Care Home: Beckly House

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What the care home does well This was a very positive first inspection of Beckly House. There is a warm, homely and lively atmosphere in the home with staff and people living at the home working together as a team. People said that they enjoy living at Beckly House and are very satisfied with the services and facilities provided. The staff are well trained and provide assistance to people in a manner which promotes independence and dignity. People living at the home said that the staff always treat them well and relationships between everybody are relaxed and friendly.The home is well managed and the manager is committed to ensuring that people living at the home and the staff contribute to the decision making processes. People are protected by the recruitment procedures, which makes sure that all the necessary checks are carried out before staff are employed. This makes sure that only suitable staff are employed in the home. The home is well maintained throughout and furnished and fitted to a good standard. All of the bedrooms are spacious and equipped with en-suite facilities. People are encouraged to personalise their own rooms and they are obviously very proud of their personal possessions People live active and varied lives and are very much part of the local community and make use of a wide range of social and recreational facilities. What has improved since the last inspection? Not applicable as this is the first inspection of the home. What the care home could do better: The manager of the home has identified several areas for development. The introduction of Person Centred Planning, which looks at all areas of a person`s life, would give people greater involvement in identifying their care needs and goals and aspirations. The possibility of employment for some people living at the home needs to be explored to improve their self esteem and to develop new social skills. To make sure that support is given in a consistent manner by suitably qualified staff 50% of the workforce must be qualified to National Vocational Qualification (NVQ) level 2. CARE HOME ADULTS 18-65 Beckly House 56 Cooper Lane Shelf Halifax West Yorkshire HX3 7RG Lead Inspector Cheryl Stovin Key Unannounced Inspection 8th January 2008 11:00 Beckly House DS0000070304.V357375.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 Beckly House DS0000070304.V357375.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. Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beckly House Address 56 Cooper Lane Shelf Halifax West Yorkshire HX3 7RG 01274 606350 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) beckly@woodleigh-care.co.uk Isand Ltd Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC; to service users of the following gender: Either; whose primary care needs on admission to the home are within the following category: Learning disability - Code LD. The maximum number of service users who can be accommodated is: 7 N/A 2. Date of last inspection Brief Description of the Service: Beckly House is registered to provide accommodation and care for up to seven adults with a learning disability and associated challenging behaviours. The home is situated in a residential area close to the village of Shelf. There is easy access by public transport to the centres of both Halifax and Bradford. The home is indistinguishable from neighbouring properties and is well maintained throughout. All bedrooms are for single occupancy and all are equipped with en-suite facilities. There are spacious and comfortable communal areas, which are furnished and fitted to a high standard. People’s weekly charge is subject to the level of care required. Beckly House DS0000070304.V357375.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 Two Stars. This means the people who use this service experience good quality outcomes. This report brings together evidence gathered during the Key Inspection of Beckly House. This included a visit we made to the home on 8th January 2008. A total of six hours were spent on the visit. During this visit we looked round the building looked at records and talked to people living and the home and to management and staff. In addition comment cards were sent out to give people an opportunity to share their views of the service with us. Four people living at the home returned their surveys, one relative and two health care professionals also responded. This was the first inspection of the home since it was registered and no additional visits have been made. The purpose of the inspection is to make sure that people receive the care and support they need and that they and their families are satisfied with the service. An Annual Quality Assurance Assessment (AQAA) completed by the home was returned promptly and gave useful information. We would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: This was a very positive first inspection of Beckly House. There is a warm, homely and lively atmosphere in the home with staff and people living at the home working together as a team. People said that they enjoy living at Beckly House and are very satisfied with the services and facilities provided. The staff are well trained and provide assistance to people in a manner which promotes independence and dignity. People living at the home said that the staff always treat them well and relationships between everybody are relaxed and friendly. Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 6 The home is well managed and the manager is committed to ensuring that people living at the home and the staff contribute to the decision making processes. People are protected by the recruitment procedures, which makes sure that all the necessary checks are carried out before staff are employed. This makes sure that only suitable staff are employed in the home. The home is well maintained throughout and furnished and fitted to a good standard. All of the bedrooms are spacious and equipped with en-suite facilities. People are encouraged to personalise their own rooms and they are obviously very proud of their personal possessions People live active and varied lives and are very much part of the local community and make use of a wide range of social and recreational facilities. 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. Beckly House DS0000070304.V357375.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 Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are assessed before moving into the home to make sure that the home can meet their needs. EVIDENCE: Everybody is fully assessed before moving in to make sure that the home can meet their needs. People are encouraged to visit the home several times before moving in to give them an opportunity to meet the staff and other people living at the home, and to sample the daily routine. Relatives said that they get enough information about the care home to help them make decisions. Health care professionals who returned a comment card said that the assessment arrangements ensure that accurate information is gathered and that the right service is planned and given to individuals. The assessment process is on-going with detailed involvement from the person using the service and their relatives and fellow professionals. Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 9 Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s current needs are recorded in their care plan to make sure that support is given in accordance with their needs and preferences. People are fully involved in all aspects of daily life within the home and are encouraged and supported to be as independent as possible. EVIDENCE: All seven people’s care records were looked at. The care plans are detailed and clearly show how people prefer to be supported in their daily routine. The care plans are completed with the people living at the home. This helps staff to understand the person as a whole, and contains details of people’s abilities, likes and dislikes, interests and family history. The care plans are detailed and give very clear instructions as to how the individual prefers the care to be given and the routines to follow from the beginning to the end of the Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 11 day. The care plans contain what time people like to get up and what routines they like to follow during the day. Everybody’s care plans are reviewed every month by a ‘catch up’ meeting which is held on a one to one basis with their key worker. This meeting identifies areas for development and goals and aspirations that people have, and details who will do what to help meet the goals set. The manager said that there are plans to introduce more person centred planning systems in the near future which will involve people even more in the planning of their support needs. Health care professionals made the following comments in their surveys: “They provide a very supportive role and ensure that the service user’s needs are fully met”. “I feel that this is a good service and the support provided is of a good standard”. “They listen to advice from other professionals/people who know the service user well”. “They adjust the care plans/approach to meet individual needs”. “Their person centred planning could be improved, but as this is a new service this may be improved in the future”. Detailed risk assessments are in place, which are reviewed on a regular basis, this makes sure that risks are minimised and people are kept safe. The risk assessments include any potential risks both in and out of the home including the use of public transport. People are encouraged to participate in the day to day running of the home and join in all activities of daily living. Staff and everybody living at the home appeared to be working together as a team. All personal information about people is held securely which respects people’s privacy. One health care professional said in their comment card: “Meetings are always conducted in private and all files are locked in the office”. Beckly House DS0000070304.V357375.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): 11,12,13,14,15,16,17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People enjoy active and varied lifestyles and participate in a wide range of community activities. EVIDENCE: The atmosphere in the home is homely and welcoming. People are very much part of the local community and make use of a wide range of social and recreational facilities. Some people go to college and day centres. People are encouraged to maintain and develop their own interests and to learn new skills. One person particularly enjoys going to bingo and staff have made sure that they have the opportunity to do so on a regular basis. In addition to community activities most people enjoy some hobby or activity in the home. On the day of the visit some people were baking and decorating a birthday cake for a member of staff who was coming on duty. Another person was enjoying doing arts and crafts and some people were going to the local pub to enjoy live entertainment. Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 13 The manager is currently looking at possibilities for employment for some of the people living at the home to improve people’s self esteem. Everybody is in the process of choosing their summer holiday. Brochures and ideas are posted on the notice board in the entrance hall to give people a choice of the type of holiday they would like to go on. People said in their surveys that they make decisions about what they do each day. One person said “I’m happy about the things that I do here”. One relative said “X goes out much more than before and mixes well with the other residents”. One health care professional said “My client has started to plan and access a wide range of activities”. People are encouraged to keep in touch with their family and friends and the relative said in their survey that the home always keeps them up to date with important issues affecting their relative. There is an emphasis on healthy eating in the home. Everybody takes turns to cook the meals with staff support. The menus are decided on at the weekly residents meeting which makes sure that everybody has the chance to cook their favourite meals. The main meal of the day is in the evening and on the day of the visit sausage and mash was being prepared. People said that they enjoyed being able to choose and cook their meals. Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health care needs are met and personal care is given in accordance with their preferences. People are protected by the safe medication practices. EVIDENCE: People’s personal support needs are assessed and form part of their plan of care. People’s physical and psychological health care needs are assessed and detailed in their individual support plans. All personal care is given in private, and people were seen to be treated with dignity at all times. People living at the home said that they are treated well and staff spoken to were able to demonstrate a thorough understanding of people’s needs. A recognised health care monitoring document for adults with a learning disability is completed for everybody living at the home and a health action Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 15 plan drawn up. Everybody has a health care planner, which makes sure that people attend regularly for dental, optical and foot care appointments. The home uses a Monitored Dose System (MDS) for the administration of medication. Stocks are held securely and records of medication administered are accurately completed. All staff have received training in the administration of medication. Nobody currently handles their own medication although facilities are available for people to keep their medication safely if they are able and wish to do so. Everybody has an individual medication profile which details what the medication is prescribed for and any possible side effects. To make sure that any medication prescribed to be given ‘as required’ is administered safely everybody has individual written guidelines. Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the adult protection procedures, which the staff understand and put into practice. This makes sure that people living at the home are safe. EVIDENCE: The home has a complaints procedure. All of the people living at the home and the relative said in their surveys that they knew how to make a complaint about the care provided by the home. People living at the home said that they would speak to “my key worker”, “the manager” or “my advocate” if they were unhappy about anything in the home. Staff training records showed that all staff undertake Protection of Vulnerable Adults (POVA) training. Staff I spoke to demonstrated an awareness of the protection of vulnerable adults, and of the procedure to follow if they witnessed or suspected that people were not being treated properly. Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,28,30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well maintained and clean environment which suits their needs. EVIDENCE: Beckly House is situated in a residential area close to the centre of the village of Shelf. There are shops and local facilities within walking distance. A full tour of the building was undertaken which showed that the home is well maintained throughout and furnished and fitted to a high standard. All bedrooms are for single occupancy and all people benefit from the en-suite facilities provided. People are encouraged to personalise their own rooms and one person proudly showed me her room, which was stacked with her treasured belongings. She told me that she really enjoys living at Beckly House and is very pleased with her room. Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 18 All bedroom doors are fitted with locks and a lockable facility is provided for people to keep their belongings safe. Communal areas are spacious and comfortable and consist of a well fitted kitchen, large lounge, conservatory and dining area. There is plenty of room for social activities to take place. The home is furnished in a contemporary style suitable for the people living there. People said that the home was always fresh and clean. People living at the home help to keep it that way. One person said: “my home is always clean and fresh and I get help from the staff to do my room”. There are well maintained and easily accessible gardens for people to enjoy in the warmer weather. There is a smoking area on the patio for people wishing to smoke. People told me that they were looking forward to helping in the vegetable plot which is being developed. There are well equipped laundry facilities where people are assisted to wash and dry their clothes. Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff, and are protected by the rigorous recruitment practices. EVIDENCE: There are sufficient staff on duty to meet the needs of the people living at the home. There are five support workers on duty, plus the manager, during the day and at night there is one waking night staff and one member of staff sleeping in. The staff team work flexibly to meet the social and recreational needs of people. The staff appeared to work together as a team and relationships with people living at the home were observed to be relaxed and friendly, with appropriate use of informality and humour. People living at the home said the staff were “very good”, and that the staff always treat them well. One relative made the comment: Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 20 “My son has not been at Beckly House very long, but the time he has been there we have no complaints and he has settled in ok and likes it”. The health care professionals said in their surveys that the staff have the right skills and experience to support individuals’ social and health care needs. They also made the following comments: “Staff have followed advice given and are working well with a client group with complex needs”. “I have always seen the staff to be professional and competent”. There is a commitment to staff training in the home with all staff required to undertake training to LDAF (Learning Disability Award Framework) specification. There is an induction training programme in place which meets the common induction standards to Skills for Care specification. Mandatory training for staff includes, restraint and control, fire awareness, first aid, health and safety, food hygiene, moving and handling and safe handling of medication (for senior staff). Staff said that they enjoy and appreciate the amount of training provided. Three of the team leaders have the National Vocational Qualification (NVQ) level 3 in care and two support workers have the NVQ level 2. To make sure that people receive consistent support from a competent and qualified staff team all are required to undertake NVQ training. As staff complete a satisfactory probationary period they will be registered to complete the NVQ level 2 or level 3 award. The staff recruitment files of six recently appointed support workers were seen. All of the files contained CRB (Criminal Records Bureau) and POVA (Protection of Vulnerable Adults) disclosures. Two written references, an application form and proof of identity were also in place. This makes sure that only suitable people are employed at the home. There are plans to involve the people living at the home in any future recruitment of staff. Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41,42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well run and managed service. People’s health and welfare is protected by the home’s health and safety practices. EVIDENCE: The Registered Manager of the home is experienced and competent to manage the home. He is qualified and has just completed the NVQ level 4 Registered Managers Award. The management team are committed to ensuring that an open and positive atmosphere is prevalent in the home. The manager was seen to be very Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 22 approachable during the visit and welcoming the opinions of people living at the home and the staff team. All people have their own bank accounts and financial procedures are in place to make sure that people’s money is handled safely. There is a commitment to health and safety and safe working practices in the home. All staff receive mandatory health and safety training with regular updates. Fire drills are carried out on a regular basis and all staff receive fire safety training. Detailed risk assessments are in place which are reviewed and updated on a regular basis. Certificates were seen which showed compliance with gas and electrical regulations. People are routinely consulted about how the home is run and any suggestions for improvement are acted on promptly. There is a formal quality assurance system in place to make sure that people are satisfied with the service provided. The last survey showed that people living at the home, their relatives and fellow professionals were highly satisfied with the service provided by Beckly House. The collated results of this survey are displayed on the notice board in the entrance of the home. Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 3 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 x 28 3 29 x 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 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 x 3 3 3 Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 24 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA6 YA32 Good Practice Recommendations To make sure that people are fully involved in planning their care work should continue in developing Person Centred Planning. To make sure that people receive consistent care from qualified staff 50 of the staff team must be qualified to National Vocational Qualification (NVQ) level 2. Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Beckly House DS0000070304.V357375.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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