Care Home: Chimneys Residential Care Home

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What the care home does well The Chimney`s continues to provide a homely and comfortable environment for the people living there. Chimneys is maintained to a high standard both internally and externally. The owner/manager promotes the resident`s independence on a continuous basis and support is given according to each individuals needs. Residents are encouraged to participate in activities both within the extended family environment and also within their own personal and social lives.From discussions with the owner / manager and looking at the care plans and risk assessments in place, it was evident that she had a good knowledge and understanding of both residents needs and the support they required What has improved since the last inspection? The standard of support and care provided to the residents at Chimneys remain high. Any changing needs are addressed promptly to ensure they can be met. The manager strives to ensure the needs of the residents are met and takes prompt and appropriate action to address any changing needs. Since the last inspection The Chimneys had been redecorated throughout What the care home could do better: The manager should review and record the quality of care and services provided by the home on a formal basis. CARE HOME ADULTS 18-65 Chimneys Residential Care Home 135 Chellaston Road Shelton Lock Derby Derbyshire DE24 9DZ Lead Inspector Angela Kennedy Unannounced Inspection 11th October 2007 01:30 Chimneys Residential Care Home DS0000001969.V347458.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 Chimneys Residential Care Home DS0000001969.V347458.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. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chimneys Residential Care Home Address 135 Chellaston Road Shelton Lock Derby Derbyshire DE24 9DZ 01332 702247 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) Mr Thomas Williamson Mrs Ruth Anne Williamson Mrs Ruth Anne Williamson Care Home 3 Category(ies) of Learning disability (0), Mental disorder, registration, with number excluding learning disability or dementia (0) of places Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th September 2006 Brief Description of the Service: The Chimneys is a small domestic home where residents are part of the Proprietors family. The premise is a detached bungalow, which has been adapted and extended. The home is in a residential area of Shelton Lock, close to local shops and a bus route. The home provides personal and social care for up to 3 persons aged 18 to 65 years with mental health and leaning disability needs. The home has 3 single bedrooms. Residents have their own lounge. The Fees at Chimneys are dependent on individual’s assessed need and at the time of this report ranged from £321 to £365 per week. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took place over approximately four hours. Key inspections take into account a wide range of information and commence before the site visit by examining previous reports and information such as any reported incidents. The site visit is used to see how the service is performing in practice and to meet with the people using the service. The inspection was focused on assessing compliance with defined key National Minimum Standards. The commission had requested the service to complete an Annual Quality Assurance Assessment and the information provided within this assessment has also been used within this inspection report. One of the residents that lived at the Chimneys was at home throughout this inspection visit and the inspector spent some considerable time chatting with this resident. The other resident was spoken with on their return from day service. At this inspection both of the people that lived at the Chimneys were case tracked. Case tracking is a method used to track the care of individuals from the assessments undertaken before they are admitted to a service through to the care and support they receive on a daily basis. This includes looking at support plans and other documents relating to that persons care, talking to staff regarding the care they provide and if possible talking to the individual. Both the people living at the Chimneys completed care home surveys and the information provided in these surveys has been used to inform this report. What the service does well: The Chimney’s continues to provide a homely and comfortable environment for the people living there. Chimneys is maintained to a high standard both internally and externally. The owner/manager promotes the resident’s independence on a continuous basis and support is given according to each individuals needs. Residents are encouraged to participate in activities both within the extended family environment and also within their own personal and social lives. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 6 From discussions with the owner / manager and looking at the care plans and risk assessments in place, it was evident that she had a good knowledge and understanding of both residents needs and the support they required 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. Chimneys Residential Care Home DS0000001969.V347458.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 Chimneys Residential Care Home DS0000001969.V347458.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. To ensure that The Chimney’s can meet the individual needs of each resident, their needs are assessed before they move into the home. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: Our residents are assessed and individual care plans are designed and tailored to meet their needs. On the day of the inspection visit: Since the last inspection one of the residents that was living at the home has now moved out, as due to changing needs this person now required alternative care. The manager had informed the Commission of her concerns and the incidents and assessments undertaken that had led to this decision. Two residents were living at Chimneys at the time of this inspection visit. One of the residents had been living at The Chimneys since 2004 and a detailed needs assessment had been undertaken prior to moving in. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 9 This assessment was detailed and looked at all areas of physical and mental health needs, personal care strengths and needs, cultural and faith needs, family and social contact, assessment and management of risk and meaningful day time opportunities. The other residents had been living at the home for many years and therefore a detailed pre- admission assessment was not seen. However from the care plans, risk assessments and discussions held with the owner / manager it was evident that a good knowledge and understanding of the strengths, needs and support needs of this residents were in place. Both of the residents confirmed that they were asked if they wanted to move into the home and both confirmed they received enough information to help them decide that it was the right place for them to live. Chimneys Residential Care Home DS0000001969.V347458.