Care Home: East Cheshire Housing Consortium

Similar services:

• Sunny Bank (P.R.S.) Ltd
• Ashwood Court Unit 1
• Thornton Lodge
• Alfred House Residential Care Home
• Barkerhouse Road (123)
• Fernhaven
• Thames House
• Creative Support

What the care home does well Information is available about the service the home offers so that people know if the home would be right for them. People`s needs are assessed before they move in so they know their needs can be met at the home and staff know what support they need as soon as they move in. Support plans for people who live in the home are thorough and are reviewed regularly to make sure they are effective, up to date and that each person is receiving the appropriate support for them. There are regular meetings for people who live at the home so they can have a say in how it is being run and make suggestions for activities such as holidays.People living at the home are given support and encouragement by staff so they can lead full active lives and gain skills to fulfil their potential. The staff team and the community mental health team closely monitor the health of the tenants so that they stay well. There are thorough recruitment processes to make sure that staff are suitable to work at the home and staff receive regular training to make sure they can provide good quality support for the people who live in the home. Six of the people living in the home returned completed questionnaires to us and told us: "the dedication of the care staff is excellent"; "the staff are very caring"; and staff "always treat you well". What has improved since the last inspection? Shared areas in the houses have been refurbished to a high standard to ensure that the tenants live in safe comfortable surroundings What the care home could do better: Tenants should be re-issued with the terms and conditions of their stay at Nixon Street. These need to be discussed with individuals to ensure they fully understand the agreements and their responsibilities. Staff must receive regular up dates on medication administration training to ensure they are working in line with current best practice. Monthly unannounced visits to the home should be carried out by a nominated manager of East Cheshire Housing Consortium. These visits should include talking with people living at the home and staff to check whether the home is being run in the best interests of the people who live there. CARE HOME ADULTS 18-65 East Cheshire Housing Consortium 20/22 Nixon Street Macclesfield Cheshire SK11 8DP Lead Inspector Ms Julie Porter Unannounced Inspection 29 July 2008 10:30 East Cheshire Housing Consortium DS0000006550.V362780.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 East Cheshire Housing Consortium DS0000006550.V362780.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. East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service East Cheshire Housing Consortium Address 20/22 Nixon Street Macclesfield Cheshire SK11 8DP 01625 619146 F/P 01625 619146 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) East Cheshire Housing Consortium Deborah Royall Care Home 14 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (14), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (14) East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered to provide personal care for 14 residents to include: • • Up to 14 residents in the category of MD (mental disorder excluding learning disability or dementia) Up to 14 residents in the category of MD(E) (mental disorder excluding learning disability) over the age of 65. Date of last inspection 20th March 2007 Brief Description of the Service: This care home, run by East Cheshire Housing Consortium consists of two separate houses. Both have gardens and limited parking. They are close to local amenities and on bus routes into the town of Macclesfield. 20/22 Nixon Street: these are two four bed-roomed houses, linked downstairs by the staff office. The houses are purpose built; there are four single bedrooms in each house and a bathroom on the first floor. The ground floor provides office accommodation, two lounges, two lounge/dining rooms, wc, kitchen and laundry room. There is no passenger lift. 254 Chester Road is an older property that has been adapted to provide accommodation for six service users. There are four bedrooms on the first floor and two on the ground floor. The ground floor also has two lounges, a dining room, kitchen and laundry room. One of the downstairs bedrooms has an en-suite shower room and WC. There is no passenger lift. East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. This visit took place on 29 July 2008 and took six and a half hours. It was carried out by an inspector of the Commission. An expert by experience also visited the home as part of the key inspection. An expert by experience is a person who, because of their shared experience of using services and/or ways of communicating visits a service with an inspector to help get a picture of what it is like to live in or use the service. The expert by experience who came on this visit has been appointed by the National Centre for Independent Living (NCIL), under the direction of the Commission for Social Care Inspection, to take part in the inspection of services for people with mental health issues. During the visit the inspector and expert by experience spoke with people living in the home, the manager, staff and visitors. They looked around the premises and the inspector looked at various records held by the home. The visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about the home. CSCI questionnaires were made available to tenants and staff working in the home so they could tell us what they think of the home. Other information received by CSCI since the service was registered was also reviewed. What the service does well: Information is available about the service the home offers so that people know if the home would be right for them. People’s needs are assessed before they move in so they know their needs can be met at the home and staff know what support they need as soon as they move in. Support plans for people who live in the home are thorough and are reviewed regularly to make sure they are effective, up to date and that each person is receiving the appropriate support for them. There are regular meetings for people who live at the home so they can have a say in how it is being run and make suggestions for activities such as holidays. East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 6 People living at the home are given support and encouragement by staff so they can lead full active lives and gain skills to fulfil their potential. The staff team and the community mental health team closely monitor the health of the tenants so that they stay well. There are thorough recruitment processes to make sure that staff are suitable to work at the home and staff receive regular training to make sure they can provide good quality support for the people who live in the home. Six of the people living in the home returned completed questionnaires to us and told us: “the dedication of the care staff is excellent”; “the staff are very caring”; and staff “always treat you well”. 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. East Cheshire Housing Consortium DS0000006550.V362780.