Care Home: The Lodge

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What the care home does well The home is run in the best interests of the people that live there. There is an experienced and competent Manager in charge of the home. People`s health needs are always met and they are supported to make decisions in their lives through Person centred planning. There are always enough staff on duty to meet people`s needs and the home is small and comfortable, which provides a homely atmosphere. The staff have a good understanding of people`s needs and interests. What has improved since the last inspection? There were no requirements made by the Commission at the last inspection of the service. The staff have continued to work with the people in the home to develop their person centred plans. This means that people`s wishes about the support they receive are being listened to. What the care home could do better: When planning how people`s needs will be met staff should consider all the persons needs, including their need for personal relationships. It would benefit people in the home if staff were to do a wider range of training courses. This could include sexuality and relationships, communication, Mental Capacity Act and Person centred planning. People using the service would also benefit from more staff achieving the NVQ award.Further work could be done to help the people in the home understand how to make a complaint if they need to. Where service users are providing additional furniture for communal areas it must be clearly evidenced that this is their choice to do so and that sufficient furniture is provided already. The Manager should review the transport arrangements for activities to ensure people can always get to their planned activities in the community. CARE HOME ADULTS 18-65 Lodge (The) (Chaldon) The Lodge Rook Lane Chaldon Surrey CR3 5AB Lead Inspector Jo Griffiths Unannounced Inspection 20th February 2008 12:00 DS0000013703.V357755.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 DS0000013703.V357755.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. DS0000013703.V357755.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lodge (The) (Chaldon) Address The Lodge Rook Lane Chaldon Surrey CR3 5AB 01883 383838 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) Surrey and Borders Partnership NHS Trust Mrs Kim Susan Mott Care Home 2 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (1) of places DS0000013703.V357755.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2006 Brief Description of the Service: The establishment is currently registered in the name of Chaldon Lodge. The home is a small detached house and is one of a group of small care homes belonging to Surrey and Borders NHS Trust and set in rural Surrey in the village of Chaldon. The Lodge is situated in a residential area on the outskirts of the village. The service provides residential care and support for adults with learning disabilities. Accommodation is on two levels and is domestic in scale providing single bedrooms, lounge, sensory therapy room, dining/kitchen facilities, utility room bathroom and separate toilet. The home is not suitable for people with mobility difficulties due to bedrooms and bathroom being on the first floor with no lift. There is an enclosed garden and parking facilities at the rear of the garden. Fees for the service are currently based at £1919 per week. DS0000013703.V357755.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 inspection of the care home. The inspection was unannounced. The inspector visited on 20th February 2008 and was in the home between 12.00pm and 4.00pm. During the inspection two senior carers were on duty and the deputy Manager arrived for the afternoon shift. Both people that live in the home were at home during the inspection. They were unable to verbally give their views of the service but interactions between staff and service users were observed to evidence the support they are receiving. The Manager of the home completed and to sent to CSCI the Annual Quality Assurance Assessment (AQAA). This gave information about the service and has been used as part of this inspection. Both people living at the home completed a survey sent by CSCI, but this was with significant staff support. Some of the documents and records in the home were also inspected. What the service does well: What has improved since the last inspection? What they could do better: When planning how people’s needs will be met staff should consider all the persons needs, including their need for personal relationships. It would benefit people in the home if staff were to do a wider range of training courses. This could include sexuality and relationships, communication, Mental Capacity Act and Person centred planning. People using the service would also benefit from more staff achieving the NVQ award. DS0000013703.V357755.R01.S.doc Version 5.2 Page 6 Further work could be done to help the people in the home understand how to make a complaint if they need to. Where service users are providing additional furniture for communal areas it must be clearly evidenced that this is their choice to do so and that sufficient furniture is provided already. The Manager should review the transport arrangements for activities to ensure people can always get to their planned activities in the community. 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. DS0000013703.V357755.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 DS0000013703.V357755.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): Standard 2 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People that move into the home have an assessment of their needs. The needs of the current residents of the home are kept under review. EVIDENCE: The people that are currently using the service have been living at the home for many years. The staff have a good understanding of their needs and their needs have been kept under review through the care planning process. The home is using Person centred planning to establish the wishes and aspirations of the people in the home. DS0000013703.V357755.