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What the care home does well What has improved since the last inspection? This was the home`s first `key` inspection. However a `random` inspection was carried out on 22 January 2008 to look at medication, care plans, and staff training. Two Requirements were made regarding medication administration and these have been met. CARE HOME ADULTS 18-65 Thorpe Life Skills Centre Irchester Road Knuston Spinney Wellingborough NN29 7EY Lead Inspector Kim Cowley Unannounced Inspection 3rd June 2008 11:00 Thorpe Life Skills Centre DS0000071373.V366429.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 Thorpe Life Skills Centre DS0000071373.V366429.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. Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Thorpe Life Skills Centre Address Irchester Road Knuston Spinney Wellingborough NN29 7EY 01933 411603 01933 317184 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) www.schealthcare.co.uk Active Care Partnerships Ltd Vacant Post Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Thorpe Life Skills Centre DS0000071373.V366429.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 - 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. The maximum number of service users who can be accommodated is: 15 Not applicable – new service. Date of last inspection Brief Description of the Service: Thorpe Life Skills Centre, formerly part of the Alton Centre, is a newly registered home for up to 15 younger adults with learning disabilities. It is situated a few miles from Wellingborough on a bus route. The purpose-built premises are spacious throughout, and all the people who live there have single ensuite bedrooms. The home has good access for people with limited mobility with a passenger lift to the first floor. At the back of the home is a large enclosed garden with an allotment. The fees range from £1137 to £1487 per week. Inspection reports and other information about the home are available from the Acting Manager. Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit we spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five hours, we checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means we looked at the care provided to three people living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. We also met the Acting Manager, Area Manager, Responsible Individual, and three support workers. What the service does well: Thorpe Life Skills Centre was purpose built and the accomodation is modern and spacious. All the areas we saw were bright, airy, and clean. The colour schemes give the interior a calm atmosphere, as does the secluded setting and rural outlook. Bedrooms are single and have ensuite facilities. One of the people who live in the home showed us his room which he had designed and decorated himself. The home aims to prepare the people who live there for independent living. The people who live there told us about how they have progressed since moving in. Comments included, ‘I used to get angry but I don’t anymore because I tell the staff if I feel bad and that stops me getting angry’, ‘Since I’ve been here I’ve learnt to do my own laundry’, and ‘They (the staff) teach me skills here so I will be able to live on my own one day.’ All the people who live in the home have their own programme of recreational, educational, and vocational activities, depending on their needs and what they want to achieve. In discussions the people who live in the home talked to us about the sort of things they like to do, and how staff help them get out into the community. One of the people who live in the home told us, ‘I have a job which the staff helped me find’, and another said, ‘I want my own place and the staff are going to help me get it.’ Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 6 Meals at the home are planned, shopped for, and prepared with the involvement of the people who live there. They help to choose their meals by looking through menu books, compiled by staff, with pictures and recipes. Their comments included, ‘I make my own breakfast – I have cereal or porridge’, and, ‘I make cakes with the staff helping me.’ The staff on duty during the inspection were friendly and helpful, and appeared to get on well with the people who live in the home. They were observed working closely with them, helping them to make choices and accompanying them out into the community. The people who live in the home praised the staff team. One said, ‘I like my key worker, I’m glad she works here’, and another told us, ‘I like to have a laugh with the staff.’ 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. Thorpe Life Skills Centre DS0000071373.V366429.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 Thorpe Life Skills Centre DS0000071373.V366429.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): Quality in this outcome area is good. People who want to come to the home have their needs assessed to ensure it is suitable for them. This judgement has been made using available evidence including a visit to this service. Standard 2 was inspected. EVIDENCE: Thorpe Life Skills Centre, formerly part of the Alton Centre, is a new home. The Statement of Purpose refers to it as a ‘Life Skills Centre (that) provides residential education services for people with Learning Disabilities and Autistic Spectrum Disorders’. The people who currently live there were previously accommodated at the Alton Centre, so did not undergo the new home’s admission procedure. The Acting Manager told us that new admissions would have a full assessment prior to moving in. This would be carried out by the Acting Manager and another senior member of staff. Where possible an advocate would be involved in this process to help people decide whether or not Thorpe Life Skills Centre is the home for them. A company policy, Admission of a service user, is available on request to anyone who wants to see it. Staff and managers are currently putting together a ‘user-friendly’ service user guide for Thorpe. This is written in ‘Widget’ (which uses pictures and symbols) and is designed to be accessible to people who might be interested in coming to Thorpe Life Skills Centre. Thorpe Life Skills Centre DS0000071373.V366429.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): Quality in this outcome area is good. Detailed care plans help staff to identify and meet the needs of the people who live in the home. This judgement has been made using available evidence including a visit to this service. Standards 6, 7, and 9 were inspected. EVIDENCE: Care plans cover the health, personal and social needs of the people who live in the home, and their likes/dislikes and preferred lifestyles. They are in the process of being re-written so as to place more emphasis on preparing the people who live in the home for life in the wider community. This will help to ensure that the people who live in the home continue to move towards independence. We talked to two residents about their care plans. Both knew they were kept in the office and that they could look at them if they wanted to. And both had signed to say they agreed with what was in their care plans. Comments about what they had achieved since coming to the home included: ‘I used to get angry but I don’t anymore because I tell the staff if I feel bad and that stops me getting angry.’ Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 10 ‘Since I’ve been here I’ve learnt to do my own laundry.’ ‘They (the staff) teach me skills here so I will be able to live on my own one day.’ All the people who live in the home are enocuraged to make decisions and take responsible risks. Staff only intervene if there are serious concerns about their well being. This will help the people who live in the home to increase their independence and decision making skills, while at the same time remaining safe. Consideration should be given to using advocates in the home. This would enable the people who live there to have independent support if there was a dispute about the choices they make. Thorpe Life Skills Centre DS0000071373.V366429.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): Quality in this outcome area is good. Daily living and social activities enable residents to lead full lives and grow in independence. This judgement has been made using available evidence including a visit to this service. Standards 12, 13, 15, 16, and 17 were inspected. EVIDENCE: All the people who live in the home have their own programme of recreational, educational, and vocational activities, depending on their needs and what they want to achieve. In discussions the people who live in the home talked to us about the sort of things they like to do, and how staff help them get out into the community. Comments included: ‘I ‘I ‘I ‘I ‘I ‘I like listening to music.’ go to a club on Wednesday and I’ve got lots of friends there.’ have a job which the staff helped me find.’ do lots of things – I like karaoke and bowling.’ help here – I grow vegetables and help look after the car and the minibus.’ want my own place and the staff are going to help me get it.’ DS0000071373.V366429.R01.S.doc Version 5.2 Page 12 Thorpe Life Skills Centre Records showed that staff help the people who live in the home to discover what interests them and what their goals are. These are identified in care plans so staff can help them achieve their ambitions, for example, living independently, finding a job, or using public transport. Relatives who want to be are closely involved in the running of the home. They are invited to attend weekly progress meetings where they can discuss with staff how best to support their family members. The people who live in the home told us they liked their relatives being involved in their care. One said, ‘My (relative) comes here a lot because she wants to help me get my own place to live.’ Meals at the home are planned, shopped for, and prepared with the involvement of the people who live there. They help to choose their meals by looking through menu books, compiled by staff, with pictures and recipes. Their comments included: ‘I make my own breakfast – I have cereal or porridge.’ ‘The food’s got better.’ ‘I cook once a week.’ ‘I make cakes with the staff helping me.’ The people who live in the home are encouraged to eat healthily and try different dishes. Regular theme nights are held when they try food from different countries. Thorpe Life Skills Centre DS0000071373.V366429.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): Quality in this outcome area is good. The people who live in the home have their personal and health care needs met in the way they want by staff in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people who live in the home are encouraged to be as independent as possible and are supported to care for themselves. For those less able, support and guidance is offered in a sensitive and flexible manner. Care plans provide the information staff need to provide appropriate help and support and alert them to individual’s likes and dislikes. Records showed that the people who live in the home use healthcare services, for example GPs, opticians and dentists, where necessary. When extra support is needed, specialist healthcare professions, for example community psychiatric and learning disability nurses, are involved. This helps to ensure the people who live in the home get the support they need during times of change or crisis. The people who live in the home are encouraged, as far as possible, to become responsible for their own medication. Records showed that when they do this they are well-supported by staff. Other residents have their medication Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 14 administered by staff with a view to becoming more independent in the future. Only senior staff give out medication and they have been properly trained to ensure they do this safely. Thorpe Life Skills Centre DS0000071373.V366429.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): Quality in this outcome area is good. Staff know how to safeguard residents and help them express any concerns they might have. This judgement has been made using available evidence including a visit to this service. Standards 22 and 23 were inspected. EVIDENCE: The people who live in the home are encouraged to let staff know if there is anything they are unhappy about. To make it easier for them to do this, there is an easy-read version of the complaints procedure displayed in the home. This includes pictures of the people they can go to if they have any concerns. Those we spoke to said they would have no problem in telling someone if they a complaint. One said, ‘If any of the staff were rude I’d tell the Manager’, and another told us, ‘If I’m not happy I tell my key worker or my parents.’ The people who live in the home can also raise concerns at their daily meetings, via their key workers, through the satisfaction surveys, or directly to any member of staff at any time. Relatives and other representatives are also encouraged to use the complaints procedure or tell a member of staff if there is anything they are unhappy about. One complaint about Thorpe Life Skills Centre has been received by CSCI since the home opened. This was discussed at the inspection. We found the Acting Managers open and helpful when dealing with this complaint. Once the investigation is over she will be responding in writing to the complainant. All staff are trained in safeguarding vulnerable adults. The home has a whistle blowing procedure in place, and a procedure for reporting suspected abuse. Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 16 This will help to ensure that the people who live in the home are safeguarded. In discussions all staff were clear about what to do if they had concerns about a resident’s well being. Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents live in an environment that is spacious, comfortable, and well maintained. This judgement has been made using available evidence including a visit to this service. Standards 24 and 30 were inspected. EVIDENCE: The home was purpose built and the accomodation is modern and spacious. The front door opens into a large reception room with seating and dining areas within it. Beyond this is an equally large conservatory which overlooks the gardens at the rear of the home. When we looked round the home all the areas we saw were bright, airy, and clean. The colour schemes give the interior a calm atmosphere, as does the secluded setting and rural outlook. All bedrooms are single and have ensuite facilities. One of the people who live in the home showed us his room which he had designed and decorated himself. Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 18 In the well meaintained gardens are patio and seating areas, lawns, a gazebo, and an allotment where the people who live in the home can grow their own vegetables. The home is non-smoking although the people who live there can smoke in the gardens if they wish to, subject to a satisfactory risk asessment. A cleaner is employed, and the people who live in the home are encouraged to keep their own bedrooms clean and tidy. One of the people who live in the home told us they thought the communal car had an odour in it. This was discussed with the Acting Mananger who said she was aware of this concern, and has arranged to have the car professionally valeted to eradicate the problem. Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Friendly and professional staff meets residents’ needs. This judgement has been made using available evidence including a visit to the service. Standards 32, 34 and 35 were inspected. EVIDENCE: The staff on duty during the inspection were friendly and helpful, and appeared to get on well with the people who live in the home. They were observed working closely with them, helping them to make choices and accompanying them out into the community. The Acting Manager acknowledged that the home has had to use some agency staff recently to cover staff shortages. However she said that following a recruitment drive, this problem was gradually being resolved and only a few agency staff were being used. She said these were ‘regulars’ and knew the people who live in the home well. Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 20 The people who live in the home praised the staff team and the following comments were made: ‘I like my key worker, I’m glad she works here.’ ‘I like to have a laugh with the staff.’ ‘The staff help me if I fall out with the other residents.’ Recruitment procedures were discussed with the Acting Manager. She told us that all staff are subject to CRB and POVA checks, and references are obtained. Staff files were sampled and had the appropriate documentation in place. This helps to ensure residents are safeguarded. Staff receive good training opportunities. A new training planner/matrix has been devised to ensure all staff have the necessary skills to care effectively for the people who live in the home. The majority of staff have, or are working towards, National Vocational Qualifications in Care. There is programme of appraisal and supervision in place that will help to ensure staff have the support and skills they need to carry out their work. Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The home is safe and well managed and the people who live there are actively involved in the way it is run. This judgement has been made using available evidence including a visit to this service. Standards 37, 38, 39, and 42 were inspected. EVIDENCE: The Acting Manager is an experienced social worker who is employed as a Projects Manager by Active Care. She has been brought in to look after the home until a permanent manager is found. She has substantial experience of working with people with learning disabilities and helping them to prepare for independent living. Although the Acting Manager had only been at the home for a few weeks prior to the inspection, she was knowledgeable about the service and its aims, and had established good relationships with the people who live there. While it is acknowledged that the home is currently well run, a permanent Registered Manager should be found as soon as possible. This will help to give Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 22 the home the stability and continuity needed to achieve its aims and objectives. Consultations with the people who live at the home are central to how it is run. Every day staff meet with them, either in groups or on a one-to-one basis, to gather their views and encourage them to play an active part in choosing the day’s activities. One of the people who live in the home told us, ‘The staff are always asking me what I’d like to do and if I’m happy here.’ Relatives who want to be are also closely involved in making decisions about the home. At present some are meeting with staff once a week to discuss to progress of the people who live there. The Owning Body send out regular satisfaction surveys to the people who live in the home and their relatives, followed up by action plans to incorporate suggestions and views. Records showed that as a result of these surveys more in house and community based activities have been provided, and the menu has been changed. Records showed that the Owning Body has taken the necessary steps to promote and protect the health, safety, and welfare of residents and staff. A full-time handyman is employed to oversee this area. As the home is newly registered it has recently been inspected and approved by the Fire Service and Environmental Health Department. Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 2 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 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 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 3 3 X X 3 X Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA7 Good Practice Recommendations Consideration should be given to using advocates in the home. This would enable the people who live there to have independent support if there was a dispute about the choices they make. A permanent Registered Manager should be found as soon as possible. This will help to give the home the stability and continuity needed to achieve its aims and objectives. 2 YA38 Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 25 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 Thorpe Life Skills Centre DS0000071373.V366429.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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