Inspection on 21/05/08 for 41 Jerome Close

This inspection was carried out on 21st May 2008.

CSCI found this care home to be providing an Good service.

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

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Extracts from inspection reports are licensed from CQC, this page was updated on 31/08/2008.

CARE HOME ADULTS 18-65 41 Jerome Close Eastbourne East Sussex BN23 7QY Lead Inspector Nigel Thompson Unannounced Inspection 21st May 2008 11:00 41 Jerome Close DS0000071319.V363693.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 41 Jerome Close DS0000071319.V363693.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. 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 41 Jerome Close Address Eastbourne East Sussex BN23 7QY 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) 01323 767399 01323 740846 Jemini Response Ltd Mrs Lian Kent Care Home 3 Category(ies) of Learning disability (0) registration, with number of places 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 3. Date of last inspection N/A Brief Description of the Service: The care home at 41 Jerome Close is owned by the organisation Jemini Response. The service has previously been registered, as a children’s home since 2004, through Ofsted, to care for up to four children with learning disabilities, aged between 13 to 16 years on admission. However, as the two remaining children entered into adulthood, the registration has recently been changed, through CSCI, to accommodate up to three adults, over 18 years of age. The home is situated in a residential estate on the outskirts of Eastbourne and is close to local shops, facilities and services. The detached property has two bathrooms and four bedrooms on the first floor, one of which is undersize and no longer to be used as a resident’s private bedroom. A lounge-dining room, kitchen, office/ meeting room and visitors toilet are situated on the ground floor. There is a garden to the front and rear of the property. Information about the service, including the Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. The current fees, as of 21 May 2008, start from £1,900 per week. Additional charges are made for personal items, such as toiletries, chiropody, transport and holidays. 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key unannounced inspection took place over five hours in May 2008. It was the first inspection to be carried out since the service was registered with the Commission for Social Care Inspection (CSCI) in December 2007. All of the key National Minimum Standards were assessed and found to have been met or partially met and the overall quality of care provided was good. A service user spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. The purpose of this inspection was to monitor care practices at the home and the focus was on the quality of life and outcomes for people who live at the home. On the day of the inspection there were three service users living at the home. The inspection involved a tour of the premises, observation of working practices, examination of the home’s records and discussion with one service user, the deputy manager, two members of staff, a college tutor and the proprietor. Information received in the Annual Quality Assurance Assessment (AQAA) and responses from a CSCI service users’ survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. What the service does well: 41 Jerome Close is an established, well-managed and well maintained service that continues to provide good quality care and support for the young people who live there. The comfortable, relaxed and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team and the open and inclusive management style. Thorough policies and procedures are in place for the admission and ongoing care and support of service users. Effective communication and consultation 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 6 systems enable service users to be directly involved in developing and reviewing their individual support plans as well as many decision making processes within the home. Service users are enabled and supported to take part in a comprehensive range of educational and leisure activities, reflecting their individual interests and preferences, both within the home and in the wider local community. 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. 41 Jerome Close DS0000071319.V363693.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 41 Jerome Close DS0000071319.V363693.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): 1, 2, 3 & 4 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The thorough admission policy and procedure ensures that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective service users know that the home is able to meet their individual care and support needs. EVIDENCE: There has been one young person admitted to 41 Jerome Close since the previous inspection. In January 2008, following comprehensive assessments and planning, a third service user moved into the home. He has evidently settled in extremely well and all three young people have developed successful relationships and friendships with each other. A full and robust admission policy and procedure, made available for inspection, contained details of the thorough assessment process, evidently undertaken by the manager, to identify an individual’s care and support needs. 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 9 This was clearly demonstrated in comprehensive documentation examined relating to the newly admitted service user. It was also evidenced through discussions with the proprietor, who confirmed that, up until recently, there had been a long-term vacancy at the home and he had received numerous referrals during that time. However, it was only following careful assessment, to establish that the individual’s needs could be met by the service, that the admission process was able to proceed. The deputy manager confirmed that, prior to moving in, a prospective service user would be invited to visit the home to look around, meet people and generally get a feel for the place. On moving in, a flexible trial period is provided to establish whether the individual’s assessed needs are able to be met and decide on their suitability for the home and their compatibility with existing service users. Comprehensive information relating to the service is made available to all prospective service users, their relatives and associated care managers. Relevant documentation including a Statement of Purpose ‘ and ‘Service User Guide’ was examined and found to be generally accurate. However following discussion with the Deputy Manager, it is recommended that the Statement of Purpose be reviewed and amended to reflect the home’s revised registration and current management structure. It should also include the updated contact details for the CSCI. It was noted that a formal contract is in place for each service user and has been signed by the individual themselves or a representative, to acknowledge understanding and confirm acceptance of the stated terms of residency. 