Care Home: Station Road

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What the care home does well The staff at the home displayed a very good understanding of the needs of the people who live at the home. They could describe the people`s individual personal needs and their different personalities. The people who live at the home were not easily able to describe their feelings about the home but they appeared settled and comfortable in the home. The relatives interviewed said that they were pleased with the service provided and that they were made welcome at the home and involved in their relative`s care. The home had a complaints procedure and staff and relatives said they felt there was an open atmosphere at the home, which encouraged people to raise any concerns about the care. The people who live at the home were involved in a range of educational and social activities. Staff interviewed felt that staffing levels were sufficient when there was full deployment, generally 5 in the morning and 4 in the afternoon. Full checks were made on staff prior to them starting work at the home. The staff had undertaken a range of training to enable them to understand the needs of the people who live at the home and had also undertaken statutory training such as fire training and moving and handling.The environment was very homely and generally well maintained with highly personalised bedrooms. The gardens were secure, pleasantly landscaped and well used by the people. The gas system, hoists and fire alarm systems in the home had been serviced in the previous 12 months. What has improved since the last inspection? Some minor redecorations had been done to both buildings since the previous inspection, however some work still needs to be done. The patios in the garden area were being extended to help those people who use wheelchairs to better access the garden. What the care home could do better: The way that home record personal information about the people who live at the home was in a communal record book. This means that other people can see sensitive information about the person`s wellbeing. The home should make sure that the information is recorded separately so only people who it is about can see it. The records, which are kept about people wellbeing, did not contain information which was up to date and were only changed when people`s needs changed. This means that if someone`s needs didn`t change for a long time the records are not up dated. The home needs to make sure that the records are up dated on regular basis even if the person`s needs don`t change. Some medication which supplied to the home is not in the monitored dosage system which the home uses on regular basis. When this mediation is received the home should make sure that two members of staff witness that the proper information is being recorded to make sure that the person gets the right dosage and at the proper time. CARE HOME ADULTS 18-65 Station Road 3 & 5 Station Road Woodhouse Sheffield South Yorkshire S13 7QH Lead Inspector Ms Shelagh Murphy Key Unannounced Inspection 24th June 2008 10:30 DS0000003016.V366797.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 DS0000003016.V366797.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. DS0000003016.V366797.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Station Road Address 3 & 5 Station Road Woodhouse Sheffield South Yorkshire S13 7QH 0114 269 4905 0114 269 3588 julia.sewpaul@new-dimensions.org.uk www.dimensions-uk.org Dimensions (UK) Ltd 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) Mrs Julia Alison Sewpaul Care Home 12 Category(ies) of Learning disability (12) registration, with number of places DS0000003016.V366797.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registration includes 4 places for residents with additional physical disabilities (PD). 8th June 2006 Date of last inspection Brief Description of the Service: Station Road consists of two purpose-built bungalows on one site and is registered to provide a service for twelve people with a learning disability. Four people may also have a physical disability. The home is situated in the village of Woodhouse, near to the shops and public transport. Each of the two bungalows provides accommodation for six people, including a communal lounge, dining room and sufficient bathing facilities. All of the bedrooms are single. Separate laundry facilities are provided in each bungalow. The home has a large enclosed garden at the rear of the building and parking spaces at the front. People’s fees vary, depending on the particular care package they receive and how their funding is calculated. There is a Service User Guide and a Statement of Purpose that tells people about their rights and their responsibilities and what they can expect from the service. This is provided in both written and pictorial formats. A copy of the most recent inspection report should be available at the home. DS0000003016.V366797.