Care Home: The Hallewell

What the care home does well The owner of the home, who was also the main carer, knew both the people living in the home well and ensured they received person centred care. The home was friendly, pleasant and well managed. The focus at the home was for both the people living there to have their days occupied in very individualised ways. The people living in the home were encouraged to get involved in tasks around the house. The meals in the home were good and based on the individual likes, dislikes and preferences of the people of the people living there. The people living in the home were provided with comfortable, safe and family orientated premises in which to live. What has improved since the last inspection? Care plans had been further developed and detailed more of the individual needs of the people living in the home ensuring they received person centred care. Nutritional and tissue viability assessments had been undertaken for the people living in the home to ensure they were not at risk and no special measures were necessary to ensure their needs were met. The management of medication had improved ensuring the people living in the home received their medication as prescribed and were safe guarded. There had been some redecoration of the home, new beds had been purchased and COSHH storage had been improved ensuring the people living in the home had a comfortable and safe environment in which to live. The owner of the home who was also the main carer had undertaken training in adult protection issues ensuring the people living in the home were appropriately safeguarded. What the care home could do better: To ensure the health care needs of the people living in the home are being met the registered manager must ensure that when health care appointments are attended a record of the visit and the outcome is kept. To ensure any staff working in the home have the necessary skills and knowledge to care for the people living there they must undertake all their regulatory training. To ensure that the people living in the home are appropriately safeguarded fire drills must be undertaken every six months and evidence must be forwarded to the Commission that the gas appliances have been serviced. CARE HOMES FOR OLDER PEOPLE Hallewell, The 20 Hallewell Road Edgbaston Birmingham West Midlands B16 0LR Lead Inspector Brenda O’Neill Key Unannounced Inspection 10:00 21st February 2008 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hallewell, The Address 20 Hallewell Road Edgbaston Birmingham West Midlands B16 0LR 0121 454 9862 0121 454 6932 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 Gwen Billing Mrs Marcella Marie Higgins Care Home 3 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (3) of places Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 2007 Brief Description of the Service: The Hallewell is a three story Victorian premises located in a residential area of Edgbaston Birmingham. The home is close to Birmingham City Centre and has easy access to local amenities including a park, shops and public transport. The home offers care to three elderly people with a mental health disorder and is also the home of the owners. The Hallewell comprises of a large kitchen and combined dining room, two lounges, a conservatory, a small laundry area and a toilet and bathroom on the ground floor. On the first floor there are three bedrooms, one single and two doubles (one of which is for the use of the owners), a toilet and bathroom. The top floor is used for storage purposes. There is a well maintained garden to the rear of the home which the people living in the home are free to use. The service users guide for the home states that the fees for staying at the home are the contract price paid by the local authority and that there are no top fees. Hallewell, The DS0000017048.V359691.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 the service experience good outcomes. One inspector carried out this key inspection over one afternoon in February 2008. The inspector was able to meet with the two people living in the home, however due to their health conditions it was not always possible to gather their views and opinions of the service and quality at the care home. Both the people living in the home were case tracked, which included looking at their care, accommodation and opportunities. The owner of the home (who is the main carer) and her husband (who cooks all meals) were present throughout the inspection. The registered manager was present for part of the inspection. Prior to the inspection the manager completed and returned to the Commission an Annual Quality Assurance form which gave some basic information about the home. No complaints or adult protection issues have been raised with the Commission in relation to the home since the last key inspection. What the service does well: The owner of the home, who was also the main carer, knew both the people living in the home well and ensured they received person centred care. The home was friendly, pleasant and well managed. The focus at the home was for both the people living there to have their days occupied in very individualised ways. The people living in the home were encouraged to get involved in tasks around the house. The meals in the home were good and based on the individual likes, dislikes and preferences of the people of the people living there. The people living in the home were provided with comfortable, safe and family orientated premises in which to live. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 6 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. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has in the past demonstrated that people wanting to live in the home and their representatives are provided with information and opportunity to decide on whether the home can meet their needs and expectations. EVIDENCE: At the time of this inspection there were two people living in the home and there had not been any new admissions since the last inspection. The home had a statement of purpose/service user guide and a copy of this was in the bedrooms of the people living in the home. Social Care and Health had referred a person for admission to the home. The manager and main carer spoke of this individual having been to the home to have a look around and join them for a meal. However as it seemed unlikely Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 9 that the funding for the person to live at the home would be agreed any further contact had been discouraged. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. 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 care needs of the people living in the home were met by the main carer who had a very good knowledge of their needs and ensured they were well cared for. The management of medication had improved and ensured the people living in the home received their medication as required. EVIDENCE: The owner and her husband who support all the needs of the people living in the home described many of their care needs, risks and choices and how these were met. The paper work in the home did not always detail all the carers’ knowledge of the people living in the home but they were clearly receiving a person centred service. Both of the people living in the home were seen and spoken with although they were unable to enter into a conversation. They both looked well cared for and healthy. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 11 The care plans for both the people living in the home had been updated since the last inspection. Both gave more details of their individual abilities and preferences and of what they needed done for them. For example, one detailed to what extent the individual could wash themselves if the flannel was given to them. However further detail could have been added in relation to the individual’s ability to shave himself. The other person living in the home was more dependent on staff meeting her personal care needs and this was evident from the care plan. The care plans did not fully detail the social care needs of the people living in the home. Only what the individuals did outside the home was detailed. There was nothing about what they liked to do when at home. For example, one of the people living in the home spent a lot of his time watching television and liked particular programmes. There was no mention of this in his care plan. Risk assessments had been further developed since the last inspection. Risk assessments were in place for nutrition, tissue viability, manual handling, personal risks and mental health. The risk assessments were generally appropriate and described how any risks were to be minimised. For example, one clearly detailed what would happen if the individual’s mental health relapsed and what staff should do about this. The health care appointments for one of the people living in the home were being recorded and these showed that the individual had seen the G.P., optician and dentist. The records had lapsed for the other person. The owner of the home (main carer) stated he had had his check up with the doctor but she had not recorded this. She was reminded that there must be evidence that the people living in the home have access to health care professionals when necessary. The daily diaries for the people living in the home were very brief and only detailed when the individuals went out. The owner was reminded that daily diaries should give a general over view of the well being of the people living in the home and how they are spending their time. The requirements made in relation to medication following the last inspection had been met. Medication was being administered via a weekly monitored dosage system, all medication was acknowledged as being received and any medication left in the home at the end of the cycle was being carried forward to the next MAR (medication administration sheet) chart. The owner of the home and the manager of the day centre were signing a form to say medication had been handed over for administration at the day centre. Controlled medication was being appropriately recorded and signed for when administered. There was a clear audit trail for all medication. No issues were raised in relation to the privacy or dignity of the people living in the home. Both the owner and her husband spoke respectfully to them and included them in ongoing conversations. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home were enabled and supported to make choices in relation to their preferred lifestyles. EVIDENCE: One of the people living in the home continued to attend day a centre, which is next door, five days a week. Whilst at the centre she is able to meet with staff and plan activities. The day centre kept records of the activities taken part in. when at home this individual enjoyed a weekly trip to the hairdresser, going out shopping and dancing with the owner of the home. The other person living in the home did not leave the home very often, however he did go shopping, out to the bank and to the barbers when necessary. He would also attend health care appointments when needed but did not like to be out for too long. This person was also involved in domestic tasks around the home and enjoyed watching specific television programmes. As mentioned previously the owner of the home needed to ensure that the daily diaries reflected the lifestyle of the people living in the home when they were actually at home. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 13 The owner and her husband were very aware of the food likes and dislikes of the people living in the home and what their preferences were. It was recommended that these be included in care plans, for example, both had specific choices for breakfast, one did not like sandwiches, one would say what they wanted to eat the other would not and so on. One of the people living in the home had their main meal at the day centre five days a week. Main meals were taken at lunch times. Food stocks were good and there was fresh fruit and vegetables available. It was strongly recommended that the owner of the home kept records of the food served to the people living in the home so that it could be determined the people living there were having a balanced diet. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has provided some evidence that complaints would be taken seriously and effectively managed to improve the service to the people living in the home. The understanding the owner of the home had and training undertaken in adult protection issues ensured the people living in the home were safeguarded. EVIDENCE: No complaints had been lodged with the home since the last inspection and none had been raised with the Commission. A complaints policy was available. How complaints were managed and how the owner would know if there was something wrong with one of the people living in the home was discussed. She demonstrated how she would know if something was wrong by the behaviour and mood of the individuals. She said it was important to act quickly to improve where it was needed. No adult protection issues had been raised about the home since the last inspection. There were copies of the multi agency guidelines for adult protection and the Department of Health’s ‘No Secrets’ on site. The home also had adult protection procedures. These needed to be cross referenced to the multi agency guidelines as some of the wording could be misleading. For example, the home’s procedure stated ‘establish the validity’ in relation to any allegations. This may be seen as investigating the allegation which is in conflict Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 15 with the guidelines and needed to be clarified. The manager and owner were aware of their responsibilities in relation to adult protection. The owner of the home had undertaken training in this topic as required at the last inspection. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home were provided with comfortable, safe and family orientated premises in which to live. EVIDENCE: The home had ample communal space with two lounges and a large conservatory. One of the lounges had been redecorated since the last inspection. Both lounges were well equipped and had satellite television and radio and music stereo systems. There was comfortable seating, they were warm, bright and pleasant. The conservatory at the rear of the home leads onto a well maintained garden. At the time of the last inspection it needed to be cleared of tools, ladders and car batteries to make it safe for the people living in the home. This had been done. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 17 The kitchen and dining area are clean and tidy, well equipped and used often as a communal / family area. The home had two bathrooms and toilets, one on each floor. The bathroom upstairs also housed a shower. This was the main bathroom for the people using the service. The owner and her husband mainly used the bathroom on the ground floor. However the people using the service did use the toilet in there. Both bathrooms were domestic in character and pleasantly decorated. The temperatures of the hot water in the shower and bath were thermostatically controlled. The in-house checks on the temperatures had lapsed. It was recommended that the checks were restarted to ensure the thermostats were working efficiently. The home had two bedrooms used by the people using the service. One of these was a double room but was occupied by only one person at the time of this visit. Both rooms were quite pleasant with adequate furniture and fittings. The double bedroom had had new beds and the owner was planning to have it decorated. At the time of the last inspection neither of the wash hand basins in the bedrooms had a water supply. The double room had had this turned back on. The single room was still without water. This was discussed with the owner who said there was a risk of the occupant flooding the house. It was suggested that the taps were changed to a push down type, as these turn off on their own to avoid the risk. The home had some aids and adaptations, for example, stair lift and grab rails on the bath. These were appropriate for the needs of the people living in the home at the time. The home was clean and hygienic. There was a small laundry in the hallway. The issue raised at the last inspection of combustible materials being stored under the stairs had been addressed. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has demonstrated that the two people living in the home are supported by a small team of staff, who are available at all times to meet their needs and who have a good understanding of mental health. The lives of the people living in the home are happy in part due to the commitment of a family orientated service. EVIDENCE: The owner advised that other than herself, her husband and one casual staff member no other staff provide support in the home to the people living there. The registered manager, who lives and manages a home next door, provided support with paper work and policies. There have been no new staff appointments. The casual staff member had been involved with the home for a number of years and knew the people using the service well. He provided cover for the owner and her husband if they went away and helped with the cleaning once a week. He did have a criminal records bureau disclosure and a reference had been obtained as required following the last inspection. The owner had updated her training in food hygiene and undertaken training in adult protection since the last inspection. She also had training in manual handling and medication. The casual member of staff had not had any recent training. The manager and owner of the home were advised anyone employed Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 19 to care for the people living in the home must undertake their regulatory training in topics such as, food hygiene, first aid, adult protection and so on. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has been able to fully demonstrate that the management and administration of the home is effective to meet the needs of the people living there and provide a positive and family orientated approach to their care. EVIDENCE: The registered manager owns and runs the residential home next door and gives the owner of The Hallewell support with policies, procedures and paperwork. She is fully qualified for her role, knows the people using the service well and has a considerable amount of experience in running a small residential home. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 21 The manager spoke about having a quality assurance system for the home next door but was finding the audits and upkeep of the system very time consuming. She did not feel it was a suitable system for The Hallewell and discussed ways of adapting it so that it was appropriate. When she has done this she will assist the owner of the home in implementing the system. One of the people living in the home managed all his own financial affairs. The other person had her own bank account but the owner of the home managed some of her money as she had no relatives to do this for her. Records were kept of all the incoming and outgoing money to ensure the individual was safeguarded. Health and safety were generally well managed. The weekly in house checks on the fire system were up to date. The portable electrical appliances and stair lift had been serviced and the electrical wiring in the home had been checked. The most up to date service for the gas boiler and cooker could not be found at the time of the inspection. The owner needed to undertake a fire drill as the last one was some time ago and the fire risk assessment needed to be reviewed. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP8 Regulation 12(1)(a) Requirement The registered manager must ensure that when health care appointments are attended a record is kept of the visit and the outcome. This will ensure the health care needs of the people living in the home are being met. The registered manager must ensure that any staff employed at the home have undertaken their regulatory training to include: Food hygiene Fire Manual handling First aid Health and safety Adult protection This will ensure the staff have the necessary skills and knowledge to care for the people living in the home. Evidence must be forwarded to the CSCI that the gas appliances in the home have been serviced. This will ensure the people living Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 24 Timescale for action 01/04/08 2. OP30 18(1)(a) 30/06/08 3. OP38 23(2)(c) 14/04/08 4. OP38 23(4)(c) (iii) in the home are not exposed to any unnecessary risk. Fire drills must be undertaken every six months. This will ensure the people living in the home are safeguarded. 01/04/08 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 OP7 Good Practice Recommendations Care plans should be further developed to include all the needs of the people living in the home, for example, social and dietary needs and preferences. This will ensure the people living in the home receive person centred care. Daily dairies should include general over view of the well being of the people living in the home and how they spend their time. This will show the needs of the people living in the home are being met. Records of the food being served to the people living in the home should be kept. This will show their nutritional needs are being met. The policy for protecting the people living in the home from abuse should be reviewed and updated to ensure it corresponds with the local multi agency guidelines and recommendations of the Department of Health paper No Secrets. It is recommended that the taps in the bedroom identified during the inspection are replaced with a type that turn themselves off when finished with. This will ensure the occupant of the room has access to a supply of water. It is recommended that the in house checks on the hot water temperatures are recommenced. This will ensure the people living in the home are not exposed to any unnecessary risks. The registered person should establish and maintain a system for evaluating the quality of services at the care home. This will ensure there is a system in place to improve the service for the people living in the home. The fire risk assessment should be reviewed. This will DS0000017048.V359691.R01.S.doc Version 5.2 Page 25 2. OP8 3. 4. OP15 OP18 5. OP25 6. OP25 7. OP33 8. OP38 Hallewell, The ensure the people living in the home are not exposed to any unnecessary risks. Hallewell, The DS0000017048.V359691.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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. 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