Care Home: Priceholme

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What the care home does well What has improved since the last inspection? Improvements introduced during the last 12 months have included: Introduction of Standards and Values Assessment, External Audits, New "Elearning" opportunities for staff, Improved care planning documentation. What the care home could do better: The manager and staff continually strive to improve the standard of care they extend to people living in the home, planned improvements for the next 12months include: Additional management training (including NVQ level 4 in Care), more training opportunities through e-learning, revision of the induction handbook for volunteers. When residents and their families were asked how they thought the service could be improved, the following comments were received: "No suggestions, it`s a great place already." "Always most helpful and aiming to give the very best in care." "The home does everything well." CARE HOMES FOR OLDER PEOPLE Priceholme Givendale Road Scarborough North Yorkshire YO12 6LE Lead Inspector Ray Burton Unannounced Inspection 18th July 2008 10:00 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 Priceholme DS0000007666.V368707.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. Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priceholme Address Givendale Road Scarborough North Yorkshire YO12 6LE 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) 01723 361022 01723 500159 home.sca@mha.org.uk www.mha.org.uk Methodist Homes for the Aged Mrs Elizabeth Marion Dawson Care Home 33 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (33) of places Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd May 2007 Brief Description of the Service: ‘Priceholme’ is one of group of care establishments operated by the Methodist Homes for the Aged (MHA) and was built for purpose. The property is located in a residential area on the north side of Scarborough. It is conveniently situated for all of the main community facilities and is adjacent to a Methodist Church that has strong connections with the home. The service provides personal care and accommodation for a maximum of 32 older people, 6 of whom may have a mild to moderate dementia type illness. In addition the home also has 1 bedroom that is used only as respite accommodation for a maximum of 3 weeks for each person accommodated. [Total registered number being 33]. All rooms are en-suite. Resident’s accommodation is located on two floors, the upper floor being accessed by a passenger lift and stairs. The home has a stated Christian ethos based on the Methodist denomination. This does not, however, exclude admission for service users with other, or no, religious beliefs. Information about the services offered at the home is provided to people in the form of a brochure. The latest inspection report provided by the Commission for Social Care Inspection is also made available to people. The weekly fees charged range from £469 to £520. Additional charges are made for hairdressing, chiropody, newspapers and toiletries. This information was provided on 18/07/08. Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This was an unannounced inspection covering all of the key standards of the National Minimum Standards for Care Homes for Older People. It was conducted on 18th July 2008. The inspector looked around the home, examined various records and spoke to the people living there as well as to the registered manager and members of staff. What the service does well: What has improved since the last inspection? What they could do better: The manager and staff continually strive to improve the standard of care they extend to people living in the home, planned improvements for the next 12 Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 6 months include: Additional management training (including NVQ level 4 in Care), more training opportunities through e-learning, revision of the induction handbook for volunteers. When residents and their families were asked how they thought the service could be improved, the following comments were received: “No suggestions, it’s a great place already.” “Always most helpful and aiming to give the very best in care.” “The home does everything well.” 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. Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 7 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 Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 8 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): 1, 2, 3, 4, 5. People who use this service experience excellent quality outcomes in this area. Prospective residents are given information prior to admission to enable them to make an informed decision about the suitability of the home to meet their needs. The homes assessment process ensures no one is admitted unless his/her needs can be met. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The manager and staff recognise that people considering moving into a residential care home want to know as much as possible about the home Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 9 before making a decision as to whether or not it is the sort of place in which they would be happy to live. The homes web site provides prospective residents and their families with very good information about the home, its facilities and philosophy as well as a detailed map showing its location. The statement of purpose and service users guide are extremely comprehensive and include the latest inspection report, residents’ comments and the results of a satisfaction survey. Conversation with the manager and examination of records including care plans revealed that assessments of need are carried out in conjunction with the prospective resident, his/her family and where appropriate healthcare professionals and the social services department. Prior to admission, a senior member of staff visits the prospective resident in his/her own home and carries out a detailed assessment to determine if the home can meet the person’s needs; in addition they and their families are invited to visit Priceholme to look round, have a meal and meet staff and the people already living there. Day care and short stays are often a precursor to admission to the home; once admitted there is a trial period during which time a new resident is able to decide if they wish to continue living at Priceholme. New residents are given a “Residential Care Agreement” covering the terms and conditions and fees for living in the home. The home does not offer intermediate care; therefore standard 6 does not apply. Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11. People who use this service experience excellent quality outcomes in this area. The homes care planning process ensures the needs of people living in the home are met. Personal care is conducted in a sensitive manner that upholds dignity and privacy. Systems are in place to ensure the safe handling of medicines. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The personal files belonging to people living in the home are well organised and provide a comprehensive and detailed record of the individual’s needs. Background information is recorded in the “Life Story Summary”. This document, written, where possible by the subject or his/her family, is a Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 11 valuable aid towards ensuring that care and support is delivered in the way in which the resident wishes. Care/support plans contain information about the general health of the individual and details of any specific illness or medical condition. Constant monitoring of health is undertaken and healthcare needs addressed by community-based professionals e.g. general medical practitioners, district nurses, chiropodists etc. Risk assessments are conducted in all areas such as mobility, risk of falls, tissue viability etc and suitable risk management strategies developed to ensure all health-related needs are appropriately and safely met; and that, where necessary, specialist help and equipment is obtained. Regular reviews are undertaken to ensure any changing needs and wishes are quickly identified and addressed. The home has appropriate policies and procedures for the receipt, recording, storage, handling, administration and disposal of medicines. Medication is stored securely and administered by members of staff who have received training in the administration and safe handling of medicines. Residents who have been assessed as able to look after their own medication are encouraged to do so; suitable lockable facilities are available in each bedroom for the secure storage of medicines. It is apparent that good relations exist between the people living in the home and members of staff. Residents are treated with respect and addressed courteously by their preferred name. Members of staff were observed to knock on bedroom doors and await permission before entering. There is a very positive and open approach toward the subject of death and dying, and the end of life wishes of people living in the home are looked on as being of the utmost importance and are recorded in their support plan. People living in the home are informed if a fellow resident is ill or dying and are able to spend time with that person if they so wish. Overnight facilities are available to relatives and friends who wish to remain close to a loved one during their final days. Following the death of a resident a “Thanksgiving for Life” service is held in the home. A relative made the following comments in her returned questionnaire: “The home meets the needs of service users, especially including their spiritual needs. It is a very loving and caring home with happy staff who give a lot of joy to the residents.” Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. People who use this service experience excellent quality outcomes in this area. People living in the home are able to exercise choice and make decisions about their lives. Routines are flexible and are able to accommodate individual preferences and expectations. Residents are supported to maintain links with family, friends and the local community. A healthy and balanced diet is provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a relaxed and friendly atmosphere in the home. Routines are flexible, promote independence and allow residents to exercise personal choice and control over their lives. An activities co-ordinator has been employed who, after consultation with residents and their families, has organised a varied activities programme; she Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 13 is assisted by a volunteer support group who, as well as promoting organised activities, take an interest in individual residents. All care staff have been briefed on the importance of social care as an element of personal care. In addition to individual activities two group activities are organised each day: board games; handicrafts; music & movement, speaker, outings, coffee parties etc. The home has strong links with a number of community organisations such as “Pat a Dog” local schools and “Guide Dogs for the Blind” MHA (the homes parent body) has undertaken a review of “social care activities and well-being” which sets clear standards and targets for the provision of activities and therapy; in addition the home is working with NAPA (National Association of Providers of Activities for Older People) to develop activities. A relative made the following comments: “Priceholme allows residents to live their own lives in that their rooms are comfortable and most have telephones and TV’s etc so they spend time in them, at other times activities are arranged to encourage them to join in. My mother feels very much at home there, everyone is friendly. She can join in or be on her own. The food is excellent.” Although the home is run by the Methodist Homes for the Aged (MHA) there are no restrictions on who is admitted and the home is open to everyone, regardless of their personal beliefs. Nevertheless the Methodist Church plays an active role in the home and provides a chaplain who holds regular services for those who wish to attend; in addition those residents of a different faith or denomination are enabled, by being visited by a minister of their own religion or taken by a member of staff to a church of their choosing, to worship according to their own faith. People living in the home are provided with a varied and balanced diet. Daily menus are prepared in consultation with residents; catering staff have received training in special dietary requirements. Meals are served at set times in the dining room although there is a great deal of flexibility to allow for individual wishes, and residents are able to take their meals in the privacy of their own room if they wish. Facilities are available for residents to make themselves drinks and snacks at any time of the day or night. Minutes of the residents’ meetings contained comments such as: “Good selection of desserts, much appreciated.” There was also evidence that the manager and staff responded to comments and suggestions made e.g. a request for honey, mustard and marmite to be put on tables made at one meeting had been actioned by the following meeting. Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18. People who use this service experience excellent quality outcomes in this area. There are appropriate policies and procedures for the protection of vulnerable adults and for dealing with complaints. People living in the home feel confident that appropriate action would be taken to resolve any complaint or concern they might have. All members of staff have received training in adult protection. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The homes complaints procedure is on display and a copy is included in the service users guide given to each new resident on admission. The procedure shows the process for making a complaint, who would deal with it, the timescale for the process and what to do if not satisfied with the way in which the matter had been handled. Records show there have been no complaints received since the last inspection. The inspector spoke to several residents both individually and in groups, all expressed satisfaction with life at Priceholme and said they were happy living Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 15 there. They said they had no complaints but knew what to do and who to see if they should be unhappy about anything. One resident in her returned questionnaire said: “I have been a resident in Priceholme for ten years. It is a happy home because it is fortunate to have a good manager who is always willing to listen to any complaints. As she acts promptly to put things right she is appreciated by us all.” Policies and procedures were in place to ensure the safety and protection of people living in the home and to respond to any suspicion or allegation of abuse. Members of staff had received training in “Safeguarding” and were able to demonstrate an understanding of what constituted abuse and what to do in the event of such an incident being brought to their attention. Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26. People who use this service experience good quality outcomes in this area. The environmental standard was good, providing residents with a comfortable, homely and safe place in which to live. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The internal and external fabric of the building is maintained in good condition. Health & safety documentation is up-to-date and records show all necessary safety checks are conducted and maintenance of equipment carried out at the required intervals. Fire safety records are properly maintained. All areas of the home are centrally heated and radiators have been guarded to ensure a safe surface temperature. Hot water outlets accessible to residents have been fitted with regulators to guard against scalding; regular water Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 17 temperature checks are undertaken. All windows above ground level are fitted with restrictors. A walk around the building revealed it to be clean, hygienic and free from offensive odours. Décor is pleasant and cheerful with much use made of colour and fabrics to highlight important areas such as toilet facilities; furniture is of good quality, comfortable and suitable for purpose. Sufficient suitable lavatories, washing facilities and specialist disability equipment are available and are easily accessible. The home provides pleasant, homely accommodation with sufficient communal space to enable the people living there to find a quiet corner where, if they wish, they can spend time by themselves without resorting to having to retire to their bedroom. Bedrooms were comfortably and appropriately furnished and had been individualised by the inclusion of small items of furniture and other personal effects such as pictures and photographs brought from the occupants own home. The large, well maintained garden has been provided with seating areas and provides a pleasant outside space for people to enjoy. Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. People who use this service experience excellent quality outcomes in this area. Members of staff are employed in sufficient numbers and with appropriate skills and training to meet the needs of people living in the home. The home operates an appropriate recruitment and staff selection procedure. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: On the day of the inspection there were sufficient members of staff on duty to meet the needs of the people living in the home. Examination of staffing rosters revealed the home was always appropriately staffed. The home operates a robust recruitment and staff selection procedure that ensures all necessary checks, including Criminal Records Bureau (CRB), are conducted and two suitable references received prior to commencement of employment. The home has a small number of voluntary helpers all of who are Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 19 subject to the same stringent checking procedure applied to staff; in addition they receive training and supervision. Each member of staff has an individual training programme and is allowed a minimum of five days training a year. All new members of staff receive induction training and there is ongoing mandatory training for all members of staff as well as further training to aid their professional development and to help them meet the identified needs of the people living in the home. Recently completed training included: Dementia Awareness, Palliative Care, Diabetes. Of the 19 members of care staff, 15 are qualified to a minimum of NVQ level 2 in Care and 2 are currently working towards achieving the award. Senior members of staff are encouraged to participate in a specially designed management-training programme. The home is currently working with NAPA to develop a NVQ level 3 for providers of therapeutic activities for older people. The manager said an “e-learning” facility has been recently introduced that allows staff to benefit from “bite-sized” learning at a time convenient to them. The provider recognises the importance of maintaining a stable staff team that can provide continuity of care and has therefore, in addition to its extensive training programme, introduced various benefits and incentives for staff at the home, these include: awards for long-term service and attendance, flexible staff benefits which offer various free and discounted services to staff Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37, 38 People who use this service experience excellent quality outcomes in this area. This is a well managed home with an enthusiastic staff team. Policies, procedures and records are maintained in good order. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has extensive experience and the required qualifications in both management and care; she demonstrates a high level of competency, provides strong leadership and has a management style that is Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 21 empowering and supportive. Members of staff, in conversation and, through returned questionnaires made many positive comments about the manager and the way that the home was run: “I feel that I can always approach my manager with any problems or ideas and will be listened to. There is a positive and constructive feedback on the way I work.” “The home managers door is always open for staff to speak to her. An understanding and compassionate ear is available to everybody.” It is apparent that the home is being run in the best interests of the people living there and that the manager and staff team have a strong commitment towards ensuring all residents enjoy a fulfilling lifestyle and are supported to keep control of their lives and maintain as much independence as possible. There are various systems, both formal and informal, to measure success in meeting the homes aims, objectives and statement of purpose and to ensure residents rights and best interests are safeguarded. There is an excellent quality assurance programme carried out annually by senior advisors in MHA and a six monthly internal audit involving residents and junior members of staff. There is also an annual residents satisfaction survey and an internal management review that includes a business plan and action plans derived from internal and external audits. Informal quality monitoring systems include: resident meetings, staff meetings and day-to-day contact with residents and their families. There is a comprehensive supervision and training policy for all members of staff, adherence to which is monitored by senior managers in MHA. All members of staff receive at least six formal supervision sessions a year. The home has policies and procedures that comply with current legislation and good practice and cover all aspects of the management of the home. The manager and staff are aware of their responsibilities under Health & Safety legislation. All records to ensure the safe and effective running of the home and to safeguard residents’ rights and best interests are in place and are properly maintained. A designated representative, generally a family member, deals with the financial affairs of residents and only small amounts of cash are handled by staff at the home. Any money or item of value held for safekeeping on behalf of a resident is held securely and an appropriate record kept. Priceholme DS0000007666.V368707.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 4 3 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 4 X 3 3 3 3 Priceholme DS0000007666.V368707.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Priceholme DS0000007666.V368707.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 Priceholme DS0000007666.V368707.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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