Care Home: Fairleigh House

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What the care home does well People using this service are treated as individuals. The service responds to their diverse needs by providing the right amount of support to achieve their personal goals safely. This is done through a robust system of assessment, review and monitoring, that responds to individuals changing needs. People are treated with dignity and respect and are supported to make choices and decisions that are important to them. Skilled and committed staff provide safe care and support to enable people to lead active and healthy lives and participation in their local community. Staff communicate well with people living in the home and are able to respond to people using non-verbal forms of communication. This enables staff to take prompt action if a person is unwell, at risk or is unhappy with the service they are receiving. Management provide excellent support to the staff through ongoing training and discussion in one-to-one and team meetings. This has enabled the staff team to develop the skills, knowledge and experience to continually meet the changing needs of people using this service. What has improved since the last inspection? Staff working in the home told us that they had been trained in safe moving and handling techniques as required at the time of our last visit. Further improvements had been made as recommended in the recording of personal finances and detailed outcomes of individuals` experiences of activities engaged in. Further improvements were evident in keeping cleaning schedules up to date and maintaining hot water outlets at safe temperatures. What the care home could do better: We made three good practice recommendations during this visit. The medication administration records should include a list of the staff trained in administering medication. This will ensure that the person or persons administering medication can be easily identified. Combustible materials should not be placed on or near the gas boiler situated in the kitchen. This will minimise the risk of fire in the event of the boiler`s thermal integrity becoming compromised. During our visit we found the cleaning cupboard in the kitchen unlocked. Substances stored in the home that are hazardous to health, such as cleaning materials, should be stored securely at all times to prevent accidental harm to people using the service. CARE HOME ADULTS 18-65 Fairleigh House 34 Wellington Road Whalley Range Manchester M16 8EX Lead Inspector Val Bell Unannounced Inspection 3rd December 2008 13:30 Fairleigh House DS0000071398.V373275.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 Fairleigh House DS0000071398.V373275.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. Fairleigh House DS0000071398.V373275.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairleigh House Address 34 Wellington Road Whalley Range Manchester M16 8EX 0161 226 4597 0161 226 4594 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) City Care Partnership Ltd Antoinette Duggan Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Fairleigh House DS0000071398.V373275.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New Service Brief Description of the Service: Fairleigh House is a care home providing 24-hour personal care and accommodation for seven people with a learning disability, whose needs are either complex or accompanied by an associated disorder such as autism. The home is a large Victorian house situated in the Whalley Range area of Manchester. It is close to all local amenities and public transport routes. It is sited on a residential street and is of the same size and style as other houses surrounding it. There is a garden to the rear and parking to the front of the home. Bedroom accommodation is on two floors with all the bedrooms being single. There is also a converted basement for the sole use of one service user, together with separate access for staff to an office area. The service also has self-contained living facilities for one person on the top floor. The home forms part of City Care Services, an organisation that offers a range of services tailored to meet individual needs. The service provided focuses on the belief that ‘a secure home environment and a scheduled programme of developmental activity, facilitates change in aspects of behaviour detrimental to personal growth’. The fees for this service are individually calculated to provide the resources that meet each person’s specific needs. Fairleigh House DS0000071398.V373275.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 3 star. This means the people who use this service experience excellent quality outcomes. This was a key inspection, which included a site visit to the home. The visit was unannounced which means the manager was not informed beforehand that we were coming to inspect. Since the last inspection the service had been registered as a limited company and had increased the number of people it provided support to from six to seven. During the visit we spent time talking to one person living in the home, the registered manager, assistant manager, the practice advisor, who is a qualified speech and language therapist, a support worker and the cook. An Annual Quality Assurance Assessment (AQAA), which is a self-assessment document had been completed by the manager and returned to the Commission prior to our visit. Nine staff surveys were also completed and one survey was completed and returned to the Commission from one person using the service. Relevant documents, systems and procedures were assessed and a tour of the home was undertaken. What the service does well: People using this service are treated as individuals. The service responds to their diverse needs by providing the right amount of support to achieve their personal goals safely. This is done through a robust system of assessment, review and monitoring, that responds to individuals changing needs. People are treated