Inspection on 04/04/05 for Whitworth Lodge

This inspection was carried out on 4th April 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Whitworth Lodge 09/12/05

Whitworth Lodge 11/10/04

Whitworth Lodge 19/04/04

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 Whitworth Lodge 52 Whitworth Road South Norwood London SE25 6XJ Lead Inspector Claire Taylor Announced 04 April 2005 10:00 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 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 Stationary 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. Whitworth Lodge Version 1.10 Page 3 SERVICE INFORMATION Name of service Whitworth Lodge Address 52 Whitworth Road, South Norwood, London, SE25 6XJ Telephone number Fax number Email 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 8768 0159 020 8771 3514 whitworthlodge@hotmail.com Mr George Thompson Mr Andreas Steinmann Care Home 6 Category(ies) of Learning Disability (6) registration, with number of places Whitworth Lodge Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11.10.04 Brief Description of the Service: Whitworth Lodge is registered to provide residential care for six young adults who have learning disabilities, some of whom have associated mental health needs. The home is a large three storey building situated in a residential area of South Norwood. It is well positioned to access local transport links to nearby Croydon and Crystal Palace, as well as local shops and amenities. There are six single bedrooms, two bathrooms, a shower room, spacious lounge, open plan kitchen/ dining room, office, laundry and rear garden. The home has its own minibus that is used to facilitate a wide range of outings and activities. Whitworth Lodge Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 8 hours and was arranged by advance notification. Service users, their relatives and others involved with the home (care managers) had been well informed of the visit. Some service users and relatives made a point of meeting with the inspector. Four service users, supported by their keyworker, completed a questionnaire about their life in the home and gave very positive comments. In addition, four different relatives and two care managers responded positively to their questionnaires. Their efforts in doing so are greatly appreciated, and the Commission for Social Care Inspection welcomes their comments. Inspection time was spent examining records, talking to service users and relatives, touring the building, and meeting with the home manager and owner of Whitworth Lodge. Two service users showed the inspector their bedrooms and are thanked for taking the time to do so. What the service does well: This is a home where the people who live there are well cared for and their views and choice of lifestyle are foremost to the home’s stated purpose. It has a competent and stable staff team who clearly understand the needs of the young adults living there. The majority of staff have worked in the home for a number of years resulting in stability and familiarity for the service users. Those service users spoken to said they liked living in the home and that the staff listened to their opinions, dealt with concerns and treated them with respect. Individual service users described good points about the home including the food; going to club; their bedrooms; the staff; the garden and activities. Planning and review of care is thorough and helps the service users build upon and develop their independence as far as possible. Care plans are clearly recorded, highlight achievements and progress and are routinely shared with the service users involved. The manager retains good communication links with the service users’ relatives and representatives. Family members of service users confirmed that they feel very welcomed and involved with the home and spoke highly of the staff team. Staff have a variety of skills and knowledge relevant to the setting. They are provided with appropriate training opportunities and benefit from regular supervision and guidance from senior management. The home is kept clean, safe, decorated to a high standard and management take action to ensure that repairs or maintenance are dealt with promptly. Whitworth Lodge Version 1.10 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Whitworth Lodge Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Whitworth Lodge Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, & 5 New service user’s needs are fully assessed prior to their admission and staff made aware of how to support them. EVIDENCE: The same group of service users have lived at Whitworth Lodge for a number of years. When they first moved to the home, assessments were completed that very clearly describe each individual’s social, physical, emotional and cultural needs. Reviews of these assessments have been carried out where service users needs have changed. The home caters for young adults with learning disabilities, three of whom have additional mental health needs. This is reflected in the admissions criteria and the staff training and induction programmes represent these. Information passed to prospective service users is good and service users have had the opportunity to visit the home, stay overnight and meet the other service users and staff before deciding to move into the home. The manager demonstrated a valuable understanding of each service user’s needs and what support was required. Detailed contracts between the placing authority, the home and the service user are in place. The contract covers all of information including the home’s duty of care and the service users rights and responsibilities to live in the home. Contracts are signed by the service user, manager and /or relative. Whitworth Lodge Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,8 and 9 Care plans and risk assessments are individualised and developed in conjunction with the service users