Care Home: 1 Bede`s Close

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What the care home does well The home is well managed and run in the best interests of the people who live there. One relative we spoke with said they are very satisfied with the care and support given by the staff. They said that the staff are responsive to people`s needs and provide care in the way people prefer. Everyone said the staff are excellent and relatives confirmed that they are always contacted when their relative is unwell, or if there is anything else that they need to know. One relative commented that `On the whole the home is ideal`. They said that when the home has a full team of permanent staff, giving people the continuity and routine they need, then the service will be even better. One social care professional said that the staff `do unbelievably well` when working with people who have very complex needs. Staff are enthusiastic and committed and the home keeps them informed of anything they need to know. The care and support plans reflect each individual`s preferences and needs. People are involved in making decisions about the way the home they live in is run, and the manager and staff make sure their views are central to any decisions. It was clear during the inspection that the staff know and understand the needs of each person and do everything they can to support people`s individual needs. People`s right to make individual choices is respected and supported. People know how to make a complaint or raise a concern if they are not satisfied with any aspect of the service. The recruitment procedures are thorough, making sure that the staff who are appointed are safe and suitable to work with the people who live at the home. The staff are well qualified and are encouraged to keep up their professional development by taking training to keep their skills and knowledge up to date. The comments made by everyone connected with the home support our observations that the home is well managed and run in the best interests of the people who live there. What has improved since the last inspection? This does not apply since this is the first inspection of the service. What the care home could do better: The home needs to continue to recruit more permanent staff, in order to maintain continuity and prevent the need for employing agency staff. CARE HOME ADULTS 18-65 1 Bede`s Close 1 Bede`s Close Thornton Bradford BD13 3NQ Lead Inspector Liz Cuddington Key Unannounced Inspection 24th July 2008 11:00 1 Bede`s Close DS0000070941.V368769.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 1 Bede`s Close DS0000070941.V368769.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. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1 Bede`s Close Address 1 Bede`s Close Thornton Bradford BD13 3NQ 01422 438540 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) Saint John of God Hospitaller Services Manager post vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC; to service users of the following gender: Either; whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 4. 2. Date of last inspection Brief Description of the Service: 1 St Bede’s Close is a small home, designed to offer support and accommodation for up to four adults who have a learning disability. The house is in a quiet residential area with shops, buses and other local services nearby. There is car parking next to the house and level access to the doors. The fees are paid by the local authority/healthcare trust and the rates vary according to individual need. People living at the home buy their own toiletries and other personal items. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The purpose of this inspection was to assess the quality of the care and support received by the people who live at 1, Bede’s Close. The visit to the home was carried out over one day by one inspector. The home was registered in February 2008 and this was the first inspection. Since it was registered no complaints or concerns have been made to us about the home. There has been one adult protection referral made to Bradford Social Services. The matter has been dealt with satisfactorily. The methods used to gather information included; conversations with the people living at the home, their relatives and the staff, looking at care plans and examining other records. We also received the home’s self-assessment questionnaire before the inspection visit. This questionnaire provides valuable information to help us form a judgement about the quality of the care and support the home provides. We would like to thank the people who live at the home and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the service does well: The home is well managed and run in the best interests of the people who live there. One relative we spoke with said they are very satisfied with the care and support given by the staff. They said that the staff are responsive to people’s needs and provide care in the way people prefer. Everyone said the staff are excellent and relatives confirmed that they are always contacted when their relative is unwell, or if there is anything else that they need to know. One relative commented that ‘On the whole the home is ideal’. They said that when the home has a full team of permanent staff, giving people the continuity and routine they need, then the service will be even better. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 6 One social care professional said that the staff ‘do unbelievably well’ when working with people who have very complex needs. Staff are enthusiastic and committed and the home keeps them informed of anything they need to know. The care and support plans reflect each individual’s preferences and needs. People are involved in making decisions about the way the home they live in is run, and the manager and staff make sure their views are central to any decisions. It was clear during the inspection that the staff know and understand the needs of each person and do everything they can to support people’s individual needs. People’s right to make individual choices is respected and supported. People know how to make a complaint or raise a concern if they are not satisfied with any aspect of the service. The recruitment procedures are thorough, making sure that the staff who are appointed are safe and suitable to work with the people who live at the home. The staff are well qualified and are encouraged to keep up their professional development by taking training to keep their skills and knowledge up to date. The comments made by everyone connected with the home support our observations that the home is well managed and run in the best interests of the people who live there. 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. 1 Bede`s Close DS0000070941.V368769.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 1 Bede`s Close DS0000070941.V368769.