Care Home: 4 Seafarer`s Walk

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What the care home does well There are good systems to assess people`s needs before they move into the home. This helps to reassure people that the home will be able to meet their needs. People`s needs are set out in clear care plans and risk assessments. These help people to make decisions about their lives and ensure staff know what support people need. The home provides good support for people to take part in a range of activities they have chosen, to maintain contact with family and friends and to maintain a healthy diet. People`s personal and health care is well met by staff who know their needs. There is a good system to safely store and administer people`s medication. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. What has improved since the last inspection? The home has made all the improvements we asked them to following the last inspection. The bathroom has been refurbished and there is a new bath, which everyone who lives in the home can use. New flooring has been laid in the bathroom and there is a new walk in shower. The kitchen has also been refurbished, with new cupboards and flooring. The garden has been made safe. A fence has been built so that people who use a wheelchair are not at risk due to a steep slope. The number of staff working at night has been assessed as safe after extra support was made available to staff to help them deal with any emergencies. The home now has a record of all the checks that are carried out on staff before they start working in the home. Records are now available of the induction and training that staff take part in. There are systems in place to check how well the home is operating. Part of this process involves seeking the views of people who use the service and their representatives. What the care home could do better: We have not asked the home to make any improvements following this visit. The manager has a plan of improvements that she wants to make and should ensure that they are completed. CARE HOME ADULTS 18-65 4 Seafarer`s Walk Sandy Point Hayling Island Hampshire PO11 9TA Lead Inspector Craig Willis Key Unannounced Inspection 28th April 2008 10:15 4 Seafarer`s Walk DS0000064985.V361234.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 4 Seafarer`s Walk DS0000064985.V361234.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. 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 4 Seafarer`s Walk Address Sandy Point Hayling Island Hampshire PO11 9TA 0151 420 3637 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) www.c-i-c.co.uk Community Integrated Care Mrs Lindsey Doble-Graham Care Home 5 Category(ies) of Learning disability (0) registration, with number of places 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 5. Date of last inspection 23rd May 2007 Brief Description of the Service: 4 Seafarer’s Walk is situated in a quiet residential area to the south east of Hayling Island and within easy reach of the beach. Local shops and amenities can be accessed, but to use a wider range of facilities travel is necessary to locations off the island such as in Portsmouth, Southsea and Havant. The home is purpose built and is situated next to a similar registered home. The homes share the front car park. The home is suitable for people who have physical as well as learning disabilities. All of the service users have single rooms. They have use of the kitchen /diner, a lounge and the garden. The home has one bathroom and a separate WC. The manager reported that the fees for the home are £1088.58 per week. 4 Seafarer`s Walk DS0000064985.V361234.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 star. This means the people who use this service experience good quality outcomes. The evidence used to write this report was gained from a review of the information the provider sent to us since the last visit and the previous inspection report. This information included incident reports, an improvement plan and an annual quality assurance assessment. A site visit to the home was made on 28 March 2008. During the visit we observed the interactions of people who live in the home with staff. We received surveys from five people who live in the home, completed with staff support due to their communication needs. We also received surveys from seven staff. We spoke with the manager and staff on duty during the visit. The communal areas of the building were viewed and documents relating to the running of the home were inspected during the visit. What the service does well: There are good systems to assess people’s needs before they move into the home. This helps to reassure people that the home will be able to meet their needs. People’s needs are set out in clear care plans and risk assessments. These help people to make decisions about their lives and ensure staff know what support people need. The home provides good support for people to take part in a range of activities they have chosen, to maintain contact with family and friends and to maintain a healthy diet. People’s personal and health care is well met by staff who know their needs. There is a good system to safely store and administer people’s medication. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: We have not asked the home to make any improvements following this visit. The manager has a plan of improvements that she wants to make and should ensure that they are completed. 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 7 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. 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems to assess people’s needs before they move into the home. This helps to reassure people that the home will be able to meet their needs. EVIDENCE: The manager reported during the visit that a full assessment of people’s needs would be completed before anyone moved into the home. Potential residents would be able to visit the home to meet with other people who live there and staff. Since the last inspection the manager has updated the home’s service user guide and statement of purpose to reflect recent changes in the service. All of the people currently living in the home have lived there since 1991 and there are no vacancies. Surveys were received from seven staff. All said they were given up to date information about the needs of the people they support. The annual quality assurance assessment reports that the home has procedures in place for the referral and admission of people who may use the service. It was reported in the annual quality assurance assessment that these procedures have not been reviewed since 1999. They should be reviewed to ensure they are up to date. 4 Seafarer`s Walk DS0000064985.V361234.