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 15 One member of staff who returned a survey made the following comment in response to the question ‘What does the service do well?’: “It promotes equal opportunities for service user by respecting and maintaining the dignity and privacy of the service users, and respecting diversity and different cultures and values. It also does very well by treating each person as an individual and supports service users rights to control their lives and make informed choices about the services they receive”. The relative who completed a survey said that the home always gives the support or care to their relative that they expect. Medication practices are safe, with stocks securely stored. Nobody living at the home handles their own medication. Wheatley Lane DS0000001020.V352264.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): 22,23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the procedures and practices in the home, the staff understand and promote Adult Protection Procedures. This makes sure that people living at the home are safe. EVIDENCE: The home has a complaints procedure which is included in the service user guide and provides information of the procedure to follow and the correct contact details. The document is produced in an easy to read format. All of the people said in their surveys that they knew how to make a complaint about the home if they needed to. One person said: “I would speak to the manager about any problems, or to X my advocate”. A relative said they knew how to make a complaint, but “couldn’t imagine having to”. All of the staff team have received training in Protection of Vulnerable Adults (POVA) and all staff spoken to were aware of the procedures to follow if they suspect that people are not being treated properly. The Adult Protection procedure was appropriately used during a recent allegation of abuse in the home. The process was well managed and resolved satisfactorily. Wheatley Lane DS0000001020.V352264.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): 24,25,26,28,30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well maintained, safe and hygienic environment. EVIDENCE: The home consists of three two bedroom terraced houses situated in a residential area with easy access to the town centre of Halifax. There are shops and community facilities within walking distance. All of the people living at the home have their own bedrooms which are furnished and decorated to a good standard. All of the rooms are highly personalised reflecting people’s individual interests and hobbies. People said that they were happy with their own rooms and were obviously very proud of their own possessions. The communal areas are comfortable and furnished and fitted in a contemporary style. A routine programme of maintenance makes sure that Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 18 the standards remain high. Some re-decoration and new carpets have been fitted recently. The home was seen to be clean and hygienic throughout. People living at the home said that this was always the case. People are expected to assist with household chores. One person made the following comment in their survey: “I would like more help from the staff to clean the home, but I understand that I have to do my bit”. Each of the houses has a small enclosed garden area, garden furniture is provided for the people living at the home to sit out in the warmer weather. Wheatley Lane DS0000001020.V352264.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): 32,33,34,35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: The home is fully staffed for the first time in over two years. The new staff team appeared to be enthusiastic and committed to developing and implementing new practices to improve the quality of life for the people living at the home. There are always two members of staff on duty during the day time and a member of staff ‘sleeps in’ during the night. Staff said that they feel there are enough staff to meet the individual needs of all the people living at the home. One member of staff commented that “the home has been reliant on bank staff but this has changed as more staff have recently been appointed which can only give better care to the service users”. Another member of staff told me that they “work well as a team”. Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 20 It is mandatory for staff to undertake induction training to Skills for Care Council and LDAF (Learning Disability Award Framework) specification. One member of staff commented “Due to staff changes my induction was quite fragmented, however, all relevant paperwork and working practice was covered within the timescales”. All staff are registered to undertake the National Vocational Qualification (NVQ) award in care and the home is working towards 50 of the staff team being qualified to NVQ level 2 or equivalent. Members of staff who completed a survey felt that they are given training relevant to their role which keeps them up to date with new ways of working. One person made the following comment: “The training is of a very high standard and I have enjoyed and gained valuable knowledge in meeting the needs of the service users. It has also improved my working practice. For example, food hygiene, manual handling and first aid. The training is on-going and the trust is always encouraging staff to develop their working skills”. People are protected by the home’s robust recruitment procedure. All staff are subject to the necessary Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks to make sure only suitable staff are employed in the home. An application form is completed and two written references are taken up prior to an offer of employment being made. All staff are given job descriptions and statements of terms and conditions. People living at the home are involved in the recruitment of new staff and their views are taken into consideration before employing a new member of staff. Relationships between staff and people living in the home were relaxed and friendly with appropriate use of informality and humour. All of the comment cards received stated that the people felt that the staff always treat them well, and listen and act on what they say. People told me that the staff were “brilliant” and “very good”. Wheatley Lane DS0000001020.V352264.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): 37,38,39,41,42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well run home with their health and safety promoted and protected. People’s health and welfare are protected by the home’s health and safety practices. EVIDENCE: There has been no registered manager at the home for over two years. A new acting manager has recently been appointed. She appears enthusiastic about her role and has already implemented new policies and procedures and Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 22 working practices. She is aware that she must apply to the Commission for Social Care Inspection to be registered as manager of the home. The new acting manager has limited management experience and has not yet registered to undertake the National Vocation Qualification level 4 in management and care. She is aware that she must do so. In view of the fact that the manager is part of the rota system it is recommended that some time is given to her to concentrate on purely management processes. This will be of benefit to both the staff team and the people living at the home. The staff and people living at the home said that they were pleased that a manager had been appointed, and staff said that they felt it was an opportunity for a strong staff team to develop. One member of staff said in their survey: “Since a new manager has been appointed there has been an improvement in all aspects of the running of the home, especially meeting the needs of the residents”. One person living at the home described her as “a brilliant manager”. “Apart from regular support and supervision meetings with my manager, I feel that she continually offers support to staff throughout the working day”. There is a commitment to health and safety and safe working practices in the home. All staff receive mandatory health and safety training with regular updates. Fire drills are carried out on a regular basis and all staff receive fire safety training. Detailed risk assessments are in place which are reviewed and updated on a regular basis. Certificates were seen which showed compliance with gas and electrical regulations. Management and staff work in accordance with the General Social Care Council codes of practice and other legal requirements. Financial procedures are in place to make sure that people’s money is handled safely. Wheatley Lane DS0000001020.V352264.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 x 2 3 3 3 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 3 36 x 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 3 3 x 3 3 x Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? 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 YA37 Regulation 9 Requirement To comply with the Care Homes Regulations the acting manager must submit an application to the CSCI to be registered as manager of the home. To make sure the home is adequately managed, the acting manager must register and complete the National Vocational Qualification level 4 in management and care. Timescale for action 31/12/07 2 YA37 9 30/06/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA37 Good Practice Recommendations To enable the acting manager to develop her management skills and to complete the NVQ level 4 qualification, some of her working hours should be dedicated to just management duties. To ensure a consistent standard of care is given to people 50 of the staff team must be qualified to NVQ level 2 2 YA32 Wheatley Lane DS0000001020.V352264.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Wheatley Lane DS0000001020.V352264.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!