Care Home: Blakesley House

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What the care home does well The home provides continuous assessment of individuals needs. Co-workers are knowledgeable about the needs of people who use the service. People using the service have a range of daily activities that they are actively supported to participate with. People using the service are supported to access community resources. Meals are always freshly prepared, healthy and use home grown ingredients where possible. Meals are shared with co-workers providing a family environment that is relaxed and comfortable. The home is maintained to a high standard and people using the service have access to individual rooms that reflect their personal preferences. Communal areas enable a range of activities to be undertaken within a family setting. The co-workers show a high level of commitment to the work and bring a range of skills to support individual`s needs. There is a good handover process between volunteers that leave the service after their period of service at the home. This ensures continuity of support. What has improved since the last inspection? A review of the care plans has taken place to ensure these reflect the choices and preferences of people using the service. Records are more detailed and meet standards. CARE HOME ADULTS 18-65 Blakesley House Blakesley House 2 High Street Blakesley Towcester Northants NN12 8RE Lead Inspector Judith Roan Unannounced Inspection 2nd July 2008 10:30 Blakesley House DS0000062174.V367863.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 Blakesley House DS0000062174.V367863.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. Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blakesley House Address 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) Blakesley House 2 High Street Blakesley Towcester Northants NN12 8RE 01327 860412 clivewblakehouse@phonecoop.coop William Blake House Vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home will restrict its services to people within the Learning Disability (LD) category. The total number of services users in the home must not exceed 3. Service users must be between the ages of 18 - 65 years Date of last inspection 10th May 2006 Brief Description of the Service: Blakesley House is part of a group of houses managed by William Blake House based on a shared community. 2 High Street is a large family house that provides accommodation for three people with a Learning Difficulty and accommodation for the volunteer team. A senior member of the volunteer team lives at the house on a long term basis with co-workers many of whom are volunteers from overseas usually staying within the service for approximately a year. Blakesley is a small village close to Greens Norton and 5 miles from the small rural town of Towcester. The house is on three floors and has a large family kitchen with a separate dining room and lounge that is splitlevel. All people using the service have individual bedrooms that are located on both ground and first floor. There is access to a range of bathing facilities within the home that meet their needs. Adjoining the house is a large meeting room that is used for activities and community meetings. There is a large kitchen garden where produce is grown for use within the service. Fee levels range from £1766 to £2230 Blakesley House DS0000062174.V367863.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 focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views of the service provided. This process considers the services capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting 2 people who use the service and tracking the care they receive through review of their records, discussion with them, the support staff and observation of care practices. The homes acting manager completed an Annual Quality Assurance Assessment (AQAA) a questionnaire required by CSCI. The AQAA provides an overview of how the provider monitors the service and essential data relating to people who use the service and staff. The inspection was unannounced and was undertaken during the morning and afternoon lasting 6 hours. We received four surveys from co-workers. That provided positive views about the service and living within the community. Since the last inspection in May 2006 an annual service review has been undertaken that did not change our view of the service. We spent time within the day to undertake a Short Observational Framework Inspection (SOFO). This looks at the ways people are supported who have difficulties in communicating verbally and how they are actively engaged within the service and activities. The assessment demonstrated that people using the service are supported at all times by an individual co-worker. There are positive relationships built between people using the service and the co-worker team. The assessments showed that the service is person centred and that people using the service interact well and are supported to communicate their needs. This summary is also produced in an accessible document and available from the homes manager and can be found on the CSCI website. What the service does well: The home provides continuous assessment of individuals needs. Co-workers are knowledgeable about the needs of people who use the service. People using the service have a range of daily activities that they are actively supported to participate with. Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 6 People using the service are supported to access community resources. Meals are always freshly prepared, healthy and use home grown ingredients where possible. Meals are shared with co-workers providing a family environment that is relaxed and comfortable. The home is maintained to a high standard and people using the service have access to individual rooms that reflect their personal preferences. Communal areas enable a range of activities to be undertaken within a family setting. The co-workers show a high level of commitment to the work and bring a range of skills to support individual’s needs. There is a good handover process between volunteers that leave the service after their period of service at the home. This ensures continuity of support. What has improved since the last inspection? What they could do better: Continue the development of the service. The care plans and associated documents must be stored safely and remain accessible for co-worker to use. The provider must review the site of the controlled drugs cabinet to ensure that they are safely stored and meet the new regulations that came into force in 2007. The provider must ensure that all volunteers working within the community have all of the required employment checks undertaken prior to them taking up the position. Please contact the provider for advice of actions taken in response to this Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 7 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. Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People using the service are fully assessed to ensure that service can meet their needs. EVIDENCE: Since the last inspection there has been a move of people using the service within the William Blake House group of services in the area to ensure that the needs of people are better served. The move ensured that the needs of individuals are compatible and enhance their opportunities. All three people living at the service were fully assessed prior to the move and care was taken to ensure as little disruption was made in their daily routines. The additional needs of one person using the service have been highlighted within this process and steps are being taken to provide more specialist support with their communication and continuity of support. There has been no change to the statement of purpose & service users guide that have been inspected on previous inspections. The admission procedures ensure that people are given time to test-drive the service to ensure that needs can be met. Blakesley House DS0000062174.V367863.