Inspection on 29/07/08 for 353 Old Whitley Wood Lane

This inspection was carried out on 29th July 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

353 Old Whitley Wood Lane 07/02/08

353 Old Whitley Wood Lane 15/03/07

353 Old Whitley Wood Lane 24/01/06

353 Old Whitley Wood Lane 28/06/05

353 Old Whitley Wood Lane 01/02/05

353 Old Whitley Wood Lane 15/12/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 353 Old Whitley Wood Lane Reading Berkshire RG2 8PY Lead Inspector Sally Newman Unannounced Inspection 29th July 2008 10:40 353 Old Whitley Wood Lane DS0000011348.V366944.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 353 Old Whitley Wood Lane DS0000011348.V366944.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. 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 353 Old Whitley Wood Lane Address Reading Berkshire RG2 8PY 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) 01189 672 369 01189 672 369 multicare@hotmail.co.uk Multi Care Limited Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2008 Brief Description of the Service: This residential home has been registered for two service Users aged between 18 and 65, with learning disabilities. The house is situated on the perimeter of a residential area within a short distance from a main link road and the M4 in Whitley Wood, Reading. There are 2 single bedrooms for Service Users, a lounge/ diner, kitchen, 1 bath/shower room with toilet, a kitchen, staff sleeping in room/office and a large garden to the rear. The home is owned by an individual proprietor and was registered on 7/01/02. The home has been providing short-term respite care since July 2004 and is unoccupied periodically. Fees are £221.00 per day and do not include purchase of toiletries and some activities. 353 Old Whitley Wood Lane DS0000011348.V366944.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 1 star. This means the people who use this service experience adequate quality outcomes. This was an unannounced inspection that was conducted over the course of 3 days and included a visit to the service of 5 ¾ hours duration. The acting manager and the wife of the proprietor who works as a support worker were spoken to at length. The support worker on duty was spoken to in private. The one service user staying in the service was briefly spoken to. A range of documentation was seen and a tour of the premises was undertaken. There were 7 requirements made at the last inspection and the progress of these was followed up. The home still does not have a registered manager 6 months after the previous manager resigned. The Commission were notified of the resignation of the previous registered manager but no formal notification of the interim management arrangements has been received. The registered manager of another home owned by the organisation has been overseeing the service and has been trying to complete and update all required supporting documentation. Significant progress has been made in improving care plans and risk assessments. It was, however, acknowledged that work still remained to be completed. Staff supervisions and team meetings were not being held to the required frequency and documentation on staff files was still outstanding. The provider has a range of polices and procedures relating to equality and diversity. From the evidence seen the inspector considers that this service would be able to provide a service that meets the needs of individuals of various religious, racial or cultural needs. No complaints have been received about this service by the Commission since the last inspection. What the service does well: Provides a homely environment for residents. Supports residents appropriately to live as independently as possible. 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 6 Encourages and supports the involvement of parents and permanent carers where appropriate. Maintains the timetable of activities for residents whilst they are staying at the service. 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. 353 Old Whitley Wood Lane DS0000011348.V366944.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 353 Old Whitley Wood Lane DS0000011348.V366944.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. Prospective users’ have their needs assessed prior to a place being offered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The information held for a person recently referred to the service was seen. Although it was accepted that the acting manager and a support staff member had prior knowledge of the individual from previous positions held no formal in house assessment documentation had yet been started. This individual had stayed at the service for one night and written observations made by staff during this time were in evidence. There was evidence that detailed historical information from the referring authority had been obtained. The acting manager undertook to complete the pre-assessment documentation as a matter of urgency. 353 Old Whitley Wood Lane DS0000011348.V366944.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 & 9 Quality in this outcome area is good. Plans of care reflect the assessed and changing needs of service users. Service uses are encouraged and supported to make decisions about their lives and to take managed risks as part of an independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Plans of care were seen for three residents who use the service on a regular basis. Improvements have been made to the range and depth of information held and there was evidence of more appropriate information concerning needs, which enabled staff to ensure that identified needs are met. There were plans in place to implement a more consistent system of organising the files that would support easier access to relevant information. It was noted that generally support staff limit their written recording to completion of daily records. Staff would benefit from greater involvement in the recording and upkeep of written records relating to residents and this would result in a 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 10 greater sense of shared responsibility. This in turn would support a formal key worker system, which currently the service does not adopt. There was evidence from discussion with staff and from daily records that residents are encouraged and supported to make decisions for themselves. The recording of this information could be improved by implementing prompts for staff in their daily recording that takes account of a wider range of daily functioning including how needs have been met and what choices have been made. Risk assessments have been reviewed and updated since the last inspection. It was acknowledged that some work remained in relation to assessing the appropriateness of potentially unnecessary risk assessments and time had already been set aside to undertake this task. It was noted that some identified risks involved the potential for challenging behaviours. It was recommended that consideration be given to providing specific written guidelines for staff to ensure that consistent and appropriate management strategies are adopted by all staff. The acting manager was advised to contact the Environmental Health dept to obtain a copy of their guide ‘5 steps to risk assessment’, which could provide useful guidance. 