Inspection on 09/08/07 for 85 Heath Road

This inspection was carried out on 9th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

85 Heath Road 08/08/08

85 Heath Road 09/08/06

85 Heath Road 13/12/05

85 Heath Road 05/08/05

85 Heath Road 13/01/05

85 Heath Road 14/09/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 85 Heath Road Barming Maidstone Kent ME16 9LD Lead Inspector Sue McGrath Unannounced Inspection 9th August 2007 10:00 85 Heath Road DS0000023800.V345727.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 85 Heath Road DS0000023800.V345727.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. 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 85 Heath Road Address Barming Maidstone Kent ME16 9LD 01622 729946 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) MCCH Society Limited Post Vacant Care Home 3 Category(ies) of Learning disability (2), Learning disability over registration, with number 65 years of age (1) of places 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Care for one older person with learning disabilities is restricted to one person whose date of birth is 3 July 1929 9th August 2006 Date of last inspection Brief Description of the Service: 85 Heath Road is one of a group of small care homes managed by MCCH Society Ltd. The home provides care through encouraging independent living and support for a maximum of 3 ladies with a Learning Disability, one of whom is over 65 years of age. The home does not provide 24 - hour care or night time sleep-in cover. The home’s care staff work on a roster basis to cover identified key care times. The home currently has 99.9 direct care hours over 7 days per week. The service users in the home are required to be semi independent and can access activities within the local community and day services in the area. 85 Heath Road is situated in Barming, with good local amenities near by. It is on a main bus route to Maidstone town centre. The house has two bedrooms, a communal bathroom/toilet and small office/staff room on the first floor. The third bedroom with en-suite facilities is on the ground floor, alongside the lounge, kitchen/dining area. The home has car parking to the side of the property (but further car parking is available on the main road) there is a ramped pathway entrance to the front door and a garden to the rear of the property. The current weekly fees are £323.01 per week. 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place on 9th August 2007 and was conducted by Sue McGrath, Regulation Inspector for the Commission for Social Care Inspection. The key inspections for care home services are part of the new methodology for The Commission For Social Care Inspection, whereby the home provides information through a questionnaire process and further feedback is gained through discussions with service users and relatives and information provided from professionals associated with the home, wherever possible. The actual date of the site visit is unannounced. At the site visit, service users and staff were spoken to, records were viewed and a tour of the environment was undertaken. Some judgements have been made through observation only. What the service does well: What has improved since the last inspection? Regular house meeting are now in place. Access to the rear gardens have been improved and the gardens are now well maintained. 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 6 One of the residents now has access to improved mobility aids and is better able to access the community. 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. 85 Heath Road DS0000023800.V345727.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 85 Heath Road DS0000023800.V345727.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are able to access information about the home and organisational admission procedures are in place. Both residents are protected by a tenancy agreement with the home. EVIDENCE: The home has a statement of purpose and a service users guide in a pictorial format but this needs to be updated to reflect the current conditions and staffing levels in the home. The home is currently working with a resident from another MCCH home who wishes to come to Heath Road to live. This resident has experienced a more independent life before her current placement and is eager to move into the home. The staff are taking the transfer very slowly to ensure a smooth transition. The prospective resident has spent several days at the home getting to know the other residents and plans are underway for her to stay overnight with staff support initially. 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 9 After discussion with the current residents it was clearly evident their needs were currently being met. Both residents have a residency agreement on their personal files. 85 Heath Road DS0000023800.V345727.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans contain comprehensive information on the needs of residents and residents are involved in their completion. Residents are supported to take acceptable risks, to be involved in the running of the home and in making decisions about their lives. EVIDENCE: Both of the residents had in depth care plans that give staff clear guidance on the level of care required. Comprehensive information regarding interests and activities are also available. Health information is concise and fully recorded. Evidence was seen of regular reviews that involve the residents. Care management reviews have also been undertaken. 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 11 Discussion with both residents indicated that they are fully involved with any decisions taken in the home ranging form activities, food and lifestyle. Both residents are able to enjoy a relatively independent lifestyle with minimal support from staff. Staff leave in the late afternoon and the two residents managed well with preparing their own drinks and teas. They are happy to be left on their own at night and manage well. One resident enjoys going out and was actively involved with a gardening project. The older resident prefers to remain in the home with occasional visit to the shops and a weekly visit to an exercise programme at Detling Village hall. Both are very happy with this arrangement. Both residents are supported to take risks and risk assessments were seen. The house is intended to promote independence and measures are in place to minimise risk and a lifeline system is fitted. This is currently being developed to cover all areas of the home such as doors and windows. Regular house meetings are now held as recommended from the last inspection. All files are securely stored in the main office on the upper floor, which is locked when staff are not in the home. Residents have access to the keys if an emergency arises. Personal staff information is held in a secure cupboard, the manager holds the key. 85 Heath Road DS0000023800.V345727.