Care Home: Lammasmead

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What the care home does well The home at 61, Lammasmead has an experienced and competent manager who has worked within the organisation for some time. This provides stability for people living at the home. People living at 61, Lammasmead are happy with their daily lives there. Relatives are happy with the service and care provided. They particularly like the warm and friendly atmosphere of the home and being able to visit at any time. One relative said, " X is very happy there, they like it and the staff are very good to them". Another comment received was "The manager is a very nice person and always listens to what we say" People are encouraged to maintain contact with their family and friends and visitors are always made welcome. Staff members are encouraged to undertake National Vocational Qualifications, so that they have the right skills and understanding to meet peoples` needs. What has improved since the last inspection? Since the last inspection site visit to this service the manager has developed a system of competency assessment to satisfy herself that the staff team have sufficient knowledge to administer peoples` medication safely. Since the last visit to the service a fire risk assessment has been developed and a system put in place to ensure the risk assessment is reviewed annually. This helps to protect the safety of the people living at the home and the staff working there. What the care home could do better: So that residents` and staff health and safety is protected there needs to be up to date policies and procedures and staff training relating to all working practices (for example moving and handling and COSHH). The organisation needs to show that all policies and procedures that guide staff practice are kept under regular review. All evidence of the recruitment checks undertaken when recruiting staff should be available at the place they work. This is so that people may be confident that the right people are employed to look after them and keep them safe. The management agreed that there is work to be done to improve the interior of the building to make it a more homely and pleasant place for people to live. CARE HOME ADULTS 18-65 Lammasmead 61 Lammasmead Cheshunt Hertfordshire EN10 6PF Lead Inspector Jane Greaves Unannounced Inspection 23rd June 2008 09:40 Lammasmead DS0000029111.V366937.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 Lammasmead DS0000029111.V366937.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. Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lammasmead Address 61 Lammasmead Cheshunt Hertfordshire EN10 6PF 01992 421020 0208 882 0010 jan.fishenden@btinternet.com 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) Residential Community Care Services Ltd Janet Ann Fishenden Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home may accommodate 3 people with mental disorder (only when associated with a learning disability). 5th July 2006 Date of last inspection Brief Description of the Service: Lammasmead is a care home providing personal care and accommodation for three younger adults with a learning disability and associated mental disorder. The home is owned by Residential Community Care Services, which is a private organisation. It was opened in June 2002 and consists of a detached three bedroomed house, indistinguishable in appearance from the neighbouring houses. The home is situated in a residential area of Wormley, close to local shops, recreational and educational facilities and public transport. All the homes bedrooms are single, without en-suite facilities. The home has a small, secluded rear garden, surrounded by tall hedges. Details of the homes Service User Guide are available from the home and residents have their own copy. The current fees are based on individual care packages and are reported to range from £1143 - £1519 per week correct on 23/06/08 Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating of this service is 2 stars. This means the people who use this service experience good quality outcomes. This was an unannounced ‘key’ site visit. At this visit we (CSCI) considered how well the home meets the needs of the people living there, how staff and management work to provide good outcomes for people, and how people are helped to have a lifestyle that is acceptable to them. The level of compliance with requirements made at the previous inspection site visit was assessed. The site visit took place over a period of three hours. A partial tour of the premises was undertaken, care records, staff records, medication records and other documentation were selected and various elements of these assessed. We were assisted at the site visit by the registered manager. Feedback on findings was provided to the manager throughout the inspection and the opportunity for discussion or clarification was given. We would like to thank the manager, staff, residents and relatives for their help throughout the inspection process. What the service does well: The home at 61, Lammasmead has an experienced and competent manager who has worked within the organisation for some time. This provides stability for people living at the home. People living at 61, Lammasmead are happy with their daily lives there. Relatives are happy with the service and care provided. They particularly like the warm and friendly atmosphere of the home and being able to visit at any time. One relative said, “ X is very happy there, they like it and the staff are very good to them”. Another comment received was “The manager is a very nice person and always listens to what we say” People are encouraged to maintain contact with their family and friends and visitors are always made welcome. Staff members are encouraged to undertake National Vocational Qualifications, so that they have the right skills and understanding to meet peoples’ needs. Lammasmead DS0000029111.V366937.