Inspection on 08/11/05 for Whitebriars Care Home

This inspection was carried out on 8th November 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 but made no statutory requirements on the home.

Other inspections for this house

Whitebriars Care Home 18/02/09

Whitebriars Care Home 20/03/08

Whitebriars Care Home 23/01/07

Whitebriars Care Home 20/05/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Whitebriars Residential Care Home 20 Bedford Avenue Bexhill on Sea East Sussex TN40 1NG Lead Inspector Kevin Whatley Announced Inspection 8th November 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whitebriars Residential Care Home Address 20 Bedford Avenue Bexhill on Sea East Sussex TN40 1NG 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) 01424 215335 Whitebriars Ltd Miss Noreen Twomey Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That only Older People may be accommodated. That service users accommodated will be aged sixty-five (65) years or over on admission. That the maximum number of service users to be accommodated will be nineteen (19). 20th May 2005 Date of last inspection Brief Description of the Service: Whitebriars is a care home providing personal care and accommodation for up to 19 older people. The home is located a short walk from Bexhill sea front and town centre with its shops, churches and other community services. There is good access to bus and rail routes. The house is a detached property set in its own grounds. Accommodation is provided on three floors, stair lifts are fitted to assist residents to access first and second floor accommodation, however those with bedrooms on these floors are still required to manage some stairs that are not covered by the stair lifts. The home has a large lounge and dining room area, whilst the outside of the building has a pleasant paved garden and fishpond. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Whitebriars will be referred to as ‘residents’. The announced inspection took place on a weekday in early November and lasted for approximately five hours. At the time of the inspection the home was accommodating sixteen residents. This was the second inspection to be carried out at Whitebriars since Mr Dewhurst took over ownership in July 2004. The inspection included a tour of the premises and it’s facilities, with many residents also consenting for their bedrooms to be viewed. Approximately five residents were spoken with individually, whilst several others commented on their care during lunchtime after the Inspector had been invited to join them for the meal. The proprietor, acting manager, several members of care staff, the cook were spoken with during the visit; whilst care staff were also observed carrying out their duties. A number of records and documentation, as required by registration, were also inspected. What the service does well: Whitebriars provides prospective residents their families/carers and others with sufficient information regarding the home and the services it offers. No resident is admitted to the home without first having their care needs fully assessed, such needs are subsequently incorporated into robust and comprehensive plans of care. Residents benefit from having all their care and health care needs fully met and reviewed and when necessary the home ensures that other care professionals are involved. Residents stated they feel ‘relaxed’ and ‘cared for’ at the home and are able to pursue their particular interests and activities. The home is well maintained inside and out and residents enjoy a pleasant and homely environment. Care staff are committed and caring, whilst the management approach of the home promotes an environment that is relaxed, supportive and caring. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4. Whitebriars provides prospective residents and others with sufficient information regarding the home and the services it offers, though some aspects of the statement of purpose need to be more clearly defined. The home ensure that they can meet the needs of residents prior to admission, whilst prospective residents, their relatives and carers are actively involved in the admission process. EVIDENCE: The homes statement of purpose and guide for service users and broucher was viewed. This confirmed that all relevant information as required by registration is included for prospective residents and their relatives/carers and others including the aims and objectives and physical layout of the home. The documentation also details what services are included in standard fees and services that are not. A number of care plans were seen, notably in relation to newly admitted residents, these confirmed that either the acting manager or her deputy visit every resident prior to them being admitted to the home. During this initial visit the prospective resident have their care needs fully assessed and Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 9 recorded. Documentation contained evidence of the home assessing the residents social history, medical history, current physical health and mobility needs and comprehension, whilst any health care assessments from G.P’s, hospitals, or Occupational Therapists are sought. Such needs are subsequently risk assessed to establish any concerns or risks the resident poses to themselves, to other residents or staff. Records confirmed that relatives/carers, social workers and other health care professionals are consulted during the admission process. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. The assessed care needs of residents are addressed via a comprehensive system of care planning. The home meet the health care needs of residents and have improved the system of medicine storage and administration. Residents are treated with respect, dignity and care. EVIDENCE: Care plans were seen to include all relevant information and risk assessments regarding the day to day personal care needs of residents such as bathing and dressing, whilst acknowledging any associated risks such as mobility and mental awareness. Care plans clearly document any health care needs and the manner in which any assistance or guidance should be given, including the resident’s diet, weight, sight, hearing and skin care. Emotional and social care needs are recorded and guidance is given on how staff should address residents. Care plans viewed contained records of regular reviews and the details of any action/outcome. Several care plans highlighted the changing needs of residents, such as an increase in dementia type illnesses, and evidenced the home requesting appropriate assessment, support and guidance from relevant care professionals including a Dementia Nurse and a Community Psychiatric Nurse. