Care Home: Autism Plus Limited

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• The Cornerstone
• John Street Nursing Home
• Pennine Camphill
• Whitwood House
• Whitwood Hall

What the care home does well The service is well established, and staff were well trained to meet peoples needs. Staff were able to communicate effectively with people and there was good interactions between staff and people who use the service in various settings. All people using the service were involved in some form of day care provision, and a range of activities, this was confirmed when speaking to people, who gave examples e.g. swimming, visits to local gyms and horse riding. Staff confirmed that people were encouraged and supported to make decision about everyday tasks and they supported people to be able to participate in their choice of activities whenever possible. Management and staff were working hard to improve standards and ensure that people using the service were well cared for and protected. Contact with families was supported and maintained. Advocacy services were available and were used on a regular basis. What has improved since the last inspection? The organisation has continued to improve the development and provision of service to ensure effective outcomes for people who use the service, some examples of improvement had been seen on this visit. Increased staffing levels had improved the facility to ensure that people had person centred care plans in place. What the care home could do better: Whatever management structure the organisation proposes, they need to appoint a registered manager for the service. Ensure that all staff receive supervision on a regular basis and receive fire safety updates at the required frequency. Continue to support staff to ensure there is a minimum ratio of 50% of staff trained to NVQ Level 2 or equivalent as soon as possible. CARE HOME ADULTS 18-65 Autism Plus Limited St Nicholas Road Thorne Doncaster South Yorkshire DN8 4AG Lead Inspector Janet McBride Key Unannounced Inspection 28th November 2007 09:30a Autism Plus Limited DS0000007974.V349785.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 Autism Plus Limited DS0000007974.V349785.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. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Autism Plus Limited Address St Nicholas Road Thorne Doncaster South Yorkshire DN8 4AG 01405 812128 01405 815209 NONE None Autism Plus Limited 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) Post Vacant Care Home 33 Category(ies) of Learning disability (33) registration, with number of places Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd June 2006 Brief Description of the Service: Autism Plus (Formally Thorne house) provides care and accommodation for thirty three young adults with Autism. The organisation is a registered charity, and is run from central offices located at Fieldside Court in the centre of Thorne. The residential services are provided in five properties that are all in easy reach of each other, in the town of Thorne. Autism Plus as a main unit located in its own grounds. It is divided into five self-contained flats and in total offers places for eighteen young adults. Each flat has its own front door and there is a central lobby that visitors to the units can utilise. Along side this is the four-satellite home, Bellwood Crescent and Alexandra Road are in the heart of the community and Rusholme and Hillcrest are on St Nicholas Road both being next door to each other. Each accommodation has single bedrooms and shared communal facilities. Each operating as a domestic household. Staff, are allocated to specific homes that had facilities for record storage and sleep-in rooms where appropriate. Fees range from £1137:00 to £3500:28 as at December 2007, fees are calculated dependent on needs e.g. 1 to 1 staffing required. The fees cover a number of items e.g. holidays, outings, client training and various therapies. Additional charges are made for, toiletries, mobile phones, sweets and some activities e.g. bowling. For further information contact the service. The central office is located at Fieldside Court were people, famlies and visitors and are able to access lots of information about the service and care provision, including the last published inspection report. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this Key Unannounced Inspection, which started on 28th November 2007 over two days, for 14 hours. The service is registered for thirty three places. Prior to the inspection the head of service submitted an Annual Quality Assurance Assessment this gives information regarding the service and care provided. Pre-inspection work was carried out on the information received and other relevant documentation, for example analysis of statutory notifications and complaint records. During the inspection documentation and records were examined, for example medication, complaints, accident records, staff rotas and staff training files. Two care plans were cross-referenced with other relevant documentation relating to those people who use the service, to evaluate how well their care needs were met. A tour of all five premises and direct observation of staff interaction with people who use the service was carried out throughout the visit. Information was gathered from as many different individuals as possible that had contact with people who use the service, including individual interviews with three members of the management team and eight members of staff. We sent out surveys prior to the inspection, six were sent to people who use the service, four were received back. Three were sent to relatives, two were received back, three were sent to professionals who had contact with the home and one was received back. They were asked to comment on the standard of care, staff skills, attitude, and how the needs of people using the service needs were met. We would like to thank all the staff, relatives and people receiving services within the home for their co-operation in the inspection process. Any issues or concerns that were raised were discussed with the manager at the end of the inspection. What the service does well: Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 6 The service is well established, and staff were well trained to meet peoples needs. Staff were able to communicate effectively with people and there was good interactions between staff and people who use the service in various settings. All people using the service were involved in some form of day care provision, and a range of activities, this was confirmed when speaking to people, who gave examples e.g. swimming, visits to local gyms and horse riding. Staff confirmed that people were encouraged and supported to make decision about everyday tasks and they supported people to be able to participate in their choice of activities whenever possible. Management and staff were working hard to improve standards and ensure that people using the service were well cared for and protected. Contact with families was supported and maintained. Advocacy services were available and were used on a regular basis. 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. Autism Plus Limited DS0000007974.V349785.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 Autism Plus Limited DS0000007974.V349785.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): 1&2. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People that use the service had information about the home and services provided. People were individually assessed prior to admission to ensure their needs would be met. EVIDENCE: People were provided with information about the service and care they would receive in appropriate format. All surveys received confirmed that people who use the service were provided with sufficient information prior to using the services. Care plans showed that people within the service had been assessed before being placed into any of the care services. People were introduced into the services at a slow pace taking into account background history of the person, risk assessments and a detailed plan of care that reflected any specialist interventions. The scale of charges was discussed with management and any extras that people pay for, are documented on page five of this report. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 &10. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Care plans provided staff with sufficient information to meet the needs of people who use the service. People were assisted and supported by staff to make decisions and choices about all daily living needs. EVIDENCE: Two care plans were checked and discussed with key workers. People had person centred care plans that set out in detail healthcare, personal and social care needs in an individual plan of care. This ensured that staff deliver the care required and peoples needs were identified and met. Some people have profound Autism with an inability to imagine and think laterally, with other people not having any social skills, therefore at times could display unacceptable behaviour’s. Staff support people to make decisions, communicate and behave appropriately at the correct level. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 10 Some people had a higher level of ability and were able to express wishes and make choices. People were encouraged and supported by staff to make decision about everyday tasks. Advocacy services were available and were used on a regular basis. Care plans contained at lot of information about each person for example pen picture, limit of skills, likes and dislikes. Communication file showed the limit of communication, what methods are used and what support was needed. Some people do have the input of speech and language therapy services. Who advised staff with what communication methods to use for each person. People were supported in taking risks as part of an independent lifestyle, therefore risk assessments were in place to minimise any identified risks or hazards. These plans stated what support was needed for each individual person, and contained approaches and strategies to deal with any issues or concerns. Confidentially was discussed with staff members, all aware of information about people was handled in confidence and that records are kept in secure facilities. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 &17. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. The services provided, promoted and encouraged development of social and practical skills. This ensured that people had the opportunity to participate in leisure activities and live as part of the community. People were offered a wholesome and appealing balanced diet with a varied selection of food available to meet people’s tastes and choices. EVIDENCE: Through speaking to people who use the service, staff and examination of records showed that staff supported people to have the opportunity to learn and use practical skills, no matter how small a task may seem, for example making their own packed lunches for day care, and helping to make their own bed. People were encouraged to continue with education and development of employment skills if the individual as that potential. Each person had a weekly activities chart, which was planned in advance. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 12 The organisation had a fleet of vehicles to facilitate these activities and outings. The majority of people spend some of their time outside of the home, and had opportunities to mix with other people who have the same disability at various events, for example at disco’s holidays and outings. Parental contact was maintained and supported at an agreed level and in accordance to the needs of the individual person. Parents were kept informed of any issues, concerns and developments. Most people go home for overnight, weekend stays or holidays on a regular basis. Discussions with management, staff and people who use the service said that routines of the home were flexible, to suit the needs of each person. However it was identified that some people benefited from a structured routine Menus and meals were discussed with people using the service and staff, who said they were offered a varied selection of food to meet people’s tastes and choices. People said they enjoyed helping with the cooking and went shopping with staff to buy food and help plan meals for each week. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 &20. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People’s health is monitored and arrangements for dealing with health issues were met with support from health professionals. Medication policies and procedures were well managed ensuring the safe administration of medication. EVIDENCE: Care plans showed that people’s health was monitored and staff had access to health care facilities, such as dentist, optician and any relevant specialists that were necessary, for example psychology and speech and language therapist. The OK health check was used for assessing and planning health care needs. Records clearly showed that people were assisted and support by staff to make decisions and choices about all daily living needs. Detailed information of peoples personal care needs, this included people’s wishes and preferences, and when staff provided personal support in daily routines. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 14 Staff were able to describe care needs of each person, and when they required the input of either GP or district nurses, also aware of any restrictions on privacy, for example danger when bathing alone. Risk assessments were in place to identify any risks and how they can be managed. Records are maintained of current medication for all people within the service. Records were checked at the main house, all were found satisfactory with good recording systems in place. Last year the service developed a method for taking medicines on home leave with a policy and procedure for staff to follow. This continues to be working well, medicines are dispensed in blister packs in a blue wallet, which is tagged for security. Stock within the wallet is checked when the person goes on leave and checked back in again when they return. All stocks are recorded and signed for then re-tagged. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 &23. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. The complaints procedure was accessible and displayed within the home. Policies and procedures were in place on adult protection, this promoted and protected people who use the service. EVIDENCE: There was a comprehensive complaints procedure, this is an appropriate format and was accessible to people. All surveys confirmed that people were aware of the complaint procedure and knew how to make a complaint. Complaint records showed that the service had received three complaints in the past year, these had been recorded, responded and investigated in an efficient and thorough manner. Policies and procedures were in place regarding the protection of vulnerable adults. All staff had checks completed before being employed for example Criminal Record Bureau (CRB) Protection Of Vulnerable Adults (POVA) checks. Staff confirmed they were aware of abuse polices and procedures, and staff were able to describe the action they would take on receiving any allegations. This ensured people who use the service were safe and protected. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 16 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): 24,25,26,27 &30. People who use the service experience Adequate outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Most areas of the organisation ensured that people who use the service lived in a comfortable and well-maintained environment, with the exception of the bathroom facilities in the main house, which affects these outcomes. EVIDENCE: A tour of all sites within the organisation took place, the main house, which is divided into five self-contained flats, and four community houses. Each accommodation had single bedrooms and shared communal facilities, all operating as a domestic household. Each person had their bedroom decorated and furnished to their own choice, some individuals choose minimal furnishings and decor, and this can be due to their disability and sensory perception. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 17 All of the areas seen looked well maintained, decorated, clean and tidy. Furnishings and fittings provided were in good condition and most sites looked very homely. Each house had its own budget for decoration and refurbishment, and a number of areas had been upgraded or redecorated. However the main house belongs to South Yorkshire Housing Association (SYHA), along with two of the community homes. Issues had always been raised in the past regarding the property belonging to SYHA, who would not refurbish some areas. The organisation have entered into a discussion with SYHA to purchase the main house, this would allow them upgrade facilities as they wish. Bathrooms and toilet facilities in the community homes are well maintained, but the main house bathrooms need refurbishing. The organisation continue to complete minor repairs and had made them look more homely, this property belongs to SYHA and are not willing to refurbish bathrooms at the present. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 18 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 outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. A stable staff group which ensured continuity of care by staff that know the people who use the service. Staff had the skills and knowledge to fulfil their roles. Recruitment policies are followed ensuring the safety and protection of people who live at the home. EVIDENCE: Staffing was discussed with both the management and staff members. The organisation had recruited a number of new staff, staff that were spoken to appeared to be competent and worked positively with people to improve their quality of life. There were recruitment and selection procedures including an equal opportunities policy. All the required employment checks have been undertaken prior to staff being employed, including Criminal Record Bureau (CRB) Protection Of Vulnerable Adults (POVA) checks. This ensured people who use the service were safe and protected. Staff files that were checked were excellent, they were well organised and contained a front sheet checklist to ensure all required information was obtained and kept. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 19 All staff were employed on a probationary period, and received a performance review of their work and skills at three six and nine months. Development and training records were checked and discussed with staff. Training is linked to the services aims and objectives, each member of staff had an individual file, a number of these were examined. These showed what qualifications staff had achieved for example a number of staff had completed Learning Disability Award Framework (LADAF) and achieved National Vocational Qualification level 2 in care (NVQ) training. These records also showed when staff had completed mandatory training and refresher training. The organisation is aware of the requirement to have 50 of care staff trained to NVQ level 2 and are working towards this. All staff said that the organisation offered excellent training opportunities. Supervision had improved for some staff, who had received formal supervision on a regular basis, but not all were receiving this on a regular basis. Staff confirmed that training and development was discussed at supervision sessions, including any care issue that they raised concerns about. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 &42. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. The organisation had good policies and procedures in place to protect and safeguard people who use the service, they continue to make improvement in the provision of services to ensure effective outcomes for people. EVIDENCE: Management structure of the services was discussed with various members of the management team. At the present day-to-day responsibility for the entire group homes and main house continues to be the group manager. The organisation intended at the last inspection to appoint two registered managers for the service. This was discussed with the management team and advised them that whatever management structure they propose, this needs putting in place as soon as possible to promote consistency within the service. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 21 Quality monitoring within the service continues to improve, Regulation 37 incident forms had been received on a regular basis along with Regulation 26 visit reports. Various meeting, all of which minutes were available to examine. Internal and external questionnaires had been sent to parents and relatives to gain their views on the care and services received, these are to be collated and published for people to read. Health and safety and safe working practice were discussed with management and some members of staff during the visit. Examination of some records indicated that all appropriate fire safety is carried out as required. Training file showed the majority of staff had received training and updates in first aid, moving and handling, health and safety and fire training, some staff required updates in fire safety, however evidence was seen that this was organised for the next two weeks. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 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 3 26 3 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 4 35 4 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 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 X 2 X 3 X X 3 X Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA37 Regulation 7 8(1) Requirement The registered provider must appoint an individual to be the registered manager. (Timescale of 01/10/06 not met). Timescale for action 31/01/08 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 3 Refer to Standard YA32 YA36 YA42 Good Practice Recommendations A minimum ratio of 50 of staff should be trained to NVQ Level 2 or equivalent as soon as possible. All staff should receive supervision on a regular basis. Staff should receive fire safety updates at the required frequency. Autism Plus Limited DS0000007974.V349785.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Autism Plus Limited DS0000007974.V349785.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!