Care Home: Alinthia House Care Home

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What the care home does well The people using the service had their care needs had been assessed and they had been reassured that their needs could be met, right from the start of their stay in the home. People had been offered the opportunity to visit the home before moving into the home on a more permanent basis and had received information about the services provided. People using the service had their health, personal and social care needs fully met. People were involved in decisions about their lives, and played an active role in planning the care and support they received. Care planning and assessment records were well maintained and people felt well cared for. People said "I am very happy with the care given to me," "All round very good" gives all round attention, "excellent care" and "brilliant at meeting my needs". Medication administration systems in the home were good so that staff dealt with peoples` medication safely and reliably. People enjoyed a varied lifestyle, which met their expectations and satisfied their needs. People who used the services were able to make choices about their life style, and were supported to develop their skills. Social, educational, cultural and recreational activities met most people needs and expectations.People enjoyed an appealing, varied diet in pleasant open surroundings, at a time that suited them. People said that the meals were "excellent" and that there was "always a choice". People felt listened to and able to raise any concerns, and complaints and know they would be dealt with. The Staff were trained, skilled and competent and been subject to rigorous recruitment checks. This meant that people were well cared for by staff who were suitable to work with vulnerable people. People lived in a comfortable, clean well -maintained house, which offered a range of facilities and was safe. People lived in a well managed home, with the manager, owners and staff team, working together to provide a stimulating, safe environment that respected and protected peoples` rights. Surveys from people living there said "a small residential unit giving a family feel in a friendly manner", and "it provides a homely and caring environment. What has improved since the last inspection? This is the first inspection of the home since registration with the Commission What the care home could do better: On some occasions some entries in documents were not as specific as they could have been. For example `check skin`. This did not specify what skin area or what they were checking. Records should be detailed and specific so that all staff have the information they need to care for peoples needs. The manager and owner had reviewed and updated a range of information for staff in policies and procedures, including health and safety and risk assessments for the premises. The manager said that she was continuing to update these documents, as some had been created by the previous manager and now needed updating and extending. These documents should be updated and extended as planned. The managers` facilities could be improved. The room currently being used is not really suitable as the room was cluttered and office furniture crammed into a corner. This room should be cleared and a more working space be made available to the manager. This would assist her in having a private place to complete management tasks such as extending policies and procedures and general record keeping. CARE HOMES FOR OLDER PEOPLE Alinthia House Care Home 28 Keyberry Road Decoy Newton Abbot Devon TQ12 1BX Lead Inspector Andrea East Unannounced Inspection 20th June 2008 13:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Alinthia House Care Home Address 28 Keyberry Road Decoy Newton Abbot Devon TQ12 1BX 01626 355169 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) mike@alinthia.orangehome.co.uk Mr Michael Peter Hall Mrs Althea Joy Hall Manager post vacant Care Home 7 Category(ies) of Old age, not falling within any other category registration, with number (7) of places Alinthia House Care Home DS0000070867.V360947.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 providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category (Code OP) The maximum number of service users who can be accommodated is 7. First inspection of the home Date of last inspection Brief Description of the Service: Alinthia House is a detached property set in well-maintained grounds near to local shop, facilities and parks. The accommodation provides homely, comfortable communal and private rooms for up to seven older people. The service users guide and statement of purpose are available on request. Fees range from £380.00 to £420.00 per week. Alinthia House Care Home DS0000070867.V360947.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 inspection site visit was carried out over one day. A range of documents including staff and individuals’ files, policies and procedures were examined. People were spoken to in the homes lounge and in private rooms and members of staff were also spoken with. The homes manager was present throughout the inspection. The homes owners were also present for part of the inspection. Feedback about the home was also received by post in survey questionnaires, in the homes Annual Quality Assurance Audit, and by the homes own quality assurance system. What the service does well: The people using the service had their care needs had been assessed and they had been reassured that their needs could be met, right from the start of their stay in the home. People had been offered the opportunity to visit the home before moving into the home on a more permanent basis and had received information about the services provided. People using the service had their health, personal and social care needs fully met. People were involved in decisions about their lives, and played an active role in planning the care and support they received. Care planning and assessment records were well maintained and people felt well cared for. People said “I am very happy with the care given to me,” “All round very good” gives all round attention, “excellent care” and “brilliant at meeting my needs”. Medication administration systems in the home were good so that staff dealt with peoples’ medication safely and reliably. People enjoyed a varied lifestyle, which met their expectations and satisfied their needs. People who used the services were able to make choices about their life style, and were supported to develop their skills. Social, educational, cultural and recreational activities met most people needs and expectations. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 6 People enjoyed an appealing, varied diet in pleasant open surroundings, at a time that suited them. People said that the meals were “excellent” and that there was “always a choice”. People felt listened to and able to raise any concerns, and complaints and know they would be dealt with. The Staff were trained, skilled and competent and been subject to rigorous recruitment checks. This meant that people were well cared for by staff who were suitable to work with vulnerable people. People lived in a comfortable, clean well -maintained house, which offered a range of facilities and was safe. People lived in a well managed home, with the manager, owners and staff team, working together to provide a stimulating, safe environment that respected and protected peoples’ rights. Surveys from people living there said “a small residential unit giving a family feel in a friendly manner”, and “it provides a homely and caring environment. What has improved since the last inspection? What they could do better: On some occasions some entries in documents were not as specific as they could have been. For example ‘check skin’. This did not specify what skin area or what they were checking. Records should be detailed and specific so that all staff have the information they need to care for peoples needs. The manager and owner had reviewed and updated a range of information for staff in policies and procedures, including health and safety and risk assessments for the premises. The manager said that she was continuing to update these documents, as some had been created by the previous manager and now needed updating and extending. These documents should be updated and extended as planned. The managers’ facilities could be improved. The room currently being used is not really suitable as the room was cluttered and office furniture crammed into a corner. This room should be cleared and a more working space be made available to the manager. This would assist her in having a private place to complete management tasks such as extending policies and procedures and general record keeping. Alinthia House Care Home DS0000070867.V360947.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. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The people using the service were confidant that their care needs had been assessed and that their needs could be met, right from the start of their stay in the home. The services provided did not include intermediate care. EVIDENCE: Two files holding a range of information were examined. Files held preadmission assessments on peoples, needs, preferences and details of how people wished to be cared for. People said that they had been offered the opportunity to visit the home before moving into the home on a more permanent basis. The manager, said that people were welcome to stay in the home on a probationary period, to ensure that they settled into the home and were happy Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 10 with the services provided. This had included a tour of the building, lunch and the opportunity to talk to staff and some of the people living at the home. People received information about the services provided, through informal discussion and in a contract of ‘terms and conditions.’ A service users and statement of purpose was also available. So that people had received a range of information about the home and had a chance to talk about there individual needs before moving into the home. The owner said that initially information about peoples needs, on referral to the home, had often been sparse. This had meant in the early days of the service starting and the home opening, people being assessed needed much more care than initially released. The owners said that they learned through these experiences and were very clear about the kind of care needs they could meet. They had developed more detailed pre admission assessment records to make sure that the full extent of peoples needs were considered before they stayed in the home. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People using the service had their health, personal and social care needs fully met and this was set out in an individualised plan of care. People were involved in decisions about their lives, and played an active role in planning the care and support they receive. People were treated with dignity and respect and their privacy was upheld EVIDENCE: Two files, including a range of information, on peoples needs were examined. Care Plans and assessments were well completed and included information focused on people’s needs and preferences. The assessment process included asking people what name they wished to be called by and what routines they wanted to continue with: for example what time people wanted to get up and what time they wanted to go to bed. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 12 Assessments also included detailed medical histories, personal safety issues, including any history of falls and any mental health concerns or considerations. On some occasions some entries were not as specific as they could have been. For example ‘check skin’. This did not specify what skin area or what they were checking. Record should be detailed and specific so that all staff have the information they need to care for peoples needs. The staff and manager said that the home was so small and staff and the people living there knew each other so well, that sometimes they were not specific in the records simply because they already knew how that person was being cared for. People said that they felt well cared for by staff and that they were asked about how they wished to be cared for. Ongoing daily records such as diaries, communication books, reviews of care plans and daily evaluations showed constant consideration to peoples changing needs. Records also included information on health professionals visits. Staff described peoples’ needs and preferences and demonstrated a gentle, flexible approach in meeting peoples’ needs. Surveys returned to the Commission from relatives, service users and staff said “I am very happy with the care given to me,” “All round very good” gives all round attention, “excellent care” and “brilliant at meeting my needs”. Medication administration systems in the home were good. Medication was stored safely and administered by staff who knew the medication policy and procedures well. People said that staff dealt with their medication safely and reliably. Medication records examined were well maintained and the manager and staff looked for ways to continually improve medication systems. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People’ s lifestyle in the home met their expectations and satisfied their needs. People who used the services were able to make choices about their life style, and were supported to develop their life skills. Social, educational, cultural and recreational activities met individual’s expectations. People enjoyed an appealing, varied diet in pleasant open surroundings, at a time that suited them, with attentive considerate support from staff. EVIDENCE: People said that friends and family were welcomed into the home at any time. On the ay of the inspection family and friends were visiting people in the lounge and peoples private rooms. Visitors spoken with said that they were always made welcome and often stayed all day at the home. Several people described the home as a “normal large home” “home from home” where “we can do what we like, when we like”. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 14 People said that they preferred to follow their individual activities for the day, such as shopping with friends rather than planned structured activities. Surveys from the people using the service also said that people preferred to spend time on their own and didn’t want group activities. The homes Annual Quality Assurance Audit also acknowledges this “most of our service users decline to take part in activities and are most happy to spend time in their room.” A range of documents including care plans and ongoing daily records showed how those people using the service were encouraged to maintain links outside of the home and with families and friends. Staff described how people were supported to make day- to- day choices in care, for example; in making sure that people wore their favourite accessories to, people deciding how they wished to spend their time. The people using the service praised the quality of the meals provided and said that they were pleased with the level of choice of menu on offer. Lunch was served as the main meal of the day. Staff said that there was always a choice of menu and people were welcome to have visitors join them for lunch. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who used the service were able to express their concerns, and complaints and suggestions from those using the service, relatives or other visitors to the home were treated seriously. People were protected from abuse, and had their rights protected. EVIDENCE: The people using the service said that they felt able to talk to all the staff including the manager and owners about any concerns issues or worries. There was a format for writing down formal complaints, which included recording the outcome of the complaint and how it was resolved. The owner said that they had received no complaints and that day- to -day minor issues, such as extra pillows or change of a bulb, were dealt with immediately. We had received no formal complaints about the home. Staff records showed that care staff had received training in issues relating to the protection of vulnerable adults. The homes Annual Quality Assurance Audit said that they ensured people were protected from abuse by “staff training on safeguarding adults and monitoring and recording of any changes with individuals. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People lived in a well -maintained house, which offered a range of facilities and was comfortable, clean and safe. EVIDENCE: Alinthia presented as a spacious and family home. The environment provided people with, good -sized bedrooms, bathrooms equipped for the use of persons requiring assistance and comfortable, homely communal rooms. T he home also had we kept gardens that the people living at the home said they enjoyed. On touring the premises the home appeared to be clean, tidy and comfortable. The lounge and dining areas presented as pleasant, welcoming areas, that the people using the service were observed enjoying, as they were using these Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 17 areas to socialise in. People were chatting in the lounge with staff, visitors and the other people living at the home. Surveys the people living at the home said the home “was always clean and bright. The manager and owner had reviewed and updated a range of information for staff in policies and procedures, including health and safety and risk assessments for the premises. The manager said that she was continuing to update these documents, as some had been created by the previous manager and now needed updating and extending. All areas of the home including peoples’ individual rooms had been personalised with items of furniture, photographs and ornaments. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people using the service, were supported by Staff, who were trained, skilled and competent. Staff had been subject to rigorous recruitment checks. The numbers of staff employed in the home meets peoples’ needs. The home does not provide waking night staff. EVIDENCE: The people using the service described the staff as kind and caring and one survey said; “everyone is kind and helpful”. The manager, owners and staff said that they supported staff to complete a range of training based on the needs of the people using the service. This included training in key areas such as infection control, health and safety and first aid. Staff training records and supervision records for staff showed that staff had completed internal and external training. This included staff completing National Vocational Training in Care at level two or above. A sample of staff files were examined and they included completed application forms, interview notes, proof of identity, reference and police checks. Staff files also held details of staff induction into the home, staff supervision and any Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 19 disciplinary action the home had taken. These records demonstrated the homes commitment to ensuring that only those suitable to work with vulnerable adults were employed in the home. The numbers of staff employed in the home is very small, as the manager and owners are part of the care team and day- to-day running of the home. The owners, manager and staff team said that the home is run like a “extended family”. This meant that the staff, owners and manager completed care, laundry and catering tasks often while chatting to the people in the home. For example; the kitchen is next to the dining room so while staff cooked, people sat in the dining room and chatted to each other and the staff who popped in and out of the kitchen. Staff said that they enjoyed working at the home, although the mixed role meant that they were sometimes busy. Surveys from staff said Alinithia “puts residents needs first and supports its staff”. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People lived in a well managed home, with the owners, manager and staff team, working together to provide a stimulating, safe environment that respected and protected peoples’ rights. EVIDENCE: The home was well managed by the owners, manager and staff team who worked together with the people living at the home to make sure that people received the services they wanted. Since purchasing the home the manager initially registered with the Commission had left the home. The new manager had an application with the Commission to register as manager for the home. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 21 The manger had a range of training and skills that she had continued to update to ensure that good care practices were carried out. Surveys from staff said “it is a well run home”. People said that they felt safe and that what they wanted or were concerned about someone in the home would “always sort out”. Throughout the visit to the home people repeatedly said that the home “was well run and they “enjoyed living here”. Surveys from people living there said “a small residential unit giving a family feel in a friendly manner”, and “it provides a homely and caring environment”. Records required to be kept on the management of the home and the care people received were well completed and regularly reviewed and updated. This included risk assessments for the premises and for individuals’ specific needs. The owners keep themselves up to date with health and safety issues. For example one of the owners had completed training on how to make electrical checks on electrical equipment. So that electrical equipment in the home would be routinely checked. Peoples’ finances and personal allowances were well managed by the home. People were supported to manage their own finances with support of relatives and outside advocates such as solicitors. The manager’s office is suited in the sleeping in room for the staff who sleep in overnight. This is not really suitable as the room was cluttered and office furniture crammed into a corner. This room should be cleared and a more working space be made available to the manager. This would assist her in having a private place to complete management tasks such as extending policies and procedures and general record keeping. Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP19 Good Practice Recommendations Records should be more detailed and specific so that all staff have the information they need to care for peoples needs. Information for staff in policies and procedures, including health and safety and risk assessments for the premises should be updated and extended as planned. The manager’s office suited in the sleeping in room should be cleared and made a working space available to the manager. 3 OP31 Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Alinthia House Care Home DS0000070867.V360947.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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