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support plans are person centred and demonstrate full involvement of people using the service. EVIDENCE: Care plans are now in place for people who use the service and are reviewed weekly to ensure that all co-workers are updated with changes. The weekly meeting was observed during the inspection and co-workers brought issues relating to the needs of people using the service for discussion. People using the service are supported to attend part of the meeting to ensure that they are included within the decision making process for future activities and events. These regular forums ensure that there is continuous development. Good communication between co-workers ensures that information is shared appropriately. The files that are stored within the lounge need to be kept more secure to ensure that confidentiality is maintained. The outcomes for people using the service support are positive and that needs are being met within the systems in place at the home. In discussion with the acting manager they outlined additional measures that were to take in supporting one person using the service with their communication needs. It had been agreed that a worker Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 11 would be engaged who had specific experience in the area of communication. In observation of practice and discussion with co-workers it was evident they are very knowledgeable about the needs of the people they support. All the co-workers confirmed that there induction included a minimum period of 3-4 weeks working alongside another experienced co-worker until they has demonstrated that they were competent and confident in meeting people’s needs. Feedback from families all confirmed that they pleased with how their family members progress. Risks within activities are undertaken and co-workers ensure that the appropriate level of support is available to ensure safety and to develop independence within activities that is related to an individual’s ability. There is a central files that contained comprehensive risk assessments related to a range of activities. People using the service are encouraged to be as independent as possible with appropriate support. In this way people using the service are included within activities and not excluded because of any behaviour that may arise. We selected two people to be observed for the Short observational framework assessment. As people moved around the home it was decided to spend most of the time observing the mid day meal. People using the service were supported actively by co-worker to enjoy their meal and were included within the conversations within their ability to participate. Blakesley House DS0000062174.V367863.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A wide range of personal, educational and social options are available and promote individual development EVIDENCE: Individuals have a weekly activities programme that is updated to take account of various events and personal choices. New activities are tried out to extend the choices and experiences for each person. Since moving into the service all of the individuals had become fully involved in activities within and outside of the home. During the period of observation it was noted how individuals were supported with everyday activities around the house to enable them to be included and to take on joint responsibility for their environment and their belongings. Careful planning is undertaken for all activities to ensure that people who use the service and co-workers are protected and enjoy the experience. Experiences are good and varied. It was noted that several people have work opportunities and are supported to experience community facilities. All people Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 13 using the service attend church and there is regular access to a local health spa. The planned holiday for this year is a trip to Centre Parcs. Staff were observed to assist people in planning the activities on this trip. People using the service do not prepare the meals but are supported to observe and to take part within their capabilities. Individuals are supported at mealtimes according to their needs. Throughout the inspection the inspector observed positive work with people using the services using strategies noted within the care plans in supporting people with behaviours that challenge. The midday meal was freshly cooked and healthy. Individuals are supported to make healthy choices and have a balanced diet, with opportunities to have the occasional not so healthy treat, like the celebration birthday cake for a coworker. Co-workers have a good understanding of the needs for people who use the service and use the meal times to develop communication skills with each other. Meals were seen to be an important social event at the home. Religious traditions are incorporated within mealtimes with everyone confirming their thanks for the food. There is negotiation between individuals so that meal times can be arranged around social activities and needs. The standard of food prepared at the home is high being produced from fresh produce. A food diary is kept to ensure that a balanced diet is provided. Families commented on how good the communication has been with them and that the acting manager and the team of co-workers kept them informed and involved. Blakesley House DS0000062174.V367863.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 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 are positively supported to access local and specialist healthcare services. EVIDENCE: People using the service are supported to have regular health checks and there is evidence on files that healthcare appointments are made. The AQAA confirms that people using the service ‘ receive personal support in the way they prefer and require. Promoting privacy, dignity and independence. The residents physical and emotional health needs are met. ‘ ‘The residents are protected by William Blake House Policies and Procedures for dealing with medication’. ‘We have regular visits from a pharmacist, who helps us to review our Policies and Procedures for dealing with medication’. Personal support is provided in a discreet manner and with people using the service preferences being a top priority. Medical profiles for people who use the service are clear to ensure that coworkers have up to date information about a medical condition and prescribed medication. All medication is stored in a locked facility and records are maintained. Only co-workers that have undertaken certificated training administer medication. The staff files provided evidence to confirm this. Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 15 Observation of care practice indicates that safety is maintained. The provider needs to seek appropriate advice on the storage of controlled drugs since the change in the regulations last year that requires all care homes to have facilities in place. All incidents are recorded on file to show how the manager/co-workers have reviewed practice to minimise future risks. All incidents are reported to the CSCI with there being positive communication between the inspector and acting manager detailing outcomes. Blakesley House DS0000062174.V367863.