Inspection on 28/09/05 for 10 Brooklands

This inspection was carried out on 28th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

10 Brooklands 30/04/09

10 Brooklands 30/04/07

10 Brooklands 19/04/05

10 Brooklands 29/09/04

10 Brooklands 23/04/04

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Southfields

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 10 Brooklands Tunbridge Wells Kent TN2 3AD Lead Inspector Ann Block Announced 28 September 2005 14:00 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 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 Stationary 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. 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 10 Brooklands Address Tunbridge Wells Kent TN2 3AD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01892 537076 Mrs Lynne Melanie Weatherly CRH Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19 April 2005 Brief Description of the Service: 10 Brooklands is a two storey semi detached house in a quiet residential area of Tunbridge Wells with a secure garden to the rear. The service is registered for five people with a learning disability. The ethos of the home is to provide a home like environment with support given to live as full a life as possible within the wider community. There has been a stable service user group for some time.The owner has been involved with caring for people with a learning disability for many years.There is easy access to Tunbridge Wells with a bus route close by and a railway station within walking distance. The front drive has space to park two cars with additional on street parking. 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An announced inspection was carried out on Wednesday 28th September 2005 between 2pm and 10pm. The commission was represented by regulatory inspector Ann Block. The owner had made excellent preparations for the process of inspection by inviting service users families and those staff not on duty to call in during the afternoon to have a chat. A pre inspection questionnaire and self assessment had been completed and returned in good time before the inspection. Documentation to evidence good care was produced promptly when requested. Service users each chatted with the inspector in private and as a group. The service users had arranged for the inspector to come to dinner as part of the inspection. The weekly Wednesday house meeting took place during the latter part of the evening. The owner also oversees two Community Support projects. Some staff work hours between the different services, service users in the different projects have built up friendships. Plans are in the design stage for three service users to move as a group from 10 Brooklands to another Community Support service when the property becomes available. The inspector has inspected the home for some time and continues to be impressed by the high standards of care and support and of the skills and motivation of the staff team. Service users, staff and family all spoke highly of the owner, staff commenting that they hoped they would be able to work for her for a ‘long time’. As part of the inspection process comment cards were received from service users, friends and relatives and professionals. Comments received included: ‘On completing regular reviews – I have always found the Brooklands staff provide a high quality service. Could not praise highly enough’ ‘My wife and I remain grateful to Lynne Weatherly for the high quality care provided for our son.’ ‘It’s good, I really like it.’ ‘I do want to live her cause I like the home.’ ‘I love it very much’ 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 6 What the service does well: 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. 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 & 5 Prospective service users will have good systems in place to decide if 10 Brooklands is where they would like to live. EVIDENCE: The service user group has been stable for sometime. If, as planned, three service users move into more independent accommodation vacancies will arise. From discussion with the owner the process of introducing new service users into the home will be carried out with care and consideration for those remaining at 10 Brooklands. One person on the waiting list has been known to the owner for many years, has already visited the home and met the service users. The owner is clear that only people whose needs can be met and who will gain from living in the service will be offered a place. Any such prospective service user will have access to suitable written information to inform them of the service and what it is like to live there in the form of a statement of purpose and service users guide. Each service user has a statement of terms and conditions between the home and themselves which details their rights and responsibilities. 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 & 10 Service users enjoy a good quality of life where they can be the decision makers. EVIDENCE: Service users said that they thought staff knew them ‘pretty well’. Each person has a keyworker. Service users said they liked their keyworker who would arrange appointments for them, help them with shopping if necessary, help with budgeting, take part in reviews and generally oversee their wellbeing. Care plans are set up in the depth necessary for the individual, some being very comprehensive where there are specialised care needs, others are based on the care management plan. Service users know what is in their care plan and take part in reviews. One service user was very proud of the way in which she had ‘spoken up’ during her last review. Good systems are in place to ensure staff communicate with each other about changing needs, staff felt this was necessary to ensure people on call had current information about the service user. Service users are encouraged to manage their own finances including having their own accounts into which benefits are paid. A service user spoke of how she planned her expenditure and how she 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 10 made sure her money was safe and well looked after. Service users all confirmed they are able to make decisions both about their own lives and the general running of the home. Decision making includes the opportunity to take risks as part of daily living. Staff are aware of risk assessments and ensure service users are consulted and follow the guidelines to risk management. Service users are encouraged to act responsibly but still enjoy their lives, recognising the independence this affords them and the scope to be part of the community. Service users and staff are good at maintaining verbal and written confidentiality, any breaches will be immediately challenged by other service users or staff. Incidents even of ‘tittle tattling’ are frowned upon by the group who would rather problems were brought into the open. 