Care Home: Kings Road (61)

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What the care home does well Staff continue to encourage people to be independent and to make their own decisions. This enables people to have control over their lives. Staff are respectful to people and sensitive in meeting their needs. This helps in making sure people receive care in the way they prefer. The way in which information is gathered and kept about people means staff can provide support in a way that people need and prefer. It also means staff have in depth knowledge and understanding about each individual person and so encourage them to develop skills and experiences safely. People who use the service, health and social care professionals and staff all made positive comments such as: "I still like living here. It is nice as I like the people that I share the house with". " Service user is given choice" " Very happy with the service we give to our service users". " I believe that the service users are very lucky to be enabled to live in care houses where they are enabled to develop themselves with trained support from staff and to make their own progress in their own lives". "Provide individual services for people taking note of their disability". " Provide a good quality of care within care standards". " Responds to individual needs appropriately" What has improved since the last inspection? The organisation is always looking towards improving the services they offer and has recently employed a new training officer, who is in the process of developing a full training calendar for staff who work in the community and for the staff who work at Henshaws College. This will be from October 2008 to September 2009. There are also plans to introduce a better induction pack for new employees in September 2008. CARE HOME ADULTS 18-65 Kings Road (61) 61 Kings Road Harrogate North Yorkshire HG1 5HJ Lead Inspector Irene Ward Key Unannounced Inspection 12th August 2008 12:30 Kings Road (61) DS0000007889.V370024.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 Kings Road (61) DS0000007889.V370024.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. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kings Road (61) Address 61 Kings Road Harrogate North Yorkshire HG1 5HJ 01423 561408 01423 541889 maggie.pattison@hsbp.co.uk 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) Henshaws Society for Blind People Mrs Margaret Lee Pattison Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: 2. Learning Disability, Code LD - maximum number of places 5 The maximum number of service users who can be accommodated is: 5 29th August 2007 Date of last inspection Brief Description of the Service: 61 Kings Road is operated by Henshaws Society for Blind People and is registered to provide residential care for 5 younger adults aged 65 years and under that have learning disabilities with an additional visual impairment. The house is situated within walking distance of Harrogate town centre and there are local amenities nearby. It is a large three storey Victorian terrace with a small garden to the front. All the bedrooms are designed for single occupancy. The weekly fees on 12th August 2008 range from £694.63 to £1,081.37 and do not include costs for hairdressers, beautician, toiletries, leisure activities and leisure transport. This information was supplied to the Commission for Social Care Inspection during the site visit. People who use the service their relatives and other interested parties are able to have access to inspection reports by requesting them from the home. Kings Road (61) DS0000007889.V370024.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 stars. This means that people who use the service experience excellent quality outcomes. The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk This is what was used to write this report. • • • • • • • • A review of the information held on the homes file since its registration. A visit to the home by one inspector that was unannounced and took three and a half hours. Information asked for before the inspection, this is called an Annual Quality Assurance Assessment. Comment cards returned from people who live at the home and health and social care professionals. Looking at two people’s care files in detail. Some time was spent with two people who live at the home. Time was spent talking to three staff. A visit was also carried out to the support services office to look at staff files. The site visit took place on the 12th August 2008. During the visit time was spent talking and observing people who live at the home. Discussions were also held with members of the staff team following the staff meeting that was held that day. Documentation and records were also looked at as part of the site visit and time was spent observing the interaction between people at the home and staff. This all helped to gain an insight into what life is like for people living in the home. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 6 The registered manager was available to assist throughout the visit and was available for feedback at the end of the day. What the service does well: Staff continue to encourage people to be independent and to make their own decisions. This enables people to have control over their lives. Staff are respectful to people and sensitive in meeting their needs. This helps in making sure people receive care in the way they prefer. The way in which information is gathered and kept about people means staff can provide support in a way that people need and prefer. It also means staff have in depth knowledge and understanding about each individual person and so encourage them to develop skills and experiences safely. People who use the service, health and social care professionals and staff all made positive comments such as: “I still like living here. It is nice as I like the people that I share the house with”. “ Service user is given choice” “ Very happy with the service we give to our service users”. “ I believe that the service users are very lucky to be enabled to live in care houses where they are enabled to develop themselves with trained support from staff and to make their own progress in their own lives”. “Provide individual services for people taking note of their disability”. “ Provide a good quality of care within care standards”. “ Responds to individual needs appropriately” Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 7 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. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 8 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 Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 9 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. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People’s needs are properly assessed prior to admission, this makes sure 61 Kings Road is the right place for them to live. EVIDENCE: There has been one new admission into the home since the last inspection. The manager confirmed that the person was given the opportunity to visit the home as and when they wished to do so. Staff from the home worked on a one-to one basis with the person at Henshaws College so that the person familiarised themselves with staff from the home before their admission. They were also given the choice of staying for a week’s trial to see if they would like living there. The manager said that after the person had moved into the home they were consulted about their experience of moving into the home and if anything could have been done better. Records of two people showed that the home carries out detailed preadmission assessments when referrals are made to the home. They visit Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 10 people and get information from relatives and other professionals to help them decide if they will be able to meet people’s needs before a place is offered. This is particularly useful for those people who have complex needs and/or difficulties with communication. The pre-admission assessments carried out by the home were very comprehensive and detailed the specific individual needs of people and how these are to be met. Each person living at the home had an individual statement of terms and conditions or licence agreement, which had been agreed between them and the home. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 11 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. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care provided is of a high standard and encourages people to make their own decisions about how they wanted to live their lives. EVIDENCE: People looked well cared for and staff were seen supporting people during the day and it was clear that they understood individual’s needs. They supported people sensitively and supported people to make choices. Each person has an individual service plan (ISP) detailing their individual needs and the actions that staff need to follow to meet these. The individual service plan focuses on the person and contained information about every aspect of the person’s life including areas for developing new skills; they focus on achievement and improving opportunities for individuals. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 12 The individual service plans were very detailed and covered morning and evening routines and how people preferred their care to be provided. All areas of daily life such as people’s daily routines, activities were covered in the plans. The document provided the reader with very good information, was easy to understand and gave a sense of the person. The plans are reviewed regularly. People’s plans are written with them where possible, reviewed regularly and audited monthly by the homes manager. The organisations scheme manager also audits them regularly. Also present were a range of risk assessments with the purpose of supporting people to live as independently as possible with safeguards in place, these were reviewed regularly. People living at the home said that they liked living at the home and comments made were: “I still like living here. It is nice as I like the people that I share the house with”. “ Well cared for - staff help with personal care such as dressing and bathing”. Through discussion with the manager at the time of the visit and the contents of the individual service plans it was clear that people are able to make clear choices. People who use the service are continually consulted on a regular basis about how the home runs and have the opportunities to voice their views. Surveys returned from health and social care professionals and staff working at the home were also positive and comments were: “ Service user is given choice” “ Very happy with the service we give to our service users”. “ I believe that the service users are very lucky to be enabled to live in care houses where they are enabled to develop themselves with trained support from staff and to make their own progress in their own lives”. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 13 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. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service are able to make choices about their lifestyle and are supported by staff to carry these out. EVIDENCE: People who live at 61 Kings Road have the opportunity to attend specialist day centres and college courses. People also have days at home to participate in personal shopping, laundry and household tasks. People continue to have opportunities to pursue other interests outside of the home such as going to the cinema, walking, swimming, horse riding, shopping, theatre trips, pub outings, bowling day trips to York, and the coast. They also Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 14 have the opportunity to go away on holidays one person said they had recently been on holiday to Spain. As part of living skills people living at the home prepare their lunch with support from staff. The evening meals are prepared and cooked by the staff team. Menus were looked at and those seen were varied giving people plenty of choices. Menus also showed healthier options that individuals had chosen. Social care professionals and staff commented positively about the home in surveys sent to them. When asked what the service does well people said, “Provide individual services for people taking note of their disability”. “ Provide a good quality of care within care standards”. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s personal and healthcare is provided appropriately and sensitively according to individual needs. EVIDENCE: Each person living at the home is registered with a General Practitioner. People receive support from staff in attending dental and other health care service appointments. People’s health needs were recorded in their individual service plans with additional step-by-step instruction as to how they wished to be supported. People living at the home attend Harrogate District Hospital for all A & E (Accident and Emergency) and for most out patient appointments. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 16 The home has the Dossett box system in place, which is dispensed by Lloyd’s chemist. People living at the home have medication that is looked after and given by staff. There is a policy in place for the storage and administration of medication. The Medication Administration Records show that everyone receives their medication as prescribed. Records were up to date and well maintained. Medication seen in the home was securely stored in a locked cabinet. No controlled drugs are currently held. All staff that administer medication in the home have been provided with safe handling of medication training. Health and Social care professionals made positive comments about the service such as: “Visits increased according to needs” “ Responds to individual needs appropriately” “ Care staff over view and monitor all health care needs of my client” Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience excellent outcome in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have access to an effective complaints procedure and are protected from harm. EVIDENCE: People living at the home are provided with a complaints procedure, which is produced in different formats such as Braille, large print or tape. The complaints procedure is also summarised within the service user guide. In