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): Standards 6, 7 and 9 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have a care plan that meets their needs, but they would benefit from the plans being extended to include support with relationships. People are supported to make decisions and choices about their lives. People are supported to take reasonable risks as part of an independent lifestyle. EVIDENCE: Each person has a care plan that has been written in a person centred way. The support staff have clearly spent time with people establishing the things that are important to them to ensure they are included in the plan. The plans for both the people using the service were inspected. The plans outline the needs of the person with regard to their personal care, health care, social and DS0000013703.V357755.R01.S.doc Version 5.2 Page 10 emotional needs. The plans have been reviewed and include the individuals’ views. People’s likes and dislikes were clearly recorded, as were the things that were important to them on a daily basis. The care plan files were rather bulky with lots of historical letters and reports. It would be beneficial for staff if out of date information were to be removed to allow them to follow the current care plan easily. It was noted that this had been raised by the Manager in a recent team meeting as something that was to be addressed. The plans contained information about social activities the person enjoys and how they like to spend their time. The plans do not yet address people’s needs or wishes with regard to their sexuality or personal relationships. The people that live in the home do not use verbal communication and the way that they communicate their needs had been carefully considered and recorded in the care plans. There was evidence in both plans where decision making about important health needs had been made on behalf of a person by the multi-agency team. The deputy Manager was aware of the recent Mental Capacity Act 2005 but said that training had not been provided in the home in this area. Training in this would be of benefit to the Manager and staff to ensure they understand the legal issues regarding capacity to consent. Risk assessments had been completed, reviewed and updated. Changes were seen in response to incidents to ensure any risks were minimised for the future. Staff spoken with on duty were aware of the risk assessments for each person. DS0000013703.V357755.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): Standards 12, 13, 15, 16 and 17 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are generally supported to do the activities they enjoy, but they would benefit from better planning for use of transport to ensure they can always get to these activities. People are supported to maintain contact with family and friends but would benefit from support with personal relationships. People’s rights and responsibilities in the home are clearly outlined to them and they are given the support they need to maintain these. People are offered a healthy diet that meets their nutritional needs and is enjoyable for them. EVIDENCE: DS0000013703.V357755.R01.S.doc Version 5.2 Page 12 Each person has a timetable of the activities they take part in each week. Staff said the activities are based on what the person has indicated they enjoy and this was clear from the care plan. The activities include the use of a day centre for some therapy sessions, hydrotherapy, going out for walks and drives, lunch and coffee out, shopping and outings to places of interest. When the inspector arrived at the home the two service users were just returning home from shopping in the local town with staff. Records in the care plan files show that people do activities on most days, although this may not always be the planned activity. Records showed that some activities in the community and at the day centre have been cancelled on occasions due to a lack of available drivers in the staff team. The Manager is aware of this issue and is working to recruit more staff that are able to drive the company vehicle. Consideration could also be given to the use of alternative transport to ensure that people can attend their planned community activities. Staff on duty said that the service users sometimes socialise with people from other homes run by the trust, in particular the two houses located on the same site. Evidence was seen in the care plan notes where people had been supported to visit other homes for tea and for events. The person centred plans do not identify the needs and wishes people have regarding building personal relationships outside of the trust’s homes. This could be further developed in the plans to ensure people have the opportunities and support they need to build new relationships. People are supported to maintain contact with their families through visits and letters. Staff have applied on behalf of the two service users for support from local advocacy services, but the referrals are on a waiting list. Within the home people are supported to carry out some household tasks including their personal laundry, cleaning their rooms and shopping. Neither service user locks their bedroom doors as staff say they would not be able to use a key, however staff were seen to respect individuals’ privacy. Service users rights are outlined in the Service User Guide and their contract of support. People have their own planned 4-week menu. These are based on their likes and dislikes and nutritional needs. The menus are flexible to take into account the person’s choice on the day. Records are kept to show what the person has eaten so that the Manager can ensure their nutritional needs are being met. One person has regular input from a dietician and it was clear from the records that staff are following the advice given. The dietician has been involved in the planning of the menus. DS0000013703.V357755.