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16 & 17 Service users have every opportunity to live a fulfilled, responsible, valued and socially active life. EVIDENCE: Service users are encouraged to have confidence in managing their own lives, to develop their own potential and learn general life skills. Three service users are planning to move into a house together where they will have a greater level of independence. One had moved back into care from an independent living situation where she had not thrived. She is excited about the opportunity to move on again, having been supported to feel safe and confident, and to have friends with her this time. Service users have so many opportunities for social, recreational and educational activities that it is very difficult to catch them at home. Two service users have just taken up riding which they love. Another spoke of his employment, showing the inspector his pay slips of which he was justifiably proud. The service user spoke of little extra jobs he had found in the area such as sweeping drives and general tidying up. Another has just started a work experience placement. A relative said a service user was well known in the area, having made so many friends 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 12 that wherever he went would usually bump into someone he knew and quite often have a drink with them. During the house meeting, the chair goes through the diary for the next two weeks to see who wants to go to where. On the evening of inspection this included the Thursday Club, Four Walls, church, this years panto, Mencap meetings, who they want to invite for dinner or Sunday lunch, who will be out, any ideas for future outings and suchlike. Each service user is asked individually with time given to think and speak. Service users had been on a recent holiday to Coombe Haven which they had enjoyed, three also had been to Stackpole activity centre with a party of friends. A recent outing had been greyhound racing in Hove, mention was made of the excellent pubs which were used as lunch breaks. Service users who have close relationships are able to go and stay with their partner and invite them back if the rest of the group agree. Whilst service users tend to have a large group of friends, many of whom share part of their lives, they are able to spend time by themselves with their rooms respected as being private. Certain service users tend to answer the service users phone but then transfer the call to the right person, as most of the residents have an extension in their room. Normally service users plan the week’s menu at the house meeting but it was felt that mealtimes had become somewhat uninspired, hence the owner was menu planning to give meals a boost. If they will be out for the day, service users make their own packed lunches the evening before. Those on a home day will have a light lunch as the main meal in normally in the evening. The main meal is presented in serving dishes so service users can choose the amount they want and develop social skills. Service users said a few of them were on a healthy eating diet so were having less fat, more vegetables and more fruit. Those service users who are able assist with meal preparation with a roster for kitchen duties. 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 & 21 Service users health and care needs are very well managed and take into account service users individual preferences and needs. EVIDENCE: Service users feel they are treated as individuals and that this is respected in care giving and support. Staff are aware that just because service users live as a group this does not mean they should be treated the same and have the same needs. Service users are expected to maintain acceptable standards both in house and externally. They are gently encouraged to maintain these standards which it is recognised might differ from parental views! Service users came in from day activities during the inspection and as usual had a shower and changed for the evening meal. They said that they can choose when to go to bed and when to get up but by agreement keep noise levels down at night and make sure they are up and ready for agreed day activities. Families are involved in life at the home, but only as afar as the service user wishes. Health care is well managed with service users encouraged to take responsibility as far as they are able. The keyworker system includes making health appointments such as going to the dentist and optician, and specialist appointments. Specialist health needs are very well managed both in house and by accessing external health professionals. Only one service user takes medication of any significance. The aim is to support each service user to 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 14 manage their own medication, such as mild pain relief, within a risk assessment framework. Medication is stored safely, administered and recorded properly. The service user on a more strict medication regime monitors with the owner and keyworker that her medication is correct with systems in place to give her control over administration. Medication is reviewed in conjunction with health professionals. Diabetes and its implications are understood by staff and service users, with staff receiving suitable training. The passage of life, including illness, death and dying, is discussed openly if the need arises. Service users are able to express grief and be present at internments if they choose. Most service users have made a will. 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Service users are able to raise concerns and be assured that these concerns will be listened to and acted on. Service users are protected as far as possible from the risks of harm or abuse. EVIDENCE: Service users are able to voice concerns and worries about the service. During the house meeting the group was asked whether they had any complaints, none had on that occasion. Service users say they are able to talk with their keyworker or the owner about any concerns, however minor they might seem. Service users will also be supported to complain through the proper channels if they receive or see poor practice elsewhere. All service users thought that concerns they had raised had been acted on, or they were told why action couldn’t be taken. Service users have a very good awareness of risk and understand the principles of Adult Protection, including how to remain safe in the home and when in the community. The home has policies on the prevention of abuse. 