EVIDENCE: Files inspected contained comprehensive documentation relating to each service user. Person centred planning is well established in this home and examples of areas covered include a pen portrait of the service user, activity timetable, medical and communication profiles. Informative action plans outline how staff support those service users who may become anxious or physically aggressive towards others. There was clear evidence that the plans were being reviewed on a six monthly basis and involved relatives and other professionals such as care managers. Daily records of care directly relate to the assessed needs and goal plans identified in the service user plan. Some service users cannot use verbal communication and the home should therefore consider ways to improve its communication methods for these particular individuals. I.e. service user plans written in a format that they can understand. E.g. Visual, audio or graphic. The home has been given a digital camera by a relative and the manager explained that he plans to use it for such purposes. The risk taking process is well managed. Potential risks and hazards, specific to each service users’ assessed needs are well written and reviewed on a regular Whitworth Lodge Version 1.10 Page 10 basis. Service users are encouraged to learn about personal safety issues such as community travel and cooking. There are formalised opportunities for service users to participate in group discussions/ meetings about the operation of the home. Minutes of service users meetings are regularly held and discussions are geared towards their views. E.g. choice of activities, food and resolving any concerns raised amongst fellow peers. Staff appeared committed to ensure that service users are fully involved with the operation of the home and encourage them to contribute. One service user confirmed that they felt their views were valued and that they can discuss issues about the home freely with staff. Service users spoken to describe how staff take a personal interest in their development and achievement, and that they were encouraged to achieve their personal goals. Observation of the staff interaction with the service users also showed that the carers were mindful of how they addressed service users, and they were seen to be polite and friendly. Whitworth Lodge Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 and 17 Service users are encouraged to explore opportunities to enhance their quality of life as well as maintain and participate with family, friends and the local community. EVIDENCE: The home is very well located to access a wide range of resources within the local community such as social clubs, pubs, shops and restaurants. Social needs are clearly described within individual care plans that take account of service users preferences and enable them to have the opportunity to take part in worthwhile and meaningful activities. Several of the home’s service users were out at their respective day centres and colleges. One service user undertakes paid employment at a local snooker club and spoke enthusiastically about his work. Other service users participate in further educational courses including screen-printing, music and drama. Another service user does voluntary work for a local Conservation scheme. Service users are provided with guidance and support to make use of facilities appropriate to their interests and needs. The home informs service users about activities via meetings, informal discussions and the use of a notice board. Leaflets and flyers about college courses are made available. As well as the home’s own minibus, service users regularly access public transport services including buses, trams and trains. Staff work a flexible 24 hour rota and Whitworth Lodge Version 1.10 Page 12 provide the necessary support for individuals to participate in a wide variety of educational and leisure activities. A list of activities that each service user takes part in is maintained daily, along with documented outcomes of each activity. Indoor entertainment facilities are provided including TV, music centre, videos, board games, darts, magazines and art and craft activities. Holidays for service users are organised and based on personal choice. Some service users spoke of their enjoyment during the last holiday to the Isle of Wight. Family members of service users confirmed that they feel very welcomed and involved with the home, regularly attending social events such as birthday and seasonal celebrations; barbecues and review meetings for their respective relative. Menus are written in conjunction with the service users, based on their likes and dislikes. A copy of the current menu is displayed in the dining room. Some dishes are provided to ensure that service users cultural preferences are met. e.g. Caribbean/ Nigerian. Mealtimes are flexible to meet the needs of service users’ social lives. Whitworth Lodge Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20 and 21 Service Users wishes regarding illness and aging are respected and paramount in ensuring that their physical and emotional needs are met. The home medication practices are robust and ensure the safety of the service users. EVIDENCE: Records concerning healthcare needs were in very good order. Incorporated into the care plans are “personal care support” forms, which ensure that staff have full guidance in facilitating personal care. All service users are able to access additional or specialist support as needed i.e. speech therapy; music for two particular individuals. Individual health monitoring plans are in place that detail health conditions and their management. These are reviewed monthly and plans include detail of GP involvement as well as Community Psychiatric Nurses, consultant, dentist, chiropodist etc. These systems are good examples of assurance that healthcare needs are being met and monitored appropriately. All service