Care Home: York House

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What the care home does well People living at the home said in the survey responses: "I like living here it`s great." "York House is good. I Love it here" "I like it here, the staff are nice and help me to do things I like to do." People move into the home following an assessment of their health, personal and social care needs. People are supported to make decisions about day to day activities, and benefit from support plans and risk assessments that focus on their abilities and strengths. People take part in a range of activities based on their own individual interests, some of these enable people to use community facilities, and meet family and friends. The meals provided at York House are liked and suit people`s individual tastes. People receive high levels of individualised care and support that meets their personal and healthcare needs.If people are unable to complain themselves, there are good systems in place to protect people, and to respond if others raise concerns or questions about how someone is being cared for and supported. People live in a clean and tidy home. Staff are well trained and undergo the correct employment checks before they start work with people. The numbers of staff working in the home reflect the assessed needs of people living there. The home is well run and there are good systems in place to ensure people are kept safe and their views and opinions are listened to, and acted upon. What has improved since the last inspection? This is the first inspection of the service since it was newly registered. CARE HOME ADULTS 18-65 York House New Street Ossett Wakefield West Yorks WF5 8BW Lead Inspector Tony Brindle Key Unannounced Inspection 14th December 2007 13:00p York House DS0000070248.V357490.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 York House DS0000070248.V357490.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. York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service York House Address New Street Ossett Wakefield West Yorks WF5 8BW 01924 271104 01924 270104 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) www.grooms-shaftesbury.org.uk Grooms-Shaftesbury Mrs Helen Holt Care Home 23 Category(ies) of Physical disability (23) registration, with number of places York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1st Inspection since newly registered Brief Description of the Service: York House is situated close to the town centre of Ossett. The home provides a service for 23 younger adults with a physical disability. The home is on two floors and is accessible to wheelchair users throughout, having a passenger lift to the first floor and wide corridors. There are good sized pleasant gardens to all sides with a central patio courtyard. The home provides appropriate communal and private space that meets the needs of people accommodated. There is an intention to make many environmental changes in the future so that the home can increasingly meet individual service user’s needs. Weekly fees within the home at the time of the inspection ranged from £650 to £1,100 dependent on the assessed needs of individuals. Information about the home is available to people via the Statement of Purpose, Service User Guide and the last inspection report, all of which are available in the home’s reception and are given to both people who enquire about living at the home, and those who currently live at the home. These documents also give people information about the Commission for Social Care Inspection. York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit started at 1pm and last 4 hours. This was a positive and enjoyable visit. The service has had a legal change of company, but that the same staff and manager remain in place. There was the opportunity to speak to people living at the home as well as the registered manager and care staff. The records of three people were seen and included assessments, care plans, daily and medical records and the record of activities. Staff records were also seen and included recruitment, training and supervision records. A sample of people’s medications and finances were checked and a look around the home was undertaken. Other information considered was the information supplied by the homes before the visit, called an Annual Quality Assurance Assessment, and surveys Commission for Social Care Inspection had obtained. From the six surveys that were sent to people living at the home, 5 were returned, and four relatives also responded. None of the healthcare/social care professionals who were sent surveys responded. The feedback received was positive. The inspector would like to take the opportunity to thank the manager and his staff team for their hospitality, and people using the service and their relatives for their patience and co-operation throughout the visit. What the service does well: People living at the home said in the survey responses: “I like living here it’s great.” “York House is good. I Love it here” “I like it here, the staff are nice and help me to do things I like to do.” People move into the home following an assessment of their health, personal and social care needs. People are supported to make decisions about day to day activities, and benefit from support plans and risk assessments that focus on their abilities and strengths. People take part in a range of activities based on their own individual interests, some of these enable people to use community facilities, and meet family and friends. The meals provided at York House are liked and suit people’s individual tastes. People receive high levels of individualised care and support that meets their personal and healthcare needs. York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 6 If people are unable to complain themselves, there are good systems in place to protect people, and to respond if others raise concerns or questions about how someone is being cared for and supported. People live in a clean and tidy home. Staff are well trained and undergo the correct employment checks before they start work with people. The numbers of staff working in the home reflect the assessed needs of people living there. The home is well run and there are good systems in place to ensure people are kept safe and their views and opinions are listened to, and acted upon. 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. York House DS0000070248.V357490.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 York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People move into the home following an assessment of their health, personal and social care needs EVIDENCE: A sample of people’s files were seen and all contained a pre-admission assessment. These assessments clearly identified individual needs in areas such as personal, physical, emotional, social and educational support. The manager explained that people interested in moving into the home, or referred to the service via social services, take part in a detailed assessment prior to a placement being offered. This she explained was so that she and the staff would be sure that all of their needs of the person could be fully met by the service. A look at the records confirmed this, and this was supported by when talking to people living at the home York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to make decisions about day-to-day activities, and benefit from support plans and risk assessments that focus on their abilities and strengths. EVIDENCE: One person living at the home spoke about how they get involved in the planning of their care and support. This person said that they speak to the manager and staff about how they want to be spoken to, how they want to be supported when dressing, bathing and shopping, and what kind of activities they like to get involved with. A staff member spoke with said care plans set out in