Care Home: Saddletree House

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What the care home does well Saddletree House is a small care home that provides a high level of staff support to its two residents, and which enables them to enjoy an active and satisfying lifestyle. All of the current staff group have substantial experience of working with people who have a learning disability and they have demonstrated that they can work flexibly with the two residents, doing things with them that they want to do. The home itself is an ordinary family home in a quiet cul-de-sac on a modern residential estate. The building is recently built and as a result has had little in the way of maintenance problems. Both residents spoke about how happy they have been in moving to Saddletree House and particularly to have their own front door key. The work of the staff group is backed up by good administration and record systems and staff have enjoyed good levels of training and development opportunities whilst in the company`s employment so that they are able to continue to develop the professional standards of their work. There has been a very high level of achievement in the National Vocational Qualification (NVQ) amongst the staff group. What has improved since the last inspection? This section is not relevant as this is the first inspection of this service. What the care home could do better: Since the home opened it has gone through some instability in staff and management and the both the original Registered Manager and her first replacement have left the employment of the company. Although at the time of the inspection the home had appointed a new manager she has only just started in an acting capacity and had not applied to register with the CSCI, as is required by law. Other systems have also not become fully developed in the time since home opened and the system for formal planned meetings between management and staff has not started; arrangements for monitoring of work and consultation are weakened. CARE HOME ADULTS 18-65 Saddletree House 16 Saddletree View Mastin Moor Chesterfield Derbyshire S43 3FB Lead Inspector Brian Marks Key Unannounced Inspection 3rd January 2008 09:30 Saddletree House DS0000070295.V352177.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 Saddletree House DS0000070295.V352177.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. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Saddletree House Address 16 Saddletree View Mastin Moor Chesterfield Derbyshire S43 3FB 01246 4750333 01246 477111 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) Elmcare Limited Vacant Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following category: Learning Disability - Code LD. The maximum number of service users who can be accommodated is 2. 2. Date of last inspection This is the first inspection of this service. Brief Description of the Service: This care home is a three bedroomed residential house situated in a new residential estate on the outskirts of Chesterfield; very little work was required on the property to convert it to use for two adults with a learning disability. The two people currently in residence moved from the Elmwood complex, operated by the home’s provider in nearby Brimington, having chosen to live in a more domestic type living. The home is completely domestic in style and one of the residents has an en suite shower area, whilst the third bedroom is used as a staff sleeping in room and office. All bedrooms have appropriate locks, and have in place all necessary furnishing. The outside area has a small garden with decking and there is a small drive for one car and a parking area outside the property. The home is close to a bus route and local shops are nearby, as is the shopping centre at Staveley. The current accommodation fees are £875 per week. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a Key unannounced inspection that took place at the home over the mornings of two days. Additionally, time was spent in preparation for the visit, looking at key documents such as the report prepared for registration in August 2007 and the written annual quality assurance assessment document (AQAA) that was returned before the inspection. This allowed for the preparation of a structured plan for the inspection. Because of the small size of the home no written questionnaires were sent out to residents before the inspection, as it was part of the inspection plan to interview both of them personally. At the home, apart from examining documents, care files and records, time was spent with the members of staff on duty, with the manager of a another home in the group who has had recent managerial oversight and the newly appointed manager. A brief tour of the building was also undertaken. The care records of the two people who live at the home were examined in detail and, as mentioned above, they were personally interviewed to ascertain their views on living there. As the home was registered in August 2007, this was the first inspection to be carried out and the assessment was made against the key National Minimum Standards (NMS) as well as other Standards that were felt to be most relevant. What the service does well: Saddletree House is a small care home that provides a high level of staff support to its two residents, and which enables them to enjoy an active and satisfying lifestyle. All of the current staff group have substantial experience of working with people who have a learning disability and they have demonstrated that they can work flexibly with the two residents, doing things with them that they want to do. The home itself is an ordinary family home in a quiet cul-de-sac on a modern residential estate. The building is recently built and as a result has had little in the way of maintenance problems. Both residents spoke about how happy they have been in moving to Saddletree House and particularly to have their own front door key. The work of the staff group is backed up by good administration and record systems and staff have enjoyed good levels of training and development opportunities whilst in the company’s employment so that they are able to Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 6 continue to develop the professional standards of their work. There has been a very high level of achievement in the National Vocational Qualification (NVQ) amongst the staff group. 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. Saddletree House DS0000070295.V352177.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 Saddletree House DS0000070295.V352177.