Inspection on 30/10/07 for 83 Beaconsfield Villas

This inspection was carried out on 30th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

83 Beaconsfield Villas 17/07/06

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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 83 Beaconsfield Villas Brighton East Sussex BN1 6HF Lead Inspector Merle Blakeley Key Unannounced Inspection 30th October 2007 09:30 83 Beaconsfield Villas DS0000066550.V346948.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 83 Beaconsfield Villas DS0000066550.V346948.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. 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 83 Beaconsfield Villas Address Brighton East Sussex BN1 6HF 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) 01273 295297 01273 295782 billdemel@brighton-hove.gov.uk www.fosteringinbrightonandhove.org.uk Brighton & Hove City Council William Glassford Demel Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Maximum number of service users to be accommodated is four (4). Three (3) service users must be aged between 18-30 on admission and one (1) service user may be aged between 16-18 on admission. Service users with a learning disability only to be accommodated. Date of last inspection 17th July 2006 Brief Description of the Service: The home was registered with the Care Standards Commission in February 2006 to provide 24-hour residential care for up to 4 young learning disabled people. The home was initially set up to provide accommodation for people leaving children’s services in Brighton and Hove. The Provider organisation is Brighton and Hove City Council. The building is a detached four storey converted period building in a residential setting in Brighton. The building was converted from a day service to a residential building in 2005 and know provides accommodation for one person in a flat and up to three others in the main house. The bedrooms are singles with appropriate communal space. The home is domestic in scale and has a large garden that provides a safe and pleasant space for the people to spend time in. The current fees range from approximately £3,000.00 to £3,500.00 per week. More detailed information about the services provided at 83 Beaconsfield Villas can be found in the home’s Statement of Purpose and Service User Guide copies of these documents can be obtained directly from the Provider. 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out over a period of seven hours on 30th October 2007. This is the second key inspection of 83 Beaconsfield Villas, which opened in February 2006. As well as this site visit information was also gained from a returned Annual Quality Assurance Assessment (AQAA), two staff surveys forms and one relative survey form. During the visit the inspector was able to talk to the manager and staff and spend some time observing the people who live there. Document reading was carried out and a health and safety check was conducted. Staff were observed throughout the day interacting with residents. What the service does well: What has improved since the last inspection? During the last inspection five requirements were made. A listening device in one person’s bedroom has been removed and replaced with a sensor mattress and door monitor, which were considered less obtrusive. People’s finances are now being appropriately recorded. All bedroom windows are restricted and designated fire doors now have closures attached. A fire risk assessment has been carried out and the manager attended a two-day fire risk assessor’s course. The home has had some further building works carried out to ensure that all areas of the home meet the needs of the current people who live there. More communication aids to assist choice have been introduced and a wider range of activities has been provided. All people have access to education. 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 6 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. 83 Beaconsfield Villas DS0000066550.V346948.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 83 Beaconsfield Villas DS0000066550.V346948.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 excellent. This judgement has been made using available evidence including a visit to this service. A very comprehensive multi disciplinary review is held before a person moves into the home. EVIDENCE: Records show that before a person moves into this home a compatibility study is produced. A multi disciplinary meeting is also held and would include all professionals who are involved with the person’s care such as family members, behavioural support team, staff, social workers, psychologist etc. This team would look at all aspects of a persons needs and determine whether living in this home would be in their best interests. As part of the initial assessment the team would also look at the different aspects of care involved and would make a decision as to whether staff would require additional training or if the environment would need to be adapted. If the service can meet the person’s needs then a ‘transition’ plan is produced. This will involve the careful planning of gradually introducing the person to the home over a flexible period of time. This transition plan is currently being used for a young person who will be moving into the home in the next few months. 83 Beaconsfield Villas DS0000066550.V346948.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 excellent. This judgement has been made using available evidence including a visit to this service. Each person has an individualised person centred care plan that is regularly reviewed. Guidelines for any restrictive practises are clearly documented. Risk assessments are comprehensive and updated regularly. EVIDENCE: Three people’s care plans were viewed and the information they contained was very comprehensive and gave the reader a thorough understanding of each persons assessed needs. The plans detail how each person’s individual needs will be met. Guidelines are in place to ensure a consistent approach to their care. Reviews of these plans are carried out six-monthly or more frequently as required. The people who live here have very challenging behaviours and no verbal communication skills and staff are constantly working to reduce the ‘trigger factors’ that can lead to anxieties and other behaviours. One person has particularly challenging behaviour, which has caused some staff to feel 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 10 uncomfortable when working with him. During the year the manager and staff introduced ‘Intensive Interaction’, which involves studying peoples behaviour and the reasons behind it over a period of time and trying to teach them prespeech ways of communicating to help build enjoyable relationships. The staff have seen some very positive results from using this type of communication and the home won an award for Best Practitioners in Intensive Interaction in June 2007. The home is continuing to develop ways of providing choice for people in the areas of food, activities, education and involvement within the home. People are able to make some decisions about certain aspects of their lives and some of these decisions are made using pictures, as none of the residents are able to verbalise their wishes. Risk assessments are comprehensive and cover the areas of being out in the community, personal care, travelling in vehicles, activities, fire etc. Some people require a 2:1 staffing ratio when they are out in the community. Some restrictive practises are in place to safeguard people in certain circumstances. These were viewed and the guidelines within them are very clear about how these risks should be managed by staff. 