Care Home: Woody Point

Similar services:

• Coopers Mill Ltd
• Bramley Avenue (73)
• Paradise Lodge
• Grangewood
• Upaya Ananda
• Newton Court (1-2)
• Kings Lane (32)
• Pemdale

What the care home does well Woody Point has good information available about what it has to offer in a format that could be understood by most prospective residents. There is a carefully managed approach to introducing prospective residents to the home and its residents. The care planning in place for residents is very informative to staff and they are therefore able to provide the care and support that each individual requires. The access to health care is good with particular use of specialist services for people with a learning disability and so residents and their representatives can be assured healthcare is monitored and professional advice sought when required. Care staff are well recruited, and receive appropriate supervision and training. Therefore residents are in safe hands. What has improved since the last inspection? The home has reviewed the medication policy to cover areas such as controlled drugs and verbal orders received by phone. This has ensured that both staff and residents are protected and that current legislation is followed. Risk assessments whilst using the homes transport has been reviewed for one resident to acknowledge that the harness used is a form of restraint and should kept under constant review. This would ensure that the residents and staff are kept safe but that the least restrictive option was being used. The home has sought the views of relatives and professionals associated with the home about service offered. This has demonstrated that the service is listening to the users of the service and their advocates and representatives. What the care home could do better: No requirements or recommendations have been made as a result of this inspection. In the AQAA, the manager wrote that the home would continue to aim to provide more person centred planning, and to offer more activities to residents according to their ability. CARE HOME ADULTS 18-65 Woody Point Station Road Brampton Beccles Suffolk NR34 8EF Lead Inspector John Goodship Unannounced Inspection 15th September 2008 14:30 Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woody Point Address Station Road Brampton Beccles Suffolk NR34 8EF 01502 575735 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) Amber Care (East Anglia) Ltd Manager post vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2007 Brief Description of the Service: Woody Point is a registered care home for five adults with learning disabilities. Woody Point is a large extended bungalow, set back from the road that runs through the hamlet called Brampton Station. The nearest town to the home is Halesworth. The home is privately owned by Amber Care (East Anglia) Limited. Each service user has their own bedroom. There are three communal areas for social recreation including a lounge / dining room, a relaxation room, and an activity room with a range of musical equipment, arts and crafts materials, videos and books. A conservatory has been added to the side of the house, and this is used as the laundry. The home does not have designated sleeping-in facilities for staff, as the home employs waking night staff, to cover each night. Fees for this home range from £1,900 to £2,500 per week. This fee does not include holidays, toiletries, haircuts, clothing or travel. Information regarding the service is available in the Statement of Purpose and Service User Guide. The Service User Guide is also available in a format accessible to service users. Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection visit was unannounced and covered the key standards which are listed under each section overleaf, focussing on the outcomes for the people who live there, referred to in this report as residents. This report includes evidence gathered during the visit together with information already held by the Commission. The inspection took place on a weekday and lasted four hours. The manager was present throughout. Residents returned from their day centre during the afternoon. The inspector toured the home, and spoke to one of the residents, and to two members of the staff. The inspector also examined care plans, staff records, maintenance records and training records. Before the visit, a questionnaire survey was sent out by the Commission to the home for distribution to residents, relatives and staff. Four staff replied. Their answers to the questions and any additional comments have been included in the appropriate sections of this report. The manager was required to complete an Annual Quality Assurance Assessment which was returned to us fully completed. Information from this document has also been included in the report. What the service does well: Woody Point has good information available about what it has to offer in a format that could be understood by most prospective residents. There is a carefully managed approach to introducing prospective residents to the home and its residents. The care planning in place for residents is very informative to staff and they are therefore able to provide the care and support that each individual requires. The access to health care is good with particular use of specialist services for people with a learning disability and so residents and their representatives can be assured healthcare is monitored and professional advice sought when required. Care staff are well recruited, and receive appropriate supervision and training. Therefore residents are in safe hands. Woody Point DS0000059654.V371330.R02.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. Woody Point DS0000059654.V371330.R02.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 Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Quality in this outcome area is good. Prospective residents can expect to have their needs and aspirations assessed and be able to ‘test drive’ the home. They will be given information in a format that they can understand. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A Service Users Guide had been produced in ‘Widget’ format (this is a type of pictorial communication). We were told that most residents could understand and communicate using the PEC symbols (Picture Exchange Communication system). A board showing all the symbols was displayed in the lounge. The Service Users’ Guide set out the terms and conditions of residence. Contracts from local authorities were seen to be in place. We read the file for the newest resident, who had moved from another care home. The file held assessments made by the manager and a senior support worker at the person’s previous home. They were then invited to come to the home for tea, then to stay for one night. They then moved in. There were full records of the visits, including how well the person was received by the existing residents. Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 9 The Statement of Purpose had been recently updated to include the name of the new manager. Woody Point DS0000059654.V371330.R02.