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 East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Information is available about the service the home offers so that people know if the home would be right for them. People’s needs are assessed before they move in so they know their needs can be met at the home and staff know what support they need as soon as they move in. EVIDENCE: Information is available about the home and the service it offers; people live in Nixon Street and Chester Road as tenants and copies of tenancy agreements were seen. The agreement sets out the terms of their occupancy and the cost. People living in the home spoke with the expert by experience about a recent incident regarding overnight visitors. People living in the home have said that they are not aware of any formal policy regarding overnight guests. However, the terms and conditions for living in the home state that the room is to be used for single occupancy. This matter was discussed with the manager and records were available for inspection regarding the incident to show how it had been dealt with. East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 9 One person had moved in since the last inspection. The person’s social worker had provided full information about the person’s needs so the staff at the home would know what support was needed as soon as the person moved in. East Cheshire Housing Consortium DS0000006550.V362780.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 and 9 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Care plans accurately reflect the person’s needs so that staff can give them appropriate support to help them towards independence. EVIDENCE: We looked at one support plan of a person living at the home in detail during our visit. We also looked at other plans in light of information given to the expert by experience by people living at the home. The support plan we looked at in detail described the support needed for the person to maintain their health, finances, shopping, cooking and attendance at the day centre. Risks or potential risks involved with these activities had been looked at and assessed. The support plan had been reviewed regularly and was signed by the person and a member of staff. The people living in the home have regular house meetings to involve themselves in the running of the house; we looked at some of the minutes of East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 11 these meetings. The minutes are written by one person who lives at the home using the computer available in the dining room. The minutes identified changes people living there wanted to make to the home, outings they wanted to organise collectively and plans for a holiday. People living at the home told the expert by experience that they felt that independent people were not available for them to speak to about their care at the home as they felt that the staff and staff from the community mental health team were “in cahoots”. Information about the local Mental Health Advocacy scheme was available on the notice board of the home but one person spoken with did not appear to be aware of the support she could get from them. Another person who lives at the home told us that they regularly used the advocacy service and had been there on the day of our visit as the service had a good drop in centre where the person could play pool. Following our visit the manager of the home has confirmed that she has contacted the advocacy scheme and asked them to home to the home to talk with the people living there and provide information about the advocacy service. In talking with the expert by experience, people living at the home said they felt at times the regime there was restrictive. For example, staff check their shopping bags when they return to the home from the town centre. We could not find any explanation in people’s care plans as to why this was happening. Because of the nature of the support needs that people who live at the home have, there may be reasons why such steps need to be taken. However, this needs to be clearly documented in people’s support plans and agreed by them. East Cheshire Housing Consortium DS0000006550.V362780.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, 15, 16 and 17 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. People living at the home are given support and encouragement so they can lead full active lives and gain skills to fulfil their potential. EVIDENCE: People living in the home told the expert by experience that they generally felt that they were supported in accessing activities and planning their personal development when they felt ready. One person said she was “a right mess” before moving to the home, but was feeling good about herself now. One person living in the home was in the process of moving to her own home. Some people thought there was little choice and limited availability for them when they wanted to get their own home. We met the parents of two of the people living at the home, one visiting Nixon Street and one visiting at Chester Road. Both said that they enjoyed spending time in the home(s) with their family members. They said that they were East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 13 made to feel welcome and one said that she was happy with the contact from the home. People living in both homes have varied interests and hobbies. Some people have maintained voluntary work since the last visit and others continued at college or the day centre. A large number of the people living in both homes access the community independently for work/college or social activities. Meal times in the home are varied to suit the needs of the people living in the home and their various daily activities. Generally people get their own breakfast and lunch due to their different activities and lifestyles. At Nixon Street usually one person from each side of the house cooks with/or without support for the others. Two people living at the Chester Road house cook all their own meals and the others take it in turns to cook for the rest of the people living there. Menus are planned weekly with everybody living in the home so that shopping lists can be prepared and the preferences catered for. Staff support tenants to do the main weekly shopping. Records of menus and food provided were looked at and appeared to provide a varied and balanced diet. East Cheshire Housing Consortium DS0000006550.V362780.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 and 20 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Staff and the community mental health team monitor the physical and mental health of the people living in the home so that they get the support they need. EVIDENCE: The staff at Chester Road and Nixon Street do not support the tenants with any aspect of their personal care. If personal care support should become necessary whilst anybody is living at the home, care is brought in from a domiciliary care agency. The manager of the home is a registered nurse and evidence was seen that there are good links with community health services to support tenants in the home. Policies and procedures in place to support people in administering their own medication subject to a risk assessment. Staff manage medicines for those people living at the home who do not wish, or who are unable to manage their own medicines. Staff training records showed that staff are due refresher training on medicine administration. East Cheshire Housing Consortium DS0000006550.V362780.