353 Old Whitley Wood Lane DS0000011348.V366944.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 & 17 Quality in this outcome area is good. People that use the service take part in activities that provide opportunity for personal, practical and emotional development and are encouraged to be part of the local community. People are provided with a menu that is nourishing, varied and meets their individual and cultural needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence from records seen that all users of the service are supported to access a range of facilities and activities in the community, which are specific to their needs and preferences. Each service user has an activities timetable on record that includes both day occupation such as day centre and college attendance together with social pursuits such as swimming, trampolining, social clubs and discos. The service has access to two vehicles and has sufficient qualified drivers on the staff team. The one resident present 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 12 in the home during the inspection was supported to go into town on the bus to do some shopping and to have lunch. Although the resident was unable to respond to questions verbally she indicated with facial expressions that she was happy to be going on the trip. It was evident from discussions and from records such as the visitors book that relatives of residents have regular contact with the home. The pattern of staying at the home varies between each individual resident and is determined by their needs and those of their permanent carers. There was evidence of good communication with both parents and day centre staff where relevant. The menu was posted on the fridge in the kitchen. This indicated that a varied and nourishing range of food is provided, however, it was pointed out that residents will often make alternative choices and this is normally recorded in their daily notes. There is an emphasise on healthy eating and all residents are encouraged to make healthy choices. No one who currently uses the service requires a specialist diet. A recent Environmental Health dept food safety inspection was favourable and the report is awaited. 353 Old Whitley Wood Lane DS0000011348.V366944.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 & 20 Quality in this outcome area is good. Residents’ physical and personal support needs are met and medication is dealt with safely and appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From examination of 2 residents care records it was evident that service users’ physical and personal care needs are met by the home. Health action plans have been introduced that provides essential health care information for each individual. There was evidence of joint working with community nurses and a Psychiatric Consultant in the management of one particular residents health care needs. Regular health care checkups are the responsibility of the full time carers but the service does assist with attendance at appointments should they fall during a residents stay at the home. The support worker on duty was observed to interact with the resident in a calm, caring and sensitive manner. There was an obvious rapport between them and the resident was treated with respect. 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 14 No residents currently using the service manage their own medication. The preferred system used by the service for regularly prescribed medication was a monitored dosage system. Homely remedies such as paracetomol are occasionally sent from home by the permanent carers or parents. The acting manager was advised to consult with the Community Pharmacist for advice on how to record the presence of this type of medication in the home. It was confirmed by senior staff that all staff have received training in the administration of medication. However, it was acknowledged that for some an up date of this training was due. The overall area of staff training was a subject that the acting manager planned to review. 353 Old Whitley Wood Lane DS0000011348.V366944.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 & 23 Quality in this outcome area is good. The home has a complaints procedure, which is clear and accessible. Resident’s views and comments are listened to and acted upon. Residents are protected from abuse and exploitation by competent staff who demonstrate knowledge of the homes abuse of vulnerable adults and whistleblowing policies. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has received no complaints since providing care in 2004. There is no formal record for recording complaints but the inspector was assured that a record would be implemented immediately and according to the standards should a complaint be received about the service. There is a complaints procedure and a pictorial format was posted on the fridge in the kitchen. The service was advised to give consideration to the recording of compliments about the service. All staff have received training in the protection of vulnerable adults. For some this was through the provision of National Vocational Qualifications. It was again acknowledged that some staff were due for updated training in this area, which it was planned to organise. The support worker on duty provided a sound account of his understanding of the potential for abuse and the action, 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 16 which needed to be taken should an allegation be made or abuse be suspected. There is now a clear procedure in place for the handling of residents’ monies. It was noted that some directives were specifically relevant to a resident who had now moved out of the home and these should be removed from the procedure. 353 Old Whitley Wood Lane DS0000011348.V366944.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 & 30 Quality in this outcome area is adequate. The home provides a safe and homely environment for residents and will provide additional showering facilities when work is completed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises was undertaken. There is a large pond in the rear garden and the acting manager confirmed that there were risk assessments in place in respect of the potential danger this poses to residents. Generally the home was clean and tidy throughout. Residents are encouraged to participate in cleaning tasks within their individual capabilities. There are plans to refurbish the downstairs bathroom to make a shower room and toilet. This facility is currently not available to residents and this should be reflected in the Statement of Purpose, which it was noted still states that two bathrooms are available. The kitchen is also due for complete refurbishment and this is due 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 18 to commence at the end of August. General maintenance issues are reported to and acted upon by the proprietor. A relative of a resident responded in a satisfaction survey that the provision of sheltered outside seating should be considered. There was no evidence that this had been acted upon. The acting manager and support worker/wife of the proprietor undertook to investigate the possibility of such a facility. There is a washing machine and tumble dryer located in the kitchen that does meet the laundry needs of the residents and the service. A file containing information (COSSH) potentially hazardous cleaning products was stored in the kitchen area. 