83 Beaconsfield Villas DS0000066550.V346948.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 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All people have access to a good level of meaningful activities and education. People are out and about in the community and they are able to maintain very strong links with their family and friends. The home continues to support people to try to make healthy diet choices. EVIDENCE: Records show that all the people who live have busy lives and attend a variety of educational classes and activities. As well as daily educational classes in skills for life people also have access to their preferred activities such as swimming, drives out, bike riding, playgrounds, riding and eating out. One person has been supported to attend church services and he was also able to visit Lourdes with a family member. During this visit all four people were attending various different activities outside of the home and therefore they are out and about in the community on a daily basis. 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 12 All four people have family, friends and advocates who are actively involved in each person’s care and welfare. Some of the people spend time away from the home staying with their families; others have their family and friends into visit. Staff provide home support to families when residents go home for overnight stays. During the last inspection a requirement was made for the home to withdraw the use of a listening device in one person’s bedroom, as it was seen to be obtrusive. The home has now installed a sensor mattress pad and a door monitor to help staff be aware when a person may require assistance. The home has produced a food file, which includes pictures and people are able to make choices about the types of food they would like to eat. One of the residents was seen making his own toast in the kitchen with the support of a staff member. Staff said that people would certainly refuse food if they did not like it and they are always offered other options. One of the residents had become very overweight, which had been detrimental to his health and the home has supported and encouraged this person to lose around six kilos through a more sensible eating plan. The person’s general practitioner praised the home for helping him to achieve a substantial weight lose. 83 Beaconsfield Villas DS0000066550.V346948.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. This judgement has been made using available evidence including a visit to this service. People receive personal care in the manner they prefer. People have access to a wide range of healthcare professionals. Overall medication is appropriately administered. EVIDENCE: The aim of the staff is to provide people with privacy and dignity and to maximise their independence and choice in regards to personal care. Three people require support from staff in this area. One person has found the activity of personal care particularly difficult and stressful. The home has looked into other ways of how they can improve the experience for this person and a more independent approach has been developed. Two people have their own en suite bathrooms and the two other people share a bathroom. The homes information states that people are able to make choices of when they have their baths and when they go to bed. Each person is registered with their own general practitioner and they have support from various different healthcare agencies such as learning disability 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 14 nurses, psychologists, psychiatrists, epilepsy specialist, speech therapists, dietician etc. Their healthcare needs appear well met by the home. Medication records were checked and they were found to be in order. Two staff check medicines when they are being administered. When people are taken out by staff an ‘emergency’ medication bag is taken along in case a person should become unwell or anxious. These medications are normally signed in and out for by the staff. On the day one person had not signed the medication checklist to say that the medicines were being taken out of the home and the inspector also noted that these ‘emergency’ medication bags were not being locked away into the medication cupboard when they were returned. Staff do need to be mindful that these medicines remain locked in the medication cupboard when they are returned back to the home. All staff receive medication training and a monthly medicines monitoring audit is carried out. 83 Beaconsfield Villas DS0000066550.V346948.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. This judgement has been made using available evidence including a visit to this service. The manager promptly deals with any concerns or complaints. The home is working with the appropriate agencies to reduce the level of adult protection alerts. EVIDENCE: The home has a complaints policy and procedure, which has been made available to family, friends and advocates. A complaint from a neighbour about excess noise and three concerns have been received. The home has dealt with these issues in a timely fashion. One person does like to listen to his music quite loudly on occasions and staff have worked with him so that he has an understanding of what it means to be a ‘good neighbour’. This person has taken this on board and now closes his windows when he listens to loud music. The home has produced a policy and procedure regarding the protection of vulnerable adults. The home has received five safeguarding adult referrals. One of these referrals involved a staff member and this was investigated, however it could not be substantiated. Another referral concerned an agency worker who came into the home to work and was found to be ‘not fit for duty’ and was dismissed. The other three referrals concern the behaviours of some of the people who live there who on occasions can become physically aggressive or act in a manner that is dangerous to themselves and others. The staff team have worked extremely hard to reduce the level of challenging situations that occur in the home. 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 16 Records show that all staff have undertaken a CRB check before they commence employment. Some staff have received training in safeguarding adults and it will be recommended that more staff attend this training. During the last inspection a requirement was made for the home to have a more robust system for managing people’s finances. The home has installed a new spreadsheet system, which records all receipts and creates a running balance. Three people’s finances were checked and they were found to be correct. 83 Beaconsfield Villas DS0000066550.V346948.