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): Standards 18, 19 and 20 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have their personal and health care needs met through their plan of care. People are supported to take the medication they need in a safe way. EVIDENCE: People’s health needs have been planned for through an individual health action plan. This helps the person to identify their health needs and to plan the support they will need to ensure they are met. Consideration has been given to the needs associated with ageing and specific health needs relating to gender. Records show that appointments have been made with the GP and other healthcare professionals where needed and for general health checks. Both service users have been supported within the last six months to see their GP for a full health check. It was clear through the care plan and the daily notes that the advice given by healthcare professionals is followed by the staff team to ensure needs are met. DS0000013703.V357755.R01.S.doc Version 5.2 Page 14 Individuals are supported to with their personal care in private in the bathroom. Male and female staff are available on duty most days to meet these needs. People’s preferences about the way their care is delivered are included in the care plan as are things that are very important to them. Staff said service users choose what time they get up and go to bed. Night staff are employed to ensure their needs are met throughout the night. The people that currently live in the home do not manage their own medication as they have been assessed as needing lots of support with this. The staff administer medication and only do so once they have been trained. Their training is updated every 1-2 years depending on their experience. Certificates were seen in the home to evidence staff training and competence. Medication was seen to be stored securely and safely and accurate records were being kept. People have their medication reviewed regularly by their GP and this was recorded in the care plan. DS0000013703.V357755.R01.S.doc Version 5.2 Page 15 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): Standards 22 and 23 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users are supported to make complaints if they need to. Service users are currently safeguarded from harm and abuse. EVIDENCE: The home has a complaints procedure and this has been produced in picture and symbol format for service users. Staff are not clear whether they are able to understand this format but say that it has been provided to them in the Service User Guide and also provided to relatives. It may be beneficial to explore other methods of communicating ‘how to complain’ to them. The Manager is soon to attend training in non verbal communication and this may be of use in this area. Staff said they support service users to make informal complaints as they need to, for example when transport for activities is not available. Records were seen to support this. There have been no formal complaints received by CSCI or by the home since the last inspection. The staff have all received training Safeguarding adults and staff on duty had an understanding of the policies of the home and the reporting procedures for any allegations of abuse. At the last inspection the staff files were inspected and these confirmed that all staff had undergone a Criminal Records check DS0000013703.V357755.R01.S.doc Version 5.2 Page 16 before they started work. There have been no new staff since the last inspection. There have been no incidents of concern about abuse in the home since the last inspection. It was noted that risk assessments were in place to minimise the risk of one service user harming the other person in the home as there had been incidents of physical attack in the past. The staff said the risk assessments were working effectively and the incident file showed there had been no reported incidents between these two people for over a year. Staff felt confident that the risk assessments were preventing any possible incidents between the two service users. DS0000013703.V357755.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): Standards 24, 25, 27, 28 and 30 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a safe, clean and comfortable home. Their bedrooms meet their needs and they have access to appropriate bathing facilities, but would benefit from having access to more toilet facilities. People in the home have access to suitable communal facilities. EVIDENCE: The home is well maintained and provides a comfortable and homely environment for people to live in. Each person has their own single bedroom that is furnished and decorated to their needs and tastes. People are supported to furnish their rooms in the way they prefer. There is a large bathroom with a bath and separate shower unit. The shower was fitted as one person prefers to have a shower than a bath. This now gives people in the home a choice of facilities. The bathroom has a toilet and there is DS0000013703.V357755.R01.S.doc Version 5.2 Page 18 also a separate toilet across the hall. During the inspection the separate toilet was found to be locked. The staff on duty acknowledged that it should not be kept locked and said that some staff prefer to lock it so that it is used exclusively as a staff toilet. The Manager advised following the inspection that this is not the agreed practice within the home and that she would discuss the issue with the staff team. It is recommended that service users be able to access this toilet as they may wish to use these facilities if the other service user is using the main bathroom. The home has a