Care Home: Garson House Care Home

What the care home does well Garson House provides people with a homely well maintained environment, and individuals are encouraged to personalise their rooms. One person commented `` my daughter chose this home for me, and she couldn`t have done better, it`s lovely and I am very happy here.``Care and support is provided by a well trained and competent staff group that have developed good relationships with people who live at the home. One relative commented ``I couldn`t wish my partner to be in a more caring or happier house.`` Other relative comments included ``it helped me and my family so much to see xx cared for with such tender but very professional care`` and ``the home showed such kindness in making xx last days as comfortable as possible.`` Personal health and social needs of individuals are well met. One health care professional stated in a survey `` each individual is always treated as such, and every effort is made to address their needs, physical, psychological or spiritual.`` Meals are served in a pleasant dinning area and a good range and choice of food is offered. Comments from people who live at the home included `` the food is lovely, very satisfying, we always get a choice, I am very happy with the meals they provide here.`` What has improved since the last inspection? Plans of care are now more detailed and enable staff to provide good quality care and support in a consistent way. The registered manager has clearly worked hard to improve the plans, and they are well organised and contain clear information about how best to meet individuals needs. Improvements have been made to the laundry area to ensure that infection control is not compromised. The home is undergoing improvements in terms of decoration and refurbishment, and the registered manager said that they are now waiting to improve the car park area and access to the garden. Recruitment practices are now more robust and ensure that all relevant checks are completed to ensure new staff are suitable to work with vulnerable people before they commence employment at the home. What the care home could do better: Further improvements could be made with plans of care, by including preferred daily routines of each individual. This would help staff to provide care and support in a more person centred way. The registered manager needs to ensure that all employment histories are obtained for all staff. This helps to protect people who live at the home. Surveys completed by people who live at the home, should be collated and the results made available to them and a copy sent to CSCI. This will help the home to plan for any improvements in quality of services ensuring the views of the people who live there are taken into account. CARE HOMES FOR OLDER PEOPLE Garson House Care Home Garson House 7 Lee Road Lynton Devon EX35 6HU Lead Inspector Jo Walsh Unannounced Inspection 09:30 27 March 2008 th X10015.doc Version 1.40 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 Garson House Care Home DS0000066653.V349423.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 Older People. 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. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Garson House Care Home Address Garson House 7 Lee Road Lynton Devon EX35 6HU 01598 753202 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) garsonhouse@fsmail.net Betty May Boundy Russell Montague Boundy Betty May Boundy Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2007 Brief Description of the Service: Garson House Care Home is a detached property, situated in the picturesque village of Lynton in North Devon. The home is registered to provide personal care for 13 residents over the age of 65 years and is privately owned. The home is approached from the main street of Lynton by a private driveway and has on-site parking. There is level access throughout the home with a passenger lift serving the first floor. Garson House has recently undergone major modernisation and this is on going. When complete, the home will provide 13 single rooms, some with ensuite facilities. There is a sun-lounge/conservatory leading from the communal lounge, which in turn leads to a patio area and garden consisting of trees, lawn and flower beds. The home has a light and airy dining room. The home has two flats attached to the side of the property. These flats are self-contained, independent and have no impact on the resources of this home. The cost of care at the time of the inspection was within the range of £350 to £450 per week. Chiropody, hairdressing, personal toiletry items and newspapers/magazines are additional costs which are not included in the fees. Copies of the CSCI inspection reports are available for all interested parties upon request. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection took place during a week day in March and lasted approximately 6 hours. During this time all of the people who live at the home were spoken to, currently 7 and care practice was observed throughout the day. Four care staff were present during the day and all were asked about aspects of how the home is run. Prior to this inspection taking place surveys were sent to people who live at the home, staff and health care professionals. Their views are included in this report. Four surveys were returned by people who live at the home and all responded positively to questions within the survey. All ticked ‘’always’’ for questions such as do you receive the support you need, do staff listen and act on what you say and are staff always available when you need them? The registered manager was available throughout the inspection and assisted in ensuring that key documents were made available for inspection. Records seen during this inspection included, plans of care, staff files, training records, medication records, menus and staff rotas. Prior to the inspection the home completed an Annual Quality Assurance Assessment (AQAA), which gives us information about how the home maintains a safe environment, what training has been completed and tells us how they are reviewing their services to improve the care and support provided. This information helps to inform the inspection process. What the service does well: Garson House provides people with a homely well maintained environment, and individuals are encouraged to personalise their rooms. One person commented ‘’ my daughter chose this home for me, and she couldn’t have done better, it’s lovely and I am very happy here.’’ Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 6 Care and support is provided by a well trained and competent staff group that have developed good relationships with people who live at the home. One relative commented ‘’I couldn’t wish my partner to be in a more caring or happier house.’’ Other relative comments included ‘’it helped me and my family so much to see xx cared for with such tender but very professional care’’ and ‘’the home showed such kindness in making xx last days as comfortable as possible.’’ Personal health and social needs of individuals are well met. One health care professional stated in a survey ‘’ each individual is always treated as such, and every effort is made to address their needs, physical, psychological or spiritual.’’ Meals are served in a pleasant dinning area and a good range and choice of food is offered. Comments from people who live at the home included ‘’ the food is lovely, very satisfying, we always get a choice, I am very happy with the meals they provide here.’’ What has improved since the last inspection? Plans of care are now more detailed and enable staff to provide good quality care and support in a consistent way. The registered manager has clearly worked hard to improve the plans, and they are well organised and contain clear information about how best to meet individuals needs. Improvements have been made to the laundry area to ensure that infection control is not compromised. The home is undergoing improvements in terms of decoration and refurbishment, and the registered manager said that they are now waiting to improve the car park area and access to the garden. Recruitment practices are now more robust and ensure that all relevant checks are completed to ensure new staff are suitable to work with vulnerable people before they commence employment at the home. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 7 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. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential new people benefit from a good admission and assessment process, which ensures that the home can meet their needs. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 10 EVIDENCE: People spoken to who live at Garson House, and those who returned surveys said they were given clear information about what the home offers, before they moved in. Two people said that they had visited the home proper to moving in and one remembered the registered manager coming to see them to talk about what their needs were. Three individuals information was looked at in some detail. All contained a pre admission assessment that gave good basic information about their needs, which has helped to plan of their care and support needs. Files also contained assessment information form the funding authorities and the registered manager said they used this to assist them in developing plans of care. Staff spoken to said the had good information about individuals needs and usually discussed new people’s needs as part of handover meetings when they first move in. Staff appeared to have a good understanding of what individuals assessed needs were and provided care in a way that supported them to maintain as much independence as possible. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals’ personal, social and health care needs are well met. EVIDENCE: Three plans of care was looked at in some detail. The registered manager and staff team have worked hard to ensure that plans of care give clear details of individuals’ needs and how these needs should be met. This is an improvement made following the requirement made during the previous inspection. The registered manager said that where possible they do try to involve the individual in the development and review of the plans of care, and some had been signed by the individual. We discussed ways that further improvements could be made, by including preferred daily routines of each individual. This would help staff to provide care and support in a more person centred way. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 12 Plans of care are reviewed monthly and include risk assessments to ensure that both the individual and staff are safe and use safe working practices in moving and handling for example. One relative commented ‘’I couldn’t wish my partner to be in a more caring or happier house.’’ Other relative comments included ‘’it helped me and my family so much to see xx cared for with such tender but very professional care’’ and ‘’the home showed such kindness in making xx last days as comfortable as possible.’’ Four surveys were returned by people who live at the home and all responded positively to questions within the survey. All ticked ‘’always’’ for questions such as do you receive the support you need, do staff listen and act on what you say and are staff always available when you need them? Daily records show that staff liaise with health care professionals to ensure all health care needs are followed up. One community nurse commented ‘’there is no nursing home available and with nursing input from the Lynton team, Betty will take on the care of patients with greater health care needs, including terminal patients on the pathway. This provides a much needed service to the local community.’’ Another health care professional said ‘’good care always available.’’ The homes medication system was checked with the registered manager. Good systems are in place for safe storage, recoding, administration and disposal of medications. All staff spoken to confirmed they had either had or were booked onto training and the registered manager said she had included not only Boots pharmacy training, but a workbook distance learning course that is verified externally, to ensure her staff were competent in dealing with all aspects of medications. This ensures that people who live at the home are protected. People who live at the home said that they were treated with respect, and care practices observed during the day backed this up. Staff were observed to spend time talking to individuals, assistance was given in a caring and respectful way, and staff were seen to laugh and joke with people. One health care professional commented ‘’I have never seen anyone treated with anything other than respect. Carers always knock before entering rooms and respect privacy. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good, adequate. This judgement has been made using available evidence including a visit to this service. Garson House offers people good opportunities to maintain contact with family, friends and the local community, and their social needs appear well met. EVIDENCE: People who live at Garson House said ‘’ We have regular activities and things going on, we don’t need a constant buzz of activity we are happy with what we do, I like the fact that I can stay in the village with all my friends and family around, everything is so handy and if you don’t feel like going out staff will pop and get you anything you need.’’ The home provides a regular activities programme that includes some outside entertainment and are looking to have more outings out and about to places of local interest. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 14 On the day of the inspection, Garson House was hosting a coffee morning for friends, family and people from the local community to attend. Most individuals in the home chose to participate in this and it was well attended by the local community. One person said they continued to visit the home on a regular basis, even though their relative has passed away several months previously. They commented ‘’ We have been involved in lots of care homes over the time, but this is definitely the best by far, and we continue to visit and on Sundays take some individuals to church. One family had given the home a fold up bed and the registered manager explained that when their relative had been in their final days, she had moved a mattress into the room to enable family to stay overnight. The family had brought the gift of the bed to say thank you for the support the home had given to them and their relative during their final days. People spoken to at the home confirmed that visitors are always welcomed and encouraged to visit. Refreshments are offered and the manager said that people are welcome to stay for a meal if they wished. One person said that they had their own phone to stay in contact with friends, and confirmed that post was brought to them unopened. Meals are served in a pleasant dinning area and a good range and choice of food is offered. Comments form people who live at the home included ‘’ the food is lovely, very satisfying, we always get a choice, I am very happy with the meals they provide here.’’ The cook confirmed that menus are planned around likes and dislikes and being a small home they usually know what people enjoy most, although a choice is always offered. Menu plans showed that a good choice and variety is offered and special diets can be catered for. The lunchtime meal was observed to be served in an unhurried and relaxed manner. The meal was well presented, hot and tasty. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Garson House, their family and friends can be confident their views and concerns will be listened to and acted upon. Good processes are in place to keep people safe. EVIDENCE: The home has a complaints procedure that gives clear information about what to do if someone is not happy with an aspect of their care. All of the people spoken to and those who returned surveys said they knew how to make a complaint and who to. One person said they had in the past had a minor issue, which was dealt with very promptly. One person said ‘’ Betty is very approachable, nothing is too much trouble, but I have never had cause to complain.’’ The home has had no complaints since the last inspection. The Commission has received one complaint about the home taking people outside of their registered category. This was looked at as part of this inspection and we are satisfied that the needs of all the people who live at the home are being well met. The complainant has been notified of this outcome. Staff spoken to confirmed they have training on the protection of vulnerable people and when asked understood what might constitute abuse and what actions should be taken if abuse is suspected. Ensuring staff are trained in this is a way of keeping people safe. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Garson House provides a clean homely and safe environment for the people who live there. EVIDENCE: During this inspection all of the communal areas and most of the bedrooms were seen. It is clear that the registered providers are spending time refurbishing the home. Individual bedrooms have been personalised and are bright, cheerful and homely. Since the last inspection the laundry room has been improved so that the tiles have been replaced and all areas are now easy to keep clean. The home was clean and fresh smelling throughout. One relative commented ‘’ the home is always very clean’’ and another said ‘’it is more like a small hotel than a care home, everywhere is kept so clean, but it has a very homely feel to it.’’ Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 17 It was noted that one of the toilets downstairs, which had previously been for guests and staff, is now being used for people who live at the home. The lock on this toilet should be changed to a type that is easily accessible in am emergency. All rooms have locks fitted, but they have individual keys, not a master key system. This means that should every person living in the home decides they wished to use their lock, staff would have up to 13 keys to check if they needed to access the room in an emergency. None of the people currently living at the home choose to use their locks, but longer term the registered providers should look at how privacy can be maintained for people, but also ensure that staff could access rooms quickly in an emergency situation. Infection control policies and procedures are in place and good practice was observed during the inspection. Gloves, aprons and hand washing facilities are all available throughout the home. Staff spoken to were aware of good infection control practices. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff group are experienced and well trained and supported to ensure the needs of the people who live at the home are well met. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 19 EVIDENCE: The staffing levels are sufficient to ensure that the personal needs of the people who live at the home are met. Normally there is two staff on each morning shift and two for the afternoon staff with one waking night staff, and a sleep in. The home also employs a cleaner five mornings per week and a cook to prepare the main meal and help with some preparation for the evening meals. Five staff surveys were returned and four staff was spoken to on the day of the inspection. All said that they were offered good training and support. Staff training records showed that staff completes all health and safety training as well as training around the needs of the people they provide care and support for. Staff confirmed that they receive regular supervision and complete induction training. The registered manager said that they have recently purchased a package for induction training to ensure that they meet national standards and requirements. Three staff files were looked at and all had relevant checks and references in place prior to the person starting work at the home. This ensures that only people who are suitable to work with vulnerable people are employed. One file did not contain the individuals complete work history and the registered manager was reminded that this is something they should always obtain. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Garson House is well managed and run in the best interests of the people who live there. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manager is also the owner of the home and has been a qualified nurse for many years. She has completed her registered managers award and has had years of experience in caring and managing homes for older people and has experience of working with people with dementia. The registered manager uses questionnaires as a formal way of ensuring the views of the people who live at the home are listened to. The people who live at the home said that they were listened to, one stated ‘’they are always asking us if we are happy and would we like anything changed, I like it just the way it is.’’ The questionnaires now need to be collated to help inform the process of reviewing quality of care. The registered manager said she had just purchased the Mulberry system for quality assurance; this is a national company that provides manuals and support to care homes. Information provide by the home prior to the inspection shows that they have up to date policies and procedures in place for all safe working practices, staff have training in these areas to ensure both they and the people they support are safe. The registered manager said they have an up to date fire risk assessment and have recently been awarded four stars by environmental health for their premises in terms of health and hygiene. The home does not handle anyone individual finances at present, but do have systems in place should they need to do this, to ensure a robust audit trail would be in place. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 23 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 2 3 4 Refer to Standard OP16 OP24 OP29 OP33 Good Practice Recommendations The home should ensure that the new contact details for CSCI are included in their complaints information Bedroom door locks should be of a type that is easily accessible to staff in an emergency. The registered manager should ensure that all staff files contain full employment histories of all staff The registered manager should ensure that outcomes of surveys are collated and any report produced is made available to the people who live at the home and to CSCI. Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Regional Office 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 Garson House Care Home DS0000066653.V349423.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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