Inspection on 09/01/07 for Wyndham House

This inspection was carried out on 9th January 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

Wyndham House 05/01/09

Wyndham House 03/03/06

Wyndham House 28/07/05

Wyndham House 07/12/04

Wyndham House 15/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Wyndham House Martlet Road Minehead Somerset TA24 5PR Lead Inspector Jane Poole Key Unannounced Inspection 9th January 2007 09:30 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 Wyndham House DS0000016037.V319221.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. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wyndham House Address Martlet Road Minehead Somerset TA24 5PR 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) 01643 703934 01643 703253 Somerset Care Limited Mrs Madeleine Vivienne Flanagan Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd March 2006 Brief Description of the Service: Wyndham House is registered with the Commission for Social Care Inspection (CSCI) to provide personal care for up to 50 people over the age of 65. The home is owned by Somerset Care and managed by Madeleine Flanagan. The home is situated up a hill in close walking distance from the centre of Minehead, providing access to a wide range of facilities. The property is a three storey older house with a modern two-storey extension. The location of the home allows residents to enjoy a seaside town environment if they are sufficiently mobile. Residents are encouraged to furnish their rooms with their own possessions and have an opportunity to choose the colour scheme. There is a programme of organised activities, which encourages interaction between residents and staff. The home has been adapted to maximise independence and contains sufficient specialised equipment. There are well-established systems of care and staff management. Fees at the home range from £410. to £520. per week. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one inspector over an 8 hour period. The inspector was given unrestricted access to all areas of the home, was able to meet with staff and service users and spend time with the manager. During the day the inspector was able to observe care practices and was also invited to join service users for lunch. 8 questionnaires/comment cards were received from service users, 9 from relatives/ visitors and 8 from health and social care professionals. Some of the outcomes and comments have been incorporated into this report. What the service does well: Wyndham House has a very warm and welcoming atmosphere. Service users spoken to stated that they felt “at home.” It is also a stimulating environment with lots of interaction between staff and service users. All service users observed were animated and content. There are plenty of organised activities and service users commented that there was always something going on. Service users stated that they continued to be in control of their day to day lives. It was noted that people moved freely around the home, their opinions were sought and choices were offered. Everybody asked felt that they were treated with dignity and that their privacy was respected. The inspector observed that interactions between staff and service users were warm and friendly. There are appropriate measures in place to ensure the health and safety of service users. Recruitment procedures are robust, minimising the risks of abuse to service users. Medication policies and procedures promote safe practice. During the inspection, and on comment cards received prior to the inspection, people were very complimentary about the staff in the home. They were described as “superb” and “excellent.” Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 6 One person told the inspector that when they moved to the home they were reluctant to accept help with personal care but because “staff are so sensitive you never feel embarrassed you just feel cared for.” All relatives, visitors and health and social care professionals who completed comment cards stated that they were Satisfied with the overall care provided at the home. What has improved since the last inspection? What they could do better: Two recommendations have been made at this inspection. The first is to review the procedures in respect of people who self medicate. The present procedure is cumbersome and may deter some service users from taking responsibility for their own medication. The policies and procedures in respect of self medication should take account of the individual needs and physical abilities of service users. It is also recommended that the whistle blowing policy in the staff handbook gives contact details of appropriate outside agencies. Please contact the provider for advice of actions taken in response to this Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Wyndham House DS0000016037.V319221.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 Wyndham House DS0000016037.V319221.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, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All prospective service users have their needs assessed and have opportunities to visit the home before deciding to take up residence. The service user guide gives clear and up to date information. Intermediate care is not provided. EVIDENCE: The home has up dated its statement of purpose and service user guide since the last inspection. The updated document takes account of all the changes that have occurred in the home. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 10 The service user guide clearly sets out what is included in the basic fee. All service users who are paying privately for their care have a contract with the home. Those who are being assisted with fees by the local authority have a financial agreement with the relevant authority. 7 of the 8 service users who completed questionnaires prior to the inspection answered YES to the question “Did you receive enough information about the home before you moved in?” Service users spoken to on the day of inspection stated that they, or their family, had been able to visit the home before making a decision to become a resident. Two service users stated that they had had a short stay at the home prior to moving in on a permanent basis. The manager sees and assesses all prospective service users prior to offering a place at the home. This is another opportunity to give information about the home and ensure that the prospective service users’ needs can be met. In addition to full residential care and respite care the home also offers day care, which is a chance for people to spend extended periods of time in the home. Wyndham House DS0000016037.V319221.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 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are treated with dignity and their privacy is respected. The policies and procedures in respect of medication ensure safe practice in this area. All service users have access to appropriate healthcare professionals. EVIDENCE: 7 of the 8 service users who completed questionnaires prior to the inspection answered ALWAYS to the question “Do you receive the care and support you need?” Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 12 One service user was keen to point out that, although the home did not employ nurses, carers were very observant and were very quick to notice and discuss health care issues. The home makes arrangements for service user to be seen by an outside healthcare professional and assists with attending appointments. All service users asked stated that they were treated with respect at all times. One person stated “they don’t treat you like a child and let you make your own decisions.” All rooms are for single occupancy and service users are able to see personal and professional visitors in the privacy of their own rooms if they wish to. The inspector noted that assistance was offered in a sensitive manner and interactions were friendly and respectful. People who required assistance with meals were sat with, and assisted in a very dignified manner. Service users are able to spend time in communal areas or in the privacy of their rooms. There are numerous places around the home where service users can sit comfortably with each other or entertain guests without disruption. All care plans are now computerised but paper copies are kept for service users to read. The inspector viewed a selection of care plans (5) with the manager. All were personal to the individual and contained details of peoples physical and social needs. A brief social history had been written in respect of each service user to ensure that carers were aware of the individuals’ lifestyle and preferences. Daily records are maintained on computer which outline significant events and wellbeing. All care plans seen had been regularly reviewed and contained up to date information to enable staff to assist people in their chosen style. The home has appropriate storage for medication including controlled drugs and medication that requires refrigeration. The inspector viewed the Medication Administration Records (MARS) and found them to be well maintained and correctly signed when received and administered. Currently service users who administer their own medication are assessed to ensure they are safe to do so and are requested to sign a chart at each administration. This is a very cumbersome method and may dissuade or prohibit some service users from self-administering. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 13 Only senior staff administer medication and all receive regular training in this area. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 14 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 & 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users continue to be in control of their day to day lives and are free to express their opinions and preferences. The quality of food is excellent and there is a wide variety of meals. EVIDENCE: Service users living at the home stated that routines were flexible allowing them to choose what time they got up, when they went to bed, and how they spent their day. There are dedicated workers who assist people to take part in activities. On the day of the inspection the inspector noted that the activity worker moved around areas of the home providing group activities and social stimulation on a one to one basis. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 15 Service users stated that they are free to join in with activities but do not feel obliged to do so. Service users are also able to make suggestions about activities in the home. A small group of people have recently started up a music appreciation group, which they talked about enthusiastically. There is a regular church service in the home and visiting clergy offer communion on an individual basis. Library books are available and newspapers and magazines are delivered to those who request them. There is a small shop in the home, which is managed by one of the service users, and some service users stated that they regularly went into town. Service users spoken to were particularly complimentary about the activities and entertainment programme that was arranged over the Christmas and New Year period. All service users who filled in questionnaires before the inspection answered ALWAYS or USUALLY to the question “Are there activities that you can take part in?” Comments included “Never get bored” and “ a good variety of activities.” One relative/visitor commented that there was “always a lot of stimulation, activities – a happy place to visit.” Many service users spoken to stated that one of the nicest things about living at Wyndham house was the company. The variety of communal seating areas means that service users are able to socialise in small groups as well as the large lounge areas. All stated that they were able to have visitors at anytime and felt comfortable to invite friends and relatives to the home, knowing that they would always be made welcome. 9 visitors/relatives completed comment cards prior to the inspection. All said that they were made to feel welcome at any time. All relatives, visitors and health and social care professionals stated that they were able to visit the service user in private. Service users asked stated that they continued to feel in control of their day to day lives and are able to continue with their chosen lifestyles. Talking to staff it was evident that they considered the service users wishes and preferences in their work. The inspector noted that staff consulted with service users and interacted on a very equal basis. Service users stated that they felt comfortable and “at home.” The main meal of the day is at lunch time and again this is a very social occasion. Since the last inspection the dining room has been enlarged and enhanced. It is an extremely light and airy room with ample space to comfortably accommodate all service users. There is also a smaller dining room for those who wish to eat in a quieter environment and people attending Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 16 the home for day care. Service users stated that they are also able to eat in their rooms if they wish to and the inspector saw trays being taken to service users’ rooms. The inspector was invited to have lunch with service users. There was a choice of main meal and vegetables and condiments were available on all tables for people to help themselves to. After the first course carers take round a sweet trolley with numerous options for service users to choose from including fresh fruit. Teas and coffees are served after the meal creating a very relaxed atmosphere. As previously mentioned service users who required assistance with their meals were supported in a very dignified manner and included in the social interactions of the meal. The quality of the food on the day of inspection was excellent and service users stated that this was always the case. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 17 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 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are confident that any concerns or complaints made would be taken seriously and appropriate action taken to rectify any issues. Procedures and practices in the home minimise the risk of abuse to service users. EVIDENCE: The home has policies and procedures in respect of recognising and reporting abuse, making a complaint and whistle blowing. (It was noted that the whistle blowing policy in the staff handbook did not have contact details for appropriate outside agencies.) There is information about local advocacy services and other relevant organisations in the main hall. Since the last inspection there has been one complaint made to the home. This was fully investigated to the satisfaction of all parties. The manager gave evidence that all complaints are taken seriously and looked upon as a way of evaluating and improving the service. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 18 All service users stated that they would be very comfortable to raise any concerns or worries with the manager or a member of staff. All service users who completed questionnaires prior to the inspection answered YES to the question “Do staff listen and act on what you say?” The inspector noted that service users had unrestricted access to their private rooms and all communal areas. All new staff are checked against the Protection Of Vulnerable Adults (POVA) register before commencing work and undergo an enhanced Criminal Records Bureau check. Staff receive training in the protection of vulnerable adults during their induction period. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 19 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, 22, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Wyndham House provides a comfortable environment for service users. EVIDENCE: Since the last inspection the home has been extended creating 15 additional bedrooms and extra communal space. The extension has been built and furnished to a high standard and blends well with the original building. The garden has been landscaped and the conservatory has been enlarged. All areas of the home seen by the inspector were well maintained, clean and comfortable. All service users who completed questionnaires stated that the home was always clean and fresh. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 20 All areas of the home are fitted with a fire detection and call bell system. There are a variety of communal areas, which are appropriately furnished to meet the needs of service users. Aids and adaptations, such as raised toilets, hand rails and assisted bathing facilities have been put in place to assist people to maintain their physical independence when moving around the home. All bedrooms are for single occupancy, 20 have en-suite facilities. The inspector viewed a sample of service users personal rooms. All were comfortably furnished and service users had been able to personalise them in line with their tastes and needs. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 21 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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good training opportunities in the home, which leads to a competent staff team. Recruitment practices are robust and minimise the risks to service users. EVIDENCE: The home employs 34 care staff, 18 (53 ) have a National Vocational Qualification (NVQ) in care at level 2 or above. There is an expectation on all care staff to undertake NVQ training once they have completed their induction period. The inspector viewed the training records for staff and noted that in addition to statutory training in health and safety there are opportunities for staff to undertake training in issues relating to the care of older people. Training courses have included diabetes, dementia and Parkinsons disease. All 8 health and social care professionals who completed comment cards prior to the inspection answered YES to the question “Do staff demonstrate a clear understanding of the needs of service users?” Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 22 Service users spoken to felt that there were adequate numbers of staff on duty at all times although they acknowledged that they were always kept busy. One person said “although they are very busy they always find time for you.” Another person said that there was “real co-operation between staff and service users creating a very warm atmosphere.” One relative who completed a comment card wrote “ Superb staff who are willing to go that little bit further.” The inspector noted that interactions between staff and service users were kind and respectful. Requests for assistance were responded to promptly in a sensitive manner. One service user paid particular compliments to the night staff who they felt were particularly attentive and understanding. The inspector viewed the recruitment files of the two most recently appointed members of staff. These files gave evidence of a robust recruitment procedure. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 23 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, 33, 35, 36 & 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 effectively managed taking account of the views of service users. Appropriate measures are in place to ensure the health and safety of people in the home. EVIDENCE: The registered manager of the home is Madeleine Flanagan. She has many years experience of working with older people and has achieved the Registered Managers Award (NVQ level 4.) Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 24 There is a clear management structure in the home setting out roles and responsibilities. There is always a senior member of staff on duty who co ordinates the shift and offers support and guidance to less experienced staff. As well as informal supervision all staff receive regular recorded supervision with a more senior member of staff. Records of supervision show that frequency of supervision sessions are dependant on the needs of the individual and cover a wide variety of issues. The manager is clear about the aims of the home and consults service users about how they think it should be run. The company, Somerset Care, has quality assurance systems in place and the home carry out service user surveys and hold regular meetings to seek the views of service users. The inspector viewed the most recent quality surveys and found them to be very complimentary about the care and facilities offered. No one working at the home acts as a financial appointee or power of attorney for any service user. Small amounts of money are held on behalf of some service users and up to date records are maintained of these monies. Systems are in place to maintain health and safety in the home. A maintenance person is employed who carries out regular checks on equipment such as the fire detection system and portable electrical appliances. There is evidence that equipment, such as lifts and fire fighting and detection equipment is also regularly serviced by outside contractors. As previously mentioned staff have received training in health and safety issues dependant on their level of responsibility. Up to date certificates of registration and insurance are displayed. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 x 3 x 3 x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 26 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. 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. 2 Refer to Standard OP9 OP18 Good Practice Recommendations The policies and procedures in respect of self- medication should be reviewed to ensure that they take account of the needs and wishes of individual service users. The whistle blowing policy in the staff handbook should include contact details of appropriate outside agencies. Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Wyndham House DS0000016037.V319221.R01.S.doc Version 5.2 Page 28 - 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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