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. The key inspection has used information from different sources to provide evidence. These sources include: • • • • Reviewing information that has been received about the home since the last inspection; Information provided by the registered person/manager on a pre inspection questionnaire; Comment cards returned from people who live at the home, their relatives and staff; A visit to the home carried out by one inspector. A site visit was carried out which lasted 6 hours. We spoke with relatives and staff. Records relating to the people who live at the home, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity within the home. The manager and deputy manager were available to assist throughout the day. What the service does well: The staff at the home displayed a very good understanding of the needs of the people who live at the home. They could describe the people’s individual personal needs and their different personalities. The people who live at the home were not easily able to describe their feelings about the home but they appeared settled and comfortable in the home. The relatives interviewed said that they were pleased with the service provided and that they were made welcome at the home and involved in their relative’s care. The home had a complaints procedure and staff and relatives said they felt there was an open atmosphere at the home, which encouraged people to raise any concerns about the care. The people who live at the home were involved in a range of educational and social activities. Staff interviewed felt that staffing levels were sufficient when there was full deployment, generally 5 in the morning and 4 in the afternoon. Full checks were made on staff prior to them starting work at the home. The staff had undertaken a range of training to enable them to understand the needs of the people who live at the home and had also undertaken statutory training such as fire training and moving and handling. DS0000003016.V366797.R01.S.doc Version 5.2 Page 6 The environment was very homely and generally well maintained with highly personalised bedrooms. The gardens were secure, pleasantly landscaped and well used by the people. The gas system, hoists and fire alarm systems in the home had been serviced in the previous 12 months. 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. DS0000003016.V366797.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 DS0000003016.V366797.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): 2 People who use this service experience GOOD quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s needs are met by the home. This is because thorough assessments are done before the person move in the home and these include all relevant parties and the person. EVIDENCE: We looked at the files of four of the people who live at the home and we saw that these contained evidence of comprehensive assessments being done by both the placing authority and the home before people came to live there. The assessment included all health care professional who have an input in to the person’s care and relatives, if this was appropriate. This assessment helps the home to undertake a good matching process; admissions are staggered and move the pace of the person. The deputy explained that one person had moved in from another home in the company and that his admission had been undertaken at his pace and he only moved into the home when every one, including him, felt it was right. There continues to be a Service User Guide and this can be provided to people in pictorial format to assist those people who cannot read. DS0000003016.V366797.R01.S.doc Version 5.2 Page 9 People are proved with a tenancy agreement and, due to the dependency level of the people who live at the home; this is agreed by the person’s representative. DS0000003016.V366797.R01.S.doc Version 5.2 Page 10 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 & 9 People who use this service experience GOOD quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have a plan of care which they, or their representatives, have been involved with; this informs the staff how the person prefers to be cared for. People are able to take risks and lead a life style of their own choosing because staff have information available to help people to do this as far as is possible. EVIDENCE: We looked at four files which belonged to the people who live at the home. The files were in sections and these included detailed information about the person’s preferred communication; personal preferences, likes and dislikes and daily life for example how to know when they are happy or sad and things they enjoy doing. The files also contained comprehensive risk assessments around falls nutrition and tissue viability. The risk assessment also included aspects of daily life and informed the staff on the handling of challenging behaviour displayed by the person. DS0000003016.V366797.R01.S.doc Version 5.2 Page 11 All of the above areas where being reviewed by the home when peoples needs changed. We saw that some files had not been reviewed for some time. It was difficult to find any evidence that the manager was monitoring the files and that regular checks were being made that the staff were reviewing files on regular basis regardless if peoples needs changed. The people’s needs where reviewed formally by the placing authority annually and we saw information about these was provided in pictorial format were appropriate. Formal reviews include the person or their representative, and any health professionals. We spoke to the staff and they were knowledgeable about the needs of the people. They were able to describe people’s needs in detail. We saw that the staff got on well with the people who live at the home and all interaction was sensitive and relaxed. Since that last inspection the home have introduced a more accessible system of identifying what is important to people by using pictures of activities they enjoy and family and friends. At the last inspection it was noted that due to the communal nature of handing over information from one shift to the next and due to the communal nature of the information did not ensure the person confidentiality. This was found to be the same. This was discussed with the manager and the area manager and a more confidential way of recording information is to be explored. DS0000003016.V366797.R01.S.doc Version 5.2 Page 12 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 & 17 People who use this service experience GOOD quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People can take part in activities