Inspection on 20/02/07 for Yearsley Villa Residential Home

This inspection was carried out on 20th 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Yearsley Villa Residential Home 10/03/06

Yearsley Villa Residential Home 05/10/05

Yearsley Villa Residential Home 02/02/05

Yearsley Villa Residential Home 17/08/04

Yearsley Villa Residential Home 02/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Yearsley Villa Residential Home Yearsley Villa 177 Huntington Road York YO31 9BP Lead Inspector Anne Prankitt Key Unannounced Inspection 20th February 2007 10:30 Yearsley Villa Residential Home DS0000015836.V330805.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 Yearsley Villa Residential Home DS0000015836.V330805.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. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Yearsley Villa Residential Home Address Yearsley Villa 177 Huntington Road York YO31 9BP 01904 630450 08701358714 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) Mrs Sandra Taylor Mr Steven Taylor Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th March 2006 Brief Description of the Service: Yearsley Villa is a large, old detached property that provides accommodation and personal care for three adults with learning disabilities. The home is located close to the city of York and within walking distance of the local communities, amenities and facilities. There is off road parking available to the front of the premises. The registered providers confirmed on 20 February 2007 that the current weekly fees range from £384 to £440. Additional charges are made for transport costs out of York, hairdressing, taxi fares and clothing. The registered provider confirmed that prior to admission, service users would be given a copy of the service users’ guide, which provides them with information about the home, and what it provides. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Before the site visit the registered provider sent a completed questionnaire to the Commission for Social Care Inspection. It provided information about the home, including who lived and worked there. The inspector has also kept a record about what has happened at the home since the last inspection took place. Satisfaction surveys were sent to service users, and all were returned. Of those sent to three visiting professionals, one survey was returned. Three hours of preparation took place before the site visit. All of the information collected was used as part of this key inspection. The site visit lasted for approximately three and a half hours, during which time was spent talking to the two service users who were available, and to the registered providers, Mr and Mrs Taylor. A tour of the environment, including private bedrooms, was also made. Care plans and some records relating to health and safety were looked at. Feedback was provided to the registered providers at the end of the site visit. What the service does well: Prospective service users are given information about the home so that they can make a proper decision about whether the home is suitable for them. They can also be confident that the registered providers would make sure that they get enough information about the their needs so these are fully met. The registered providers, who live on the premises, run the service, which has a homely atmosphere. One service user commented ‘I like being here’. A second commented in a survey completed at the home ‘I am quite happy with the way that I am looked after at Yearsley Villa’. All service users have a care plan, which is reviewed every six months, so that their care needs, and any risks associated with their lives, can be monitored. Service users can attend activities outside of the home, which gives them the opportunity to meet other people in the community. They are able to keep contact with their family. This may help to improve their quality of life. Service users live as family members at the home, and they eat with the registered providers. This will help to make them feel included and involved. Service users are confident that they know who to complain to if they have any concerns. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. Service users can be assured that their needs will be assessed and considered before they are offered a place at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no service users admitted to the home since the last inspection, when it was judged that a full assessment of need had been carried out prior to the current service users being offered a place at the home. The registered provider explained that they would make sure that prospective service users were provided with information about the home as part of the pre admission process. This would help the service users decide whether it would be a suitable place for them to live. There are policies and procedures in place that underpin this process, and which state that a six week trial period would be offered to any service user who is considering the option of living at the home. Within the survey sent to them before the site visit, all three service users agreed that they were asked if they wanted to move into the home. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is adequate. Service users receive care from people who understand their needs, but the way in which their money is handled on their behalf needs to be made more robust. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has a care plan which looks at how good outcomes can be achieved for them. The plans provide good information. These, and associated risk assessments, had been developed with the assistance of the multidisciplinary team, although the registered providers explained that one service user does not currently have active care management support. All plans and risk assessments are reviewed by the home on a six monthly basis. There were contact details available for members of the multi disciplinary team should their assistance be required at any time. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 10 The registered providers are appointees for all three service users in connection with their finances. They explained that they help service users to budget their monies. It has been agreed with the multi disciplinary team that this is an appropriate arrangement. However, the current bank account arrangements in place for the receipt of benefits, and the recording of subsequent transactions, are not robust. This has been discussed with the registered provider, who wants to make sure that the system remains flexible enough so that service users can have what they want, when they want it. However, they have agreed to address the areas of concern raised at this inspection. These will include: • • Making sure that benefits belonging to service users are not deposited into the personal account of the registered provider. Keeping records of transactions, including the management of service users’ personal allowance, which the registered provider stated they draw on a weekly basis. The registered providers should also arrange for the accounts of each individual service user for whom they are appointees to be independently audited and monitored, and a record kept of such audits being carried out. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. Service users can be assured that they will be able to maintain important links with people outside the home, and that they will live in an environment in which they are treated as individuals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users were pleased with the activities that they are involved in outside the home. One service user attends a day centre, whilst another enjoys working at a nearby plant nursery, and at a cafeteria. They said that they enjoyed this, and had ‘made lots of friends’. Another attends the local social centre, and is able to pursue their interest in cars. They were enjoying looking at a magazine about this subject. A service user had undertaken training in Makaton (a communication method), which assists them in communicating. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 12 The registered providers explained that all service users are able to maintain links with their families, and one service user explained how they are able to make regular weekend visits to see them. They enjoy this. One service user intimated that the registered providers looked after them. Another stated ‘I like it here’. There are currently no advocates involved in the care of the service users. The registered providers stated that all have close family contact. One service user has a close friend with whom they are able to maintain contact as they wish. The daily routines of the home are flexible to accommodate each individual’s routine, and those service users spoken with intimated that the registered providers respected them. One service user explained that they choose to rise and retire early. They said that another service user ‘likes to watch their television until really late!’ and that they are able to do this. One service user explained that they sometimes like to help the registered provider to ‘wash pots and make coffees’. From survey feedback, service users stated that they could usually make decisions about what they do each day and all believed that they could always do what they wanted to at weekends. Two agreed that staff treat them well, and that they listen and act on what they say, with one stating that this was usually the case. However, satisfaction surveys carried out at the home concluded that all were satisfied with the service that they receive. It is the practice of the home that service users and the registered providers eat together as a ‘family group’. Service users said that they enjoyed the food at the home, which the registered providers confirmed consists of breakfast, dinner, tea and supper. Service users are asked on a daily basis what they would like to eat. One service user explained what their particular favourite was, which they said the registered provider would prepare for them. The registered provider was observed providing assistance for one service user who needs help with their meal, to make sure that their dignity was maintained. One service user said ‘The food is nice – I can choose what I want’. Mrs Taylor has previously completed food hygiene training, and has a certificate to confirm this. The care plan of one service user included guidelines about how their diet may affect their wellbeing, and included signs for the registered providers to look for, and which would indicate the early signs of ill being. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. Service users are supported in maintaining their health and personal care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are assisted where required with personal support. The care plans include a self care sheet, which explains which tasks service users can manage alone, and what they need support with. On the day of the site visit, a male service user had been assisted to bathe by the male registered provider, and was being helped downstairs in order to maintain their safety. There are no service users who currently live at the home who require specialist aids whilst inside the home. However, the care plan evidenced that a wheelchair had been obtained for one service user who needs this facility when out and about in the community. Service users are supported to attend appointments with the assistance of the registered provider, who accompanies them. One appointment was taking Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 14 place on the afternoon of the site visit, and the service user was fully informed with regard to the appointment. One comment card was returned from a professional who supports a service user who lives at the home. A telephone conversation with the professional confirmed that they are satisfied with the care that the service user receives, and whom they visit on a four monthly basis. Two service users manage their own medication. The plans included risk assessments for service users who choose to self medicate, and the agreement reached with the multidisciplinary team that this arrangement was acceptable. Their medication is kept in locked facilities in their bedroom, and is monitored by the registered providers. A list of the medication that they take is kept in the care plan, so that this information can be passed on in the case of emergencies. The registered providers manage medication on behalf of the remaining service user, who it has been assessed requires assistance. Records are kept of medication administered. The medication is kept in lockable facilities, which were not locked when the site visit commenced. The registered provider explained that this was because it had recently been opened to access the medication. This however could affect the service users safety and wellbeing. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. Service users know that their concerns will be taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered providers confirmed that there have been no complaints made to the home during the period since the last inspection. Neither have there been any made direct to the Commission for Social Care Inspection. The registered providers have provided each service user with a copy of the service users’ guide, which explains the process for making a complaint. Within the surveys returned, although one service user said that they did not know how to make a complaint, all agreed that they would know who to speak with if they had any concerns. On the day of the site visit, a service user stated ‘I would complain to Sandra or Steve (the registered providers) if I needed to’. The registered provider spoken with was clear that, on suspecting abuse, they would report direct to the Commission for Social Care Inspection without delay. Whilst this is good practice, they were reminded that the lead investigators in such matters are the local authority, and that any such matter must be referred to them for consideration of investigation. However, the abuse policy supported this procedure, stating that all such matters would be referred to the care manager. It is recommended that the registered provider refresh Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 16 their knowledge with regards to the multi agency policy for the protection of vulnerable adults. Yearsley Villa Residential Home DS0000015836.V330805.