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): 1, 2 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given information about the home before they come to live there and detailed information about how they need to be helped in their lives is available to staff, who work in consistent and safe ways. EVIDENCE: Satisfactory information about the home was provided at the time of registration of the home and both residents had been given copies of the Residents Guide that had been developed using simple language, pictures and symbols to help their understanding. The care records of both residents contain a great deal of information about them that had been created at the previous places they had lived in, as well as documents updated and reviewed since their move to this home. There are assessments in relation to their strengths and needs, and activities required for staff to care for and support them successfully are described in detail. Detailed assessments that identify hazards and risks and health care requirements are also in place on file. Both residents described how they had been able to get to know one another better before they moved to their new home, and also how they had been able to visit it and meet new staff before finally moving in. They made positive comments about life at the home and staff described how well they had settled since their move – the advance work carried out had been central to this. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care arrangements at the home promote safety and consistency and care is given in ways that respect individuality and privacy and encourages the residents to be more independent. EVIDENCE: Along with the assessments mentioned above, which are linked to staff actions intended to support the individual resident in safe and appropriate ways, care records contain long term goals for action in the important areas of each resident’s life. There are also individual statements of ‘hopes and fears’, which are written in first person language and identify the ways in which the residents are being encouraged to take more control over their lives and become more assertive in how they wish to be cared for and supported. Written evidence was also provided before the inspection about how the residents are encouraged to take more control over their money and their mealtime arrangements, and observations during the inspection supported this. Residents and staff are learning about choices and decision-making and allowing these to influence the day-to-day operation of the home. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 10 As mentioned in the previous section detailed assessments have been made of the hazards, difficulties and risks that are present in the residents’ lives and clear guidelines have been laid down as to how staff should manage these risk areas. Whilst in some environments these could limit freedom of movement and choice, discussions with staff indicated that the small size of the home allowed for a relaxed handling of difficult areas and that substantial improvement in how the residents were functioning socially had been noticed during the time they had been living at the home. Although care records indicated that a planned approach to care is taking place, these records included a number of documents that related to past living arrangements of the residents and were not current. Although some evaluation and reviewing of support arrangements had taken place this was not complete for all areas. An emphasis on a ‘person-centred’ approach was also absent in much of the documentation. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents enjoy a wide range of leisure and social opportunities inside and outside the home, some of which they experience independently of staff support. The home’s arrangements include flexibility for mealtimes and residents’ wishes and preferences are included in these. EVIDENCE: From discussion with the residents and the documents in their care records, attention has been paid to helping them gain access to a number of activities that support their development: community and vocational skills – e.g. conservation and car mechanics projects, leisure and exercise – e.g. bowling, bike riding, and skills development, both domestic and personal. Although many of these activities are planned, the residents and staff also described how ‘ad hoc’ things are routinely arranged, such as visits to local restaurants and pubs, and one of the residents described a much-anticipated visit the following weekend to Chesterfield to get his ear pierced. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 12 Social activities are still maintained with the two care homes where the residents previously lived, such as the recent Christmas celebrations, and one of the residents maintains regular contact with his family and goes to visit his father. Arrangements in the kitchen are domestic in style and although staff do most of the cooking one resident described how he is able to prepare simple meals and both were observed helping themselves to hot drinks and snacks during the inspection. A regular menu has been set, and this is cosmopolitan in style to suit the likes and dislikes of the residents. They described that they frequently ignore the plan and eat out or buy takeaway meals from local outlets. Both residents are involved in the weekly shop at local supermarkets on their ‘training’ day at home. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and health needs of residents are dealt with in a satisfactory way, as is the administration of medicines. EVIDENCE: Any personal needs of the residents are identified in their care records, although the residents only require prompting and supervision in this area rather than direct ‘hands on’ support. General interactions between residents and staff were observed to be warm, friendly and appropriate, and the residents seemed happy and relaxed within the setting of the home. Residents’ care records also contain detailed and comprehensive assessments of healthcare, emotional and psychological needs and indicate regular access to specialist and general health services and facilities, usually with staff support. Medicines are managed by staff on behalf of the residents and examination of written records, storage and stock levels indicated satisfactory arrangements. Staff spoken to confirmed that they had received appropriate training from the home’s pharmacist. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home responds to complaints made by residents and their representatives according to a written procedure, and aims to protect residents from harm. EVIDENCE: The ways in which people can make a complaint about service at the home is included in the residents guide; the Responsible Individual and the Directors of the company would normally deal with formal written complaints. Neither of the residents felt that they had had any reason to complain since they had moved to the home five months ago. Appropriate procedures are in place to safeguard and protect residents from harm, and these have been supported through a staff training programme, with the result that all staff have knowledge of their responsibilities in this area. There have been no incidents at the home since it was registered that have required the use of any statutory procedures. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is equipped, furnished and maintained to a modern standard and offers homely and spacious facilities for residents to enjoy; it is a valued environment in which to live and work. EVIDENCE: The home is three bed-roomed family home situated on a recently built residential estate on the outskirts of Chesterfield. Because the building is new, maintenance issues have been minimal and, apart from the need to identify risks due to the absence of restrictions on the opening of the upstairs windows, all the requirements of the home’s registration have been completed and the relevant other statutory authorities – Fire Safety and Environmental Health in particular – have posted satisfactory reports. Both residents talked about how much they enjoy living at the house and feel at home there. In particular the independence of their own front door is most appreciated and staff commented that the relaxed atmosphere has been instrumental in helping one of the residents in particular to become more socially involved. They have also developed good relationships with their neighbours. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 16 Domestic cleaning activities are shared between staff and residents and one of them spoke about how he has a routine for ‘hoovering’ and cleaning the living rooms and his bedroom. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 17 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, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff employed by the home are recruited properly, deployed in good numbers to meet the needs of residents and they receive good levels of training and support. The interests and overall welfare of service users are protected. EVIDENCE: The residents are well supported by the numbers of staff on duty with one support worker on all the times when they are at home, and an additional worker for specific evenings and weekend days. The manager is also on 3 long shifts throughout the week and of necessity has a direct ‘hands on’ role with residents. The company has a well-established procedure for recruiting staff to its homes and all of the staff currently at the home have been established for some years and transferred their employment from other homes in the group. It is company policy that people do not start working until two written references and a positive check from the Criminal Records Bureau (CRB) have been received. The two residents are usually directly involved in the staff selection process, which indicates a very thorough approach to this aspect of the home’s operation. At the beginning of their employment staff go through a recently updated programme of basic training that prepares them to work safely and Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 18 professionally with residents. The level of experience in the current staff group means that they are able to work on their own with few problems and to a pattern dictated by the needs of residents. The company has developed a programme of staff training and development and, apart from a good range of general health and safety topics, individual staff have attended for instruction in more ‘technical’ subjects such as managing challenging behaviour, caring for people with autism, medicines administration and simple risk assessment. All of the current staff group have achieved level 2 in the National Vocational Qualification (NVQ) and two have achieved level 3 with the others scheduled to do so later this year. This is a high level of achievement and is to be commended. With the changes in home’s management a system of formal 1-to-1 staff supervision has not yet been developed, but staff said there were always senior people available to contact and good levels of support are available. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 19 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, 40 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the people living there, but the systems that monitor how well it does its work are still to be developed. EVIDENCE: The current manager of the home is employed in an acting capacity following the original registered manager leaving the company’s employment. An application to register with CSCI has not been submitted, as is required by law. Is was clear throughout the inspection visit that this home has been set up to operate flexibly, in keeping with the interests and requirements of the two residents, and so far has been very successful in achieving this. Both residents are comfortable in expressing their wishes to staff and the staff group is comfortable in working closely alongside them to meet those wishes. As the home has only been operating for a short time, appropriate forms of quality Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 20 monitoring systems have not been put into place but the company follows an annual planning cycle that begins and ends in April so that consultation with service users and staff is planned for completion by that time. Because of the newness of the home all of the checks required for safe operation were carried out within the registration process. Documentation looked at during the inspection indicated that safety standards, including fire safety, at the home have continued in a satisfactory way and staff training remains an activity that has been given an ongoing priority to make sure that residents are living in a fully safe environment. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 21 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 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 3 X 3 X Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A as this was the home’s first 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 YA36 Regulation 18(2) Requirement Timescale for action 31/03/08 2. YA37 8 and 9 The system of formal pre planned 1-to-1 meetings of the home’s management with staff must be reinstated and should occur 6 times per year so that staff are given opportunities to be consulted in confidence and their work can be properly monitored. The manager must apply to 31/03/08 register with the CSCI so that the agency complies with the law and is able to demonstrate professional leadership. 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 YA6 Good Practice Recommendations The records that describe how staff care for and support individual residents should be edited so that it contains only current and relevant information and this should extend to a regular evaluation and review process that takes place at least every six months so that support is DS0000070295.V352177.R01.S.doc Version 5.2 Page 23 Saddletree House 2. YA39 3. YA42 given that is based on up-to-date information. Support plans, assessments and actions steps for staff should be developed in ways that clearly reflect the individual wishes and preferences of individual residents. A quality monitoring system should be developed that reflects the size of the home and incorporates the views of residents and staff as to how they feel the home is being run. This should also include an annual plan for the home that will allow the future direction of the home’s operation to be explicitly laid out. The levels of risk presented to the residents by the absence of restriction on the opening of upstairs windows should be assessed in order to ensure that they are living in a safe environment. Saddletree House DS0000070295.V352177.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Saddletree House DS0000070295.V352177.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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