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. Quality in this outcome area is excellent. Residents can be assured that their assessed needs are set out in an individual care plan and that these will be regularly reviewed, with needs taken into account, to ensure they receive the appropriate personal, health, and social care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We examined the individual care plans for two residents. One had been living in the home for several years, and one had moved in this year. Both plans followed a similar format and contents covering all areas of need and recording that they were reviewed at least every six months. One person was being reviewed every three months by an NHS specialist consultant to ensure that their medication was appropriate. Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 11 Assessment covered personal care and hygiene skills and independent living skills. They were expressed by listing the problem, identifying the goal to be achieved, and describing the plan to make this happen. The latter gave staff clear guidance on this, such as “ensure X goes to the toilet before meals”, “do not ignore X when they are agitated, but sit with them till they are calm”, “make things fun to defuse any negative behaviour”. The manager told us that they were preparing a behaviour management plan for one resident to be discussed with the psychologist. They thought that the resident was benefiting from the medication reviews, and from the training of staff in handling challenging behaviours. We saw an example of this during the visit. The episode was handled calmly by staff, following the guidance we had seen in the care plan. The annual review of this person by the social care team had said: “X is well managed by staff at Woody Point”. In order that residents were able to make decisions around the house, Pecs symbols were seen to be in use. This along with the use of Makaton enabled better communication between staff and residents about routines and domestic life. The manager told us that they had put in place more detailed shift reports and keyworker forms. The daily statements made by staff were of good quality and stated what support had been given to enable the residents to maintain as much independence as was possible. We saw staff talking with residents in a friendly and respectful way. Risk assessments were both generic and had individual elements that promoted independence and freedom where possible. Examples of risk assessments in place included the home environment such as use of the kitchen and the fire extinguishers sited around the home. Risk assessments for outside the home included out walking, traffic, ponds, rivers and swimming, and using public transport. The risk assessment in place for using the homes transport did now acknowledge that a resident was restrained by use of a harness additionally fitted to the transport. This person had previously been able to remove their seat belt, so an additional harness was used for their safety. Woody Point DS0000059654.V371330.R02.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. Quality in this outcome area is good. Residents can expect to maintain an appropriate lifestyle with individual opportunities and support. Decisions around personal, family and sexual relationships are respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We noted from the care plans and from the manager that all residents attended the Crown House day centre which was run by the home’s provider company. The home had a vehicle of its own for the transport of residents. The manager told us that they had recently bought disability railcards to take residents to Beccles and Lowestoft for shopping or a day out. The train station was next door to the home. One resident used a bus pass when they are at the day centre. Each resident had an individual plan of day care. This was developed at the Amber care day services at Crown House. Opportunities Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 13 included gym, swimming, art and craft, woodwork and a meal preparation day, as well as community participation. The manager told us that the staff encouraged residents to contribute to the daily routines in the upkeep of the house, and a staff member told us that all residents take part in the preparation of meals to some extent. We were able to see residents being supported to prepare the tea, laying the table, preparing a salad and generally enjoying using the kitchen under the supervision of staff. The menu was displayed in the kitchen and was traditional type home cooking with a roast on a Sunday, pasta dishes and curries. The menu also allowed for individuals to eat food in line with their chosen faith. On a Saturday there was an individual choice day and individual residents made their own meal. The manager told us that two residents were being assessed for doing cooking programmes at the centre. Some residents had been to a holiday camp this year. Another had been supported to visit their family in London on three occasions, including for a religious festival. Another had been supported to visit their family on the south coast for a family christening. Two residents had no contact with their family. The AQAA told us that one of them was being supported by an independent advocate. Visits by the advocate were taking place on a regular basis and these were recorded. The home had a policy on sexuality and relationships. Guidance for staff on how to support residents expressing their sexuality was recorded on each care plan. Woody Point DS0000059654.V371330.R02.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. Quality in this outcome area is good. Residents can expect staff to identify and review their care needs to ensure appropriate care is given. Their safety is protected by the home’s medication procedure and medication audits. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The two care plans we inspected contained specific information about personal support. Staff spoken to were aware of individual preferences and the routines agreed and followed by all staff for consistency of approach. The daily statements were clear and recorded all personal care given each day. In care plans there was evidence of good use of health professionals. There was access to standard health services such as GP, chiropody and dentist. There was also good access and use made of more specialist healthcare services such as the community learning disability nurses and clinical psychologists. Staff were actively following advice and closely monitoring health and behavioural changes with one resident and then feeding back on a Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 15 regular basis to these health professionals. All residents had regular checks from his or her doctor and dentist. Residents had a keyworker to take a more special interest to the residents’ health, arrange to buy toiletries, and clothes, and make sure their hair and nails are cut. We checked the management of medication at the home. Currently there were no residents who self medicated. The security of medication was good. There was a locked steel medication cupboard. There was evidence of staff training. The medication administration records were examined and found to be correctly completed. There were sample signatures and initials that clearly identified who had administered medication. There was a clear audit trail that showed medication prescribed had been administered and by whom. The medication policy had been revised after the last inspection to clarify the procedure for recording verbal instructions from the GP, and for the recording of controlled drugs (CD). There were no controlled drugs being administered at the time of the inspection. The CD cupboard was empty. There were therefore no entries in the CD book. Woody Point DS0000059654.V371330.R02.