users are offered annual health checks and care plans contained such details. Staff have received training on epilepsy and mental health issues to enable them to fully support those service users with such specialist needs. Although none of the service users are able to self medicate, they are supported to take their medication. Medication is stored appropriately within a locked cupboard and administration records seen as accurately maintained. Staff have undertaken medication training provided by the home’s pharmacist. Full medication profiles are maintained for each service user but two service users are not prescribed as required medication such as Paracetamol for pain relief. The use of homely remedies could therefore be improved upon. The Whitworth Lodge Version 1.10 Page 14 manager, in consultation with the G.P. should arrange for service users to be prescribed any necessary homely remedies and develop a home policy to cover their use. Care plans contain appropriate information about ageing, illness and death and service users wishes are fully documented. Whitworth Lodge Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Arrangements for complaints and protection from abuse are well managed and ensure that service users feel listened to and safe. EVIDENCE: Comments received from both service users and relatives showed confidence that the home deals with complaints seriously and that staff are approachable and receptive to any concerns raised. Service users are aware of whom to go to if they are unhappy and are provided with a summary complaints procedure. Since the last inspection (October 2004) one complaint was made to the manager by a relative who confirmed that this was dealt with in a professional and appropriate manner. Detailed records on file showed that a thorough investigation was undertaken to resolve the complaint. The complaint should also be logged in the home complaints book however. There are adequate systems in place regarding the protection of vulnerable adults. I.e. legislative checks, such as CRB disclosures completed on new and current staff; induction training on the prevention of abuse and numerous policies to safeguard the service users welfare e.g. management of their finances, dealing with aggression and conflict and a whistle blowing policy to state what action to take should staff suspect anything untoward. Formal training on adult protection is planned for all staff during the forthcoming year. Whitworth Lodge Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26 and 30 Whitworth Lodge is homely and comfortable and promotes a family-like atmosphere that further enhances the service users emotional well-being. EVIDENCE: The home is well positioned in South Norwood to access local transport, amenities and relevant support services. The layout of this family type house appears to suit the personal and lifestyle needs of the service users who live there. The home is clean, hygienic and in a good state of repair which enables service users to live in a safe environment. One service user has some mobility problems and therefore has the use of a ground floor bedroom. The shower room and other communal areas are easily accessible and this service user has no other needs for special adaptations at present. On reading the care plan, clear guidelines are in place on how to support the service user to go up and down stairs and safely access the home’s minibus. The communal areas and two of the bedrooms were viewed on this occasion. Two service users showed the inspector their bedrooms and commented that they were happy with them. Service users are encouraged to personalise their bedrooms with their chosen possessions and furniture as appropriate. Individual rooms are lockable and service users are provided with a key unless indicated in their individual care plans. Communal rooms are well furnished, bright, clean and decorated to a good standard. The owner is vigilant over general maintenance of the premises and ensures that repairs and upkeep of the building are undertaken. Some redecoration work has been Whitworth Lodge Version 1.10 Page 17 completed since the last inspection including two bedrooms being repainted and an upgraded shower suite. Well-kept records for the ongoing maintenance and redecoration of the premises are in place. The lounge is comfortable and spacious with a range of entertainment facilities including television, video and music stereo system. Service users can sit together in the dining area with a choice of two tables provided. To enhance independence, service users are encouraged to participate in household cleaning tasks on a daily basis. Good hygiene practices are in place and systems to control the spread of infection. The home is required to replace the chopping boards used for food preparation however as they were discoloured and excessively scored / scratched. Whitworth Lodge Version 1.10 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. Appropriately trained staff meets Service users’ individual and joint needs. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34,35,36 There is a competent and well-trained staff team who clearly understand the needs of the young adults living there. EVIDENCE: The manager and most of the staff have worked in the home for a number of years resulting in stability and familiarity for the service users. Staffing levels are good and there are sufficient staff on duty to meet the needs of the service users. Including the manager, the home currently employs five permanent staff. Rota allocation allows for two members of staff per shift with one sleep in staff on call at night. Extra staff are provided should the needs of a service user change or determine so and this has occurred in the past for one service user. Staff are clear about their roles and balance their work so that individual and collective needs of the service users are met whilst ensuring that the necessary administrative tasks are undertaken. Recruitment practices are securely managed to maximise protection for the service users. All new staff who commence work in the home undergo a thorough vetting procedure. This includes a police check (CRB) and a check against the Protection of Vulnerable Adults register. Records confirmed that all staff have undergone appropriate checks. Induction and training is of a very high standard and staff are fully inducted in all aspects of the home’s care practices along with training relevant to service users needs. E.g. mental health awareness training. A file seen for the latest employee contained a detailed induction pack whereby an experienced staff supervises and supports the new worker. Learning topics include the particular needs of the service user group, the worker’s role in the home and general principles of care. Extensive in-house training has been achieved in all key areas and further Whitworth Lodge Version 1.10 Page 19 training is planned for the forthcoming year. Examples include person centred care planning, medicine awareness, abuse awareness, fire safety and first aid. Regular staff meetings are held which provide frequent opportunities for staff to share their views, develop teamwork and improve upon care practices for the service users. Support and supervision for staff is good and well organised by the manager. Monthly supervision meetings take place and are recorded. These provide a feedback process for staff to reflect upon their individual work with the service users and for the manager to provide support and guidance as necessary. Whitworth Lodge Version 1.10 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 40 and 42 The manager through comprehensive policies and procedure and a range of quality assurance systems makes sure that the staff and environment promote the health, safety and welfare of the service users. EVIDENCE: The home is commended for ensuring that quality of care is regularly appraised so that it can recognise where standards may have fallen and take action to resolve any issues. A range of quality assurance systems are used to measure the success of how the home is achieving its aims and serve the best interests of the people who live there. Examples include care plan reviews, meetings, monthly visits from the registered provider and a quality action plan that is based on the service users opinions. In addition, satisfaction questionnaires are provided for service users and most recent ones all indicated positive feedback. Likewise, the Commission received favourable comments from their relatives prior to the inspection. “The care at this home is very good especially from the manager. He has an excellent rapport with my brother”, stated one. As good practice, the home sends its own questionnaires to relatives of the service users on an annual basis. Whitworth Lodge Version 1.10 Page 21 Policies, procedures and expected codes of practice are in place that are appropriate to the home setting. They are clearly written and accessible and serve as a means of protecting the rights and best interests of the service users. To ensure clarity, the manager reviews home policies as changes occur. Record keeping concerning health and safety is in good order. Staff were fully up to date in key areas of health and safety training i.e. moving and handling, food hygiene, fire safety and first aid. Fire drills, fire equipment and hot water temperature checks are carried out at appropriate intervals. Cleaning products are stored safely and environmental hazards have been risk assessed to safeguard the welfare of the service users and minimise the risk of injury. One area of concern was identified whereby the back door, a fire exit, is kept locked with a key on occasions. This was brought to the attention of the manager as it may put people in the home at risk. An alternative locking facility needs to be put in place and advice be sought from the local fire authority. As a temporary measure, a risk assessment for locking the back door needs to be completed. Aside from this, the home was found to be safe, and the welfare of service users and staff promoted. Whitworth Lodge Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X 3 X 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 X 3 3 X Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 X X X 2 Standard No 11 12 13 14 15 16 17 X 3 3 3 3 X 3 Standard No 31 32 33 34 35 36 Score X X 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 3 Standard No 37 38 39 40 41 42 43 Score X X 3 3 X 2 X Whitworth Lodge Version 1.10 Page 23 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. 2. Standard 30 42 Regulation 16(2)(g) Requirement Timescale for action 31.05.05 31.05.05 Chopping boards used for food preparation need to be replaced 13(4) The back door must not be kept locked with a key as it is a 23(4)(b)(c designated fire exit. Alternative )(iii) measures must be put in place. As an interim measure, a risk assessment for locking the back door needs to be completed. 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 6 Good Practice Recommendations The home should consider ways to improve its communication methods for service users with limited abilities. I.e. service user plans written in a format that they can better understand. E.g. Visual, audio or graphic. All complaints are logged in the home’s complaints book. The manager, in consultation with the G.P. should arrange for service users to be prescribed any necessary homely remedies and develop a home policy to cover their use. 2. 3. 22 20 Whitworth Lodge Version 1.10 Page 24 Commission for Social Care Inspection 8th Floor, Grosvenor House 125 High Street Croydon CR0 9XP 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 Whitworth Lodge Version 1.10 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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