Care Home: Moorgate Hollow Residential EMI Home

What the care home does well People who use the service`s needs were known to the service prior to admission because of the service`s assessment rather than the information provided by Social Services. The assessment ensured that the service had sufficient information to assess if the service was able to meet the person`s needs. People who use the service benefit from the provision of accurate care plans and were satisfied with the care and service being delivered. The views expressed were: `The care is good`. `They have time for them`. (people who use the service) `I like it here`.A Health Care professional completed a survey and included comments of: `Very good standard of care`. `An all round very good E.M.I home`. Activities were organised and people who use the service were able to exercise their rights of choice with the service, therefore this will provide stimulation and enhance their quality of life. On discussing the activities with the people who use the service, and relatives their opinions were that; `They (people who use the service) are not able to keep their attention, so activities are hard to do`. `I don`t mix with the others I stay on my own`. `I`d rather watch TV`. `I would like more activities and to go out more`. The comments within the surveys indicated that activities occurred `Usually` or `Sometime`. Unfortunately, although there was evidence that activities did occur, ie through posters, planners and entries within the care plan of activities taking place, some the people who use the service were unable to remember what activity occurred in the morning. No activities were taking place at the time of the inspection. It was recognised that undertaking structured activities with the people with dementia may be difficult and one to one work may be more appropriate. The general comments regarding the food were that: `The meals are very good`. (Several comments) `I have seen that they (people who use the service) get plenty to eat, although the older you get the less food you want`. People who use the service live in an environment that had been maintained to a good standard to provide a well-maintained environment. The general comments were that: `It`s clean`. `I like to live her` The comments from people who use the service and relatives regarding staff were: `The staff are good and kind`. (several comments) `They are nice`.Moorgate Hollow Residential EMI HomeDS0000066110.V361786.R01.S.docVersion 5.2Page 7An experienced manager is in post. This will contributed to the effective organisation and operation of the service. What has improved since the last inspection? There had been positive action on the requirements listed within the last inspection report. All requirements had been acted upon and resolved. What the care home could do better: On examination of the staff files, it was established that the information contained within the files did not meet the required standard listed in Schedule 2. Therefore a requirement has been listed in this report. CARE HOMES FOR OLDER PEOPLE Moorgate Hollow Residential EMI Home Nightingale Close Moorgate Rotherham South Yorkshire S60 2AB Lead Inspector Ivan Barker Key Unannounced Inspection 9th April 2008 1:50 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 Moorgate Hollow Residential EMI Home DS0000066110.V361786.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. Moorgate Hollow Residential EMI Home DS0000066110.V361786.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Moorgate Hollow Residential EMI Home Address Nightingale Close Moorgate Rotherham South Yorkshire S60 2AB 01287 624968 NONE NONE 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) Park Lane Healthcare (Moorgate) Limited Janet Elizabeth Walton Care Home 24 Category(ies) of Dementia - over 65 years of age (24) registration, with number of places Moorgate Hollow Residential EMI Home DS0000066110.V361786.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for 24 beds in the categories - Mental Disorder and Dementia from 60 years of age. 3rd August 2006 Date of last inspection Brief Description of the Service: The home is situated in the Moorgate area of Rotherham. Moorgate Hollow is located on the same site as Moorgate Croft and Moorgate Lodge. Moorgate Hollow and the other two homes on the same site are owned by the same company Park Lane Healthcare. Moorgate Hollow is a purpose built residential care home for older people with dementia. The home provides accommodation in single bedrooms at ground level. All bedrooms have en-suite facilities. The communal area consists of lounges and dining areas with kitchenettes facilities are also located on the ground floor. The home has a car park to the front of the building with an enclosed garden to the front and rear of the home. The home is on a bus route and within walking distance of the town centre. Fees for Care are between £397 and £422 with additional charges made for hairdressing, Chiropody, Optical, Dental services, specialised toiletries and magazines etc. The registered person makes information about the service available to residents and their families via the home’s Statement of Purpose and the Service User Guide. A copy of the inspection report is made available at the home. Moorgate Hollow Residential EMI Home DS0000066110.V361786.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 star’. This means that the people who use this service experience good quality outcomes. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the ‘key standards’), and the previous requirements. The persons present at the inspection were Janet Walton, Manager, and Chris Lane, acting on behalf of the owners. Within this site visit, which occurred over a four hour period, the inspector toured the building, examined requirements relating to the previous inspection, case tracked 3 service users (Case tracked means looking at the care and service provided to specific people who use the service living at the home; checking records relating to their health and welfare, care plans and other records; by talking to the specific people who use the service; viewing their personal accommodation as well as communal living areas), and spoke with other people who use the service , and relatives and also 3 staff and examined assessments, care plans, risk assessments, menus, complaint files, staff files and quality monitoring documents. The history of the service was examined prior to the site visit. This included the Self-assessment document, telephone contacts, letters, and notifications. What the service does well: People who use the service’s needs were known to the service prior to admission because of the service’s assessment rather than the information provided by Social Services. The assessment ensured that the service had sufficient information to assess if the service was able to meet the person’s needs. People who use the service benefit from the provision of accurate care plans and were satisfied with the care and service being delivered. The views expressed were: ‘The care is good’. ‘They have time for them’. (people who use the service) ‘I like it here’. Moorgate Hollow Residential EMI Home DS0000066110.V361786.R01.S.doc Version 5.2 Page 6 A Health Care professional completed a survey and included comments of: ‘Very good standard of care’. ‘An all round very good E.M.I home’. Activities were organised and people who use the service were able to exercise their rights of choice with the service, therefore this will provide stimulation and enhance their quality of life. On discussing the activities with the people who use the service, and relatives their opinions were that; ‘They (people who use the service) are not able to keep their attention, so activities are hard to do’. ‘I don’t mix with the others I stay on my own’. ‘I’d rather watch TV’. ‘I would like more activities and to go out more’. The comments within the surveys indicated that activities occurred ‘Usually’ or ‘Sometime’. Unfortunately, although there was evidence that activities did occur, ie through posters, planners and entries within the care plan of activities taking place, some the people who use the service were unable to remember what activity occurred in the morning. No activities were taking place at the time of the inspection. It was recognised that undertaking structured activities with the people with dementia may be difficult and one to one work may be more appropriate. The general comments regarding the food were that: ‘The meals are very good’. (Several comments) ‘I have seen that they (people who use the service) get plenty to eat, although the older you get the less food you want’. People who use the service live in an environment that had been maintained to a good standard to provide a well-maintained environment. The general comments were that: ‘It’s clean’. ‘I like to live her’ The comments from people who use the service and relatives regarding staff were: ‘The staff are good and kind’. (several comments) ‘They are nice’. Moorgate Hollow Residential EMI Home DS0000066110.V361786.R01.S.doc Version 5.2 Page 7 An experienced manager is in post. This will contributed to the effective organisation and operation of the service. 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. Moorgate Hollow Residential EMI Home DS0000066110.V361786.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 Moorgate Hollow Residential EMI Home DS0000066110.V361786.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): Standards 3 and 6. 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. The needs of people who use the service were known to the service prior to admission because of the service’s assessment rather than the information provided by Social Services. The assessment ensured that the service had sufficient information to assess if the service was able to meet the person’s needs. EVIDENCE: On trying to examination of the care management assessments within three care plans, it was established that there were no assessments from care management. The manager advised that the majority of the referrals were through verbal contact from the care management team. It was discussed that the manager should raise this lack of assessments with the Social Services, as Moorgate Hollow Residential EMI Home DS0000066110.V361786.R01.S.doc Version 5.2 Page 10 will the Commission for Social Care Inspection, as verbal referrals from Social Services was not good practice. The manager or deputy manager undertook assessments prior to the admission of any persons who wished to use the service. The assessments detailed the people who use the service’s needs which would assist in providing sufficient information for the staff to decide if the service could met the person’s needs and provided sufficient information for care plans to be drawn up. The manager advised that intermediate care was not provided within the service. Moorgate Hollow Residential EMI Home DS0000066110.V361786.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): Standards 7, 8, 9 and 10. 