Care Home: Clarendon Beechlands

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What the care home does well The service supports some people with complex needs and is able to modify the support it offers as their needs change. People who live in the home who spoke to us said that they were satisfied with the support they get and said that they were happy living at Clarendon Beechlands. One person said that they had got well because they had lived at the home. People are satisfied with the quality of the food saying that there is plenty of choice and that it is "very good", the only complaint being that "you get too much sometimes." People also have the opportunity to make their own breakfasts and hot drinks. Menus show that people who live in the home get a well balanced diet. The manager and staff support the people who live in the home to keep in touch with their families and friends. This may include taking people to visit their relatives or supporting elderly relatives when they visit Clarendon Beechlands. Assessment procedure and practice is well developed, so that the service knows it can meet people`s needs before they move in. People are also given the opportunity to visit the home and meet their key worker before making a decision to move. What has improved since the last inspection? People`s support plans are regularly reviewed and reflect their changing needs. Protocols are in place which state under what circumstances people should be given medication prescribed to be taken `as required`. What the care home could do better: Assessments must be in place for people who administer their own medication and the system for reviewing their ability to continue to do this safely must be clearly documented. Several people who live at Clarendon Beechlands smoke, and currently they have to do this outside, whatever the weather. More suitable provision should be made for these people. There have been some changes in the Regulations about how certain drugs (called controlled medication) should be stored in care homes. This means that the people who own Clarendon Beechlands must make sure that the home has a special metal cabinet, fixed to a solid wall so that they can store these drugs if any of the people living in the home need to take them in the future. CARE HOME ADULTS 18-65 Clarendon Beechlands 28 Central Avenue Clarendon Park Leicester LE2 1TB Lead Inspector Ruth Wood Unannounced Inspection 9th December 2008 11:00 Clarendon Beechlands DS0000006306.V373472.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 Clarendon Beechlands DS0000006306.V373472.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. Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clarendon Beechlands Address 28 Central Avenue Clarendon Park Leicester LE2 1TB 0116 2703968 0116 2703968 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) info@prime-life.co.ukwww.prime-life.co.uk Prime Life Ltd Ms Mary Crane Care Home 17 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (17), of places Physical disability (9) Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Numbers. No person falling within categories PD or LD may be admitted to Clarendon Beechlands unless that person also falls within category MD - ie dual disability. Service User Numbers. No person falling within categories MD/PD may be accommodated in Clarendon Beechlands when 9 persons of category MD/PD are already accommodated within this home. Service User Numbers. No person falling within categories MD/LD may be accommodated in Clarendon Beechlands when 17 persons of category MD/LD are already accommodated within this home. No person in the category PD to be accommodated in the ground floor bedroom known as 1A in Clarendon Beechlands. Service user numbers: No person to be admitted to Clarendon Beechlands in categories MD, PD or LD when 17 persons in total of these categories/combined categories are already accommodated in this home. 4th January 2007 2. 3. 4. 5. Date of last inspection Brief Description of the Service: Clarendon Beechlands is a residential care home for 16 adults with mental health problems, learning difficulties, and physical disabilities. It is located in the Clarendon Park area of Leicester City, and is within walking distance of a range of amenities. The home has two floors and comprises of two communal lounges, a dining room, a large back garden, and single bedrooms; one of which has en-suite facilities. Current fee levels at the home range from £298 to £675 per week Clarendon Beechlands DS0000006306.V373472.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. This inspection took place on a weekday, beginning at 11:00 and finishing at 16:15. We focused on four people’s care, one of who has recently been admitted to hospital. We looked at their support plans, spoke to the manager and senior carer on duty about how they supported people and discussed the kind of training that staff had received to help them to meet these people’s needs, as well as the needs of the other people living in the home. We were only able to speak directly to one of the people whose care that we looked at in detail as one was in hospital and two others chose not to speak with us. We spoke to that person about the moving in process and what it was like to live at Clarendon Beechlands. We also spoke to two other people about their experiences of living at the home. We looked at staff training and recruitment records, medication records and some health and safety records. In addition to this inspection visit, information from the following sources has informed this report. • The Annual Quality Assurance Assessment completed by the service, a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. • Four responses to the Commission’s survey to people living at the service. This asks questions about people’s impression of the support they receive and whether they have the opporutnity to make choices and take decisions about their lives. • Two responses to the Commission’s staff survey. This asks questions about the recruitment process, supervision and training. What the service does well: The service supports some people with complex needs and is able to modify the support it offers as their needs change. People who live in the home who spoke to us said that they were satisfied with the support they get and said that they were happy living at Clarendon Beechlands. One person said that they had got well because they had lived at the home. People are satisfied with the quality of the food saying that there is plenty of choice and that it is “very good”, the only complaint being that “you get too much sometimes.” People also have the opportunity to make their own breakfasts and hot drinks. Menus show that people who live in the home get a well balanced diet. Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 6 The manager and staff support the people who live in the home to keep in touch with their families and friends. This may include taking people to visit their relatives or supporting elderly relatives when they visit Clarendon Beechlands. Assessment procedure and practice is well developed, so that the service knows it can meet people’s needs before they move in. People are also given the opportunity to visit the home and meet their key worker before making a decision to move. 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. Clarendon Beechlands DS0000006306.V373472.