with dignity and respect and are supported to make choices and decisions that are important to them. Skilled and committed staff provide safe care and support to enable people to lead active and healthy lives and participation in their local community. Staff communicate well with people living in the home and are able to respond to people using non-verbal forms of communication. This enables staff to take prompt action if a person is unwell, at risk or is unhappy with the service they are receiving. Management provide excellent support to the staff through ongoing training and discussion in one-to-one and team meetings. This has enabled the staff team to develop the skills, knowledge and experience to continually meet the changing needs of people using this service. Fairleigh House DS0000071398.V373275.R01.S.doc Version 5.2 Page 6 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. Fairleigh House DS0000071398.V373275.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 Fairleigh House DS0000071398.V373275.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 and 3 Quality in this outcome area is excellent. Careful assessment and review of individual needs has enabled people to achieve their preferred lifestyles safely and with dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There had been no admissions to the home since we last visited in 2007. The excellent outcomes in relation to admission, assessment and review processes identified at the last inspection had been maintained and further improved. The service places emphasis on recognising that each person has different needs and that the best way to meet individual needs is to provide a service that responds to each person and supports them to achieve their preferred lifestyle. For example, one person’s disability makes understanding social norms and values difficult and this in turn can work to deny him opportunities to participate and integrate within his local community. The service provided to this person ensures that he has the resources to access his community in a safe and dignified way. This has been achieved through robust assessment and review processes and by providing informed and skilled staff to support him on an individual basis. Fairleigh House DS0000071398.V373275.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 and 9 Quality in this outcome area is excellent. People using this service receive the right kind of support to make decisions on matters that are important to them and to follow their chosen lifestyles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at care records belonging to two people using this service. Individual plans of care and support had been generated from information provided during the assessment of each person’s needs. It was evident that each person and their representatives had fully participated in the process. Individual plans covered all aspects of healthcare and personal and social support being provided and detailed what tasks staff would undertake to meet each person’s needs and personal preferences. Identified risks to the safe delivery of care had been carefully assessed and had been managed well. Decisions that restricted choice and freedom had been taken in the best interests of the individual by following good practice guidelines and in Fairleigh House DS0000071398.V373275.R01.S.doc Version 5.2 Page 10 consideration of the person’s rights as laid down by the Mental Capacity Act. Individual plans had been kept under regular review and updated when a change in needs had occurred. People using this service received the right amount of support to enable them to make decisions that affected their lives. Where necessary, specialist communication techniques had been used to support people to take control of matters that were important to them. Improvements made to the way that each person’s individual spending was recorded, enhanced their rights to confidentiality and access to information. Fairleigh House DS0000071398.V373275.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, 15, 16 and 17 Quality in this outcome area is excellent. People using this service are provided with a full range of opportunities that meet their preferred social, leisure, relationship and nutritional needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The last time we visited this home we found that people using the service experienced excellent outcomes in relation to their integration into and participation in the local life of the community. The quality of the activities provided had been maintained and further enhanced by supporting people to develop new interests and try out new experiences. This was particularly evident in the way people had been supported to maintain and develop relationships and preferences in relation to nutritionally balanced diets. One person using the service completing a satisfaction survey commented that she is enabled to choose the activities she likes to do during the day, in the Fairleigh House DS0000071398.V373275.R01.S.doc Version 5.2 Page 12 evenings and at weekends. Improvements had been made by providing written evidence of the outcomes experienced by people engaging in these activities. It was pleasing to learn that the member of staff responsible for catering and housekeeping had achieved level 3 in Supervising Food Safety in Catering. In conversation with her it was evident that she had a good understanding of the specific dietary needs of the people living in the home. Menus provided evidence that a range of meals had been made available to suit the ethnic and cultural needs of the people accommodated. Kitchen cleaning schedules and food storage temperatures had been kept up to date and all uncooked food had been stored appropriately. We found one minor shortfall in relation to the storage of cooked food in the fridge. According to the date label on a storage tub of mashed potato, it was two days old at the time of our visit. We recommend that all cooked foods stored in the fridge be disposed of if they are not used within 24-hours. We observed that daily living routines within the house were flexible and people were afforded unrestricted access to all parts of the home. People could choose when to be on their own or in the company of others. Staff referred to people by their preferred forms of address and from the interactions we observed it was evident that valued relationships had been formed. Fairleigh House DS0000071398.V373275.