detail how a person is to receive positive individualised support, and added that people are involved in decisions about staff selection and the day-to-day life of the home. A look at the records confirmed this, and this was supported by feedback from people living at the home. York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 10 The records show that the care plans are based on a full and up to date assessment, and the plans are written in a person centred way and focus on people’s strengths and personal preferences. The manager said that as far as possible, the plans are developed with the people living in the home; she added that she sees the care plans as belonging to the people living in the home. A look at the records confirmed this, and this was supported by feedback from people living at the home. The manager said that if people wanted their care plan put into an alternative format, and people said they were aware that this could be done. However, no one as yet has requested this. One staff member who was spoken with said that there are measures in place to support people who live at the home who have communication difficulties. One person for example uses an alphabet chart when communicating with the staff. This was seen to be in use, and staff appeared to be very good at using it, and the person was seen to be supported extremely well in getting their point of view across. One staff member who was spoken with said that the ethos of the service was to see people as individuals who have their own history, interests and social network. One person living at the home explained how they are supported to use community facilities, keep in contact with their family and enabled to follow their own interests such as listening to music and watching football. York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People take part in a range of activities based on their own individual interests, and some of these enable people to use community facilities, and meet family and friends. The meals provided at York House are liked and suits people’s individual tastes. EVIDENCE: During the visit it was seen that the routines of daily living and activities made available are flexible and varied to suit people’s preferences and capacities. People were seen to be given the opportunity to exercise their choice in relation to leisure and social activities, and food, meals and mealtimes. Feedback from relatives who completed our survey indicated that they were satisfied with the way that the staff supported people with making choices about meals, activities and the ways they can spend their time. York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 12 Staff said that people are able to have visitors at any reasonable time. This was confirmed by people living at the home. One person living at the home said that they are supported to go out to shops, clubs, pubs, cafes, walks and holidays. Staff said that people living at the home can handle their own financial affairs for as long as they wish to and added that people’s ability to manage their own affairs is monitored so that they can be fully supported in this area. People living at the home said they were encouraged look after their own money, and to bring their personal possessions with them when they moved into the home. A tour of people’s room confirmed this. Menus are on display showing that people have a choice of meals and snacks. One member of staff said that there is a varied menu on offer at York House. One person spoke about the menu suiting their individual requirements. One member of staff said that meals are usually taken altogether but the times can be flexible depending on a person’s preferences. People living at the home said that they enjoy the meals that are provided; they confirmed that there is a good choice of hot and cold drinks, meals and sandwiches. Feedback from people living at the home indicated that they are given the opportunity to develop and maintain important personal and family relationships. One member of staff said that people are supported to access information and specialist guidance about issues such as intimate relationships. Discussion with the manager showed that individual rights and choices are promoted, and that people are supported to make informed choices about things such as lifestyle choices, relationships, activities and holidays. A look at the records confirmed this, and this was supported by feedback from people living at the home. One person spoke about how staff and manager had been extremely caring and supportive throughout a recent time of distress. York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive high levels of individualised care and support that meets their personal and healthcare needs. Some minor medication errors need to be dealt with so that a true record of all the medication held by the home is maintained. EVIDENCE: Observations at the visit found that the care given at York House is person led with the staff listening to people attentively, acknowledging what is important to the individual, and ensuring that they are kept informed of what is going in the home, and in relation to the care and support they are receiving. Staff were seen to respect people’s preferences. One person living in the home said that the staff do listen to them, and help them in relation to their medication, healthcare appointments and any problems that they may want to talk through. Feedback from people who completed our survey indicated that they were satisfied with the ways in which their healthcare needs were supported; people living at the home said that the staff are very caring and always ask them how they would like to be looked after. People said that the staff are very good at making sure that doctors’ appointments and district nurse visits are arranged. A look at the records confirmed this. York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 14 The records show that the manager has in place a policy and procedure relating to the receipt, recording, storage, handling, administration and disposal of medicines. On checking a sample of the medication it was found that a number of quantities of medication had not been carried forward and so it was unclear as to whether people the home was holding the correct quantity of medication for people. All other areas of the medication system checked were found to be working well. One member of staff said that people can take responsibility for their own medication if they wish, following a risk assessment. A look at the records confirmed this, and this was supported by feedback from people living at the home. One person explained how they self medicate, and the ways in which this person is supported were found to be satisfactory. York House DS0000070248.V357490.