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 who use the service benefit from the provision of accurate care plans and were satisfied with the care and service being delivered. EVIDENCE: On examination of the care plans, from three people who use the service, it was established that all three care plans were up to date. There were daily entries within the care plans. These entries recorded the care delivered on a daily basis, and the plans had been evaluated on a monthly basis. Comprehensive risk assessments were included within the documentation. These risk assessments had also been reviewed. Moorgate Hollow Residential EMI Home DS0000066110.V361786.R01.S.doc Version 5.2 Page 12 It was agreed that the care plan documentation should be reviewed and old documents removed, so as to make the files more user friendly. It was recognised that the people who use the service had limited ability to express their views however some people who use the service and mostly relatives did provide comments by expressing their views at the time of the inspection or on surveys. The views expressed were: ‘The care is good’. ‘They have time for them’. (people who use the service) ‘I like it here’. A Health care professional completed a survey and included comments of: ‘Very good standard of care’. ‘An all round very good EMI home’. The storage, ordering, administration and disposal of medication procedures were discussed with the manager. The procedures explained by the manager were satisfactory. There was a signature-checking document, which contained the initials as written on the medication administration document and the member of staff’s signature. On examination of the medication administration records it was found that there were no omissions of signatures. All medication records had been signed when being checked in from the pharmacy. Moorgate Hollow Residential EMI Home DS0000066110.V361786.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): Standards 12, 13, 14 and 15. 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. Activities were organised and people who use the service were able to exercise their rights of choice with the service, therefore this will provide stimulation and enhance their quality of life. EVIDENCE: The manager advised that an activities co-ordinator was in post and employed for 20 hours per week. There was a programme of generalised planned social events displayed and included activities within the service and outings. The manager advised that the activities consisted of playing dominoes or cards, painting, baking and icing the baking. There was also ‘pamper days’, when the people who use the service had their ‘hair and nails done’. Entertainers and outings to Meadowhall, local parks and public houses were also arranged. Moorgate Hollow Residential EMI Home DS0000066110.V361786.R01.S.doc Version 5.2 Page 14 It was advised that outings were limited because of the availability of the local community transport. The benefits of the company providing its own transport for the three homes on the site were discussed. On discussing the activities with the people who use the service, and relatives their opinions were that; ‘They (people who use the service) are not able to keep their attention, so activities are hard to do’. ‘I don’t mix with the others I stay on my own’. ‘I’d rather watch TV’. ‘I would like more activities and to go out more’. The comments within the surveys indicated that activities occurred ‘Usually’ or ‘Sometime’. Unfortunately although there was evidence that activities did occur, ie through posters, planners and entries within the care plan, some the people who use the service were unable to remember what activity occurred that morning. No activities were taking place at the time of the inspection. It was recognised that undertaking structured activities with the people with dementia may be difficult and one to one work may be more appropriate. Regarding the meals, the manager advised that the service operated an ‘over catering’ practice, because of the people who use the service having memory problems. The manager advised that ‘if an order system was in operation the residents would not remember what they had ordered’. The general comments regarding the food were that: ‘The meals are very good’. (Several comments) ‘I have seen that they get plenty to eat, although the older you get the less food you want’. Therefore it was established that people who use the service had a choice of meals. Moorgate Hollow Residential EMI Home DS0000066110.V361786.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): Standards 16 and 18. 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. The service had a complaints procedure and it was operating according to the company policy, this should provide confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. Safeguarding adults training made aware of their responsibility regarding the protection of vulnerable adults. EVIDENCE: On discussing the complaints procedure it was agreed that although the procedure was in the Service User guide a more prominent complaints procedure might be useful and enable relatives, and visitors to be aware of who and where to complain. The complaints file kept by the manager for her investigations was examined. All complaints within the file had been resolved. Regarding safeguarding adults, the safeguarding policies and procedures were available to the staff. Staff had undertaken Safeguarding Adults training, and the manager was able to evidence this by producing the training records. Moorgate Hollow Residential EMI Home DS0000066110.V361786.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): Standards 19 and 26. 