41 Jerome Close DS0000071319.V363693.R01.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 good. This judgement has been made using available evidence, including a visit to this service. Comprehensive care plans enable staff to meet the assessed support needs of service users in a structured and consistent manner. Systems for consultation and participation are effective. Service users are treated with respect and encouraged and enabled to make decisions about their day-to-day living. EVIDENCE: ‘Person centred’ care and support plans have been developed and implemented for each service user. Individual plans that were examined contained personal risk assessments and comprehensive details of their physical, psychological and emotional support needs and were found to be accurate, up to date and well maintained. 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 11 The deputy manager confirmed that service users and, where appropriate, a relative or representative continue to be directly involved in the development and regular reviewing of individual care plans. This was evident from plans examined during the inspection: ‘I have read my Service User Plan and agree with the presentation, the services available and the assistance to be provided for me.’ This declaration was signed and dated by the service user. Although this represents good practice, following discussion with the proprietor and deputy manager, it is recommended that policies, procedures and other documentation, including service users’ individual daily routine sheets be signed and dated, to indicate clearly when the information was current and correct and the date when policies were implemented. Despite the variable and limited verbal communication of some service users, effective systems are in place and regular interaction and consultation is ongoing throughout the home. A typical example of this is the successful use of the Picture Exchange Communication System (PECS.) In addition to this, a touch screen computerised PECS system has recently been implemented in the home. 41 Jerome Close DS0000071319.V363693.R01.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): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Service users benefit from appropriate educational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: The recreational and leisure interests of service users are identified and recorded in their individual care plan and they continue to be supported to access activities and facilities, reflecting their individual needs, preferences and abilities. 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 13 Individual support plans examined confirmed that service users are enabled to access a variety of recreational and leisure activities, including shopping and swimming. Community participation evidently remains a focus and staff confirmed that service users are encouraged and supported to attend day services, college, visit local shops, libraries, restaurants and other amenities. As part of the inspection process, a service user from the home and his tutor were spoken with at a local college. Enthusiastic comments indicated that the 1:1 arrangement was mutually beneficial and that both young men were finding the course a very positive experience: ‘I like coming here – it’s good’ ‘Some days are a bit ‘higgledy-piggledy’ but we have a lot of fun!’ Staff confirmed that visiting to the home is largely unrestricted and relatives and friends are made welcome at any reasonable time. Service users are encouraged and supported to maintain family links. Menus are varied and balanced and are evidently based on service users’ identified likes and preferences. An alternative to the main meal is always available. 41 Jerome Close DS0000071319.V363693.R01.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. This judgement has been made using available evidence, including a visit to this service. Staff have developed close and positive relationships with service users and demonstrate an awareness and sound understanding of their individual care and support needs. Service users are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. EVIDENCE: The deputy manager and proprietor both emphasised the importance of staff developing close working relationships with individual service users and being aware of changes in mood or behaviour. In accordance with their personal care plan, service users are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 15 As previously documented, during the inspection service users were observed being supported in a sensitive, professional and respectful manner. Documentary evidence was in place to demonstrate that the health and emotional care needs of service users continue to be met within the home. This was evidenced by positive comments received from a service user’s relative: ‘During ………recent illness the staff could not have done more for him. They were all so kind and supportive and helpful to us both, through what was a very difficult time’. All service users are registered with local GPs and have access to other health care professionals, including district nurses, speech and language therapists and dentists, as required. All medical appointments with, or visits by, health care professionals are appropriately recorded. Up to date and detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. All staff responsible for administering medication have received training, as part of their comprehensive induction programme, and are individually assessed and authorised to do so. The deputy manager confirmed that, following risk assessments, no service user currently self-administers their own medication. 41 Jerome Close DS0000071319.V363693.R01.