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents lead active lifestyles and enjoy a range of activities at home and in the community. Relationships with friends and relatives are supported and residents’ rights are respected. Meals are varied with plenty of choice on offer. EVIDENCE: Both residents lead the life they wish to and activities are arranged to suit them as individuals. Some activities have recently been changed to suit the residents and the residents are happy with the changes. Activities include gardening, bowling, going to the library, going to church, dog walking, shopping, lunches out, household task and swimming. Weekly planners and 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 13 daily dairies include information on the activities that take place at home and elsewhere. Both residents confirm that the home arranges parties at special occasions such as birthdays and Christmas and that families are invited to attend. One resident attends a weekly exercise class following a recent concern over her health. The staff, in partnership with the GP and Occupational Heath, have arranged this. This has resulted in the resident becoming more mobile and fitter. This resident had been encouraged to attend weight watchers to encourage a healthy diet. This was enjoyed for a while but is no longer attended. This resident was also offered the chance of a placement at a day centre but declined to go. This is evidence that staff are trying to encourage community involvement. Residents’ wishes over attendance at any activities is listened to and acted upon. The residents also enjoy watching TV and listening to music. One of the residents likes to spend time by herself in her own room and staff respect this. There is an expectation that residents help with household tasks, sometimes with support and encouragement. Both residents enjoy making a cup of tea and will often make a cup for each other and staff. The shopping is done weekly with both residents participating in deciding the weekly menus and being involved with the shopping. One resident enjoys going to the coffee shop whiles the other ones prefers to be involved with the actual shopping and choosing of products. Staff normally prepare the main meal of the day but the residents can prepare simple meals on their own for tea and supper. Both residents are happy with the food and say they always enjoy their meals. At least once a week they like to go out for meals with the staff. 85 Heath Road DS0000023800.V345727.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 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of the residents are met in a flexible way with independence promoted. The safety of residents could be compromised because of shortfalls in staffb training with regard to the administrations and handling of medication. EVIDENCE: Health needs are well recorded on care plans and personal care preferences are recorded and signed by residents, their wish to have an all female staff team is respected. Residents are supported to attend health appointments as required. Support offered is very flexible and is different for both residents. Residents can decided what time they go to bed and what time to get up. Care plans confirmed that access to other professional is supported and good contact is maintained with District Nurses and local Doctors. Any visits are recorded. 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 15 Only one resident is on regular medication and she is assisted in administering this. The medication remains in an unlocked cupboard and this was again discussed with the manager. The manager agreed to purchase and fit the recommended lockable cupboard. The home uses the Nomad system from a local Pharmacy but must ensure they follow the Royal Pharmaceutical Guidelines regarding the safe administration of medication with respect to the re ordering of monthly medicines. There is some concern over the training of medication administration as the home only has two permanent members of staff- the manager and a newly appointed staff member. This staff member has not completed any formal training yet. The manager has assessed her as competent but it is advised that further monitoring should take place until she has completed the training course. This course only lasts for one day and it is recommended that at least the manager completes an accredited medication course such as an Assett course (normally over 12/14 weeks). It was also of some concern that the home employs a high number of agency /bank staff and it was not clear as to whether the manager could be confident that all of these staff have the relevant training in the administration of medication. 85 Heath Road DS0000023800.V345727.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to the home’s’ complaints procedure and are aware of how to complain. The home’s’ policies and procedures serve to protect residents and their interests. EVIDENCE: Residents state they feel supported by staff and that staff listened to them. There is a formal complaints procedure in place, which is in a pictorial format. There have been no formal complaints since the last inspection. The home has sound policies in place regarding residents’ money to protect residents from financial abuse. Records are well maintained. Robust procedures are also in place for responding to suspicion or evidence of abuse and neglect. No such concerns have been raised. As in the last report the safety of the residents remains a concern during periods they are alone; one resident said they would open the door to a caller at night. A system to improve security was discussed at the last inspection; this has not yet been fitted. This was a year ago. Residents let the inspector in without any identity being asked for, however this was shown. The manager 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 17 did say that negotiations are continuing with the company who operate the present security system and that she was hopeful action would be taken soon. It will be a requirement that night security is improved in the home. 85 Heath Road DS0000023800.V345727.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable, clean and well-decorated environment that meets their needs. Bedrooms are personalised and promote independence. EVIDENCE: The home is clean and fresh, well decorated and homely. The lounge has recently been decorated and some new furniture purchased. The carpets have been cleaned and looked as new. The kitchen is clean and tidy and well maintained. The laundry is done at a time when food preparation is not happening. 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 19 The bathroom is again clean and tidy, however the bath sealant needs to be replaced. An electric shower is fitted over the bath so that residents can choose to have a bath or a shower. Two bedrooms are upstairs and one is on the lower floor. The lower floor room has a large bathroom attached. Evidence was seen that this resident has access to mobility equipment to enhance her independence. Her bed is showing signs of sagging. Staff said this was due to her spending a lot of time sitting in her bed. It is recommended that this bed be replaced. She stated quite firmly that she does not want a chair in her room. The second bedroom upstairs has new furniture and a new bed. The resident said she has been involved with choosing the colours and the curtains. She is very happy with her room and was eager to show it to the inspector. It is well personalised and comfortable. The third bedroom is empty and was not viewed. The rear garden is now well maintained and a gardener has been employed to maintain this area. The front of the house will soon need some attention. 