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 who use the service live in an environment that had been maintained to a good standard to provide a well-maintained environment. EVIDENCE: On touring the building, the home was found to be clean, tidy, well maintained and decorated and furbished to a good standard. On examining the bedrooms, every door was found to be locked. It was discussed that this practice would limit the people who use the service access to their own rooms. The manager advised that the rooms had been locked to stop other people who use the service going into a room, which was not their Moorgate Hollow Residential EMI Home DS0000066110.V361786.R01.S.doc Version 5.2 Page 17 room. Whilst the reason given that rooms may be secured because of other people entering was accepted, the locking and restricting of rooms should be undertaken by an individual risk assessment. Positive comments were received from the people who use the service and the relatives regarding the home. The general comments were that: ‘It’s clean’. ‘I like to live her’ The people who use the service’s rooms had been personalised and many contained photographs, personal belongings and items of furniture, which the individual or the family had provided. Moorgate Hollow Residential EMI Home DS0000066110.V361786.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): Standards 27, 28, 29 and 30. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager was unable to provide evidence that staff had received all necessary training, which would reflect on the quality of care being delivered to the people who use the service. However they were acting upon this issue. The staff recruitment process may not provide protection for the people who use the service as the files did contain the required information. EVIDENCE: On examination of the staff rotas and examination of staff on duty, the following was established. Am shift 1 senior care staff and 3 care staff. Pm shift 1 senior care staff and 3 care staff Night shift 1 senior care staff and 2 care staff. Plus a manager, a deputy manager, and an activities co-ordinator. Ancillary staff included domestics, and catering staff. Moorgate Hollow Residential EMI Home DS0000066110.V361786.R01.S.doc Version 5.2 Page 19 Caring for a present occupancy of 18 people who use the service. A full assessment of the dependency levels of the people who use the service was not undertaken and compared with the indicated staffing levels. On examination of the three staff files, all contained Criminal Records Bureau and POVA (Protection of Vulnerable Adults) checks. However one file had only one reference and in another file no references could be located. Also the files did not contain a recent photograph of the member of staff. The manager identified that the members of staff who files were checked had been in post for sometime, but accepted that the files did not contain photographs. She advised that the files would receive attention. It was discussed that the service did not have administration support, but it was suggested that support from the other administration services of the company might assist. On examination of the staff training records there were records that indicated all staff had received some training, It was explained that the company had changed training companies and this had created the anomaly. The manager provided evidence that the new training company had produced a training matrix and training was to occur in the near future. In view of the fact that the company had identified the problem and had evidence to show that they had acted upon it and this issue would be resolved within a short timeframe, no requirement was listed. The comments from people who use the service and relatives were: ‘The staff are good and kind’. (several comments) ‘They are nice’. Moorgate Hollow Residential EMI Home DS0000066110.V361786.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): Standards 31,33,35 and 38. 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. An experienced manager is in post. This will contributed to the effective organisation and operation of the service. Quality assurance systems were in place that should assist the managers and company to measure the service against expected outcomes. EVIDENCE: The manager advised that she had 20 years’ experience in care and 15 years in management, and had completed the Registered Managers Award. Moorgate Hollow Residential EMI Home DS0000066110.V361786.R01.S.doc Version 5.2 Page 21 Regarding service users’ monies there was a credit and debit system in operation. Regarding Quality Assurance, the manager and operations manager undertake the quality monitoring of the service. Regulation 26 documentations, which are a record of the registered person’s monthly visits, was complied on a monthly basis, evidence of this was seen at the visit. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; have been received by CSCI (Commission for Social Care Inspection). Moorgate Hollow Residential EMI Home DS0000066110.V361786.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 N/A 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 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Moorgate Hollow Residential EMI Home DS0000066110.V361786.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. 1 Standard OP29 Regulation 18 and Schedule 2 Requirement The staff records should contain all the information detailed in Schedule 2. Timescale for action 10/05/08 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 Moorgate Hollow Residential EMI Home DS0000066110.V361786.R01.S.doc Version 5.2 Page 24 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 Moorgate Hollow Residential EMI Home DS0000066110.V361786.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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