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. This judgement has been made using available evidence, including a visit to this service. The home’s complaints procedure ensures that service users and staff feel able to express any concerns, confident that they will be listened to and acted upon. Service users are protected, through relevant staff training and robust policies and procedures relating to abuse and safeguarding vulnerable adults. EVIDENCE: The home has developed and implemented a clear, simple and concise complaints policy and procedure, for the benefit of service users, staff, relatives and other visitors to the home. All complaints are recorded and include actions taken and outcomes achieved. Following discussion with the deputy manager, both documents were amended to include updated contact details for the CSCI. The proprietor confirmed that close working relationships and effective communication and consultation provides adequate opportunities for any concerns to be raised and discussed before they become complaints. Service users and members of staff, spoken with as art of the inspection process, confirmed that they would have no hesitation in speaking to the 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 17 manager or making a complaint if necessary and each person was confident that they would be listened to. It was noted that there have been no concerns or complaints recorded by the home since the last inspection. The home has produced detailed policies and procedures, relating to adult protection and abuse, including a whistle blowing policy. These documents have evidently been reviewed, in accordance with the multi agency guidelines for the protection of vulnerable adults (Safeguarding adults). The deputy manager confirmed that all care staff have undertaken appropriate training regarding abuse awareness and procedures relating to ‘Safeguarding Vulnerable Adults.’ 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 18 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, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service is accessible, safe and clean and is clearly suitable for its stated purpose. Service users benefit from pleasant accommodation that is comfortable, well maintained and furnished and decorated to a reasonable standard. EVIDENCE: During my ‘guided tour’ of the premises it was evident that the generally well maintained décor and adequate furniture and furnishings continue to provide a comfortable, safe and pleasant environment for service users. The deputy manager and proprietor both confirmed that independence and individuality continue to be promoted within the home and this is evident from 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 19 the personalising of service users’ rooms, reflecting individual taste, preference and interests. Identified maintenance requirements are evidently documented and addressed, as necessary. However it was noted in certain areas of the home, including some service users’ bedrooms, that walls and paintwork were looking ‘tired’ and in need of redecorating and generally ‘freshening up’. As discussed, the unpainted doors and the institutionalised labelling of drawers and wardrobes does little to enhance the appearance of the rooms. Service users, with staff support as necessary, are evidently responsible for keeping bedrooms clean and tidy. From the sate of certain rooms it is evident that this is not routinely happening and the situation should be more closely monitored. Infection control policies and procedures are in place and clearly adhered to and, on the day of the inspection, levels of cleanliness and hygiene throughout the home were found to be generally satisfactory. 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 20 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 good. This judgement has been made using available evidence, including a visit to this service. There is always sufficient trained and competent staff on duty to meet the assessed needs of the service users. Service users are protected by satisfactory staff recruitment policies, procedures and documentation. EVIDENCE: Through discussion with the proprietor and care staff, it is evident that sufficient staff are employed to meet the current assessed support needs of service users and to ensure consistency and continuity of care. The deputy manager confirmed that staffing levels are closely monitored and are directly linked to the service users’ identified levels of dependency. A duty rota has been developed and implemented to detail the staff on duty at any given time and their designation. 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 21 Appropriate core skills training is provided, including first aid, food hygiene and fire safety. This was confirmed through discussions with staff and evidenced by training records examined: ‘There is always plenty of opportunity for training here’. Formal and structured staff supervision is provided on a regular basis and is appropriately recorded. The manager is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of service users. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 22 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, 41 & 42 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users benefit from a competent and experienced manager and are protected by satisfactory health and safety procedures. Their best interests are safeguarded by adequate and effective quality monitoring systems. EVIDENCE: The registered manager has been in her current position since December 2007. She is experienced and evidently competent to run the home. She has recently achieved the Registered Manager’s Award (RMA). 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 23 The deputy manager confirmed that the health, safety and welfare of residents and staff remain of paramount importance within the home. He added that training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. This was also confirmed through discussions with staff and evidenced by training records examined. Effective quality monitoring systems, including satisfaction questionnaires, are in place. The views of relatives and other stakeholders in the community are also routinely sought. Positive responses to a recent survey indicate a high level of satisfaction with the home, the staff and the services provided: ‘I feel comfortable all the time with Jemini Response.’ ‘The service provides excellent care for young people.’ ‘The staff always display a very caring, considerate and enthusiastic approach to those in their care.’ COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 24 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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 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 3 12 4 13 4 14 4 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 3 3 X 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 25 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. 1. Refer to Standard YA1 Good Practice Recommendations It is recommended that the Statement of Purpose be reviewed and amended to reflect the home’s revised registration and current management structure. It should also include the updated contact details for the CSCI. It is recommended that policies, procedures and other documentation, including service users’ individual daily routine sheets be signed and dated. It is recommended that service users’ bedroom doors be painted and the institutionalised labels on drawers and wardrobes be removed. 2. 3. YA6 YA24 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 41 Jerome Close DS0000071319.V363693.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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