comfortable lounge and a sensory therapy room. Staff said the people in the home enjoy relaxing in the sensory room and that they use the lounge mostly in the evenings to relax and watch television. A quote was seen in one persons care plan file for a new sofa. Staff said that this was planned to be purchased for the sensory room and paid for by the service user. Where service users choose to purchase furniture in addition to that which is provided by the home the Manager must evidence that this is their choice and that there is sufficient furniture provided already. The house has a kitchen with a dining table. The people that live in the home are supported to prepare their meals and are able to choose where they would like to eat. The home was very clean and hygienic. Procedures are in place to ensure that laundry is managed in a hygienic way and staff were able to describe these procedures. DS0000013703.V357755.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): Standards 32, 33, 34 and 35 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are supported by sufficient numbers of competent staff. They would benefit from staff expanding their training programme to support their holistic needs. People living in the home are protected by the home procedures for recruiting new staff. EVIDENCE: The staff recruitment records were inspected at the last inspection of the home. The Annual Quality Assurance Assessment (AQAA) shows that there have been no new staff employed in the home since the last inspection and that policies for recruitment remain in place and have been reviewed as needed. The staff files were not inspected again on this occasion. The staff training records were inspected for three members of staff. These showed that all training required to ensure staff safely support service users DS0000013703.V357755.R01.S.doc Version 5.2 Page 20 has been completed. The Manager keeps clear records of staff training to ensure update courses are booked as needed. It would benefit service users if staff were to expand the training they undertake to include other areas of support such as sexuality, communication and person centred planning. It was positive to note that some staff were booked to attend training in health action plans next month. Two members of staff have completed their NVQ award in care and one staff is working toward this. The service users benefit from 1-1 support during the day and a waking night staff at night. There is a mix of male and female staff employed to meet people’s personal care needs. The rotas show consistent staff planning to ensure people’s needs are met. DS0000013703.V357755.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): Standards 37, 39 and 42 People that use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is managed by a qualified and competent Manager. People that use the service are consulted on their views but would benefit from support to communicate their views in alternative ways. The health and welfare of people using the service and the staff is promoted and protected. EVIDENCE: The Manager of the home is a registered nurse (Learning Disability) and has completed the NVQ level 4 in management. She is supported by a deputy Manager, three senior carers and four support workers. The Manager has a DS0000013703.V357755.R01.S.doc Version 5.2 Page 22 development plan for the home and shows clear leadership of the service through the team meetings and supervision of staff. Visitors, relatives and healthcare professionals are regularly asked for feedback about the service through questionnaires. The Manager collates the responses and takes action to address any issues. Examples were seen in the records. The people that live in the home have a monthly meeting with the staff where any issues about their support can be discussed. Again, exploring alternative methods of communicating their views would be beneficial for service users to make the most of these opportunities. Applications for advocacy support have been made and further work could be done to encourage self-advocacy for the service user group. There are no issues of health and safety concern in the home. The Manager has demonstrated, through the AQAA, that all equipment is being serviced and maintained safely in the home and that health and safety checks are regularly carried out of the general environment. DS0000013703.V357755.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 3 26 X 27 2 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 2 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 DS0000013703.V357755.R01.S.doc Version 5.2 Page 24 N/A 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 Refer to Standard YA7 Good Practice Recommendations It is recommended that the Manager undertake training in the Mental Capacity Act to develop awareness of the new legislation relating to consent. It is recommended that alternative transport be considered to ensure service users can access their planned community activities, for example public transport. It is recommended that individuals plans be expanded to include their needs and wishes regarding personal relationships and expression of sexuality. It is recommended that alternative ways of communicating important issues in the home, such as the complaints procedure, to service users be explored. It is recommended that service users have access to the separate toilet in the home as well as the main bathroom. DS0000013703.V357755.R01.S.doc Version 5.2 Page 25 2 YA13 3 YA15 4 YA22 5 YA27 6 YA28 It is recommended that the Manager evidence that service users have chosen to purchase additional communal furniture and that sufficient furniture is already provided by the trust. DS0000013703.V357755.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 DS0000013703.V357755.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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