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): Standards 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear care planning and risk assessment systems, which support people to make decisions about their lives and helps staff to provide the support that people need. EVIDENCE: The records of three people who live in the home were inspected during the visit. People had a care plan, which set out how their assessed needs should be met. The care plans seen contained detailed information about how staff should provide support to meet people’s different needs and aspirations. Plans are formally reviewed every six months and there was evidence that plans had been amended where people’s needs have changed. The manager reported in the annual quality assurance assessment that she plans to provide additional support for people to develop their daily living skills over the next year. 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 11 Details of how people should be supported to make decisions are set out in the care plans. Each person has a detailed section of their plan setting out how they communicate, including subtle communication that staff should look out for and respond to. All five people who live in the home completed a survey for us with staff support. All said they were able to decide what to do during the day, in the evenings and at weekends. One person commented “I am given a choice of things to do”. Risk assessments have been completed for all people living in the home and include clear information about how to minimise the identified hazards. These assessments are reviewed as part of the care planning meetings and had been amended where assessed as necessary. Staff spoken with demonstrated a good understanding of people’s needs and the importance of supporting people to make decisions about their lives. 4 Seafarer`s Walk DS0000064985.V361234.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): Standards 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good support for people to take part in a range of activities they have chosen, to maintain contact with family and friends and to maintain a healthy diet. EVIDENCE: People are supported to take part in a wide range of activities, including swimming, snooker, pub / café visits, walks, massage, music and sensory sessions. Other trips are also arranged, for example visits to Goodwood racecourse, Marwell zoo and the theatre. People have an individual programme of activities, which is based on their needs and wishes. The manager reported that she has tried to support people to access community services and activities where possible rather than traditional services for people with learning disabilities. People are supported to maintain contact with their friends and family, with staff providing support for people to visit family where necessary. People are 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 13 supported to invite people important to them to attend review meetings. People are able to lock their bedrooms and staff were observed asking permission to enter people’s bedrooms. Staff spoken with demonstrated a good understanding of people’s rights. The home has a planned menu that takes into account peoples likes and dislikes. This menu is flexible and people are supported to prepare alternatives if they wish, with help from staff to provide a balanced diet. Mealtimes are flexible to fit round activities and snacks are available at any time. 4 Seafarer`s Walk DS0000064985.V361234.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): Standards 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s personal and health care is well met by staff who know their needs. There is a good system to safely store and administer people’s medication. EVIDENCE: Care plans contain details of the personal care support people need and how it should be provided. All five surveys completed by people who use the service or on their behalf said staff treat them well and listen to them and act on what they say. Staff spoken with during the visit demonstrated a good understanding of people’s needs and how they should be met. Since the last inspection a new assisted bath has been fitted in the home. This enables people to receive the support they need in a more dignified manner. People are supported to attend a range of health services, including GP, nurse, dentist, and optician. Details of consultations are recorded, including any advice given by the practitioner. People have been supported to complete a ‘my health’ assessment in consultation with the community nurse, which identifies whether any additional health services are needed. 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 15 Medication is securely stored in a locked cabinet and most tablets are supplied in a monitored dosage system. A record is kept of medication coming into the home and returned to the pharmacist for disposal. The medication administration record for the current month was inspected and had been fully completed. All staff administering medication have received training and the manager reported additional training has been provided by the supplying pharmacist since the last inspection. None of the people who live in the home are currently able to administer their own medication. 4 Seafarer`s Walk DS0000064985.V361234.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): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. EVIDENCE: The home has a complaints procedure, which is provided to all people living at the home. The complaints procedure has been provided in a pictorial format to make it more accessible. People spoken with during the visit said they would speak to staff if they wanted to complain and were confident that any complaint would be taken seriously. All five surveys completed by people who use the service or on their behalf said they know who how to express they are not happy and how to make a complaint. The manager reported that the home has not received any complaints in the last year. We have not received any complaints about the home since the last inspection. Staff have completed training in safeguarding adults procedures. Staff spoken with demonstrated a good understanding of the action they should take if abuse is witnessed, reported or suspected. There is a policy and procedure on safeguarding adults and the prevention of abuse. The manager is a signatory for the bank accounts for all people who live in the home. Records are kept of all transactions, which are regularly checked by the organisation to ensure they are accurate. The money for one person was 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 17 checked during the visit and the recorded balance matched the money held for them. Records were available of withdrawals from the account and these matched the bank statements. Money is individually stored in the home’s safe. 