Care Home: Priory Road

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What the care home does well People have their needs assessed before they move into the home. People`s file contained information on their support needs and who was responsible for Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 6each element of the support. People told us they were able to make decisions about their lives and that staff provided them with the support and assistance they needed. Taking reasonable risk was part of an independent lifestyle. People told us they were able to access some further education and work experience on a voluntary basis. They acknowledged that there was some limitation to this regarding timing. Compulsory group sessions took place at set times of the day so work and study had to be worked around this. People were clear about the daily routines of the home and of their individual responsibilities. As part of developing living skills People are responsible for shopping for preparation and cooking of their own meals. People were supported in the way they preferred and expected. There was an culture of people using the service supporting each other. People told us their health care needs were met and they were responsible for administering their own medication. There was a complaints procedure, which people knew about and the way the home was managed protected people from abuse. The home is well maintained decoration takes place on a rolling programme. The manager told us that repairs are carried out quickly by the housing association. In their surveys the people using the service told us "the staff are very respectful, and non judgemental", "the staff are approachable and responsive to individual needs" and that they are always treated well by the staff. On the day of the visit people told us the staff are "very good, offer individualised support, they are knowledgeable, confident, respectful and do much more than what thy are paid for". The staff are qualified and competent to do their jobs and the people using the service had confidence in the staff supporting them. People were asked to comment on the way the service was run and how the service met their expectations and needs. This meant that people`s views were taken into consideration. There are procedures in place to make sure the health safety and welfare of the people and the staff are protected. In the main these procedures were practised on a daily basis. People using the service told us they understood their responsibility for their own safety and for the safety of others. What has improved since the last inspection? Since the last inspection improvements have been made, staff make sure that records are signed and dated. The manager monitors care plan information on a three monthy basis. Improvements have been made to the environment. The manager has completed the National vocational Qualification (NVQ) Level 4 in management. What the care home could do better: Information about the needs and goals of people using the service is detailed in their file. This information however has not been developed into one document as a care plan. Peoples files need to be more organised to make it easier retrieve information. Records of peoples counselling session were not up to date. This meant there was no up to date written reference about what was discussed and the gaols set. Records of fire drills, staff fire training and fire system checks were not up to date and the home did not have a fire risk assessment. Staff and people using the service were however able to tell us the action they would take in the event of a fire. The manager confirmed the day after the inspection, that a fire drill, fire system test, check of escape routes and fire fighting equipment was carried out following a verbal requirement made by us on the day of the visit. CARE HOME ADULTS 18-65 Priory Road 9 Priory Road Nether Edge Sheffield South Yorkshire S7 1LW Lead Inspector Shirley Samuels Key Unannounced Inspection 24th June2008 10:00 Priory Road DS0000003003.V364102.R02.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 Priory Road DS0000003003.V364102.R02.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. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priory Road Address 9 Priory Road Nether Edge Sheffield South Yorkshire S7 1LW 0114 281 3183 F/P 0114 281 3183 none None Sheffield Alcohol Advisory Service 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) Mr Stuart Hawkshaw Care Home 6 Category(ies) of Past or present alcohol dependence (6) registration, with number of places Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th May 2006 Brief Description of the Service: The Sheffield Alcohol Advisory Service at Priory Road project is a residential home with facilities to care for up to six men and women with alcohol related problems. Priory Road is a large detached house located in an attractive residential area of the city, situated close to local amenities and public transport. The home has one double and four single bedrooms and all rooms are individually furnished and arranged according to the personal preferences of each person. There is a large garden to the rear of the home with a pond, attractive paved areas, garden ornaments and seating provided. One to one support and group counselling is provided by the staff of the home, with the aim of reshaping lifestyles and routines to enable people to learn to enjoy life without drink. People using the service are not provided with 24-hour staff support on site, however an on call system is operated by the home to ensure that staff are always available when needed. Information relating to the fees charged by the service, and details of what is/ is not included, can be found in the service user guide and in the individual contract provided to people at the time of their admission to the home. The current fees charged of £407 per week are inclusive of staffing and all facilities and services. The manager, and contracts checked, confirmed that Social Services paid the majority of the fee with service users paying a contribution from their allowance towards this and a small additional amount towards food. Priory Road DS0000003003.V364102.R02.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 two star. This means people who use the service experience good quality outcomes. This was a key inspection carried out by Shirley Samuels on Tuesday 24/06/08 In the report we make reference to “us” and “we”, when we do this we are referring to the inspector and the Commission for Social Care Inspection. We received surveys from three people using the service, one member of staff and two professional visitors. The inspector sought the views of five people using the service, and the registered manager who assisted with the inspection. In addition before the visit to the home, we received survey from five people using the service one member of staff and two professional visitors. This visit was a key inspection and the inspector checked all the key standards. During this visit we looked at the environment, and made observations on the staffs’ manner and attitude towards people. We checked samples of documents that related to peoples support, care and safety. We looked at other information before visiting the home. This included the Annual quality assurance assessment (AQAA). This is a document, which allows the manager to say how they think they are doing, what services they provide well, what they could do better and what they plan to do over the next 12 months to improve or develop the service. The inspector would like to thank everyone for their welcome and help in this inspection. What