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 and 20 Quality in this outcome area is excellent. People using this service have their personal and healthcare needs met according to their individual preferences. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The two individual plans that we examined contained detailed guidance on what staff must do to meet the individuals’ personal and healthcare needs. Each person using the service had a health action plan in place. These records demonstrated what action had been taken to address health concerns by following guidance provided by the appropriate healthcare professional. One person identified as needing diet and exercise had achieved the desired outcome with the support of a personal fitness trainer. The people using this service had been assessed as needing support to manage the administration of their prescribed medication. Medication was supplied in blister packs by the pharmacy. All medication had been stored securely and administration records appeared to be accurate and up to date. Staff working in the home told us that they had regular refresher training from Fairleigh House DS0000071398.V373275.R01.S.doc Version 5.2 Page 14 the pharmacy to ensure that they were able to administer medication safely. We recommend that a list of signatures of staff authorised to administer medication be held with the administration records. This will enable accuracy for auditing purposes by identifying which member of staff has administered a particular medicine. Fairleigh House DS0000071398.V373275.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 Quality in this outcome area is excellent. The systems used by this service afford protection to the welfare and safety of the people accommodated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s system of dealing with concerns and complaints continues to provide positive outcomes for people using the service. The procedure is available in pictorial form and is accessible to both people using the service and their representatives. Staff had been trained in specialist communication techniques to recognise through monitoring and observation when a person is unhappy with some aspect of the service being provided. Records provided evidence that immediate action was taken to remedy such situations. This demonstrated that staff worked hard to understand the life experiences of people accommodated in the home. No formal complaints had been received in the previous twelve months. One person using this survey completing a satisfaction survey commented that staff treat her well and always listen and act on what she says. Support staff had also received refresher training in what action they must take to safeguard people from harm. The members of staff we spoke to confirmed that their most recent training session occurred the week prior to our visit. A copy of Manchester’s policy and procedures for safeguarding adults from harm was available for staff to consult if they needed guidance. No Fairleigh House DS0000071398.V373275.R01.S.doc Version 5.2 Page 16 safeguarding referrals had been made to the local authority in relation to this service. We were told that a physical intervention strategy was in place for one person using this service. The manager said that all staff had been trained in safe restraint techniques and staff confirmed that they were confident in knowing when these should be used. This had been carefully assessed with advice and guidance obtained from the person’s care manager and other experts in this field. The procedures that staff must follow had been clearly recorded in the person’s support plan and had been kept under regular review. Fairleigh House DS0000071398.V373275.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 Quality in this outcome area is good. People using this service are provided with a clean, well-maintained and homely environment that meets their individual needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We had a look round the home to assess health and safety, cleanliness and hygiene and general maintenance to the home’s equipment and fabric of the building. We found the environment to be fresh, clean and hygienic and well maintained. One person using this service completing a satisfaction survey commented that the home is always fresh and clean. It was pleasing to note that the fluorescent light fitting in the kitchen had been cleaned on a regular basis as recommended in the last report. We made recommendations in relation to two minor shortfalls. A book, notepads and pens and pencils had been placed on top of the freestanding Fairleigh House DS0000071398.V373275.R01.S.doc Version 5.2 Page 18 boiler in the kitchen. These items are combustible and should be removed to minimise risk in the event of a fire. At the time of our visit five people were out shopping or engaged in activities in the community, leaving one person and the housekeeper in the home. We found the cupboard storing cleaning chemicals in the kitchen to be unlocked. This should be kept locked at all times to prevent the risk of accidental harm to people living in the home. Laundry facilities were domestic in nature and located in the kitchen of the home. This was appropriate to meet the needs of the people using this service. It was pleasing to find that improvements had been made by the addition of self-contained living facilities by utilising space on the top floor of the house. Consequently, the service had been registered to increase their provision of care and accommodation from six to seven people. Additionally, the garden had benefited from further landscaping and the provision of additional seating. Fairleigh House DS0000071398.V373275.