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Practices within the service fully protect people who use the service and ensure that they are listened to. EVIDENCE: The service has comprehensive policies and procedures in relation to handling concerns and complaints. People who use the service are observed to ensure concerns are noted and brought to the attention of the acting manager through the weekly meetings. Co-workers undertake abuse awareness training as part of their induction/ foundation training. We checked out their understanding during the inspection, which was good. There has been one complaint since the last inspection that was fully investigated by the acting manager. It was found that all regulations had been met and that complaint did not understand the structure of the service and how the volunteers contract operated. The acting manager and responsible individual have worked closely with all co-workers and the independent supervisor to ensure that co-workers are kept fully informed about the ongoing operation of the service and how their roles work in the best interests of people using the service. Families are aware of the complaints procedures and would raise any concerns they had with the acting manager or responsible individual. Blakesley House DS0000062174.V367863.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): 24,25,26,27,28,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a warm family setting with individual space that is well maintained clean and hygienic. EVIDENCE: The home was converted into a residential unit several years ago and is decorated to a high standard. The home provides an environment that reflects normal family life. There are adequate rooms to enable everyone to have their own personal space. The home also provides living accommodation for all coworkers who support people using the service. All people using the service have single rooms with good access to family style bathrooms across all floors. Several communal areas are used for joint activities and each bedroom has sufficient room for personal hobbies. The AQAA states that ‘There is an activity room attached to the main house that is used for community activities and meetings.’ It is evident that this room brings together members of the William Blake community for cultural events Individual bedrooms are personalised, comfortable and well maintained. People using the service are supported in maintaining their rooms to a high standard Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 18 of cleanliness and safety. It was evident during the inspection that daily living tasks are completed with people using the service and that no activity is undertaken without their involvement. There is a family size kitchen that is large enough for people who use the service to assist or sit comfortably and be part of meal preparations. The dining room can accommodate all of the people living at the home where meals are eaten as a family. The garden provides areas for relaxation when the weather is fine. People using the service are supported and encouraged to play an active role in its maintenance. Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff skills and recruitment practices do not fully ensure that the needs of people who use the service are protected. EVIDENCE: The co-worker team have a sound knowledge base about the needs of people that use the service. Through observation during the inspection the staff team showed that they had a range of skills to support individuals and were proactive in developing everyday living skills. Since the last inspection the inspector has received a complaint about employment practices within the service relating to conditions of work. In reviewing the files of co-workers it was noted that all but one, recruitment check had been undertaken. One file did not contain references. In discussion with the acting manager it was established this had been on oversight as the person had been originally employed to support with a private childcare arrangements when the family lived in at the home via an agency. A requirement is made to ensure that there is compliance. All other files all contained application forms, two references, identity checks and an enhanced criminal record bureau disclosure. In discussion with the manager it was established that improvements could be made in relation to references to ensure that one was sought from the previous employer. Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 20 Files confirmed that co-workers have completed induction and other core training. The co-workers are initially engaged for one year through Voluntary Services Overseas with an option to stay longer. At the exchange time normally in August & September new co-workers arrive before one leaves which enables the period of handover. The introduction period normally last for three to four weeks so that they gain full knowledge about the needs of all people using the service at the home. Experienced team member’s check out the competency of new co-workers. There are always sufficient co-workers on duty to provide 1-1 support for individuals. Levels of support are increased for outside activities and holidays. Training is available for all co-workers. Everyone receives basic training and further opportunities are available for individuals who remain within the service. Supervision is undertaken at two levels one with an independent advisor who looks at the role of the co-worker and living within the service. The acting manager provides Day to day support and individual support with work related issues. Blakesley House DS0000062174.V367863.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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is person centred and effectively managed in their best interests. EVIDENCE: The acting manager and responsible individual effectively manage the home in the best interests of people who use the service and the support workers. The acting manager has begun the registration process to become the Registered manager. There are several internal meetings within the service that focus on person centred care and enable people to voice their views and choices. These meeting look at the overall management of the service with independent consultants providing support as required. Feedback is an important part of the quality assurance system and there are several opportunities for families to express their views on behalf of people who use the service. Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 22 The acting manager is developing the services policies & recording systems The AQAA states that there is ‘On going review and development of policies and procedures’. The provider has undertaken all health and safety checks required. The AQAA confirms that ‘the environment is well maintained and safe’. Blakesley House DS0000062174.V367863.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 4 2 4 3 4 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 4 28 4 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 2 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 2 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 3 X 3 X X 4 X Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 24 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. 1. Standard YA34 Regulation 19 Requirement All volunteers working within the community must have all of the required employment checks undertaken prior to them taking up the position so that people who use the service are protected. Timescale for action 31/08/08 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. Refer to Standard YA10 YA20 Good Practice Recommendations A review of how Service user files are stored needs to be undertaken by the Registered Manager to fully meet this standard. It is strongly recommended that the provider review the medication storage at the home to ensure that they are meeting the new regulations in relation to controlled drugs that came into force in 2007. Blakesley House DS0000062174.V367863.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bo stocks Lane Nottingham NG10 5QG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 Blakesley House DS0000062174.V367863.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. 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