the service does well: People have their needs assessed before they move into the home. People’s file contained information on their support needs and who was responsible for Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 6 each element of the support. People told us they were able to make decisions about their lives and that staff provided them with the support and assistance they needed. Taking reasonable risk was part of an independent lifestyle. People told us they were able to access some further education and work experience on a voluntary basis. They acknowledged that there was some limitation to this regarding timing. Compulsory group sessions took place at set times of the day so work and study had to be worked around this. People were clear about the daily routines of the home and of their individual responsibilities. As part of developing living skills People are responsible for shopping for preparation and cooking of their own meals. People were supported in the way they preferred and expected. There was an culture of people using the service supporting each other. People told us their health care needs were met and they were responsible for administering their own medication. There was a complaints procedure, which people knew about and the way the home was managed protected people from abuse. The home is well maintained decoration takes place on a rolling programme. The manager told us that repairs are carried out quickly by the housing association. In their surveys the people using the service told us “the staff are very respectful, and non judgemental”, “the staff are approachable and responsive to individual needs” and that they are always treated well by the staff. On the day of the visit people told us the staff are “very good, offer individualised support, they are knowledgeable, confident, respectful and do much more than what thy are paid for”. The staff are qualified and competent to do their jobs and the people using the service had confidence in the staff supporting them. People were asked to comment on the way the service was run and how the service met their expectations and needs. This meant that people’s views were taken into consideration. There are procedures in place to make sure the health safety and welfare of the people and the staff are protected. In the main these procedures were practised on a daily basis. People using the service told us they understood their responsibility for their own safety and for the safety of others. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4 and 5 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. People’s needs are assessed, they are given information to help them make a decision and contracts are in place that details the terms and conditions of their stay. EVIDENCE: In the surveys people told us they were consulted about moving into the home. Some said they were able to visit and talk to staff and other people using the service. Some people said they chose the service based on recommendation from people they knew. For some people recommendations to the service was made by their social worker or other support workers. people were given information about the home and said that the service they were receiving matched with what they expected and was in many ways better than what they expected. People were assessed before moving into the home this information was pasted to the staff before admission. The staff also carried out their own assessment. This made sure that staff had the information they needed to make a judgement about whether or not they could meet people’s needs. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 10 The manager told us that at the time of admission people are not always able to take in the information given them. For the first two weeks the staff will go though information with people individually to make sure they understand the conditions of their stay and what they can expect from the service. Each person had a contract This made sure that people had written information about the conditions of their stay. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. The staff had information about peoples needs. People were able to make decisions and take reasonable risk. There were some shortfalls in the consistency of recording the outcomes of counselling sessions and written risk assessments. EVIDENCE: People told us in the surveys, that parts of the day are structured they had to attend group meeting but accepted this as part of the programme and acknowledged the benefits. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 12 People told us they knew information was kept about them. They played an active part in identifying what their needs are and setting short and long-term gaols. This information was in each persons file. It was not however set out in a care plan format. This made it difficult to identified peoples overall needs without going though all the papers in the file. People told us they received weekly counselling session and had access to additional sessions on a flexible basis. These sessions were carried out by the staff who work at the home and who had built professional relationships with people. Records of weekly counselling sessions were not up to date. This meant there was no written record of the outcomes of the sessions and written evidence to track progress. People told us they were able to take reasonable risk. Risk assessments were found on some files but not on others. With support and guidance people were able to make choices about their lives people told us. There were routines in the home, which had to take place at certain times of the day, Such as group work and counselling sessions. These sessions are an essential part of the programme and compulsory. The remainder of the time people were able to choose what to do. They told us they had a house contract, which the people using the service developed and reviewed between themselves. This included mutual agreement about rules of the house, keeping the house tidy visitors, rota for jobs, respect and support. This made sure that people had some control over their lives and the way the home was run. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service.. People had access to educational and occupational opportunities and are a part of the local community. They are able to maintain relationships and their rights are respected. EVIDENCE: Some people are working on a voluntary basis. People told us they did have access to college courses. They added that this was sometimes difficult to maintain because of the times the group sessions took place. If they wished to use it they had access to online and distance learning. People described the local community as “nice” They had information about the local resources and how they could access them. This made sure they were part of the local community. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 14 People told us they are able to keep in touch with family and friend’s people are able to receive visitors at the home but there are some agreements around this. People understood their areas of responsibilities and told us that the routines of the home matched with what they were told and what they expected at the time of admission. People are responsible for shopping, preparation and cooking their own meals. People told us that they are encouraged to eat healthily and have access to information about balanced diets. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and20 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. People are supported appropriately, their health care needs are met and there are procedures in place to make sure medication is administered safely. EVIDENCE: In the AQAA the manager told us professionals external to the organisation have provided staff with information and training regarding Hepatitis, sexual health, eating disorders, healthy eating and budgeting. This means that staff are better equip to support people using the service. In their surveys the people using the service told us “the staff are very respectful, and non judgemental”, “the staff are approachable and responsive to individual needs” and that they are always treated well by the staff. On the day of the visit people told us the staff are “very good, offer individualised support, they are knowledgeable, confident, respectful and do much more than what thy are paid for”. They told us at the time of admission arrangements are made for them to see a doctor and have had appointments with other health professionals such as Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 16 dentist and, optician. Specialist therapy is also organised for individuals provided by outside agencies if this is identified as necessary. This makes sure that people’s health care needs are met. At the time of the visit all people using the service were administering their own medication appropriate storage was provided for this. This made sure that people were protected from harm. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. There is a complaints procedure and people are protected from harm. EVIDENCE: People told us in the surveys that they knew how to make a complaint and felt that the staff did listen to them. In the AQAA the manager told us all complaints are recorded and investigated in the timescale stated in the homes policy document. On the day of the visit the people told us “we talk among ourselves things get resolved”. The manager told us there had been no complaints since the last inspection. People told us they felt safe at the home and that there were procedures in place for reporting any allocations of abuse. This made sure people were protected from harm. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. The home is maintained to a good standard and is clean and hygienic. EVIDENCE: People told us in the surveys “we are all responsible for cleaning the home, the environment is inspected weekly by the staff”. One person told us, “Inevitably problems with hygiene do arise as everyone’s standards are different, but we are given the opportunity to air our disputes”. People told us they were happy with their bedrooms and communal spaces. Some said the mattresses were “lumpy”. This made the beds uncomfortable. In the AQAA the manager told us there have been new carpets fitted, some new equipment for the kitchen and the employment of professional gardeners who maintain the outdoor areas and gardens. This makes sure that people live in a comfortable environment. Priory Road DS0000003003.V364102.R02.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): 32,34 and 35 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. The staff are qualified and competent, recruitment procedures protect people from harm and ongoing training is provided to staff. EVIDENCE: People told us in the surveys “the staff are very respectful, supportive and non judgemental”. Another person told us” the staff are very approachable and very supportive of individual needs”. The records showed that people are qualified to do their jobs. The manager told us since the last inspection he has completed the national vocational qualification (NVQ) 4 in management. This means the manager is qualified to the standard required by the regulations. Appropriate procedures are followed for the recruitment of staff working at the home. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 20 Staff attend training to keep them up to date with current good practise and are supported by the organisation to access further qualifications. This means that staff have the skills and knowledge to support people appropriately. Priory Road DS0000003003.V364102.R02.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): 37,39 and42 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. The home is well run people are able to comment on the service. In the main there are procedures in place to promote peoples health safety and wellbeing. EVIDENCE: The Manager told us in the AQAA there has been a review of policies and procedures and there are procedures in place to make sure that staff are kept up to date with safe working practice. People told us the home is well run and they had confidence in the management team. People told us they were surveyed about how the service met their needs. The manager told us the information was gathered and sent to the head office Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 22 and published in the annual report. This meant that people were able to feedback about the service. This feedback was discussed informally with the people using the service but a written summery was not available at the home. People told us they understood their responsibility for their own safety and the safety of others. There were procedures in place to promote the health safety and welfare of people using the service and the staff. Records of fire drills, staff fire training and fire system checks were not up to date and the home did not have a fire risk assessment. Staff and people using the service were however able to tell us the action they would take in the event of a fire. The manager confirmed the day after the inspection, that a fire drill, fire system test, check of escape routes and fire fighting equipment was carried out following a verbal requirement made by us on the day of the inspection. This made sure that the health safety and welfare of people was protected. Priory Road DS0000003003.V364102.R02.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 3 2 3 3 x 4 3 5 3 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 2 3 x 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 2 x Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 24 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 17 Requirement A detailed care plan, in an appropriate format, must be developed for each service user. All sections of the care plan must be kept up to date. Previous timescale 31/08/06 not met Timescale for action 10/08/08 2 YA9 13 Risk assessments must be 10/08/08 completed for each service user copies of these must be available on individual files. All risk assessments must be regularly reviewed. Previous timescale 31/08/06 not met To reduce the risk of fire and harm to people using the service There must be a written fire risk assessment, which details the action to be taken with regard to fire prevention. The action identified must be carried out at the frequency stipulated and records must maintained. Written risk assessments must DS0000003003.V364102.R02.S.doc 3 YA42 23 28/07/08 4 YA42 13 10/08/08 Page 25 Priory Road Version 5.2 be completed for all chemical substances used by the home. Previous timescale 20/06/06 not met. 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 2 3 Refer to Standard YA6 YA24 YA39 Good Practice Recommendations Files must be well organised to ensure that information can be easily accessed when required. The mattresses should be replaced so that people can sleep comfortably. The outcomes of feedback from people using the service should be displayed at the home. Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 26 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 Priory Road DS0000003003.V364102.R02.S.doc Version 5.2 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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