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 Quality in this outcome area is excellent. People using this service can be confident that the staff providing support will have the right skills, knowledge and personal qualities to meet their needs in a safe way. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This service provides excellent opportunities for staff to achieve recognised qualifications. Over 50 of staff had achieved a National Vocational Qualification (NVQ) at level 3 and a senior member of staff had completed NVQ level 4 in care. The service employs a qualified nurse and a speech and language therapist. A certified horse-riding leader and outdoor pursuits instructor provide outdoor activities throughout the week. A qualified masseur is also employed to provide relaxation and people using the service have access to specialist services in autism and physical intervention. Two staff told us about the training they had undertaken since we last visited. This included abuse awareness and how to safeguard people from harm, autism, moving and handling and a course on safe restraint techniques. Staff also said that they met monthly as a team to discuss issues relating to the provision of care and support. Staff said that they received good support from the management. Fairleigh House DS0000071398.V373275.R01.S.doc Version 5.2 Page 20 The recruitment records were held at the provider’s head office. In conversation with the manager and from information supplied in the selfassessment document (AQAA) it was evident that excellent standards identified at the last inspection were being maintained. The interview process includes a second stage where candidates participate in an outdoor activity with people using the service. This provides the opportunity to assess the suitability of candidates to work with people using the service. Fairleigh House DS0000071398.V373275.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, 38, 39 and 42 Quality in this outcome area is excellent. The people using this service are empowered to take control of the way the service is provided to ensure that it is managed in their best interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has worked for this service for the past ten years. She is qualified to NVQ level 3 in care and is currently studying for this award at level 4. She has undertaken regular training to ensure that she continues to develop the skills and knowledge required to meet the assessed needs of people using the service. Two staff told us that the service was managed well and that they received good support from the manager. They said that they Fairleigh House DS0000071398.V373275.R01.S.doc Version 5.2 Page 22 met monthly as a team and had regular one-to-one supervisions with their manager to review work performance and ensure that the staff team were working to support people using the service to achieve their personal goals and aspirations. From comments made by staff completing satisfaction surveys, they all agreed that the service was being managed well. One person commented, ‘People are supported to enjoy an active, fulfilling life. They are out everyday and regularly go out for meals. The outdoor activities are great.’ This provided evidence of excellent leadership and an open and transparent management style. When opportunities for improvements were identified, the manager was proactive in taking action that was in the best interests of the people living in the home. The service operates a comprehensive quality monitoring system that measures the quality of outcomes experienced by people using the service. Individual’s needs had been assessed annually. This process had been designed to ensure that people living in the home, their representatives and stakeholders influenced the development of the service. This system of assessment, monitoring and review had been developed to incorporate the views of people that used non-verbal forms of communication by utilising the principles of the Commission’s Short Observational Framework for Inspection methodology. Additionally, the manager regularly utilised information posted on the Commission’s website to ensure that policies, changing legislation and good practice were being kept up to date. This was commended as a best practice approach that enables people to take control of the service they receive. We looked at a sample of health and safety records and found these to be accurate and up to date. Improvements had been made since we last visited by ensuring that hot water outlets were regularly maintained at safe temperatures. Fairleigh House DS0000071398.V373275.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 X 2 4 3 4 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 4 4 X X 3 X Fairleigh House DS0000071398.V373275.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. 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. Refer to Standard YA20 Good Practice Recommendations The medication administration records should include a list of the staff trained in administering medication. This will ensure that the person or persons administering medication to individuals using the service can be easily identified. Combustible materials should not be placed on or near the gas boiler to minimise the risk of fire in the event of the boiler’s thermal integrity becoming compromised. Substances stored in the home that are hazardous to health, such as cleaning materials, should be stored securely at all times to prevent accidental harm to people using the service. 2. YA24 3. YA24 Fairleigh House DS0000071398.V373275.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Fairleigh House DS0000071398.V373275.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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