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 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Before people moved into 1 Bede’s Close, the staff carried out a thorough preadmission assessment and introduction procedure, to make sure they would be able to meet each individual’s needs. EVIDENCE: Before people moved into the home a core group of staff spent the previous two to three months working with them in the place they were then living at. This gave people time to get to know their new support staff and for the staff to get to know and understand the people they would be working with. Before they moved in to 1 Bede’s Close people went with staff to visit and get to know the house and surroundings, see their room and gradually move their clothes and personal possessions in. A decision was made that it would be best if people moved individually. This was achieved by one person moving in first, the next person arrived a week later and the third person moved in after another week. The staff said this plan was successful and all three people have settled well, although the period of adjustment is still continuing. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 9 Although the home is registered for four people, the organisation has decided not to admit anyone else. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. To maintain their autonomy and independence, staff support people to make choices and decisions about all aspects of their daily lives. People are involved in planning their care and are supported to take risks. EVIDENCE: Three individual care and support plans were looked at. Although the plans are still being developed, they show that people and their relatives are involved in developing and reviewing their plans. The plans reflect the individual’s preferences and needs and clearly demonstrate the person’s involvement in making all the decisions that affect them. Each plan gives an outline of the person’s life and the people who are important to them. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 11 People are involved in making decisions about the way the home they live in is run, and the manager and staff make sure their views are central to any decisions. Those who commented confirmed that the service supports people to live the life they choose and agreed that the service meets people’s different needs. Where any activity involves a potential risk, a detailed assessment is made and plans are agreed to minimise the risk, while still supporting people’s right to independence and choice. These assessments are reviewed and kept up to date. Observation, and conversations with the staff, confirmed that the staff know and understand the needs of each person. The staff promote people’s independence and everyone is treated as an individual. The plans are reviewed regularly and the records show that the home holds individual review meetings with the people who live at the home, and their family is invited to attend and contribute to their review. One social care professional said that the records are clear and detailed and are kept up to date. All the written information is securely stored and confidential information about people is only shared with those who need to know. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to attend a range of activities, to make sure each person’s needs and expectations are being met. People are offered a good choice of meals, and other foods, to make sure their dietary needs and preferences are met. EVIDENCE: The care plans include information about each person’s choice of recreational and leisure pursuits and their goals. The activities people attend depend upon what they want to do. People attend day care, but on the day of our visit there was a problem with the day care transport, which made it very late and caused the people concerned to become upset. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 13 The home is hoping to acquire its own transport soon. One person has a car of their own and the staff drive the person out to places they enjoy visiting, or just for a drive if that’s what they would prefer. People are involved in making decisions about the way the home they live in is run, and the manager and staff make sure their views are central to any decisions. One relative said the home is hoping to start having ‘house meetings’, which they felt would be valuable. The staff have begun to involve people more in menu planning and are currently developing a way of supporting people to do this by using different ways to help them make choices. People who live at the home are involved in shopping, if they wish, and some like to help prepare the meals and enjoy baking. People who need assistance to manage eating and drinking are offered help discreetly and at the person’s own pace. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s personal and healthcare needs are met. People are protected by the home’s medication systems. Medications are stored safely and administered accurately. To maintain their privacy and dignity, the staff treat people with respect, care and consideration at all times. EVIDENCE: People’s health and wellbeing is observed and monitored, and any concerns are followed up with relevant health or social care staff, and the family, and their advice is followed. The plans contain detail about the individual’s physical and emotional health. The plans, and conversations with staff, confirmed that people’s cultural and individual preferences are understood by everyone and are central to the care and support they are offered. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 15 Each plan is individual and reflects the person’s choices for all aspects of their life. The way people prefer their care and support to be provided is clearly detailed. The people we spoke with said that the home and the staff meet people’s needs. One person’s relative commented that they are always kept informed of any significant occurrences. Detailed records of appointments with healthcare professionals are kept and a recognised health check assessment is completed for each person. The home monitors people’s health and works with families and healthcare services to make sure people receive the best care and treatment. People’s preferences are detailed in the plans, so that staff know exactly how each person likes their support to be provided and understand the routines they like to follow. People are supported to be as independent as possible in their daily lives and any adaptations they need are made available. An occupational therapist was involved when the house was being prepared, to make sure any adaptations people needed were in place and that the layout was suitable to meet people’s needs. The medication is stored securely and safely. The Medicines Administration Record (MAR) charts are accurately completed and the quantities of medicines received, in stock and returned to the pharmacy are recorded correctly. People’s families are involved in medication reviews. The staff that administer medication have received suitable training. This makes sure that medicines are administered correctly and safely and that staff fully understand this area of their work. Observations during the inspection confirmed that the staff always respect people’s privacy and dignity. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at the home, and their relatives, are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people staying at the home are safe. EVIDENCE: The staff training records showed that all of the staff have taken adult protection training. They have also had training in how to manage challenging behaviour. Conversations with the manager and staff showed that they understand their responsibilities towards people with regard to protecting them from any risk of abuse or poor practice. Staff are made aware of the home’s ‘whistle blowing’ policies and procedures, to be used if they suspect abuse or see examples of poor practice. People we spoke with said they know how to make a complaint or raise a concern if they need to. Since registration the home has made one adult protection referral to Bradford Social Services Adult Protection Unit. The matter has been resolved satisfactorily. 1 Bede`s Close DS0000070941.V368769.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, 28 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, clean, comfortable and well-maintained environment. EVIDENCE: The house and gardens are clean, tidy and well looked after. Someone is employed to visit regularly and carry out maintenance work. The lounge is going to be re-decorated in a colour that the people who live there choose and more soft furnishings in brighter colours are gradually being introduced. The hallway will also be re-decorated soon. A new room has been built, leading from the lounge. This is to be a quiet lounge. When we visited it was ready to be used as soon as the furniture was delivered. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 18 The acting manager also plans to move the office to a more convenient room near the front door. This room is currently the laundry and it will be moved to the room now used as the office. 1 Bede`s Close DS0000070941.V368769.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, 35 & 36 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet people’s needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require in order to meet people’s needs. EVIDENCE: The staff rotas confirmed our observations that there are enough staff on duty to meet the care, social and leisure needs of the people who live in both houses. The staff confirmed that the number of staff on duty is adjusted to reflect people’s needs. All staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 20 register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. The acting manager said that two new members of staff were due to start employment the following week, and more new staff have also been appointed. The home is planning to carry out further recruitment during this year. One social care professional confirmed that the home is committed to providing the level of staffing necessary for them to meet people’s needs. The home is still using some agency staff. When this is necessary, they try to use the same people to maintain as much continuity as possible. New support staff take the Learning Disabilities Award Framework training as part of their induction and foundation training. This makes sure they have a good understanding of their role and responsibilities, and provides a sound basis for NVQ study. The home said that six of the eighteen permanent members of staff have achieved a National Vocational Qualification (NVQ). The remaining twelve staff are working towards achieving the award. All staff have completed their mandatory health and safety training. They have also had medication administration training and specialist training such as understanding autism spectrum disorders. Some staff have already completed training in person centred planning; the remaining staff will take the training this year. People who commented said they thought the staff were well trained and competent. The records, and the staff, confirmed that all the staff are having regular one to one supervision meetings with their line manager. This supports staff to plan their personal and professional development and gives them the opportunity to discuss any areas of concern in a confidential setting. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 21 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, 38, 39 & 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and well managed and is run in the best interests of the people who live there. EVIDENCE: The acting manager has the experience and skills to run the home in the best interests of the people who live there. She has achieved the NVQ level 4 in care and plans to begin the registered managers’ award later this year. The acting manager is in the process of applying to us for registration as a suitable person to manage the service. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 22 To maintain confidentiality, people’s personal information is stored in an office that is locked when it is not being used. Where the home helps people to manage their personal finances, accurate records are kept of all transactions. All monies are securely stored and staff regularly check each person’s money. The comments made by people’s relatives and staff support our observations that the home is well managed and run in the best interests of the people who live there. There is a good management structure within both the home and the organisation, which supports the manager. The manager promotes an open and inclusive management style and everyone is involved in the decisionmaking processes. Observations during the inspection visit, and comments from other people, confirm that everyone’s views are valued and taken into account. People’s views are sought through meetings and informal discussions with the people who live at the home, their relatives and any health and social care professionals who are involved. The policies and procedures are kept up to date to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. Staff have basic health and safety training. All these measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 23 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 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 X X 3 X 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 24 N/A 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. Refer to Standard Good Practice Recommendations 1 Bede`s Close DS0000070941.V368769.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 1 Bede`s Close DS0000070941.V368769.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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