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. Lammasmead DS0000029111.V366937.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 Lammasmead DS0000029111.V366937.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People wanting to move into 61 Lammasmead can be assured that their needs would be met. EVIDENCE: It was confirmed from discussions with residents, the manager and relatives and through looking at care records that the three people who have made their home at Lammasmead have their needs regularly assessed to make sure the service continues to meet their personal, social, emotional and physical care needs. There had been one admission to Lammasmead since the previous inspection visit. This admission came from another home within the Residential Community Care Services group. Evidence was available to confirm that the person receiving support, their family member and social worker had been involved in the process ensuring that the move was in the person’s best interests and that the service was able to meet the assessed needs. Lammasmead DS0000029111.V366937.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 good. This judgement has been made using available evidence including a visit to this service. People living at the home receive appropriate support to make choices and make decisions affecting their lives. EVIDENCE: People living at Lammasmead have an individual care plan detailing how they wish and need their personal care and support to be provided. We looked at one individual’s care plan on this day. The plan included photos and pictures and was written in plain language. It was an up to date working tool to help staff provide the correct level of care and support. The manager explained that the care plans were in the process of being developed to make individuals even more the central focus of the care plan. We saw a sample of the new care plan, it will be written from the perspective of the person and include a great deal of personal information to ensure that all support people receive is tailored to meet their specific and identified physical, social, spiritual and emotional needs. Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 10 Two people attended college sessions and day centres, which helped to develop their daily living skills. Risk assessments were present showing how the service supported people to keep safe at home and in the community. People living at Lammasmead were involved in running the home and assisting with domestic chores, cooking and general day to day tasks according to their varied abilities. People we spoke with confirmed they were able to choose what they would like to eat and what activities and outings they would like to go on. Lammasmead DS0000029111.V366937.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 good. This judgement has been made using available evidence including a visit to this service. People living at Lammasmead can expect to experience a lifestyle that develops their individual personal skills and independence. EVIDENCE: Each person had a weekly timetable of activities that reflected their individual needs. The manager reported that a summer plan of activities was due to be developed because the college term was due to come to an end and this would need to be reflected. The manager reported that the activity schedules were guidelines rather than written in stone as the peoples’ needs and wishes were taken into consideration on a daily basis and the weather had to be factored into the equation also. Activities such as picnics, walks on the river, swimming and cinema took place regularly and confirmation of this was seen in the daily recording. People took part in household chores, relaxation, watching TV and jigsaws. People were Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 12 involved in preparation of meals as much as their varying abilities allowed with the support of the staff team. People living at the home enjoyed annual holidays, sometimes with people from other group homes and sometimes as a small family unit. The manager reported that people enjoyed going to Butlins because there were plenty of activities to participate in and a good social atmosphere, they enjoyed dressing up for dinner. Family members confirmed they were always made welcome at the home and their involvement was encouraged. Good relationships within the local community were reported. One person regularly collected their own newspaper and enjoyed visiting local cafes with 1:1 support provided by the service. People we spoke with were positive about the friendships they had with people living at other homes within the group. The manager reported that social occasions were arranged and the homes sometimes planned their annual holiday together. All people living at the home accompanied staff to the supermarket to do the big weekly shop ensuring that all people had the opportunity to choose what they want to eat. Meals were taken together with staff in the dining area. The daily report had been developed to include a record of what each individual had to eat at each meal. Lammasmead DS0000029111.V366937.