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 18 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): Standards 24, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment has been improved and the home is now well maintained and provides a clean, comfortable and safe environment for people. EVIDENCE: Three requirements were made following the last inspection concerning repairs to the bathroom and kitchen and safe access to the garden. These requirements have all been met. All of the communal areas of the home and garden were inspected during the visit. Since the last inspection the bathroom and kitchen have both been refurbished. A new accessible bath has been fitted, as well as a new accessible shower unit and flooring in the bathroom. The kitchen has been refitted, with new units and flooring. A fence has been built in the garden, to enable people who use wheelchairs to safely use a flat area and prevent injuries from a steep slope. Since the last inspection people’s bedrooms have been re-decorated and some of the furniture has been replaced. This was done in consultation with people and bedrooms have now 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 19 been personalised. All five surveys completed by people who use the service or on their behalf said the home was kept clean and fresh. The home has a domestic laundry that is situated in a utility room. The home is clean throughout. Hand washing facilities are suitably situated in the kitchen, laundry, toilets and bathrooms. The home has infection control procedures in place. 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 20 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): Standards 32, 33, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained, deployed in sufficient numbers and there are good systems to check staff before they work in the home. This helps to keep people safe and ensure staff can meet their needs. EVIDENCE: Three requirements were made following the last inspection concerning reviewing of night staffing levels, recruitment checks for staff and records of staff inductions and training. These requirements have all been met. The manager reported that three of the twelve staff have achieved the National Vocational Qualification (NVQ) at level 2 or above and four are due to start the award in September. Staff members were observed spending time listening to people who live in the home. Staff spoken with said they felt there were sufficient staff on each shift to provide the support that people need. All seven staff who completed a survey for us said there were enough staff to meet the individual needs of people who live in the home. This was also reported by the staff member spoken with during the visit. Since the last inspection the manager has reviewed the 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 21 deployment of staff overnight. Following this review, it was considered that having one awake member of staff was sufficient, due to changes in the needs of two people who live in the home and a reduction of incidents of ‘challenging behaviour’. CIC also runs a similar service from the next door property and the emergency plan for night time support includes calling a member of staff from the other service who is sleeping and on-call. The manager reported in the annual quality assurance assessment that all staff who have worked in the home over the last twelve months have had satisfactory pre-employment checks. The files of five members of staff were inspected, including a member of ‘bank’ staff. All had written references on file and confirmation that a Criminal Records Bureau (CRB) disclosure had been obtained. The home has an on-going training programme and staff reported that they receive good training, which helps them meet people’s needs. Staff training records indicated people had completed an induction based on the skills for care common induction standards. New members of staff reported that they had completed this induction, with one person reporting that it was “excellent”. Training courses included medication administration, first aid, safeguarding adults, food hygiene, moving and handling, crisis prevention intervention and fire safety. The manager has identified where there are gaps in people’s training and planned courses throughout the year. 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 22 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): Standards 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, which helps to keep people safe and there are good systems to make improvements to the service based on the views of people who live there. EVIDENCE: Since the last inspection the manager has applied for and been granted registration by us. During this process the manager demonstrated the skills and knowledge necessary to run a care home and her suitability for the job. Staff spoken with said they thought the manager was very supportive. During the visit the manager demonstrated her desire to learn more and ensure the service continues to improve. The manager is currently completing the NVQ 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 23 level 4 in care and is due to start the registered manager’s award in September. During the visit a manager from another CIC service was visiting the home on behalf of the provider to assess the quality of the service that is being provided. These visits happen every month and reports are made and sent to the manager. The reports contain a list of any actions that are needed and an update of actions that were required in the previous report. Part of this assessment includes action that has been taken to comply with requirements in inspection reports. CIC completes an annual survey of people who live in the home, relatives, staff and other stakeholders. The responses to these surveys are collated and used to plan improvements to the service. In addition to these company wide surveys, the manager also receives feedback from people and uses it to ensure the service improves. CIC also uses an external quality assurance system, the Business Excellence Model. This process involves submitting information for assessment of how the service is operating. A requirement was made following the last inspection that the home must implement a quality assurance system. This requirement has been met. The manager reported in the annual quality assurance assessment that the electrical system, fire detection and fighting equipment and gas system are regularly serviced and maintained. These records were sampled during the visit and confirmed the manager’s report. 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 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 3 X 3 X 3 X X 3 X 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 4 Seafarer`s Walk DS0000064985.V361234.R01.S.doc Version 5.2 Page 27 - 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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