85 Heath Road DS0000023800.V345727.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Instability in the staff group means that residents cannot always be supported in an appropriate manner and by staff that they know. EVIDENCE: The home does not have sufficient permanent staff and has to rely on bank or agency staff. There is only one permanent care staff (37 hours) and the manager (11 Hours). On the day of the inspection the permanent member of staff was working in the sister home, in Kingfisher Road. The only member of staff was a bank staff. This staff member does work regularly at Heath Road but the manager did say that sometimes they have to use agency staff who have never been to the home before. Both she and the other staff members do not like leaving residents with strangers and indeed the resident also do not like to have strangers in the home. One said ‘ I do not like strangers herethey do not know me’. Staff often return in their own time to ensure residents are safe. MCCH have interviewed for a senior but an appointment has not been made. 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 21 The home should have 99.9 staffing hours per week and urgent action needs to be taken to ensure this is maintained and is consistent. The manager has only 11 allocated hours at Heath Road and her remaining contracted hours are at Kingfisher Road. This does not appear to be sufficient. Residents again state they like the staff and the one member of staff on duty was competent and confident with the residents and was very aware of personal preferences and needs. There are concerns that lack of permanent staff means that residents could not always access the community and for their safety when staff are not present. The one permanent staff member has only been with MCCH for three months and although working through her induction has not yet undertaken any mandatory training although several courses are booked. The manager is confident in her abilities so far. The manager is well qualified in her role and is looking forward to completing her registration with the commission in the very near future. 85 Heath Road DS0000023800.V345727.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): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of service users their views are considered as very important and their health safety and welfare is promoted. The organisation must address the need for additional and consistent staffing to allow the manager sufficient time to fully implement her role. EVIDENCE: The manager has worked at the home for approximately eighteen months and is in the process of applying to become registered manager. The manager is appropriately qualified to run the service and has experience with the service user group. The manager also has responsibility for running another small MCCH service; this role is feasible if she does not have to cover shifts as well. 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 23 Therefore the organisation must address the need for more staffing to allow the manager time to work on meeting outstanding requirements and apply the majority of her time to management tasks. This is reflected in the overall quality scoring in the area. The manager is aware that the residents’ views are important and regular house meeting are undertaken. There is a need for more management time to be spent in having effective quality assurance and quality monitoring systems in place. The manager was aware that the results of the service user surveys needs to be published and made available to residents, their representatives and other interested parties including the commission. MCCH does complete some Regulation 26 visits but none have been completed in this home since April 07. A range of policies and procedures are in place and regular health and safety and maintenance checks are done. Fridge and freezer temperatures are tested daily and the fire system is well maintained. Staff are aware of the fire evacuation procedure and the residents regularly practise the drill. 85 Heath Road DS0000023800.V345727.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 2 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 2 32 2 33 2 34 X 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 2 X 2 3 X 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 25 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 Home’s Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) Requirement The registered person shall make arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home In that storage of medication must be secure and confidential. This is outstanding from the last report. The registered person shall ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users In that the proposed fitting of an environmental control system to improve the safety and security of service users take place at the earliest opportunity. This is outstanding from the last report. The registered provider shall appoint an individual to manage the care home where there is no DS0000023800.V345727.R01.S.doc Timescale for action 30/09/07 2. YA23 13(1)(a) 31/10/07 3. YA37 8(1) 30/09/07 85 Heath Road Version 5.2 Page 26 registered manager In that the manager must apply for registration with the CSCI. This is outstanding from the last two reports. 4. YA33 18 The registered person shall ensure that at all times suitably qualified, competent and experienced persona are working at the care home in such numbers as are appropriate. The home is required to review staffing arrangements to minimise the impact on user activity programmes and should ensure that staffing levels are not reliant on the availability of the manager to fill gaps in shift on a routine basis. 5. YA1 4 The registered person shall keep under review and where appropriate, revise the statement of purpose and the service users guide and notify the commission and service users of any such revision within 28 days. 30/09/07 30/09/07 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 YA26 YA24 Good Practice Recommendations It is recommended that a new bed is purchased for the ground floor bedroom It is recommended that consideration be given to re DS0000023800.V345727.R01.S.doc Version 5.2 Page 27 85 Heath Road 3. 4. YA24 YA39 decorating the outside of the building. It is recommended that the sealant around the bath is replaced. It is recommended that the home put into place regular quality assurance survey systems. 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 28 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 85 Heath Road DS0000023800.V345727.R01.S.doc Version 5.2 Page 29 - 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!