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. Service users live in a clean and homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The environment is warm and comfortable, and provides a homely atmosphere. It was spotlessly clean. It is situated on the outskirts of York, with nearby amenities. The premises are in keeping with the local community. Service users have access to a pleasant garden to the rear of the building. There are three sitting areas to which service users have access. Their sitting room of choice has a television, and comfortable seating. Each service user has their own bedroom; these are all pleasant and contain service users’ personal belongings. Service users spoken with said they like their rooms. The rooms are situated on the first floor of the building, and are Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 18 accessed by a flight of stairs. Two service users are able to access their rooms independently. The registered providers assist the third service user to manage the stairs. This was witnessed on the day of the site visit. None of the radiators in the home have been fitted with guards, and there are no call bell facilities in service users’ bedrooms. The care plans included a decision made with the multidisciplinary team that these were not needed. This care plan is reviewed on a six monthly basis. The registered provider confirmed that the recommendation from the last visit made by the fire officer has been attended to. The fire detectors fitted have been hard wired into the system, and are checked on a weekly basis. The laundry has been moved from the kitchen area to an undercover area at the rear of the home. This means that any laundering is carried out away from the area where food is prepared. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. Service users receive care from people that they know, and who understand their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are no staff employed to work at the home. All care is provided by Mr and Mrs Taylor. Mr Taylor has completed an NVQ Level 4 in management in order to underpin the experience that he has gained as registered provider of the home. Mrs Taylor is now undertaking the course. Both are available day and night to provide care and support, as it is needed. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. The register providers seek service users’ views, and consider their safety, when providing a service to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As stated previously, the registered providers have either completed, or are in the process of completing, their NVQ Level 4 in management to underpin the experience that they have in caring for this service user group. Prior to running this service, Mrs Taylor explained that they had experience in the provision of mental health services. She expressed her enthusiasm for the service that the home provides, and both are keen to make sure that it is run as a family concern, where the service users are an integral part of daily living. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 21 Service users’ care plans contained surveys which were completed by them, and which asked their opinion about the service that they are provided with at the home. The registered provider explained that these are completed annually. The results were positive. One service user concluded: ‘I am quite happy with the way that I am looked after at Yearsley Villa’. The registered providers explained that the views of others, such as relatives, are sought more informally, as they maintain contact with each of them. The views of others are not currently sought in a formal way. The registered providers make sure that the home is kept safe, by asking contractors to carry out necessary services as required. Records are kept in house to confirm that the hot water is checked to make sure that it is maintained at a safe temperature, that the fridge and freezer are kept at a safe temperature for the storage of food, and that the fire alarms are regularly checked. The registered providers have also completed a fire safety risk assessment, which states that service users’ ability to escape from the building is assessed when their care is reviewed. Yearsley Villa Residential Home DS0000015836.V330805.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 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 N/A 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 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 2 X 3 X 2 X X 3 X Yearsley Villa Residential Home DS0000015836.V330805.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. 1 Standard YA7 YA23 Regulation Requirement Timescale for action 31/03/07 20(1)(a)(b) Service users monies must not be deposited into personal accounts belonging to the Schedule 4(9) registered provider. Appropriate financial records for all transactions and expenditures, including personal allowances, disability allowance and any other benefits belonging to the service user must be maintained. 2 YA20 13 The cupboard used for the storage of medication belonging to service users must be kept locked, and the key safely stored, at all times. 20/02/07 Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 24 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 YA7 Good Practice Recommendations The registered providers should make arrangements for the accounts of each individual service user for whom they are appointees to be independently audited and monitored, and a record kept of such audits being carried out. It is recommended that the registered providers refresh their knowledge with regards to the abuse policy at the home, to make sure that: • • It is in line with the local authority multi agency policy for the protection of vulnerable adults. They are confident with the procedure to be followed whereby any allegations or suspicion of abuse must be referred to the local authority safeguarding adults team for consideration of investigation by them. 2 YA23 3 YA39 It is recommended that the registered providers look at ways in which the quality assurance and self-monitoring systems at the home can be further developed. Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Yearsley Villa Residential Home DS0000015836.V330805.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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