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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Personal strengths and needs were reflected within the residents care plans. Support was provided to enable residents to make decisions regarding their lives and take reasonable risks, which promotes an independent lifestyle. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: We deliver a high standard of quality care and accommodate individual needs and choices. A rehabilitation progress plan continues in our establishment, by means of aims, objectives and goals. This exercise encourages our client’s fundamental and physical development and assists them to reach their full potential, which re-instates their self-esteem and self-confidence, and in gaining their independence they feel a valued person. On the day of the inspection visit: Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 11 Records were in place to demonstrate the daily events and activities undertaken by both residents. Both of the resident’s personal files were looked and care plans were in place, which detailed the strengths and support needs of each resident, and how these needs were to be met. Both residents had signed their care plans, which demonstrates their agreement with their care plan. All care plans were reviewed on a six monthly basis or sooner if residents needs changed. Risk assessments were in place within both of the resident’s files and clearly detailed any areas of risk and how these were to be managed. Both resident’s managed their own finances and were provided with lockable storage facilities in which to keep small amounts of spending money. Evidence was in place to demonstrate that both residents where supported and encouraged to make choices and decisions about their daily lives. Both resident’s accessed the local community and the owner/manager discussed the varying activities and interests of the residents. Both resident’s were encouraged to maintain their independence and support was provided as required. Discussions with one of the residents supported that activities were undertaken within the community; sometimes these were done independently and on other occasions with the owner/ manager, such as shopping trips, church services, visits to the local shops and meals out. Chimneys Residential Care Home DS0000001969.V347458.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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s personal development was promoted and community activities were encouraged. Links were maintained with family and the meals provided were enjoyed. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: Our residents are welcomed into a relaxed warm and friendly environment, set in a safe structured framework in a comfortable surroundings which operates as a family unit A normal lifestyle is created around our residents, which is fulfilled with every day interests and daily individual living. Residents are encouraged to Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 13 participate in out of the home interests of their choice and attend church interests and following their religious beliefs. As a small family group we offer garden parties, with our family members, trips into town for personal shopping. We provide escorts to clinical appointments and six weeks free holiday with the proprietors at their holiday home at Skegness. On the day of the inspection visit: Both residents accessed activities outside of the home as part of their weekly routine this included day centres, drop in centres and evening clubs. Other social leisure pursuits included regular attendance at the local church for services and social events, visits to relatives, shopping trips and meals out, holidays at the coast with the owners and family get-togethers such as BBQ’s and parties. The owner/manager confirmed that relatives and friends were always welcome at The Chimneys and one resident visited their family on a regular basis. The daily routines at The Chimneys were kept to a minimum and promoted the residents’ independence and choice as much as possible. The residents’ had their own sitting room and a kitchen area to prepare drinks and snacks as they wished. Residents also had their own bedrooms and their own shared bathroom. Although the providers had their own private areas, which were respected by the residents, it was clear that the residents and the providers lived together as an extended family and the atmosphere was relaxed and homely. One resident who was at home throughout the inspection spoke highly of the manager/ provider and discussions with her supported that she considered The Chimneys to be her home, in which she felt secure and happy in. Records were in place regarding the meals provided at The Chimneys and these records demonstrated that a varied and nutritionally balanced diet was provided. The owner/manager confirmed that meals were cooked for the residents within the main kitchen; the residents also had a smaller kitchen area in which they were able to prepare snacks and drinks as they wished. Both residents confirmed they enjoyed the meals provided. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 14 Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 15 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): 18,18,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health care and personal needs of both residents was met ,with the appropriate support given as required. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: All health needs are met. All appointments are followed up accordingly, this includes; dental, optical, chiropody and annual health checks. Residents are supported with selecting the correct clothing and verbal communication is given in a manner that is clear and understood by residents. On the day of the inspection visit: Residents’ required minimal support within their personal care, but any support required had been appropriately assessed and was given as required. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 16 The appearance of both residents was well groomed and reflected their own individual taste and style, and the clothing worn appeared well laundered. Resident’s health care needs had been assessed by the appropriate professionals and addressed as required. Both residents were registered with a local G.P and evidence was in place to demonstrate that all health care needs had been assessed and support given in ensuring these needs were met. Routine health care screening was also made available to the residents. Records were in place of health care visits undertaken. The medication practices at the home were examined and found to be satisfactory. All records seen demonstrated that medication was administered as prescribed. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 17 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 good. This judgement has been made using available evidence including a visit to this service Residents were confident that their views would be listened to and acted on should they have any concerns and the practices in place protected residents from abuse. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: We have a written policy in which we endeavour to resolve complaints within two weeks. On the day of the inspection visit: The complaints procedure was seen and was satisfactory. No complaints had been made since the last inspection and the Commission has not received any complaints about the care and services provided at Chimneys since the last inspection. Both residents were spoken with regarding knowing how to make a complaint and discussions supported that both residents would speak with the owner/manager if they had any concerns either at home or outside of the home. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 18 Both residents also confirmed that there were other people, either at their day placement or at the support groups that they attended, that they could talk with if they had any concerns. Local authority procedures for responding to suspicion of abuse were in place and the owner/ manager had a good understanding of the safeguarding adults procedure, and since the last inspection visit has undertaken the local authority training in Safeguarding Adults. No adult protection referrals had been made by the service or by the Commission since the last inspection. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 19 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): 24,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Chimneys provides a domestic home setting for resident’s that is well maintained, comfortable and attractive in appearance. Good standards of hygiene and maintenance are kept. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: No information provided On the day of the inspection visit: The Chimneys provides a comfortable, bright and clean environment with suitable light, heating and ventilation. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 20 A planned maintenance and renewal programme was in place for redecoration of the home and this demonstrated that high standards of maintenance were kept. Since the last inspection The Chimneys had been redecorated throughout. As stated in Standards 11-17 the residents’ had their own sitting room and a kitchen area to prepare drinks and snacks as they wished. Residents also had their own bedrooms and their own shared bathroom. All areas of the home that were for residents use, where accessible including the garden area, which provided a private and well-maintained environment. Good standards of hygiene were kept throughout the home and the infection control measures in place were satisfactory. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence including a visit to this service. Residents are supported and protected by competent and trained staff. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: The registered manager provides support to residents on a full time basis 24 hours a day as required and is supported by one part time member of staff. The part time member of staff is working towards NVQ2 in care. . On the day of the inspection visit: The owner /manager of The Chimneys has the skills and experience required to meet the needs of the resident group. One family member is employed at The Chimneys on a part time basis, although this person was not on duty on the day of this inspection visit. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 22 It was confirmed by the manager that this member of staff is at present working towards a National Vocational Qualification in care at level 2. Satisfactory Criminal records bureau checks were in place for the registered manager, registered provider and this member of staff. Evidence was in place to demonstrate that mandatory training was updated as required. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 23 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. Residents’ benefit from a well run home that is run in their best interests, this will be better demonstrated once quality assurance and quality monitoring systems are in place. EVIDENCE: The written information provided by the registered manager prior to this inspection visit stated: All of the required safety checks had been undertaken as required and a policy for infection control was in place. On the day of the inspection visit: Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 24 The manager of The Chimneys has the skills and experience required to meet the needs of the resident group. From discussions with the manager it was stated that the manager was in the process of enrolling on a course to undertake NVQ Assessor training, this was to support the family member who worked at The Chimneys on a part time basis, who was working towards an NVQ 2 in care. The manager indicated that following this qualification she intended to enrol on training to undertake the Registered Managers Award. Both of the residents spoken very highly of the manager and from observation it was clear that the relationship between the manager and the residents was comfortable and relaxed. At the last few inspection visits one requirement had been made about the Quality Assurance systems in place at The Chimneys. This relates to records being kept to demonstrate how the views of the residents are actively sought and how their opinions influence the running of the home. The manager confirmed that this requirement had not been met, although from discussions with the residents’ it was clear that regular meetings and informal chats took place between the residents and the provider/ manager. Discussions took place with the manager and residents as to how a quality assurance system could be implemented to demonstrate that residents’ views are actively sought and influence how their home is run. The Chimneys continues to be well managed and all the required health and safety checks are maintained such fire safety checks, recording of fridge and freezer temperatures twice a day, maintenance of electrical systems and electrical equipment and a Gas Safety certificate. First aid certificates were in place for the manager and the member of staff that worked part time. The guidance regarding care homes providing first aid has recently been amended and allows services to undertake a first aid risk assessment specific to their individual service. Information pertaining to the factors that can be taken into account and the criteria for who can be regarded as a qualified first aider were given to the manager at this inspection visit. However if a risk assessment is not in place the Commission will require that someone who has undertaken a suitably approved first aid at work qualification be on duty at all times. Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 4 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 26 YES 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 YA39 Regulation 24 Requirement Formal quality assurance procedures for reviewing the quality of care and services at the home must be developed (Previous timescale of 31/08/04 and 32/12/05 and 31/03/06 and 31/12/06 not met) Timescale for action 01/03/08 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. Refer to Standard YA37 Good Practice Recommendations Consideration should be given to undertaking NVQ Level 4 and the Registered Managers Award Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Chimneys Residential Care Home DS0000001969.V347458.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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