that are appropriate to their age and are part of their local community. The care home supports people to follow personal interests and activities and are able to keep in touch with family, friends. People have healthy, well-presented meals and snacks, at a time and place to suit them. EVIDENCE: We saw that some people who live at the home continue to attend day services. The home makes sure that those people who do not attend day services are taken out on a regular basis; we saw the staff taking the people out during the site visit to the shops and to visit family and friends. We saw that the people’s plans told staff in detail what the person prefers to do, what they enjoyed doing and what they did not enjoy doing. The plan also informed staff of what to look out for and non-verbal signs which the person DS0000003016.V366797.R01.S.doc Version 5.2 Page 13 will give if they are distressed or agitated. The home has recently taken some of the people on a holiday to Blackpool. We saw that the home had recently developed a system that demonstrates clearly what the person enjoys and what is important to them. This is in the form of pictures of favourite places, pictures of favourite people like family members and friends and pictures of favourite activities like listening to music or going to the pub this is displayed in the person bedroom. We saw an example of pictures which had been downloaded on to an electronic display unit that showed the pictures one after the other, as this is more suitable for that person needs. Relatives are welcomed at the home and are actively encouraged to continue to be part of the person’s life. We saw visitors being made welcome during the site visit and they commented favourably about the standard of care provided at the home. We saw staff assisting people who needed help with eating; this was done sensitively and at the person own pace. Meals are planned around people’s likes and dislikes. Due to the lack of verbal communication the home have to depend on relatives telling them of the persons likes and dislikes and a process of trail and error to establish people preferences with food. This is then recorded on the person’s plan in detail and a balance is achieved between likes and healthy eating. DS0000003016.V366797.R01.S.doc Version 5.2 Page 14 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 & 20 People who use this service experience GOOD quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has detailed information for the staff to follow about the person preferences. People are protected by the home handling of medication however the home needs to make sure staff are trained properly. EVIDENCE: We looked at four files which belonged to the people who live at the home. The files were in sections and these included detailed information about the person’s preferred communication; preferences including likes and dislikes and daily life for example how to know when they are happy or sad and things they enjoy doing. The files also contained comprehensive risk assessment around falls, nutrition and tissue viability. The risk assessment also included aspect of daily life and informed the staff on the handling of challenging behaviour displayed by the person. We spoke with the care staff and they could describe in detail how they provided care for the people who live at the home and how to get the best responses from them. As mentioned earlier the reviewing of DS0000003016.V366797.R01.S.doc Version 5.2 Page 15 the plans was reactive to the changing needs of the people and was not done routinely. The health needs of the people who live at the home was described in detail in their plan and there were detailed instructions on how to administer essential medication like buckle diazepam for seizures. All of the people who live at the home had a health action plan which had been completed with them and/or their relative or representative. This provided detailed information for the staff to follow and signs to look out for which indicated the well being of the person. We saw that health care professionals had also been involved with these. We looked at the medication which was held on behalf of the people who live at the home. This was handled safely and people were protected by the home’s policies and procedures. All care staff at the home administer medication and all have received training in this area. We could find no evidence which told us that the training which staff receive is accredited. We saw some hand written entries on the Medication Administration Record (MAR) sheets. It is recommended that if this is done then two members of staff should check the information recorded to ensure it matches the information given on the packaging the medication was dispensed in. DS0000003016.V366797.R01.S.doc Version 5.2 Page 16 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 & 23 People who use this service experience GOOD quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who live at the home are protected by the homes policy and procedure for handling complaints, this is because staff have an understanding of the principles of safeguarding adults and are aware of how to protect people from harm. EVIDENCE: The company continues to have a complaints procedure which is part of the Service User Guide; this includes timescales for the resolution of complaints and identifies other avenues of complaint for people and their families. There is a pictorial format for people who cannot use the written documentation. No complaints had been received about the service since the previous inspection. We spoke to staff and they told us they would know what to do if they suspected any forms of abuse were occurring in the home or if they witnessed any. They were able to accurately describe the procedure to follow and who to contact. All staff undertake a five-day induction course, which includes the promotion of dignity and respect towards service users and the need to report any concerns on their behalf. The home has and adult protection procedures in place; there had been no allegations at the home since the previous inspection. The staff told us that the management are easily accessible and were approachable if they had any concerns. DS0000003016.V366797.