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29 & 30 Service users enjoy living at 10 Brooklands which is safe, well decorated, properly maintained and homely. EVIDENCE: Being in a cul de sac of similar houses, 10 Brooklands fits easily into the locality. Service users said they like being able to walk to the bus and train and to have shops, pubs and churches locally. They also like having the two community support houses, where some of their friends live, close by. The house has a large lounge/dining room with plenty of space to sit, including when friends call round. A new extending dining table has been purchased with matching crockery and table mats. Service users rooms are generally large, some have a double bed, others have a bed settee for guests. Each room is decorated and personalised to the service users choice. One service user recently chose and purchased new bedroom furniture which she will take with her when she moves on. Another has a new double bed ‘with drawers’ she was proud to say. Service users have their own TV some with DVD or video. A service user has previously explained how her specialist alarm is used and how she ensures it is set each evening. Service users have use either of their own en-suite, or of the spacious bathroom and ground floor toilet. Staff 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 17 have their own sleep in room/office. Service users use the garden, particularly in better weather. There is access from the lounge onto a decked area. A service user said how he had scrubbed the decking which he had enjoyed doing. Service users use the kitchen to make drinks and assist with meal preparation, they are very aware of risks when in the kitchen. As the laundry is behind doors in the kitchen area, service users said they are not to do any laundering, including bringing dirty washing through, when meals were being cooked or served. Maintenance is carried out both in a planned and responsive manner. At the house meeting, service users are asked if they need any repairs doing. One had put in a request previously with feedback given during this meeting. A new air conditioning unit has been put in the conservatory. Rooms are individually heated, a service user showed how she can alter the temperature as necessary. 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35 & 36 Service users quality of life is enhanced by the support and expertise of the staff employed. EVIDENCE: Service users all spoke very highly of the owner and the staff team. Three members of staff had started work at the home since the beginning of the year. They felt this was an exemplary home and hoped to be able to work with the owner for many years to come, as they had such respect for her. They fully recognised the aims of the service and had job descriptions to reflect this. Service users thought that staff were very approachable as was evidenced during the inspection. Service users and staff are relaxed together. There are excellent relationships between the staff team, the owner and extended families. Service users have a range of abilities and wishes; staff receive in house and external training and direction to work with individuals in their preferred manner. One person had started NVQ2, another NVQ3. Both said that training would be discussed in supervision. One said they were amazed how hard the owner worked to access the right training for staff. Where there is any delay in getting training, or just as sharing good practice, the owner downloads information from websites and gives it to staff to read. Each person keyworks a service user. Staff understood this role. The keyworker is 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 19 expected to promote the highest quality of life for the service user. The owner places an emphasis on staff listening to service users and to support rather than directing their lives. One member of staff said that he had found this a little more challenging at first but now he was used to this system which he thought was much better ‘and how it should be’. Staff meetings take place monthly, handovers take place between each shift. Staff have use of a computer with internet access and have their own log in and e-mail. It is hoped to network the computers between the three services at some point and to have a website. A staff roster is held, the staffing levels reflect what service users are doing that day, including who will be home. When staff are lone working they will always have someone else on call. Staff confirmed sound recruitment practice, including checks on employment history, references and criminal records bureau checks and have contracts of employment. They had undertaken a full induction in line with LDAFF guidelines. Staff said they receive one to one supervision regularly where they discuss training, personal issues, client related matters and their views of the service and whether anything could be changed to improve it. 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42 & 43 Service users consider that the way the home is managed and run makes it an enjoyable and safe place for them to live. EVIDENCE: The owner is in the final stages of obtaining her Registered Managers Award. In addition, she ensures that she updates herself with practice and undertakes training. Everyone spoken with, and comment cards received as part of the inspection, consistently spoke highly of the owner. All felt that the service was run for the benefit of service users and not for profit. A member of staff had expressed a desire to progress and felt the owner would offer him training and opportunities in a more senior role when one occurred. Equal opportunities is recognised in practice with employment opportunities actively found for people with leaning disabilities. An employee with specific difficulties, who works as domestic at the home, is expected to work to her full capacity but is not put in situations which might present a risk or beyond her capabilities. Staff said the 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 21 owner welcomes any suggestions to improve the service. One member of staff said they felt quite comfortable in challenging anything they felt could be done differently and didn’t feel at all threatened in doing so. Relatives said they are asked whether they are happy with the service both formally and informally. Questionnaires are sent out as part of a quality assurance system. Staff said they have access to a range of policies which they read and refresh regularly. Records as required to support good care and as part of regulatory requirements are kept in good order and safe. Service users are aware they can see information held about them. Staff and service users take part in regular fire training, all understood the procedure to be followed in the event of fire. Service users referred to the alarm system and contact numbers for the owner and staff. Staff and service users are conscious of good health and safety practice and follow very high kitchen standards. Pre inspection information records that services and supplies are maintained within recommended timescales. The premises and personnel are properly insured. The owner plans and budgets for the future of the service and how this can be developed to offer both service users at 10 Brooklands and others with a learning disability more opportunities. The owner works closely with the Tunbridge Wells Adult Services team. 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 4 4 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 4 4 4 4 4 3 Standard No 31 32 33 34 35 36 Score 3 3 4 3 3 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 10 Brooklands Score 4 4 3 3 Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 3 3 3 H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation None 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 None Good Practice Recommendations 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT National Enquiry Line: 0845 015 0120 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 10 Brooklands H56-H06 S23803 10 Brooklands V240959 280905 Stage 4.doc Version 1.40 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. 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!