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 good. This judgement has been made using available evidence including a visit to this service. The home meets the specific needs of the people who live there. It is kept clean and tidy. EVIDENCE: This home has now been open for eighteen months and has been specifically designed for the people who live there. Since the last inspection some additional building works have been carried out to provide more safety to the stairwell areas, as one person enjoys playing on the stairs. People have their own bedrooms and own areas for their personal space. Certain areas have been specifically developed to meet certain people’s needs and staff have tried to individualise each person bedroom. The manager stated that the home wanted to make some improvements to the rear garden area by installing a trampoline pit. The people who live here all enjoy using a trampoline and this would provide an additional in-house activity for people. There is a small spare room in the house and the manager and staff are looking at turning it into a sensory area. 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 18 The home was found to be very clean and tidy. 83 Beaconsfield Villas DS0000066550.V346948.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): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team displayed good competencies and skills that meet people’s assessed needs. The home carries out suitable recruitment procedures. Staff receive a reasonably good level of training. EVIDENCE: 83 Beaconsfield Villas currently employs a staff team of twenty-five people of whom sixteen are full time and nine are part-time. Care Crew Staff and Agency Staff are also used to cover for permanent staff absences. At present six of the staff hold NVQ qualifications with a further two staff completing an NVQ course. The manager stated that more staff would be enrolling on an NVQ course at the next annual intake. Five staff were spoken to during the day. Staff said they felt the home had a good environment and they all got on well together as a team. People said they felt well supported in their roles, which could be quite difficult at times when working with people who had very challenging behaviour. Two staff said that it had been very rewarding watching this new service develop. One person did feel it would be good to have a more formal de-briefing session following any difficult incidents around challenging behaviours. This was discussed with the manager who stated that this type of formal support would be offered in the future. The staff were observed during 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 20 the day and they worked with people in a very caring and supportive manner. Staff were very knowledgeable about each persons individual needs and aspirations and the team are committed to achieving the best possible outcomes for the young people who live here. A returned questionnaire from an advocate was received and it stated that staff “really do care”. Staff meetings are held fortnightly and supervision sessions occur 4–6 weekly. Eight recruitment files were viewed on the day and the majority contained all the required information. Each staff member has a CRB check undertaken before they commence employment. Some of the files did not contain photos and some were missing proof of identity documents. The manager did state that he had asked line managers to ensure that these documents were in place. It will be required that recruitment files contain all the correct documentation. The home maintains a staff training file and this was viewed. Records show that staff have attended a variety of training courses such as introduction to learning disabilities, fire safety, behaviour support, autism, manual handling, personal relationships & sexuality and first aid. It was noted that not all of the staff team have attended training in safeguarding adults. Other refresher courses that staff need to attend include medication training and food hygiene. 83 Beaconsfield Villas DS0000066550.V346948.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 good. This judgement has been made using available evidence including a visit to this service. An experienced and qualified manager runs the home in an open and supportive manner. The home has an effective quality assurance programme. The home promotes the health, safety and welfare of both staff and residents. EVIDENCE: The registered manager is very experienced in working with people who have autism and learning disabilities. He holds the NVQ Level 4 qualification and the Registered Managers Award (RMA). In 2007 he also became a co-ordinator for Intensive Interaction. Other training courses he has recently attended include the Mental Capacity Act, Fire Risk Assessors Course, Equality and Diversity and Risk Assessment. Staff who were spoken to during the day stated that they thought the home was well managed and they appreciated that the manager 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 22 was a ‘hands-on’ person. They also said they felt well supported by the manager and that he was very approachable. The home has a an effective quality assurance programme that includes regular Regulation 26 monitoring visits, an in-house monthly quality assurance return, questionnaire surveys to relatives, friends and stakeholders and an annual development team service plan. A health and safety check was carried out and there were no concerns. The home has taken appropriate action to ensure that all areas of the home are safe. Additional building works have been carried to certain parts of the house to make sure that it remains safe for one particular person who lives there and other additional safety items have been installed. During the last inspection a requirement was made for the home to have a fire risk assessment carried out and this has been done. The home is currently reviewing and updating its fire procedures and an action plan is to be produced. The manager has also attended a two-day fire risk assessment-training course. A further requirement had been made for the home to ensure that designated fire doors had appropriate closures attached. This has also been completed. All windows are now restricted. 83 Beaconsfield Villas DS0000066550.V346948.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 4 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 24 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 YA34 Regulation Requirement Timescale for action 11/12/07 Schedule 2 Staff recruitment files must contain all the required documentation as set out in Schedule 2 of the NMS. 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. 3. Refer to Standard YA20 YA23 YA35 Good Practice Recommendations That staff remember to ensure that all medicines, which are taken out of the home, are returned directly to the medication cupboard. That more staff attend Safeguarding Adults training when it becomes available. To ensure that all staff receive refresher courses in medication and food hygiene. 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local 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 83 Beaconsfield Villas DS0000066550.V346948.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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