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): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. If people are unable to complain themselves, there are good systems in place to protect people, and to respond if others raise concerns or questions about how someone is being cared for and supported. EVIDENCE: The manager explained a simple and clear complaints procedure, and was able to detail the stages and timescales for the process. A look at the records confirmed this, and this was supported by feedback from people living at the home. People who completed our survey indicated that they were fully aware of who to complain to over issues at the home. The manager said that the service has had some complaints of a minor nature. A look at the records confirmed this, and the complaints were found to have been investigated and resolved to people’s satisfaction. The manager went on to talk about the procedures that are in place for responding to the suspicion, or evidence, of abuse or neglect, and these were found to be in good order. One member of staff was able to talk through the process, explaining how allegations and incidents of abuse are reported and followed up by the manager and how staff make sure that they record all the information relating to allegations of and suspicions of abuse. Feedback from people who completed our survey indicated that they were satisfied that the staff at the home were aware of how to respond to incidents of alleged abuse. People living at the home said they felt safe and comfortable and knew who to speak to if they were unsure about a situation or the way someone was behaving. York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 16 One member of staff spoke about the regular training and supervision they receive to make sure staff are fully aware of the policies and procedures provided in relation to protecting and safeguarding the rights of people living at the home. This person was able to talk about how to recognise signs of abuse and how to respond appropriately. One person living in the home said that said that they would not have a problem going to a member of staff if they felt unsafe. Observations made on the day found that the views and experiences of people living at the home are valued, with staff members talking things through with people, for example what they want to do during the day, what they want to eat, where they want to go, how they are feeling about a situation. York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although people like living at the home, and say its comfortable and clean, some people think that improvements to some parts of the building could be made to improve access, mobility and their own independence. EVIDENCE: People living at the home said that in some parts of the building, they found it difficult to get round. The manager explained that the organisation is looking at ways the building can be improved to increase access, mobility and independence for the people living there. It was noted that the home was free from offensive odours throughout and that there are systems in place to control the spread of infection. Laundry facilities are sited so that soiled articles, clothing and infected linen are not carried through areas where food is stored, prepared, cooked or eaten. Appropriate hand washing facilities are available; the records show that there is an appropriate infection control policy and procedure in place. Discussions with people who live at the home found that they are encouraged to see the home as their own. A look at people’s rooms confirmed that they can, and do, personalise their own space. York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained, properly recruited and sufficient in numbers to meet the assessed needs of people living there. EVIDENCE: The rota shows that the staffing numbers and skill mix of qualified and unqualified staff on duty are linked to the assessed needs of the people living in the home. The manager said that the number of care staff trained to NVQ level 2 or equivalent is currently above the 50 target suggested within the National Minimum Standards. The manager explained that the service has enough staff available at all times to support the needs, activities and aspirations of the people using the service as described in people’s individualised and person centred care plans. A look at the records confirmed this, and this was supported by feedback from people living at the home. The manager talked through the recruitment procedure, which is based on ensuring the protection of the people living at the home. She confirmed that two written references are obtained before appointing a member of staff, and any gaps in employment records are explored. A look at the records confirmed this and safe recruitment practices. The manager said that new staff are York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 19 confirmed in post following completion of a satisfactory police check, and satisfactory check of the Protection of Vulnerable Adults register and Nursing register. One member of staff said that they receive good levels of training in areas such as health and safety, fire safety, movement and handling, safeguarding, and food hygiene. Another staff member talked about receiving training on the principles of care, safe working practices, the organization and safeguarding people, and added that they do also get specialized training to help them with their job in areas such as care planning, epilepsy, communication and person centered support. A look at the records confirmed this, and this was supported by feedback from people living at the home. Observations indicate that there is a diverse staff team that has a balance of skills, knowledge and experience to meet the needs of people who use services. York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 20 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 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and there are good systems in place to ensure people are kept safe and that their views and opinions are listened to, and acted upon. EVIDENCE: The manager of York House is registered with the Commission and has the appropriate qualifications and experience to manage the home. She explained how she meets the aims and objectives of the service by ensuring that there are effective quality assurance and quality monitoring systems in place to measure all aspects of the delivery of the care and support provided by the staff team. A look at the records confirmed this. The manager is involved in spot checks and quality monitoring which gives her evidence that systems are working and that the health and safety of people is promoted. However, she recognised there are some issues of medication records that had been overlooked, and said that she would be dealing with the issue as soon as the inspection was over, to ensure the records held enable clearer stock balance York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 21 records to be held. Feedback from people who completed our survey indicated that they feel safe living in the home, and that they believe it is well run. Staff members who were spoken with said the manager is a good listener and makes sure that they, and the people living in the home, are involved in all aspects of life at York House The staff say that there is an atmosphere of openness at the home, where people’s opinions matter. One member of staff said that people’s view are sought about how the manager and staff are supporting people and written records produced. A look at the records confirmed this, and this was supported by feedback from people living at the home. Another staff member talked about the different safety systems there are in place that help to make sure that people’s wellbeing is promoted, such as fire alarm testing, medication checks, risk assessments, care planning, care reviews and health and safety audits. One staff member was able to talk about how accidents, injuries and incidents are recorded and reported to the manager and appropriate authorities when necessary. A look at the records confirmed this, and this was supported by feedback from people living at the home. York House DS0000070248.V357490.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 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NA 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 YA20 Good Practice Recommendations The registered manager should ensure the recording on the MAR of medication quantities carried forward from previous months, to more clearly show people are getting the medicine they need. Consideration should be of the views of people living at the home in relation to ensuring that the building meets their needs and requirements for access, mobility and independence. 2 YA24 York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 York House DS0000070248.V357490.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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