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 and 23 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. There are processes in place so that people can complain about any aspect of the service and staff receive training so that tenants are safeguarded. EVIDENCE: Information seen around the home of how and who to make a complaint to should include current contact details for the Commission for Social Care Inspection. The manager told us that no formal written complaints have been made since our last inspection. A record is kept of any verbal complaints made. We checked the log and ten such complaints were recorded since our last visit; information recorded the date, comment/complaint, how it was dealt with, the outcome and the signature of the staff it was reported to. All had been dealt with within appropriate timescales and satisfactorily. Completed questionnaires we received from people living in the home showed that they know who to complain to should the need arise. However, people living in the home who the expert by experience spoke with said they did not feel comfortable taking issues to the staff or making complaints, which appears to contradict the records we saw. At our last visit all the staff had received up to date training about safeguarding adults from abuse. Two new staff have started work at the home and received adult protection training in June 2008. East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 16 No referrals had been made under the local safeguarding adults procedures. One person who lives at the home told us of a concerning incident that had happened a number of days before our visit. We spoke with the manager about this and she told us on 07 August of the action she was taking regarding this matter. East Cheshire Housing Consortium DS0000006550.V362780.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 and 30 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The home is clean, nicely furnished and in good order so that the people live there in comfortable surroundings. EVIDENCE: The visit included a tour of the communal areas of the home; it was fresh and clean throughout. A number of people who live at the home were happy to show their bedrooms to the expert by experience. She felt they were a little small and it is important to clarify that the home was registered in 1991 and is therefore exempt from the current national minimum standards relating to the size of rooms. A number of the communal areas in both premises have been refurbished and were clean, modern and uncluttered. The people we spoke with said that they liked the way the home looked and the new furniture. East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 18 People who live at the home told us the gardens are not very private and consideration should be given to include some higher fencing/privacy screens East Cheshire Housing Consortium DS0000006550.V362780.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 and 35 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. There are through recruitment processes in place to ensure that staff working in the home are suitable for the work they do and people living there are protected from poor practice or harm. EVIDENCE: Two new staff have started work in the service since our last inspection. The staff personnel files were brought from the head office for us to check. All the required checks had been carried out, including obtaining a Criminal Records Bureau disclosure. The manager confirmed that staff do not start work at the home until a Protection of Vulnerable Adults (POVA 1st) check has been obtained for them. There is a continuing programme for staff training and the new staff are included on the schedule having already attended protection of vulnerable adults, support planning, dealing with violence and emergency aid. One staff questionnaire returned to us states, “we are well trained in all areas and this is updated all the time”. East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 20 Six of the people living in the home returned completed questionnaires to us and told us: “the dedication of the care staff is excellent”; “the staff are very caring”; and staff “always treat you well”. East Cheshire Housing Consortium DS0000006550.V362780.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 and 42 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The home is well managed to make sure it is run in the best interests of the people who live there. EVIDENCE: The manager is registered with the Commission for Social Care Inspection as manager of the home and was working at the home during our visit. We checked the accident records, and the records for the fire alarm and emergency lighting tests. These were all in order. The Care Homes Regulations require a nominated senior person from the organisation that runs the home to visit monthly to check how the home is East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 22 being run. The manager told us that the visits had been less frequent than required. Information provided by the manager before our visit confirmed that the following equipment had been serviced or tested in line with the manufacturers recommendation or other regulatory body; portable electrical equipment, fire detection and fighting equipment, emergency call equipment, the heating system and the gas appliances. East Cheshire Housing Consortium DS0000006550.V362780.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 3 2 X 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 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 3 3 X LIFESTYLES Standard No Score 11 3 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 2 X 3 X 2 X X 3 X East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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(2) 18(1)(c) Requirement Staff must receive training in medicine administration to make sure are aware of up to date good practice on giving medicines safely. Timescale for action 31/10/08 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 YA5 Good Practice Recommendations All tenants should be re-issued with a copy of their tenancy agreement and the homes statement of purpose so they are aware of the terms and conditions of their stay. Staff should not check the shopping bags of people who live at the home unless this is identified as part of their care plan and agreed with them, so that their privacy is maintained. The new contact details of the Commission for Social Care Inspection needs to be included on documents so that people are aware how to contact the commission if they need to. DS0000006550.V362780.R01.S.doc Version 5.2 Page 25 2 YA7 3 YA22 East Cheshire Housing Consortium 4 YA39 Visits to the home under Regulation 26 of the Care Homes Regulations 2001 should be undertaken at least once a month, must be unannounced, inspect the home and seek the views of the people living there so they know their views about the home are taken into account in developing the services. East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston, PR2 2YQ 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 East Cheshire Housing Consortium DS0000006550.V362780.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!