discussions with people at the time of the site visit, everyone knew who they needed to speak to if they had a complaint. One person said via the survey sent to them and when asked if they knew how to make a complaint. “ Would let mum and dad do it on my behalf” A health care professional when asked on the survey if the service responds appropriately when concerns are raised said, “Visits increased according to needs” There is a comprehensive policy and procedure with regard to safeguarding adults and the procedure to take if there is a suspicion of abuse and staff Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 18 demonstrated a good awareness of this. Staff receive training in adult protection and safeguarding issues during induction training and further training organised by the organisation. Appropriate recruitment procedures are followed, with references and Criminal Records Bureau (CRB) checks made to reduce the risk of unsuitable people working in the home. People’s finances were not checked at this site visit. Historical evidence from previous reports gives evidence that their financial interests are safeguarded. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, comfortable and safe home. EVIDENCE: The home provides spacious accommodation for people. This includes a lounge, dinning room, kitchen and a utility room all on the ground floor. The home has one bathroom and a separate toilet on the first floor that was clean and well maintained. People who use the service all have single bedrooms. The home has a garden to the front and rear of the property. There is parking for one car at the rear of the property and there is on street parking to the front of the home. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 20 People’s bedrooms seen had been personalised with posters and their various possessions such as CD players, television and items they had collected and made. Rooms have been decorated and furnished appropriate for their age. All areas including the lounge, dinning room, kitchen and utility room were all clean, free from any odours and maintained to a good standard. A range of maintenance checks is completed on a regular basis to make sure that the house is safe and secure. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staffing levels, proper recruitment procedures and good staff training meant that people’s needs were met and their interests were safeguarded. EVIDENCE: Staffing levels were sufficient for meeting the needs of people. The duty rota showed that there are usually two members of staff on duty both in a morning and evening or when people are at home doing their living skills. This does not include the manager’s hours. This is increased to three staff when needed and dependent on what people are doing, such as if people are going out. This makes sure that people’s social activities are not compromised. At night there is one member of staff on sleeping-in duties. The organisation operates a 24-hour on-call service in case there is an emergency. All the homes managers are on a rota and take it in turn. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 22 A visit was carried out to the organisations human resources offices, which is based at Henshaws College. This was to look at some staff files. The staff records of two staff one which was recently appointed were looked at. These showed that all the necessary pre-employment checks had been carried out prior to the new workers starting in post. All records showed completed application forms, two written references, CRB (Criminal Record Bureau) checks had been obtained. A POVA (Protection of Vulnerable Adults) first check had also been carried out. People living at the home are supported to be part of the service user panel when interviewing for new members of staff. This involves people in making choices about who they wish to work in the home and makes sure that the home runs in their best interest. The organisation has a training and development plan which is called the human resources select system that identifies and records the training that staff undertake and the different training that is available to staff. The home provides all the mandatory training that is required. A range of other training has been completed by staff such as: Deaf awareness, epilepsy, independent living skills, safeguarding adults, principles of care, challenging behaviour, care planning, equality and diversity. The organisation provides good induction training and a wide range of training for permanent staff, which provides them with the necessary skills to make sure that people living at the home are supported well. The manager said that the current induction-training pack is being updated by the organisation and the new induction pack is to be introduced in September 2008. Staff confirmed via surveys sent to them that they received regular supervision. Records of supervision were seen at the site visit to the home. One staff said, “ I have regular supervision with my manager where we discuss my role and responsibilities” Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a well managed home in which their needs and wishes are put first. EVIDENCE: The manager of the home has worked at the home for a number of years. She has a lot of experience in the care sector and holds the NVQ (National Vocational Qualification) Level 4 and the Registered Manager’s Award. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 24 The home has a good and effective management team in place. The ethos of the home is open and positive. People who use the service, health and social care professionals and staff all commented highly about the home. Regular house and staff meetings are held and minutes are taken. Comprehensive Quality Assurance systems are in place and the home is audited regularly by the organisation. A manager’s monthly visit is carried out and a report is written. This is carried out by one of the managers from another of the community houses. The schemes manager carries out regular three monthly visits to the home and reports are completed and a copy sent to the Commission. All accidents are recorded as required and an accident book is maintained in line with the requirements of Data Protection. People’s finances were not checked at this site visit. Historical evidence from previous reports gives evidence that their financial interests are safeguarded. Information provided from the (AQAA) Annual Quality Assurance Assessment and the examination of selected health and safety documents show that regular checks to electricity and gas and fire safety equipment are regularly undertaken. Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 25 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 X 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 3 X X 3 X Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 26 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. Refer to Standard Good Practice Recommendations Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Kings Road (61) DS0000007889.V370024.R01.S.doc Version 5.2 Page 28 - 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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