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 good. This judgement has been made using available evidence including a visit to this service. People are well cared for in a way that suits their individual needs and preferences. EVIDENCE: The care plans we looked at provided good clear details of individuals’ personal care and health care needs. A new format of daily recording had been introduced since the last inspection visit. The report was completed four times daily, in the morning, afternoon, evening and the night shift and covered all areas of daily life and support provided for people. The manager reported that this system worked well to capture the information ensuring that people living at Lammasmead were content with their daily life. If any issue arose that was more complex a separate report was made within the care plan. Good interaction was noted between the staff, the manager and the 2 people at the home on the day of this visit. Discussion with the manager told us staff members were alert to changes in individuals’ mood, behaviour and general wellbeing and that there were protocols and strategies in place for managing challenging behaviours. Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 14 The service had a medication policy, procedure and practice guidance, the manager had developed a system to assess each staff member’s competency to administer medications. She had developed a questionnaire taking the person through the whole process of administering medication. The staff member then signed to confirm that they understood and felt confident to safely administer medication. Medication Administration Records were provided by the pharmacist monthly, medications were dossett boxed by the local pharmacist and supplied to the unit weekly. Medications were stored in a locked cabinet secured to the office wall. There was no external pharmacy input in the home at this time. A discussion was held with the manager around inviting the local pharmacist to deliver competency-based training to the staff team. Residents’ interaction was limited with us, but their demeanour was relaxed and in keeping with their documented needs. There was a family feel to the home and from observation during the visit, people were able to make their wishes and preferences known to staff on duty. Lammasmead DS0000029111.V366937.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 good. This judgement has been made using available evidence including a visit to this service. The service has an open culture that support people to express their views and concerns in a safe and understanding environment. EVIDENCE: The manager advised us that there had been no reported complaints since the last inspection. A comprehensive procedure for complaints is in place. The Service Users’ Guide contains a simplified complaints policy in ‘easy read’ format. Day to day issues raised by people were recorded in the care plans. The manager reported that the family style environment that people live in enabled individuals to say from one minute to the next if something was not suitable to them and this was then dealt with immediately without the need for the issue to escalate to being a complaint. The manager had accessed information on safeguarding vulnerable adults and had cascaded this to the staff team. The procedures for safeguarding vulnerable adults and preventing abuse contain information on the different forms of abuse, and follow the guidelines given in the Hertfordshire County Council adult protection procedures. Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 16 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 adequate. This judgement has been made using available evidence including a visit to this service. People live in an environment that supports their lifestyle and needs. EVIDENCE: A partial tour of the home was undertaken at this visit and it was seen to be generally clean and tidy with no offensive odours present. A new person had moved into the home since the previous inspection visit, staff reported that the room had been painted in readiness for the individual’s arrival in colours chosen by them. The previous report stated that the service had an on going programme of redecoration and refurbishment however there was no evidence that this had been taking place. It was reported that the redecoration programme had been put on hold whilst the organisation considered plans to alter the home to increase the capacity from three people to four. It was reported at this visit that the redecoration and refurbishment plan was now back on track. Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 17 The dining room ceiling was in need of repair, the walls in communal areas were tired and in need of redecoration and the kitchen was in need of general refurbishment. A recent Environmental Health Officer’s visit had resulted in a some improvements needed to the kitchen being identified; these improvements were being started on this day by external contractor. Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 18 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 good. This judgement has been made using available evidence including a visit to this service. People living at 61 Lammasmead are supported by a team of competent staff that have been recruited safely. EVIDENCE: There were five staff members employed to work at the home including the registered manager. The previous report identified that the manager was included in the rota with no specified management hours to address admin and supervision etc. This had changed since the previous inspection visit and the rota now includes one day per week 9am – 5pm to allow for management duties to be undertaken ensuring the smooth running of the service. There were two support workers on duty from 9am to 9 pm and one member of staff for a waking night shift. The manager reported that the home is not reliant on agency staff to maintain minimum staffing levels. All support staff, with the exception of one waking night staff member, had achieved a minimum of NVQ 2 in care. This exceeded the recommended ratio of 50 of the care staff team and should be commended. Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 19 Records were available to confirm that training had been provided for the staff team in Fire awareness, Medication (Internal course), Basic Food Hygiene, Health & Safety (Within NVQ 2), Safeguarding vulnerable adults (Internal course) and1st Aid. Epilepsy training had been booked. Training had not been provided in Infection control and Moving and handling (Planned). The service does not have an individual budget for training, because the units are small this is organised by senior management for all three group homes. All staff members had completed Skills for Care induction training and NVQ level 2; the registered manager reported that she feels this training provided the staff team with the basic core skills they needed. A previous inspection required that staff records were to be kept in the home and made available for inspection. At this visit we were not able to verify the recruitment procedures for one member of staff, the manager reported that these documents were held at another site. Other staff files confirmed that the necessary checks on staff are being carried out before they start to work at the home. Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 20 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can expect to live in a home where the local management and administration systems have a positive impact of the day-to-day care. EVIDENCE: The manager had the experience and the qualifications to run the care home in the best interests of the people living there. She is an NVQ assessor, has now completed the Registered Manager’s Award and holds NVQ level 4. There had been progress made in compliance with the regulations relating to Health & Safety since the previous visit to this service. The senior management were reviewing each policy document and amendments had been agreed in management meetings and are being made at the time of this visit. Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 21 We looked at Control Of Substances Hazardous to Health (COSHH) risk assessments. There were many that had not been reviewed since 2003 and a number of these were irrelevant, as the products were no longer used in the home, such as Bleach. Discussion took place with manager about the need to ensure that a COSHH leaflet is available for every cleaning product used in the home so that effective risk assessments can be made and that in the case of an emergency staff would be able to access the information they need to keep people as safe as possible. All COSHH products were kept under lock and key to promote and protect the health, safety and welfare of the people living at the home. Since the previous visit the fire safety officer had undertaken an inspection of the premises and confirmed that the home can ‘currently demonstrate suitable and sufficient measures to satisfy the requirement of the Regulatory Reform (Fire Safety Order 2005)’. A date had been set to review the fire risk assessment. Safe working practices were discussed at length with the manager, as there was an outstanding requirement from the previous inspection in 2006 that the service should ensure compliance with legislation. Staff members had not had recent training in moving and handling in order to ensure their safety as well as the safety of the people they may be moving. The service does not routinely provide training in the control of infection to ensure staff members have the understanding of the measures necessary to prevent the spread of infection and communicable diseases. Personal protective equipment such as gloves, aprons and anti-bacterial soap are provided for staff members. Staff members received induction training in line with skills for care. Certificates were available to confirm that routine testing of electrical and gas equipment and water temperatures was routinely undertaken, these were not viewed at this visit. The premises appeared secure. Risk assessments regarding individuals living at the home were present in care plans with evidence of regular reviews however, risk assessments for safe working practices and environmental risk assessments were not routinely kept under management review. Safety procedures were posted in the home in easy read format to ensure the people living there could understand what they meant. The service had developed an annual quality survey that was given to people living at the home and sent to their relatives and social workers. The responses from these were returned to the provider to summarise and make a report identifying any shortfalls in the service provision and detailing the actions needed to address them. The staff members were not currently involved in the formal quality assurance process. Lammasmead DS0000029111.V366937.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 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 3 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 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 2 x Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 23 Yes 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. 1. Standard YA24 Regulation 23(2)(d) Requirement Timescale for action 30/09/08 2. YA42 13(4) The person in charge must ensure that the home is kept in a good state of decoration and repair to provide a comfortable and homely environment for the people living there. 30/09/08 The person in charge must review the risk assessments required for the legislation listed under Standard 42.4 to ensure full compliance. The previous timescale of 30/09/06 to meet this requirement has not been achieved in full 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 Lammasmead DS0000029111.V366937.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Lammasmead DS0000029111.V366937.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. Re-publishing this information is in breach of the terms of use of that website. 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