Inspection on 16/02/07 for Woodlands

This inspection was carried out on 16th February 2007.

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

The inspector 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

Woodlands 10/11/05

Woodlands 09/06/05

Woodlands 08/12/04

Woodlands 04/09/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Woodlands 176 Reading Road South Church Crookham Hampshire GU13 0AE Lead Inspector Marilyn Lewis Unannounced Inspection 16th February 2007 09:00 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 Woodlands DS0000012103.V325880.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 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. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Address 176 Reading Road South Church Crookham Hampshire GU13 0AE 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) 01252 613880 Woodlands and Hill Brow Limited Mrs Theresa Fields Care Home 40 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (40) of places Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th November 2005 Brief Description of the Service: Woodlands Care Home provides accommodation for forty people who are within the category of older people. The home endeavours to provide a homely and relaxed environment for residents. The home is owned and operated by Woodlands and Hill Brow Ltd a family business who also have a second home in the area. The home is situated between the towns of Farnham and Fleet and is located in a residential street in Church Crookham. The home is set within its own grounds. Accommodation is provided on two floors, with lifts and stairs providing access to each floor. Residents are accommodated in single rooms with en-suite facilities. Residents also have access to a large lounge with television, a smaller quiet lounge and a dining room. The home has a pleasant garden that is accessible to all residents, including those who use wheelchairs. Information received from the registered manager prior to the inspection visit stated that fees for the home ranged from £480 to £610 per week. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report represents a review of all the evidence and information gathered about the service since the previous inspection. This includes a site visit that took place on the 22nd of February 2007, during which the inspector toured the home and met with eight residents, a visitor, four staff members, the deputy manager, registered manager and the registered provider. Records seen included those for medication, staff training and recruitment, complaints and accidents. What the service does well: The home had a relaxed and friendly atmosphere and good interaction was observed between staff and residents. Residents said that they liked their rooms and felt that they were treated with respect at all times. Comments received included ‘ the carers are lovely’ and ‘I couldn’t be happier’. Prospective residents are provided with good information about life at the home and have their care needs assessed before a place at the home is offered to ensure the home can meet their needs. Residents were involved in their care planning and risk assessments were completed for all daily living and leisure activities. Residents, who wished and had been assessed as able to do so, were supported by staff to administer their own medicines. Staff protected the residents’ health and safety by adhering to the home’s clear procedures for the safe handling of medicines. The home has a good programme of activities, including trips for shopping and visits to local places of interest. One resident said that ‘there is always something going on’ while another said that they ‘appreciated being able to decide for themselves when they wished to join in’. Residents said that the food provided at the home was always good and meals seen during the visit offered choice and were well presented. Staff supported residents who needed assistance in a friendly caring manner. Residents said that they thought the registered manager would act quickly to resolve the issue if a complaint or concern was raised. Staff received training in the protection of vulnerable adults and were aware of the procedures to follow should abuse be suspected. Criminal Records Bureau Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 6 (CRB) and Protection of Vulnerable Adult (POVA) checks were completed for new staff members before they started work at the home to protect the safety of residents. Staffing levels at the home are good and allow staff time to sit and chat with residents and to support them without them feeling rushed. Staff members said that they were encouraged to attend training sessions and 60 of the carers had obtained a National Vocational Qualification (NVQ) level 2 or above in care, providing them with the skills needed to fully support the residents. The registered manager runs the home well and in the best interests of the residents. During the visit to the home staff were observed using safe working practices and had received training in health and safety including moving and handling, food hygiene, first aid and infection control. 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 Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 8 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 Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives are provided with clear information about life at the home and are able to visit before making a decision to take a place there. No one is admitted to the home without a care needs assessment to ensure the home can meet their assessed needs. The home does not provide intermediate care. EVIDENCE: The home provides prospective residents and their relatives with a Statement of Purpose and Service User Guide that give clear information about life at the home. The information includes the services and facilities available, the home’s complaints procedures, staffing levels and staff qualifications. Copies of recent inspection reports were also provided. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 10 The registered manager said that copies were available in large print as needed and that staff would discuss the documents with the prospective resident or their relatives if they wished them to do so. The registered manager said that a care needs assessment was completed for each prospective resident before a place at the home was offered. Care needs assessments were seen for three residents who had recently been admitted to the home. The assessments covered all aspects of care needs including personal and emotional needs, mental state, mobility, past medical history and current medication. Reports and assessments from GPs and health professionals were included in the completed assessments. Information from relatives was also obtained, particularly in relation to family history. The registered manager said that prospective residents were encouraged to visit the home for a day or over night if they wished and one person, who was due to be admitted in the near future, had been in for short periods for coffee and a chat a few times. A visiting relative said that they had visited the home and had viewed the room to be taken before making a decision about taking the place offered. The home does not provide intermediate care. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in their care planning, their health needs are being met, they feel they are treated with respect and they are protected by staff adhering to the home’s procedures for dealing with medicines. EVIDENCE: Care plans were sampled for the three newly admitted residents, a resident with dementia and a resident who was nursed in bed. The care plans had been agreed and signed by the resident or if appropriate a relative. Two residents spoken with said that they staff had discussed their care plans with them and the plans reflected their wishes. The plans contained risk assessments for pressure areas, moving and handling, nutrition, falls and the use of bedrails. Some of the care plans needed more detailed information. An assessment seen noted that a carer was to assist with bathing but did not provide details of how this assistance should be given. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 12 Information was kept in a number of different files and at times this was confusing. Nutritional assessments were kept in one file while the residents’ weights were in another. The registered manager said that the care planning system was changing to an improved version by the end of February that would allow for all information to be kept in one set of records. This was confirmed during the visit when the inspector was shown care plans that had been updated to the new system but were not yet in use. Records seen indicated that the health care needs of the residents were being met. Visits were documented from GPs, physiotherapist and district nurse. A physiotherapist visits the home on a weekly basis and a chiropodist attends regularly. A GP visits the home monthly for ‘chat time’, where residents are able to talk about any health concerns they may have in a friendly and relaxed atmosphere. Relatives of one resident visited the home during the inspection to take the resident to the dentist. The home has clear procedures in place for dealing with medicines. A senior carer went through the procedures with the inspector including those for recording medicines entering the home and those for disposal. Medicines were stored safely and individual records (MARS) seen were up to date and had been completed appropriately. Records for controlled medicines had been signed by two staff members, as required, when medication had been administered and the records matched the amount of stock held. Three residents had been assessed as safe to administer their own medication and risk assessments and procedures were in place. Residents spoken with all said that staff were caring, kind and treated them with respect. During the visit staff were seen to knock on doors and wait before entering rooms and they spoke with residents in a friendly caring manner. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise choice and control over their lives, participate in a wide range of leisure activities, receive visits as they wish and enjoy the choice of food provided at the home. EVIDENCE: The home has an activities co-ordinator who is responsible for the activities programme. Residents past interests are documented in their care plans and also their preferences for social activities. The activities provided are varied and include giant crosswords, bingo, card games, indoor bowls, reminiscence, beauty- hour and foot spas. The registered manager said that the home hires a minibus for trips out at least alternate weeks. Trips include shopping, visits to garden centres and restaurants. A resident said that she frequently went shopping and really enjoyed it. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 14 Entertainers visit the home including local school children, a ballet group and musicians from the National Youth Orchestra. The home has good links with local churches and members of the congregations will collect residents who wish to attend services. A local vicar visits monthly and a praise and worship group also visit. Residents said that there ‘was always something going on’. One resident said that she enjoyed sitting quietly reading her newspaper and appreciated staff respecting her wishes not to join group activities. Residents said that they were able to receive visitors as they wished and could entertain them in one of the communal areas or in the privacy of their own room. A visiting relative said that they were able to visit at any time and that staff always made them feel welcome. Residents’ likes and dislikes for food items were recorded in their care plans and a record was kept in the kitchen. Menus seen indicated that the home offered a choice and variety of meals. The main choice for lunch on the day of the visit was fish, chips and peas, with lemon meringue to follow. Some residents had chosen jacket potatoes, one had asked for a salad and some had sausages instead of fish. Residents said that they were able to have a good choice of meals and all said that they enjoyed the food provided at the home. A staff member responsible for providing meals for residents on the day of the visit said that she had received training in food hygiene and the nutritional needs of older persons. Records seen confirmed this. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know that the registered manager will act quickly to resolve any complaints and they are protected by staff awareness for the prevention of abuse. EVIDENCE: The home has a complaints policy that indicates who will investigate the complaint and timescales for the process. Complaints records seen indicated that all complaints were taken seriously and acted upon. Three residents said that if they had any concerns they would talk with the registered manager, whom they felt would take action to resolve the issue. Records seen indicated that staff had received training in the prevention of abuse and two staff members spoken with knew the procedures to follow should abuse be suspected. The home had procedures for the Protection of Vulnerable Adults including Whistle Blowing that were available to staff. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Woodlands provides a clean and homely environment for all who live, work and visit there. EVIDENCE: Woodlands is a large detached property situated in a residential area of Church Crookham, Fleet. Accommodation is provided over two floors with stairs and three lifts giving access to each floor. All residents are accommodated in single rooms with en-suite facilities. Residents also have access to a large lounge and dining room, a small quiet lounge and there are also small sitting areas provided around the home. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 17 Residents spoken with liked their rooms. Those rooms seen looked clean and homely and contained many personal items such as pictures, photographs and ornaments. Residents are able to keep a key to their room if they so wish. A call alarm system was in place throughout the home. One room was situated in a separate hallway area and the resident who occupied the room felt that it was like her ‘own flat’. The room had a heating boiler on the wall just inside the door. There was no risk assessment for the boiler being in the room and as the front of the boiler could become hot at times this could put the resident at risk. The registered manager arranged for a risk assessment to be completed immediately. Separate bathrooms and toilets are provided on each floor. In one toilet there was no soap provided and in another a bar of soap was available. It is recommended that soap dispensers be provided in communal toilets and bathrooms to reduce the risk of cross infection. A waste bin in one toilet was also not appropriate for residents as it was very low to the ground and had a lid that required lifting by hand. The registered manager and the registered provider arranged for soap dispensers and a new waste bin to be purchased during the inspection visit. The temperature of the hot water from bath taps was monitored and recorded weekly. Since the last inspection many areas of the home have been refurbished including the fitting of new carpets and curtains in the communal areas and some bedrooms. The laundry looked to be in good order but at the time of the visit there were no hand towels available. The inspector brought this to the attention of a staff member who immediately put a supply of hand towels in the room. The home employs a maintenance man for the routine maintenance and redecoration of the property. Weekly records for the maintenance of the building were seen that included windows, lighting and external building checks. The garden to the rear of the property has seating provided and is accessible to all residents including those using wheelchairs. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number and skill mix of staff employed meets residents’ needs and their safety is protected by the home adhering to its robust recruitment procedures. Staff receive the training they require to do their jobs. EVIDENCE: The registered manager said that staffing levels are kept higher than the assessed staffing levels required, to ensure staff have time to support residents fully. Staff spoken with said that they felt there were always sufficient numbers on duty and during the visit staff were observed sitting and chatting with residents and the atmosphere was relaxed. Residents also confirmed that they did not feel rushed and one resident commented that ‘someone always comes quickly if I ask for assistance’. Three staff members are NVQ assessors and 60 of the carers hold NVQ level 2 or above or are in the process of obtaining the qualification. Carers spoken with said that the registered manager and the registered provider encouraged them to attend training sessions and obtain qualifications. Records seen for three staff members who had recently commenced work at the home indicated that the home’s robust recruitment procedures were Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 19 adhered to when recruiting staff. The records contained all the information required and confirmed that Criminal Records Bureau and Protection of Vulnerable Adult checks had been completed before the staff members started work at the home. These checks were also completed for volunteers visiting the home to support residents, ensuring the safety of the residents was protected. All new staff members complete an induction programme that follows the guidelines of the Skills for Care organisation. The home has staff members trained to provide training for staff in moving and handling, safe handling of medicines and health and safety. Records seen indicated that staff received training in all aspects of care provision including the protection of vulnerable adults, infection control, nutrition, dementia awareness and palliative care. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of the residents. Resident’s financial interests are safeguarded by the home’s clear procedures for dealing with money and resident’s safety is protected by staff supervision and the safe working practices operated in the home. EVIDENCE: The registered manager, Theresa Field, has worked at the home for thirteen years and has managed the home for five years. Theresa has obtained the Registered Managers Award and has trained to provide training for care staff in palliative care, dementia, falls management, abuse awareness and fire safety. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 21 Staff spoken with said that they found the registered manager supportive and it was evident during the visit that Theresa Field had a good rapport with both staff and residents. Records seen indicated that meetings are held for residents and their relatives to discuss the quality of care provided at the home twice a year. Surveys in the form of questionnaires are also used as a means of obtaining the views of residents, relatives and visitors. The registered manager said that feedback was given on a one to one basis and also information from the meetings were displayed in the reception area making them available to all. Two residents said that they felt they would be able to talk to the registered manager, registered provider or the deputy manager if they had any concerns about the quality of care provided. The registered manager said that general staff meetings were held infrequently but meetings were held regularly for senior staff and information from these was cascaded down to other staff members. A carer said that she felt communication in the home was good and she felt she was kept informed about any changes to procedures. The home holds small amounts of money for residents. The money is kept in individual containers in a safe place. Receipts are kept for all transactions and records seen for three residents matched the amount of money held. A carer spoken with said that she received regular supervision and records seen confirmed that supervision was taking place at least six times a year. The registered manager said that supervision sessions were arranged frequently for new staff and for anyone whose performance was not up to the required standard. Records also confirmed that staff received an annual appraisal. During the visit staff were seen to use safe working practices. Staff had received training in health and safety including moving and handling, food hygiene, infection control and first aid. Substances hazardous to health such as cleaning fluids were stored safely and staff arranged for toiletry items to be removed from communal bathrooms during the visit to minimise the risk to residents’ safety. The kitchen looked clean and in good order with food stored appropriately. Records seen indicated that staff received fire safety training and attended fire drills. Checks on fire safety equipment were completed and recorded. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 x 3 x 3 3 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 Good Practice Recommendations It is recommended that bars of soap in communal bathrooms and toilets be replaced by soap dispensers to minimise the risk of cross infection. Woodlands DS0000012103.V325880.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodlands DS0000012103.V325880.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. 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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