Inspection on 26/09/06 for Willow Garth Care Home

This inspection was carried out on 26th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Willow Garth Care Home 23/09/08

Willow Garth Care Home 25/09/07

Willow Garth Care Home 12/12/05

Willow Garth Care Home 04/05/05

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 Willow Garth Care Home Rolston Road Hornsea East Yorkshire HU18 1XP Lead Inspector Rob Padwick Unannounced Inspection 26 September 2006 1:30 th Willow Garth Care Home DS0000062723.V305742.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 Willow Garth Care Home DS0000062723.V305742.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. Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Willow Garth Care Home Address Rolston Road Hornsea East Yorkshire HU18 1XP 01964 534651 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) Hatzfeld Care Limited Care Home 28 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (40), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Category MD(E) is restricted to three individuals named to CSCI on 19.5.06. This condition will cease when those named no longer live in the home. From the date of this certificate the service may provide care and accommodation for a maximum of 28 (twenty-eight) persons in the permitted registration categories. On completion of Phase 2 alterations to the premises, and subject to confirmation by the Commission for Social Care Inspection that evidence of compliance with all necessary regulations and standards has been received, the service may provide care and accommodation for a maximum of 33 (thirty-three) persons in the permitted registration categories. On completion of Phase 3 alterations to the premises, and subject to confirmation by the Commission for Social Care Inspection that evidence of compliance with all necessary regulations and standards has been received, the service may provide care and accommodation for a maximum of 40 (forty) persons in the permitted registration categories. Agreements detailed in conditions 3 and 4 will cease on 31 March 2008 whereafter any variation to registration will require a further application to the current regulatory authority. 12th December 2005 4. 5. Date of last inspection Brief Description of the Service: Willow Garth is located in a rural setting close to the town of Hornsea on the East Riding of Yorkshire coast. The home is registered for 28 service users (male and female) who have mental health needs. Personal support is provided for service users along with all meals and a laundry service. Service Users have access to the home’s minibus for outings and shopping, since access to local facilities in the nearby town is via bus journey, although many choose to walk along a badly lit road. The home is currently in the process of being upgraded with the development of additional bedrooms and these are sited in the grounds, close by to the main home. Accommodation in the pre existing building is in 17 single and 3 shared rooms, which are situated 2 floors. The 5 new bedrooms are provided in ground floor chalet-type accommodation, and these are equipped with ensuite toilet and shower facilities. There is no passenger lift available in the home. Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 5 Communal space is available in the homes dining room and two recently developed conservatory lounge areas, one of which has been designated as a smoking area. The standard fees charged by the home range from £365 to £395 with additional charges made for hairdressing, toiletries and other amenities. Willow Garth provides information about the home to service users in its Statement of Purpose and Service User Guide. Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. A Pre Inspection Questionnaire asking for information about home was sent out before this visit and information from this was included as part of the inspection process of this service. Other information that was used, included reports from monthly visits carried by the Responsible Individual for the home together with correspondence and notifications sent to the Commission for Social Care Inspection. 4 out of the 5 residents approached, replied to a questionnaire that was sent out to them, as did 3 relatives out of a sample of 4 who were asked for their views about the home. The replies from the 5 Health and Social Services staff that responded to a similar approach were also used as part of the inspection process. During this visit, a tour of the building was carried out and time was spent talking with service users in the lounge areas and seeing how they lived. Further time was spent reading care plans and files and talking to staff. This visit included an inspection of all of the key standards set out by CSCI as requiring inspection and lasted for 7.5 hours. What the service does well: What has improved since the last inspection? Improvements to the building have continued and new bedrooms and lounges have been built. The shower and bathrooms have been repaired and the work on the dinning room has been completed, in order to give the residents a much better environment to live in. The manager has continued to develop the home and most of the requirements from previous inspections have been have been carried out. The responsible individual for the home has started to write reports about regular visits that he Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 7 makes to it and the residents have been officially asked for their views about the home. The recruitment of staff has improved, to ensure that the residents are safe and the home’s maintenance and safety procedures have been improved. 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. Willow Garth Care Home DS0000062723.V305742.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 Willow Garth Care Home DS0000062723.V305742.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The Quality in this outcome area is good. Service users had been involved in decisions about moving into the home and their needs had been assessed, in order to ensure that the service could meet their needs. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Discussion with residents confirmed that they had been involved in decisions about coming to live at the home and a Community Psychiatric Nurse stated that she had been “consulted at every stage of the resettlement” of a client of hers and that he had “received good orientation visits to the home and a welcoming response from staff”. Resident files inspected contained copies of pre-assessments of their needs, which had been carried out before they had moved in to the home as required, in order to ensure that the home can meet their needs satisfactorily. Willow Garth Care Home DS0000062723.V305742.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 The Quality in this outcome area is good. Residents were consulted about their changing needs and were supported to take risks as part of an independent lifestyle. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The residents’ files inspected contained care plans that had been developed for various areas of individual need and discussion with residents confirmed that they were aware of these and had been involved in the preparation and reviewing of them. One service user said that he had been to a review about his care earlier that day, whilst another spoke about a meeting with a welfare benefits expert he had been to about his money. Regular monitoring of the residents was seen in the files inspected, with daily recordings, monthly summaries and updates of the care plans being carried out. Some of the care plans were not yet completed however, and needed further development to include all of the areas identified in the residents’ assessment, as well as issues relating to individual risk and the management strategies for these. Recommendations are made in these matters. Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 11 Residents confirmed that they were able to make decisions about their lives and staff were observed to be sensitively supporting them with these. One resident stated that she received regular visits from a specialist social worker for ongoing assistance in this regard, whilst case files examined contained evidence that a mental health advocate who was involved with another resident, in a similar role. Some residents stated that they looked after their own money; whist others indicated that that they choose not to take responsibility for this aspect of their lives, and preferred for the service to do so. A random check of the home’s records relating to these was satisfactory, with evidence of residents signing to confirm that they had received any money that had been given to them. The home had strategies in place relating to risk management and information and assistance about these given to residents by staff. However, as indicated above, some of the case files needed further development to include assessments of areas of risk relating to the individual residents. The home had clear rules about alcohol, smoking and drugs and information about these was contained in the service users’ guide. Willow Garth Care Home DS0000062723.V305742.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 The Quality in this outcome area is good. Residents were supported to make appropriate choices and to participate in the life of the community. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Observation on the day and discussion with residents indicated that they could choose to take part in a range of activities and follow their individual interests. One of the residents talked about how he helped out with various jobs around the home and others showed items of artwork that they had painted. A mobile library service visits the home and regular trips to a local market and shopping are organised using the home’s mini bus. Many of the residents walk into the nearby town of Hornsea, for visits to a local pub and a vicar calls on a monthly basis, for those that wish to see him. The home has an open visitors policy and relatives and friends are welcomed to take part in the life of the home at events such as BBQ’s and Christmas parties. One resident spoke about how the staff were helping her to visit her Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 13 mother who was ill, whilst a letter received from a relative indicated that the sender was “extremely happy” with the care provided at the home. The home had policies on the residents’ rights to independence and observation of the care practices confirmed that these were being respected. Residents told how they could enjoy their privacy or spend time with others and how they were supported to take responsibility for various aspects of their lives. Complimentary comments about the food served were heard from all of the residents spoken to. A large bowl of fresh fruit was available in the dining room and inspection of the menus indicated that a healthy and nutritional diet was being provided. Residents confirmed that they could always have an alternative if this was wanted. Willow Garth Care Home DS0000062723.V305742.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 The Quality in this outcome area is adequate. Residents’ personal and health care needs were being met but more training about medication was needed for staff, in order to ensure that the residents were safe. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Residents confirmed that the support they received from staff was given in a way that was respectful and sensitive to their individual needs. Case files contained evidence of regular monitoring of the residents conditions and appropriate liaison with relevant health professionals, as required. Comments from a Community Psychiatric Nurse indicated that she had “great faith in the home”. The home had a medication policy and procedure in order to ensure that residents are protected. However, inspection of the medication records indicated that this was not being followed robustly. A staff signing error was found in a random check of the mar sheets, which meant that it was not possible to determine whether a resident’s medication had been given as prescribed. Discussion with the manager and staff confirmed that action had been taken to implement the previous requirement that staff receive training in Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 15 the safe handling and use of medication, but that this had not proved successful. This requirement is therefore repeated. Willow Garth Care Home DS0000062723.V305742.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The Quality in this outcome area is good. Residents concerns and complaints are taken seriously and they were protected from abuse by the home’s policies and procedures. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Residents said that they were happy with the home and that staff listened to any concerns they may have. Inspection of the complaints book indicated that no complaints had been received since the last inspection. The home has a complaints policy and procedure, with timescales for action in order to protect the residents in this regard, but some relative comments received indicated that they were uncertain about this. A recommendation is therefore made about this. Policies and procedures were in place to safeguard the residents from abuse and discussion with staff indicated that they were aware of these and would act appropriately, if needed. The manager and a senior staff member had attended training on this aspect of practice and other staff had received introductory training in this matter. Willow Garth Care Home DS0000062723.V305742.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The Quality in this outcome area is good. The residents’ environment had been improved, but the driveway needed lighting, in order to ensure that it was safe for the residents to use. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Further improvements to the building had been made since the last key inspection, in order to ensure that the residents lived in a homely and comfortable environment. An additional block of 5 ensuite bedrooms had been completed and the bathrooms and shower room had been redecorated and upgraded, as previously required. Other improvements included the development of a new lounge area, which was bright, airy and spacious, together with a separate conservatory area, which was used as an additional lounge area for the residents in the new bedrooms. A requirement relating to the lighting of the driveway had not yet been implemented, and this is repeated, especially with a view to the coming winter months. On the day of this visit, the home was clean and tidy and a new washing machine and drier had been delivered, in order to make improvements to the standard of amenities available. Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 The Quality in this outcome area is poor. Recruitment checks had been carried out on the staff to ensure that the residents are protected, but more staff and further training was needed to ensure that the residents’ needs were adequately met. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Staff were observed to be sensitively supporting the residents and discussion with them indicated that they were committed to the service and knowledgeable of the residents needs. Relative comments indicated that staff were “efficient and caring and kind” and inspection of staff records confirmed that satisfactory recruitment procedures had been carried out, to ensure that the residents were protected. However, information submitted as part of the inspection process and discussion with staff and examination of the rota indicated that their were not always sufficient numbers of care staff on duty, in order to ensure that the residents needs were being safely met. Staff files examined indicated that whilst some staff training had been provided, this needed to be developed further. The manager confirmed that she was aware that a training development plan for the home was needed, in order to ensure that staff receive appropriate training to do their jobs. Requirements are made in these matters. Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is adequate. Residents were being adequately safeguarded by the homes management systems, but these needed to be developed and made more robust. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Residents indicated that they felt that the home was being well run and a member of Social Services staff commented that improvements to the home had been implemented since the current manager had been appointed. Staff confirmed that they felt supported by the manager and that she had an open style of management. Some progress had been made in developing the management systems with the appointment of an administrator. However, the manager indicated that due to staff shortages, it had been necessary to deploy this person to assist with supporting the residents with their care. Previous requirements relating to reports about visits undertaken by the Registered Individual for the home were now being completed. An application for the manager to be registered with the Commission for Social Care Inspection remained ongoing at the time of this inspection. The manager stated that she Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 20 was undertaking the Registered Managers Award and a recommendation is made in this regard. Discussion with residents confirmed that they were consulted in the running of the home. Willow Garth has a Residents Committee that meets on a regular basis and the minutes of resident meetings were seen. Improvements to quality monitoring systems for the home had been developed since the last inspection, to ensure that it was possible to measure the service against its stated aims and evidence was seen to indicate that residents views had been included in this, as previously required. Discussion with residents indicated that their health and safety was being promoted. A risk assessment relating to the building work to the home had been submitted as previously required and those areas affected by this work had been satisfactorily fenced off. The manager indicated that a handyman had been employed and recent certificates relating to the servicing of emergency lighting and fire alarm were seen. Information submitted to the Commission for Social Care Inspection indicated that maintenance checks were being appropriately carried out. However, inspection of the accident book indicated that significant incidents affecting the residents were not always being notified to the Commission, as required under Regulation 37 of the Care Home Regulations 2001. Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 21 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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 1 34 3 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 2 X 3 X X 1 X Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 22 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. Standard YA20YA20 Regulation 18 Requirement The registered provider must ensure that care staff (responsible for the administration of medication), receive accredited medication training. (Previous requirement - timescales 01/02/05, 31/03/06 and 1/8/06 not met). The registered provider must ensure that the driveway to the home is adequately lit. The registered person must ensure that there are sufficient staff on duty at all times to meet the needs of the residents accommodated in the home The registered person must ensure that there is a training and development plan for the home and that staff have received appropriate training to do their jobs The registered person must ensure that significant incidents affecting the residents are notified to the Commission for Social Care Inspection Timescale for action 01/11/06 2. 3. YA24YA24 YA33YA33 13,23,39 18 (1) (a) 01/11/06 15/10/06 4. YA35YA35 18 (1) (c) 01/11/06 5. YA42YA42 37 01/10/06 Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 23 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 YA6YA6 YA9YA9 Good Practice Recommendations The registered person should ensure that Care Plans are developed for residents to reflect all of the areas identified in their assessment of need and that identified areas of risk for the residents are assessed and documented. The registered person should ensure that information about using the complaints policy is publicised to everyone. The registered person should ensure that 50 of the care staff have obtained an NVQ level 2 in care. The registered person should ensure that the manager completes her Registered Managers Award 2. 3. 4 YA22YA22 YA32YA32 YA37YA37 Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Willow Garth Care Home DS0000062723.V305742.R01.S.doc Version 5.2 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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