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36 Quality in this outcome area is adequate. Residents’ benefit from caring staff. Staff support should be improved and job roles made clear to ensure that the needs of residents are appropriately met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff files for the 4 support staff employed at the home were seen. One file did not have an application form or 2 written references despite this individual being asked to supply them by the acting manager. This is in contravention of the regulations and a requirement will be made in this regard. It was noted that formal interview tools such as question and answer sheets and recruitment checklists are not used. This is considered to be good practice and serious consideration should be given to implementing such documents. The application form does not request a full employment history and a medical/fitness declaration are not obtained. A requirement was made at the last inspection to provide job descriptions and contracts of employment to all staff to ensure that they clearly set out the 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 20 roles and responsibilities of staff to both the residents and to the home. There was no evidence that these had been provided and a further period of time has been allowed for these documents to be made available to all staff. There was evidence within staff files seen that an individual training profile has been implemented for each staff member. A full audit of staff training was not undertaken but it was evident that some staff were overdue for basic training such as protection of vulnerable adults and medication. The acting manager confirmed that induction training with supporting documentation had now been introduced and was almost complete for the most recent member of staff. The acting manager has tried to provide one to one supervision for all staff as no other member of staff has been designated with the task or provided with the training. This has resulted in the frequency of staff one to one supervision falling far short of the standard required. There was no evidence of a team meeting having been held since the last inspection. Evidence was provided that as most of the time staff work alone in this service a handover does occur when staff come on to shift and written information in the daily notes is relied upon. The staff rota was seen. It was difficult to ascertain whether the home was being staffed appropriately due to some gaps in the documentation. Some gaps were due to some staff not completing their shifts but others were due to the fact that no residents were staying in the home. Consideration should be given to including the occupation of the home by residents within the rota so that appropriate staffing can be ascertained. 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. There are no permanent management arrangements in place, which does not ensure that the home is well run for the benefit of residents. The views of residents are sought and acted upon and are kept safe by the practices operating in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has been no dedicated manager in this service since the registered manager resigned in February this year. The acting manager divides her time with another service accommodating 3 permanent service users for which she is the registered manager. This is new service and has required considerable input to set up. It is not considered that the current management 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 22 arrangements are sufficiently robust or adequate to ensure that the home is run to its full potential and in the paramount interest of residents. It will be required that the proprietor provide information to the Commission on the plans to implement appropriate management arrangements. A questionnaire has been developed that has been distributed to the relatives of residents. Responses were seen from relatives in respect of two residents and were positive in nature. The current practice is to distribute these forms on a monthly basis, which in view of the periodic nature of the stays in the home might be too frequent. A review of the frequency of distributing these questionnaires should be undertaken. There was evidence that one specific issue raised relating to seating in the garden had not been responded to. The acting manager gave an undertaking to investigate the matter raised. The acting manager undertakes regulation 26 proprietor visits. This is not in the spirit of the regulation, which directs that the proprietor should conduct the visit or a designated person not directly involved with the day-to- day running of the home. A range of records relating to health and safety were seen. Checks are undertaken on water temperatures, carbon monoxide detector and smoke alarms and records confirmed that these were mostly up to date. A gas safety check was undertaken on 9.10.07 and the smoke detectors were serviced on 6.9.07. There was no evidence of a fire risk assessment being in place although it was confirmed verbally that the proprietor had completed a format on line. Fire evacuation drills are conducted frequently but are usually directed by one support worker. All staff should be given the opportunity to lead a fire evacuation drill particularly as staff generally work alone in the service and it was noted that one member of staff had not received fire awareness training. 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 2 32 3 33 3 34 2 35 2 36 2 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 2 X 2 X X 2 X 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA31 Regulation 17.2 Schedule 4 (point 6) Requirement That there is documentary evidence that staff are provided with job descriptions and contractual agreements that set out their roles and responsibilities to the service users and the home. That all required information is maintained for all staff employed in the home including a declaration as to medical fitness. To ensure that there are appropriate management arrangements for the home. Timescale for action 31/08/08 2. YA32 Schedule 2 31/08/08 3. YA37 8. 31/08/08 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 2 Refer to Standard YA36 YA34 Good Practice Recommendations Provide one to one supervision for all staff at least six times per year. To obtain a full employment history for all prospective DS0000011348.V366944.R01.S.doc Version 5.2 Page 25 353 Old Whitley Wood Lane staff. 353 Old Whitley Wood Lane DS0000011348.V366944.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 353 Old Whitley Wood Lane DS0000011348.V366944.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!