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 Clarendon Beechlands DS0000006306.V373472.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 Quality in this outcome area is good Good assessment practice establishes that people’s needs can be met, before they move to Clarendon Beechlands. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at the assessment process for two people recently admitted to the home. The registered manager and senior support worker gather assessment information from a variety of professionals such as consultant psychiatrists, social workers and community psychiatric nurses. The senior support worker then visits people in their own settings, on at least one occasion, to speak with them and their direct carers. The manager and the senior then discuss the assessment with the rest of the staff team before inviting the person to make a trial visit. If both the person and the service are happy to continue with the placement they move in, initially on a month’s trial, after which a review is held. We were able to speak with one of the people recently admitted to the home to confirm this process. Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good Support plans are reviewed and updated to ensure that they reflect the support people need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at four people’s support plans, including one person’s who had recently experienced a significant deterioration in their physical held. The plan had been regularly updated to reflect the changes required in supporting them and additional input from professionals, such as district nurses and dieticians had been obtained. Staff had also undergone specific training in moving and handling to continue to meet the person’s needs. The three other people’s plans also clearly outlined the support they required to meet their needs. We were able to confirm the validity of one person’s plan through direct discussion with them but were unable to speak to the other three people because of the impact of their physical or mental health conditions. Plans contained suitable risk assessments identifying specific areas of risk for each individual and how staff should manage these, without placing unnecessary restrictions on people. Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 10 One of the four people whose care we looked at in detail needed support in managing their money. Records are kept of all transactions and the person signs these, as does a member of staff. The balance of money held is checked and receipts are kept. Information about advocacy services is available to people living at the home, one person had been encouraged to use this service but had chosen not to. Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good People are given support to maintain links with their families and friends and enjoy good, nutritious food. People have limited vocational opportunities but pursue their own leisure interests and have access to group social activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One person currently attends a formal day care placement, one day a week. One of the people, whose care we looked at in detail, is hoping to attend a day centre when a place becomes available in February. At the moment they told us that they liked to visit the local shops, either by themselves or with staff support. Most people currently living in the home do not have access to any structured daytime activity. We spoke to two other people about their activities. One person said that they enjoyed visiting car boot sales and taking care of their pets. They also visited local shops and went into town. One person said that they liked to play their guitar and they enjoyed going on the trips that the home organised. They showed the inspector pictures of activities and visits that had taken place Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 12 during the summer, such as a visit to a local farm park. This person said that they were looking forward to the Christmas party to be held later that week. The service offers flexible support so that people can maintain contact with family and friends. They accompany some people on visits to see relatives and for other people they support relatives who visit the service. The registered manager ensures that people are kept up to date with any issues surrounding people’s care. Menu records show that a well balanced diet is available. The main meal of the day is cooked off site and there is a choice of two main course options. People said that the food was “very good” One person said that “sometimes they give you too much but I just leave what I don’t want”. Staff members prepare tea and facilities are available for service users to make their own breakfasts and hot drinks. Some people clean their own rooms and take part in some domestic activities; some people refuse to participate in these activities. No one does their own laundry. This may be an area where some people could be facilitated to gain a greater degree of independence. Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good People receive appropriate personal support and their health and medication needs are generally well met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The support that people need with personal care is outlined in their support plans. Good provision is made to meet people’s health care needs. Appropriate referrals are made to external professionals for input or advice and additional training is obtained for staff if a person’s health needs change. For example staff had received training in pressure area care to enable them to support a person whose physical health needs had recently deteriorated. When a new person is due to move into the home, the manager will register them with local health services so that these are in place as soon as the person moves in. People who had recently moved into the home had visited doctors, dentists and opticians for check ups or been given the opportunity to do this. All medication administration records (MAR) were checked and contained no gaps. There was no excessive stock of medication in the medication cabinet. Staff have received training in safe handling of medication. One person is Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 14 designated to administer medication on each shift and some people who live in the home counter sign their own MAR. Four people administer their own medication – no risk assessments are in place for this, neither were arrangments for assessing their ongoing ability to continue to do this documented. Protocols are in place for all people taking ‘as required’ medication. Because of recent amendments to the Misuse of Drugs Act, specific storage arrangements are required for controlled medication in all registered care homes. The separate storage should be a metal cupboard of specified gauge with a specified double locking mechanism. It should be fixed to a solid wall or a wall that has a steel plate mounted behind it with Rawl or Rag bolts. Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good People are listened to and systems are in place to protect them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All four people who responded to the Commission’s survey said that they knew who to speak to if they had a problem and that they knew how to make a complaint. People spoken to on the day of the inspection said that they knew who to tell if they weren’t happy. The manager keeps a record of complaints and concerns made. She has received two concerns from neighbours about the noise of one service user in the garden. This issue has been resolved. All staff have received training in the protection of vulnerable adults and the manager’s response to recent safeguarding incidents indicates that she is aware of the procedures to follow if a service user discloses abuse or if a person’s mental capacity is brought into question. Good multidisciplinary work has taken place in relation to two recent safeguarding incidents and there is clear documentation to support this. Although aspects of these incidents had been distressing for all involved, the manager felt that they had consolidated her own and staff’s understanding of safeguarding procedures as well as the usefulness of the legislation on Mental Capacity. Systems are in place for those people who need support to manage their finances. All transactions are recorded, receipts are kept and the balance of monies is checked. Prime Life audits these systems at least twice per year. The recruitment records of all four staff on duty on the day of the inspection were examined. All contained evidence of Criminal Records Bureau checks and checks made to see if prospective staff appear on the Protection of Vulnerable Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 16 Adults register. Such checks help to ensure that only suitable people work at Clarendon Beechlands. Clarendon Beechlands DS0000006306.V373472.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, 30 Quality in this outcome area is adequate Improvements are needed in some areas to ensure that the physical environment meets the needs of everyone living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All communal areas of the home were fresh and clean. One person was happy for us to see their bedroom. The sheets and pillow of the bed looked dirty – the person said that they were responsible for changing these. We spoke to the manager about this who said that the person had a hygiene problem and staff did experience difficulties in getting them to change their sheets. People living in the home who smoke have to do so outside as there is no provision inside. On the day of the inspection it was very cold and people had to dress in thick coats, scarves and hats to go out for a cigarette. The registered manager agreed to consult appropriate guidance and ensure that more suitable arrangements are made for the people living in the home who continue to smoke. Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good People are supported and protected by well-trained staff and effective recruitment practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at the recruitment records for the four staff on duty. This included a staff member recently employed by the home. All staff had undergone the necessary recruitment checks before being employed; evidence of identity was on file, two references and Criminal Records Bureau had been obtained before they started work and their names had been checked against the Protection of Vulnerable Adults Register. Both staff that responded to the Commission’s survey said that they had undergone recruitment checks before starting work in the home. Some staff have completed National Vocational Qualifications at level 3 and some at level 2. Certificates were in place to support this. Staff had also completed training in supporting people with mental ill health and who may present with challenging behaviour. All staff had completed a level 1 course in NAPPI (non abusive psychological and physical intervention). During the inspection the registered manager contacted the parent organisation’s staff Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 19 training section to request part 2 of this course for staff. Staff had also completed training in alcohol and drug awareness. One person who had recently started work with the home confirmed that they were being given sufficient support with their job and did not work unsupervised with the people who lived in the home. The two people who responded to the staff survey said that they felt that their induction informed them very well about what they needed to know to do their job. The respondents to the survey also said that they received regular training, relevant to their role, which kept them up to date with new ways of working. Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good Good management and good health and safety practice ensure that people’s welfare is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager holds a National Vocational Qualification at level 4 in care, together with the Registered Manager’s Award; she also undertakes training alongside her staff team to ensure her knowledge and skills remain up to date. This has recently included training in the implementation of the Mental Capacity Act. The information gained on this training assisted the manager to convene a ‘best interests meeting’ for one person living in the home to ensure that their wishes to remain in the home were listened to. Staff said that they felt supported by the manager and those that responded to the Commission’s survey said that their manager met with them regularly to discuss their work. Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 21 Meetings are held for the people who live in the home, where they can express their views; the records of these were seen. The parent company has a formal quality assurance process. Staff have received training in food hygiene and one staff member was seen to observe good practice while preparing food in the kitchen. Staff have also received training in fire safety and records showed fire alarm testing and servicing of equipment is up to date. The fire risk assessment reflects the special needs of some of the people living in the home, that must be taken in to account should the building need to be evacuated. Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 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 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 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 2 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 23 No 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 YA20 Regulation 13 Requirement Secure storage must be put in place for controlled drugs to meet the requirements of the Misuse of Drugs and Misuse of Drugs (Safe Custody) (Amendment) Regulations 2007 Appropriate risk assessments must be completed and documented in relation to people’s management and administration of their own medication. The assessments must also state the arrangements in place to review people’s ongoing competency in this area. This is to ensure that people’s ability to administer their own medication is adequately monitored. Timescale for action 31/03/09 2. YA20 13 15/01/09 Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 24 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 YA24 Good Practice Recommendations Suitable provision should be made for those people living in the home who smoke. Clarendon Beechlands DS0000006306.V373472.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. 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