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. Quality in this outcome area is good. Residents can be assured that their views will be listened to, safeguarding is taken seriously and any concerns are acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had written its complaints procedure in a pictographic format for the benefit of residents. There had been no complaints since the previous inspection. Staff surveys showed that they were aware of how to deal with complaints. Staff records showed that staff were routinely CRB (criminal records bureau) checked and had a protection of vulnerable adults (POVA) check before starting work. Staff received training in the protection of vulnerable adults (POVA) during initial induction, then during the Skills For Care induction programme. The home used a distance learning package to refresh staff’s knowledge. A further session was scheduled in November 2008. Woody Point DS0000059654.V371330.R02.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): 24,25,28,30. Quality in this outcome area is good. People who use this service can expect to live in a comfortable home that is clean, well maintained and meets their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each bedroom seen was a reflection of the person who resided there. We saw one room that had just been redecorated. The manager told us that the occupant had chosen the colour scheme. The home had three bathrooms and two separate toilets. The toilets had liquid soap and paper towels for residents, visitors and staff to wash their hands adequately after using the facilities. There were also hand sanitising gel dispensers placed around the home. Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 18 The laundry room was in the conservatory extension and was very clean, light and well ventilated. Red alginate bags were used for soiled laundry to control infection. Following the previous inspection, the domestic washer had been replaced with an industrial washing machine to adequately deal with soiled laundry. We noted that the fire extinguishers were in approved boxes to prevent accidental damage by residents, but remain quick to access in an emergency. Residents had access to a wide range of communal areas including a spacious lounge, an activities room with music equipment, CD Player and games and a relaxation room. Residents had access to the kitchen with staff support and there was also a small adjoining dining room. Externally there is a large and well-maintained garden area with decking. Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35,36. Quality in this outcome area is excellent. Residents can be confident that the home employs suitable numbers of staff that are adequately recruited and trained to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager told us that the total staffing hours had been increased this year to ensure that the home was correctly staffed to meet the needs of residents. There were two vacancies at the time of the inspection, but the manager was waiting for references before offering to suitable candidates. In the meantime they were able to call on cover from other homes run by the company. The rota showed that there were five staff on when all the residents were in the home, and two staff on nights, one sleeping, one waking. We examined the files for three staff members, including a recent appointment. This showed that all the required recruitment checks were in place before they started work. Supervision was recorded. Training certificates seen included food hygiene, first aid, health and safety, understanding autism Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 20 and a Unisafe certificate – this is the training used to manage behaviour that may challenge. The newest recruit was due to start their Common Induction Standards training later that month. The company had produced a training business plan for each home. We were able to see that so far this year staff had completed sessions on food hygiene, fire safety, medication, First Aid, Unisafe, POVA, infection control and the Mental Capacity Act. We spoke in detail to two staff members. Both of them confirmed the training they had received Both knew all the residents well and said that they could see improvements in the speech and abilities of some residents since they had started work in the home. One said: “I am happy here. I trust all the staff.” Several staff wrote in their surveys that continuous improvements were made from suggestions at staff meetings. All of them felt the home was meeting the needs of the residents. Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is good. Residents and relatives can expect the home to be well run, by competent staff. Their safety is assured by the home’s health and safety practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The company informed us on 3rd September 2008 that the manager of another of their homes, in Lowestoft, would become acting manager of Woody Point on a temporary basis with the support of the area manager. Between them they would be at the home for three days a week. A temporary deputy was also nominated. Recruitment for a permanent manager was still going on. The acting manager was registered with us at their current home. Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 22 The home had a system of quality assurance checks. The area manager completed a monthly report which also met our requirements. The senior staff made daily checks to ensure that rooms had been cleaned, toiletries put away, that food in the fridge was dated and covered, fridge and freezer temperatures were taken, and hot water checks were made. Questionnaires had also been sent this year to the advocate, social workers, parents, the GP, and the consultant psychiatrist. We saw their replies. All of them commended the home. In relation to health and safety staff had received training as seen in their files. There was evidence of servicing of all fire equipment and fire tests. Hot water temperatures were regularly monitored. The oil boiler was serviced annually as was electrical equipment and the septic tank emptied regularly. Evidence in the maintenance folder was seen. Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 3 3 3 3 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 24 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. 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. Refer to Standard Good Practice Recommendations Woody Point DS0000059654.V371330.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Woody Point DS0000059654.V371330.R02.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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!