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 11 The homes medicine storage and administration system was viewed. This confirmed that since the last inspection and a subsequent visit made to the home by the Commission for Social Care Inspection (CSCI) Pharmacist Inspector, that the home have now addressed a number of previous shortfalls. Most notably the previous system whereby the night staff dispensed morning medication for the day staff to administer has now stopped, whilst the medication policies and procedures have been amended. Both the storage system and the records of administration were found to be suitably maintained with accurate records. Staff were observed to interact with residents in a relaxed, caring, and respectful manner. As with previous visits residents spoke highly of the level of care they receive at Whitebriars. Comments received from residents included ‘fantastic staff’ and ‘always caring’. Whilst pre inspection questionnaires received from relatives included comments such as ‘a happy home with attention provided at all times’. It was clear that residents are treated with respect, patience and dignity. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards were inspected. The home provide residents with a suitable routine and have improved the programme of activities and events, whilst individual choice is acknowledged. The home encourages relatives and friends to visit residents. The dietary requirements of residents are met. EVIDENCE: Since the last inspection the home have put up notices detailing the times of day that meals are taken; these were seen to be appropriate and included tea and biscuits/cake in the morning and afternoon in between the main meals. Residents noted that the routines of the home are ‘reasonable and relaxed’ and allow them periods of the day when they can either chose to be alone or with others. The minutes of a recent resident meeting was seen, this evidenced the opportunities that residents have in the home. These included comments and ideas regarding meal choices that were subsequently adopted and provided by the cook. Residents also commented on a number of ideas for activities and events. Since this meeting took place the home have identified a specific member of care staff who will work once a week ‘off of the rota’ to focus solely on providing residents with activities and events and to subsequently develop a regular programme. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 13 A number of residents are supported to pursue their own interests away from the home, including one resident who attends a day centre weekly and several others who are encouraged to visit the local shops and amenities. Where residents leave the home on their own risk assessments have been suitably recorded. Once a month a local clergyman visits the home and facilitates a religious service. The home have a relaxed approach toward visitors and the visitors book contained evidence of a number of residents receiving regular visits from family and friends. One relative who was visiting at the time of the inspection confirmed that they are always made to feel ‘extremely welcome’ whenever they call. The Inspector was invited to take lunch. This took place in the dining room that has been partially redecorated since the last inspection in a homely and pleasant fashion. The meal was home cooked, very well prepared and presented and was both tasty and nutritious. The atmosphere at lunch was relaxed and unhurried and residents clearly found the experience enjoyable. The menu indicated that resident’s benefit from a varied and balanced diet, whilst special dietary needs such as a vegetarian diet are suitably catered for. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The home ensures that information is provided for residents, their relatives/carers and friends to express any concerns or complaints. The home ensures that residents are protected from the risk of harm, neglect, or abuse. EVIDENCE: The homes complaints procedure is displayed openly in the home, this was found to contain the necessary details of the manner in which any complaint must be addressed, including the length of timescale that any complaint must be dealt with and the contact details of the CSCI. The complaints book was seen and this showed that several complaints had been made since the last inspection. These primarily concerned minor issues and were seen to have been suitably addressed by the proprietor with all action and outcome recorded. The CSCI have not received any complaints since the last inspection. The homes adult protection policy was viewed. This confirmed that the home have basic yet appropriate policies and procedures in place to protect residents from the risk of harm or abuse including a guide to ‘whistle blowing’. Since the last inspection all care staff have attended adult protection awareness training and have subsequently received certification for completing the day. All staff spoken to noted that the course had been a been a positive and worthwhile experience and one that ‘opened their eyes’ to issues of abusive practices and behaviour. Staff spoken to displayed a clear understanding of the relevant concerns and issues and were able to identify the appropriate course of action to take in the event of any harm to residents being suspected. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 15 Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25 and 26. Residents benefit from a clean, hygienic and homely environment and are able to personalise their rooms. The home is generally free from hazards and risks, however the use of door stops must be reviewed to ensure compliance with health and safety legislation. EVIDENCE: A tour of the premises found that Whitebriars is generally well maintained both inside and out. The home was found to be clean, tidy, and free from offensive odours or smells. The home is furnished with domestic style fittings and carpets and was found to be warm and airy, with a satisfactory level of natural and artificial light. A number of residents bedrooms were viewed these were found to be clean and well maintained and had been individualised considerably by the resident with personal items such as photographs, pictures, and ornaments. All communal areas were seen to be easily accessible and pleasantly furnished. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 17 Several fire doors in the corridors were found to be propped open by wedges, as a result of which the local Fire Safety Officer was contacted by the Inspector with a view to reviewing the homes environment. Since the last inspection the home have completed the programme of covering all radiators with appropriate safety guards. The homes kitchen was recently inspected by the Environmental Health Service. The inspection made a number of recommendations to improve hygiene and ventilation within the area, most of which have now been completed. In July of this year the home arranged for an assessment to be made of the environment by an Occupational Therapist. The report was generally positive and concluded that the home ensures that they only admit residents who can mobilise around the building. The assessment made a number of recommendations to improve the mobility of residents, such as an extra hand rail etc. The proprietor stated that most of these recommendations had already been implemented, whilst the outstanding ones will be addressed in the near future. Since the last inspection the home have completed new risk assessments for the building including bedrooms, the laundry, the stairlift and the garden. Fire records confirmed that regular fire alarm and emergency lighting checks had been completed, whilst the fire safety equipment had been recently serviced. Evidence of staff attending fire safety training was seen. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards were inspected. The home ensures that they deploy suitable numbers of care staff to meet the assessed needs of residents, though the night time arrangement should be reviewed. The home must ensure that it’s recruitment procedure protects residents from the risk of harm or abuse. The home employ care staff who are competent, skilled and caring. EVIDENCE: The staff rota was viewed and this confirmed that during the daytime the home deploy a minimum of three members of care staff. In addition to this the acting manager is also available during office hours. During the night the home deploy one member of care staff to carryout ‘waking night’ duties with either the acting manager, or senior members of staff, facilitating an ‘on-call’ system as support. All new members of care staff undertake an induction programme that addresses all relevant areas of care such as care management, safe lifting and handling, adult protection awareness and health and safety. Records also indicated that care staff are provided with suitable training opportunities and since the last inspection have attended training courses for Manual Handling , Adult Protection and Fire Safety. Records indicate that many care staff employed at Whitebriars have had previous experience in the care industry. One member of the care staff team currently holds National Vocational Qualifications (NVQ) in care, whilst one other is nearing the completion of their award. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 19 In general the home have an appropriate recruitment procedure and most files confirmed that no staff have started working at the home prior to the necessary references and Criminal Records Bureau (CRB) checks being confirmed. However the most recently employed member of staff has started work without such checks being completed. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 36 and 38. The management approach of the home ensures that the atmosphere in the home is caring, supportive and relaxed, whilst the needs of residents remain paramount. Care staff are supported to carry out their tasks, although the management team must continue to develop an appropriate system of formal staff supervision. EVIDENCE: Since the last inspection the proprietor has installed a new acting manager. The acting manager has relevant experience of working within the care industry and has worked at Whitebriars in a senior capacity for over two years prior to being promoted to acting manager in July this year. The acting manager holds the NVQ level 3 award in Care and is currently undertaking the NVQ level 4 in Care and Management. Since being in her current role, and with significant support and encouragement from the homes vastly experienced deputy manager, the Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 21 acting manager has implemented a number of changes. Notably she has reviewed and updated a number of policies and procedures and has begun to implement a suitable system for the formal supervision of care staff; the acting manager was due to attend a supervisory training course this week. The staffing within the home has been reviewed and there is now a more clearer structure of care staff responsibility from the acting manager, her deputy, the senior carer to care and domestic staff. The job description and working practices of the ‘waking’ night care staff has also been completed. Care staff commented that they felt ‘very supported’ and ‘appreciated’ by both the acting manager, her deputy and the homes proprietor. Residents stated that the home is ‘very well run’. The proprietor stated that it is his intention to apply to the CSCI for the current acting manager to be registered as the manager of the home in the near future. Records required for the health and safety of residents and staff alike such as environmental risk assessments, fire logs and electrical maintenance documentation was found to be up to date and accurate and where necessary regular checks are carried out and recorded appropriately. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X X 2 X 3 Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 23 YES 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 2 Standard OP19 OP29 Regulation 14(4)(c) 19(1) (a&b) 8(2)(b)(i) 8(1)(a) 18(2) Requirement The home must review the use of door stops on fire doors. That the home must not employ any member of staff prior to obtaining all the required CRB checks or references. That the registered manager must obtain the NVQ level 4 award in Care and Management. That the home must have a registered manager in post. That the management of the home must implement a suitable system of formal supervision for staff (oustanding from the previous inspection). Timescale for action 08/11/05 08/11/05 3 4 5 OP31 OP31 OP36 08/05/06 08/05/06 08/05/06 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 OP1 Good Practice Recommendations The home should remove the reference to it offering ‘Intermediate Care’ from it’s information leaflet. DS0000062356.V249188.R01.S.doc Version 5.0 Page 24 Whitebriars Residential Care Home 2 3 4 5 OP1 OP12 OP16 OP27 The homes statement of purpose should include actual room sizes and should clarify that the home do not offer nursing care. The home should continue to develop a regular activities programme. The homes adult protection policy should be reviewed and amended to include more detail. The home should review the nigh time staffing numbers. Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 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 Whitebriars Residential Care Home DS0000062356.V249188.R01.S.doc Version 5.0 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. 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