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 People who use this service experience GOOD quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. EVIDENCE: We looked at the bedrooms of the people who live at the home, the lounges and dining areas of the home. We saw that the people’s bedrooms were personalised and contained their possessions and things which they liked to have around them like pictures and soft toys. Communal areas were clean and well maintained; we did see that some work had been carried out in one of the houses where a fireplace had been taken out. This was still to be finished off and decorated. Otherwise the lounges and communal areas were bright and airy. DS0000003016.V366797.R01.S.doc Version 5.2 Page 18 The support workers are responsible for cleaning the home and both houses were clean and tidy in the private and communal areas. There was a pleasant, spacious and well-maintained garden area, which was well-used buy the people who live at the home. Builders were on site extending the patio areas so people who use wheelchairs could make better use of the garden area. DS0000003016.V366797.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 People who use this service experience GOOD quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. EVIDENCE: All of the staff we spoke with were able to describe the needs of the service users and were sensitive to their individual likes and dislikes. They could describe how they communicated with the people who lived at the home who were not able to express themselves verbally and how they involved them with decisions about their lives at the home. The home operates a rota system which is generally flexible enough to meet the needs of the people who live at the home. We had discussions with the area manager and the manager of the home about using staff hours more flexibly to meet the needs of the people better. The management of the home are to review this and identify those areas of the day where staff can be better DS0000003016.V366797.R01.S.doc Version 5.2 Page 20 deployed. We saw that the needs of the people who live at the home were being met by the amount and skill mix of the staff on duty. There is a system of 1:1 supervision at the home; the topics covered in supervision related to work practice and looked at the training required for staff members to ensure that their skills are updated. Staff had received induction training and some had attended more specialists training around challenging behaviour. We did not look at the homes recruitment files as these are kept at the company’s head office. The previous inspection report did not identify any issues of concern around this area and reported that the systems in place were suitably robust to protect people. The area manager confirmed that no one starts working at the home until a full acceptable Criminal Records Bureau CRB check is received and satisfactory references. DS0000003016.V366797.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 People who use this service experience GOOD quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in home which is run in their best interests. The needs of the people are central to how the home functions and managed because the home has procedures in place for staff and management to follow. EVIDENCE: The manager has a long experience of managing services for people who live at the home. Staff interviewed felt that the senior staff and managers were approachable and supportive. Staff were able to describe in detail the needs of the people who live at the home; they also spoke about people in a way that showed they saw each of them as individuals with different personalities and were patient and friendly when working with them. DS0000003016.V366797.R01.S.doc Version 5.2 Page 22 We saw that staff had attended mandatory training including Health and Safety, Basic Food Hygiene, Moving and Handling, Fire and First aid. This was updated as required and as necessary, we also saw that staff had undertaken more specialist training to met the needs of the people who live at the home. There was certification in place to show that the major systems, including fire, emergency lighting and gas safety systems had been checked in the previous 12 months. DS0000003016.V366797.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 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 3 X DS0000003016.V366797.R01.S.doc Version 5.2 Page 24 No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard YA6 YA19 YA20 YA24 YA33 Good Practice Recommendations The home should look at alternative methods of recording the people’s wellbeing which ensures confidentiality. The home should make sure that the peoples care plans are updated on routine basis. The home should make sure that if they have to transcribe the details from the original packaging of medication onto the MAR sheet two staff should witness and sign this. The home should make good any outstanding decorating in the home The home should look at more imaginative ways of using staff hours to better meet the needs of the people who live at the home. DS0000003016.V366797.R01.S.doc Version 5.2 Page 25 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 DS0000003016.V366797.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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