Care Home: Fairburn

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What the care home does well The manager and staff demonstrate a commitment to working toward a fully person- centred care regime in the home and the empowerment of clients. People are treated as individuals, with respect and dignity and their physical and learning disability needs are met. The work of the staff is of a high standard and the home is making good progress toward achieving excellence. One relative said," The care they provide is excellent, food good, the building clean. My daughter loves going out which they do". A member of staff said," We offer a flexible service and try hard to meet the requests of all families. We offer a friendly and homely atmosphere". What has improved since the last inspection? The building and decorating work has concluded. What the care home could do better: Hot water outlet temperatures will be tested and recorded as part of the monthly audit. Update nurse training records in relation to clinical learning during the appraisal process. All staff should be updated in Adult Protection training to enhance their awareness about issues related to abuse. All staff to be updated in positive response training. CARE HOME ADULTS 18-65 Fairburn 54 Kingsway Little Stoke South Glos BS34 6JW Lead Inspector Andrew Pollard Unannounced Inspection 15th January 2008 09:45 Fairburn DS0000020350.V354901.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 Fairburn DS0000020350.V354901.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. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairburn Address 54 Kingsway Little Stoke South Glos BS34 6JW 0117 9311069 0117 9311069 fairburn@respitecare.fsnet.co.uk admin@aspectsandmilestones.org.uk Aspects and Milestones Trust 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) Richard Neville Sanders Care Home 8 Category(ies) of Learning disability (8), Physical disability (3) registration, with number of places Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. May accommodate up to 8 persons aged 18 years and over with learning disabilities who are receiving nursing care and/or personal care only. Of the 8 persons accommodated up to 3 may also have specific nursing and/or personal care needs arising from physical disability. Manager must be a RN on Part 5 or 14 of the NMC register Staffing notice dated 26/8/1999 applies Date of last inspection 22nd October 2006 Brief Description of the Service: Fairburn is a registered care home operated by Aspects & Milestones Trust, offering personal and nursing respite care for up to 8 people who have learning and physical disabilities, in particular those who have profound multiple disabilities. The majority of clients are in need of nursing care.The care staff are experienced in this type of care and are led by a team of Registered Nurses.The house is situated in a suburban area and is easily accessible by car or bus. There is easy access to local shops and community facilities.. There are 6 single rooms and one double on two floors accessible by a lift. The fees that are charged for staying at the Home are £200.00 a night. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The following methods of evidence gathering have been used in the production of this report; discussion with and staff, resident, relative and staff surveys, a tour of the home and sampling policies, records and care plans. The manager returned a well-completed annual quality assurance assessment. Fairburn is a well-run short stay home offering a good standard of care and quality of life. The inspector’s overall impression was that the clients are happy, settled and secure which was evident from all the information gathered during the inspection period. Two relatives who responded to the survey were full of praise for the service and care of the staff. Some staff have been working with the clients for many years and have an in depth knowledge and understanding of their needs. It was apparent that the staff has a good rapport with the clients and their families. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We came to this quality rating at the last key inspection. What the service does well: What has improved since the last inspection? The building and decorating work has concluded. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 6 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. Fairburn DS0000020350.V354901.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 Fairburn DS0000020350.V354901.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): 1,2,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective clients and their families are given relevant information in written or verbal form about the home. The assessment process is rigorous and detailed. Introductory visits are arranged for prospective clients. Contracts and terms and conditions of services are provided to all clients. EVIDENCE: The statement of purpose and service user guide has been reviewed and includes information about other day services provided by the Trust. A copy of the revised documents will be sent to the Commission and families once printed. A project is in hand to produce a service user guide in a DVD format which will be much more accessible to prospective clients. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 9 Aspects and Milestones Care Trust issue a standard set of terms and conditions and have contracts with various local Authorities. There are approximately 42 clients currently registered. All clients have a care management assessment by a social worker and health assessment. In addition one of the Registered Nurses and carer carries out a home assessment prior to the first trial visit if the family agree. Other professionals and paramedical staff also contribute assessment material where relevant. The assessment documentation in the files of recent admissions were detailed and full. The Roper model of care is the basis of the assessment and care documentation. All clients have risk assessments to support any restrictions on freedoms and to promote safe care. The final care plan is discussed with the client and/or carer and they are invited to sign it indicating their acceptance of it. Fairburn DS0000020350.V354901.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. Clients and their families are involved with the care planning and review process. The homes philosophy promotes resident’s individual choice, self-direction and empowerment. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 11 EVIDENCE: The ethos of the home is person centred. Care plans are based on empowerment, independence and choice for their clients. Care plans focus on the activities of daily life and were well written detailed, signed and dated by the accountable nurse. All clients and their families are fully involved with the review and evaluation process along with other professionals where appropriate. The files seen showed that regular evaluations of care plans are taking place. In practice it is the families who sign off the care plans as in general the clients are profoundly disabled and unable to do so. Three entries per day are made in the house report and each person’s continuing care notes. A communication diary is maintained with some families, which goes back and forth with the client. The home has good liaison with Social Workers, community nurses and day services or schools. At present the manager has started arranging staff visit to day centres and inviting day services staff to the home to improve understanding of each other’s role and enhance communication. Decisions and choice are explored with the clients through the staff’s experience of them and knowledge of their non-verbal communication. Only a small number of clients have verbal communication skills. None of the current clients are able to manage their own money or medication. All clients have individualised risk assessments but it is accepted that reasonable risk taking is part of normal life. Risk is managed in consultation with the client if practical but more usually with their families. There is a very low level of accidents in the home, there being minor incidents since the last inspection. Fairburn DS0000020350.V354901.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): 12,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clients take part in a range of community and leisure activities and continue regular day centres. The recreational and occupational arrangements in the home are well organised and varied. The menus are varied and individually tailored. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 13 EVIDENCE: The manager and staff consider promotion of independence and maintenance of life skills to be important as well as making the visit an enjoyable experience for the clients. Whilst accepting that the staff only play a small part in the person’s life, evidence from discussion, surveys and records shows that care delivery is person-centred and individualised. Where possible people continue to attend their day care placements and social activities such as stepping stones whilst having respite care. The staff work hard to maintain good liaison and working arrangements with day centres. Every effort is made to ensure continuity of care between clients home and Fairburn via the client diary, regular contact with the family or home visits. As a respite care unit individual clients are not seeking integration in the local community, however the service is well accepted within the local area. The staff and clients make use of local facilities and help them maintain links with community services. At weekends the staff try to enhance social and leisure activities tailored to the individuals including trips out in the new minibus; walks and shopping trips. The home has a group membership for the zoo. Recent themed weekends have been arranged around bowling, craft weekends and theatre. A recent women’s weekend was arranged recently to cater for a Muslim clients needs. Although no holidays were arranged last year it is hoped to reinstate such this year. Choice is central in the way the home is run but it is accepted that many clients are unable to express their wishes in any formal sense and understanding their likes and dislikes is through experience, building relationships and good communication with families. Mealtimes are flexible. Meal choices are individualised and planned day to day. Many people eat a main meal at their day centres on weekdays. Special and culturally appropriate diets are catered for if required. Staff can manage all types of feeding regimes including peg feeds. Where possible staff and guests eat together. Records of meals are maintained in the diary. Fridge freezer and probe temperatures are checked. It is important that proper probe wipes are available at all times in the kitchen to reduce the risk of cross contamination of food. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff provide appropriate personal and nursing care in a sensitive manner to maintain clients health and well being. Gender preferences for personal care are respected. Appropriate arrangements are in place for clients to access primary healthcare services if need be. The staff properly manages and administer medication. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 15 EVIDENCE: The named nurse and key worker system is in place and the links between these staff and the families is enhanced by meetings and care plan evaluations and review. Appropriate staffing arrangements can be put in place to meet individual clients needs. The manager considers the skill mix to be appropriate to meet the needs of the clients. Consistent and stable staffing is important to the wellbeing of clients and recognising changes in their needs. The staff are aware that changes in peoples behaviour can sometimes be indicative of a health care need. Any aspects of challenging behaviour are addressed as part of care planning. At present no one exhibits behaviour that seriously challenges the service, although one person is presenting some behaviours, which the multidisciplinary team are reviewing. The staff have links with local community learning disability and district nursing teams as required. In general people stay with their own GP during their respite care. However there are arrangements in place with a local surgery to provide care for people as temporary clients and for emergency cover. This service is rarely used. None of the clients are able to self medicate. The relevant GP sends a letter detailing medication and any changes; in addition the family will provide information where recent changes have been made. Everyone has a medication profile. The records of drugs received and sent home were in order. The MAR sheets were up to date and in order running stock totals are maintained. Controlled drugs are properly stored and recorded. Homely remedies are properly recorded. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clients and there families are fully consulted. There are robust and comprehensive policies in place to manage complaints or allegations of abuse. The arrangements for staff training and awareness of POVA matters could be improved. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 17 EVIDENCE: The complaint procedure is clearly set out and reference to CSCI is included. A DVD version will be available as part of the service user guide in due course. A simplified and pectoral version of the procedure is available. The small number of complaints in the past have been satisfactorily resolved using the internal complaint procedure. Of the relatives who responded to the survey four felt the home the service always responded appropriately to concerns and one said usually. The manager and staff have worked hard maintaining good relationships and open communication with carers and relatives. Relatives surveyed were fulsome in their praise of the home and had no complaints. The Trust has appropriate policies for the protection of vulnerable adults “No Secrets” and “Whistle Blowing”. The manager and staff are aware of the NMC and GSCC code of conduct and copies of such are available to staff. All staff have received their protection of vulnerable adults training. The manager will make enquiries with the training department about the frequency of future updates, as several people have not received any more training than the initial session at induction. The home does not manage client’s finances. If clients bring any money in with them staff record what money has been received and spent on a ledger sheet and detail it in the person’s inventory. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 18 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): 24,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is generally well maintained clean, safe and comfortable. Bedrooms bathrooms and communal areas suit the needs and tastes of the clients. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 19 EVIDENCE: Fairburn is located on a main bus route and has nearby shops. The home is a converted building that has recently been upgraded and had a lift installed and is suitable for its purpose. All bedrooms, communal spaces and facilities are fully accessible and suitable to meet the client’s needs. The fittings and furnishings are of good quality and of a domestic nature. Appropriate maintenance systems are in place. Rooms are basically equipped and adequately furnished as the home offers only respite care. Residents are assessed as to weather they can be accommodated on the ground or first floor. If people are to share the double room consent is sought in advance. Bedrooms have adjustable beds and pressure relieving mattresses. Some people bring their own special equipment required each time they visit. All radiators are of low surface temperature design. The home has an appropriate number of toilets, bathrooms including a wheel in shower and hi-lo baths. The home was cleaned to a high standard and in good order. There were no malodours. The kitchen has been upgraded and was clean and tidy. The laundry equipment is satisfactory. However the home provides a limited and voluntary laundry service, which has caused certain difficulties to families such as damage to clothes or missing clothes. The manager now considers these problems to be resolved and has had no recent problems. The home has a copy of the infection control manual. Proper arrangements are in place to dispose of clinical waste. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is adequately staffed with appropriately trained and experienced staff to support the clients. The recruitment procedures and records are in good order. Proper training arrangements are in place for care staff and clinical updating for RN’s. Clients benefit from the well-supported and supervised staff team. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 21 EVIDENCE: The staffing levels accord with or exceed the staffing notice. Nursing and Care staff are well experienced with the client group. The case overall levels of dependency and occupancy have increased recently. There is one waking and one sleeping night staff. The manager works in excess of the required twelve supernumerary time. The skill mix is satisfactory. If possible the manager loads staff at the weekend to facilitate social activities. Relatives felt there was sufficient staff and they were of high quality. One person commenting that “The staff are committed to the wellbeing and care of people in the home” and “staff seem to understand the complex emotional needs of their relative”. The staff who responded to the survey felt that guest were always treated with dignity and respect. There are low levels of sickness and low staff turnover. The manager considers staff morale to be good. The manager is involved in all staff interviews. The personnel department carries out the Nursing & Midwifery Council and CRB checks of RN’s and care staff. Copies of all records as required by Schedule 4.6 (b), (c) are kept in the home. The trust has a satisfactory induction and orientation programme, staff work through the LDAF induction process prior to completing NVQ level 2. Records of such are kept. There are NVQ assessors in the home. Three Care Assistants (CA’s) have thus far completed NVQ level 2/3. Three staff are working toward level 3. Mr Sanders has delegated the role in co-ordinating training arrangements in the compulsory updates for food hygiene, 1st aid, load handling and health and safety. There is regular and appropriate staff supervision and appraisal taking place from which individual development plans are drawn up. There are appropriate supervision arrangements for student nurses who are on management placements. The RN training in clinical areas is not formally recorded to ensure compliance with NMC requirements, in future review of these matters will be included in the annual appraisal. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 22 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): 37,39,42,43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are various methods and systems in place to obtain clients/relatives views. There are appropriate arrangements in place to service and repair plant and equipment. The home has good Health and Safety arrangements. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 23 EVIDENCE: Regular visits are made by the Trust manager and the quality of services reviewed. Regulation 26 reports are submitted regularly. A full Health and Safety policy is in place for which the manager has responsibility. Monthly H&S audits take place. In future hot water outlet temperatures will be tested and recorded as part of the monthly audit. The Trust has a good system to deliver training and updates in Health and Safety, First Aid, load handling, fire safety and food safety. A fire risk assessment has been carried out. The fire log book was up to date and in order. All fire doors have been fitted with automatic door closers. The EHO carried out an inspection in 2007 and the home was awarded 5 stars. The gas inspection was carried out in May. The electrical installation safety certificate has been reissued on complettion of the recent works. PAT checks are carried out annually. The lift is inspected on a standing contract. Hoists have been load tested and serviced. Hot water outlet temperatures are not formally monitored. The Insurance liability certificate was on display. Monthly nurse and care staff meetings are held and records kept. There are no regular family meetings but coffee mornings and fund raising events are held. The manager and key workers work hard to maintain good communication with families and welcome their feedback. All relatives who responded to the survey said they were always kept up to date with important information. The home sends out survey forms to clients and families periodically, from which an action plan is devised. The action plan is included in the development of a business plan, which is written jointly with Stibbs house. Accident/ incident records are properly completed; there are low incidents of accidents to clients and staff. There is an overall low level of behaviour that challenges although the potential for such exists. All staff are due positive response training this year. Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 24 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 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 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 3 12 3 13 X 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 3 X X 2 3 Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA42 YA35 YA23 Good Practice Recommendations Fairburn DS0000020350.V354901.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Fairburn DS0000020350.V354901.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. 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