Inspection on 22/01/07 for Abbey Court (West Kingsdown) Nursing Home Limited

This inspection was carried out on 22nd January 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Abbey Court (West Kingsdown)... 16/07/08

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Abbey Court (West Kingsdown) Nursing Home Limited School Lane West Kingsdown Kent TN15 6JB Lead Inspector Eamonn Kelly Key Unannounced Inspection 22nd January 2007 11:00 X10015.doc Version 1.40 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 Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.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 Older People. 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. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbey Court (West Kingsdown) Nursing Home Limited School Lane West Kingsdown Kent TN15 6JB Address Telephone number Fax number Email address Provider Web address Name of registered provider/company Name of registered manager Type of registration No. of places registered (if applicable) 01474 854136 01474 855223 Abbey Court (West Kingsdown) Nursing Home Limited Mrs Rohini Persand Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22), Physical disability (5) of places Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Not applicable Brief Description of the Service: Abbey Court is a care home with nursing for up to 22 older people. There are 16 single and 3 shared bedrooms. Eight of the single rooms have ensuite facilities. The home has 2 passenger lifts. Twenty-four hour care is provided. Two members of staff (registered general nurse and care assistant) are on duty at night. A registered general nurse and four care assistants are on duty in the morning and early afternoon. A registered general nurse and three care assistants are on duty in the afternoon and evening. The weekly fees are • • • £650 for a single en-suite bedroom. £630 for a single bedroom and £565 for a shared bedroom. The home’s matron arranges for admission if she concludes that, on the basis of a full assessment carried out by her, suitable support and care can be provided. A PCT (primary care trust) representative assesses residents soon after admission and they receive a contribution towards the cost of the nursing care component of their fees. Residents pay additional charges for hairdressing, chiropody, newspapers, toiletries and personal spending. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection on 22nd and 23rd January 2007 consisted of meeting with management staff, residents, visitors and members of staff on duty. Bedrooms and communal areas were visited and a number of records associated with resident care were assessed. Residents, relatives and care managers returned 16 completed survey questionnaires. Comments made were generally positive. The inspection visit concentrated on the care and support in place for residents. Meetings with members of staff and residents served to give a broad understanding of how resident’s current and changing needs are addressed. The results indicated that residents are well cared for at the home by a hardworking group of staff. Visitors met were satisfied with the support their relatives at the home received. The report refers below and in the following text to some quality assurance measures that Mrs Persand is progressing. What the service does well: What has improved since the last inspection? This is the first inspection report for the care home. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.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. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 7 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. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5, 6. Quality in this outcome area is good. This judgement was made using available evidence including visits to the service. Prospective residents and their representatives receive good support at the time they are looking for residential accommodation. This includes detailed pre-admission assessments by the matron. Prospective residents would benefit from improved written pre-admission information. EVIDENCE: An experienced matron (previously the owner/manager of the home) carries out in-depth pre-admission assessments. A checklist and associated notes are taken at this stage that form part of subsequent care plan records. The owner and matron are reviewing the effectiveness of written pre-admission information and they intend to produce a Resident’s Guide (combining aspects of the current service user’s guide and statement of purpose). This is likely to be in place from mid-March 2007. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 10 New residents receive a personal contract. This document is being reviewed with the intention of replacing it with a more comprehensive contract that more fully outlines the rights and responsibilities of both parties (the home and the resident). The matron outlined the criteria for admitting new residents. She said that care is taken to explain to individuals or families where the home could not accept a request for admission. An example is where the behavioural problems of a potential resident were unlikely to be adequately addressed at the home. In other cases, admission might be delayed if additional staff training in a specific medical procedure was deemed by the matron to be necessary. Potential residents may not always visit the home prior to taking up residence. However they (and their representatives) are invited to do so. The home occasionally admits residents for respite or recuperative care. The home has the facilities for providing this support. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement was made using available evidence including visits to this service. Residents receive good healthcare and personal support. EVIDENCE: Care-plan records seen as part of a case tracking exercise during the inspection contained good information about resident’s support needs and how these are being met. In some the personal profile was relatively scant: the matron said that these would be improved and probably typed for the benefit of staff knowledge. Residents receive good support from health service agencies. A GP visits on an agreed day each week but also when called. Although care homes with nursing tend to restrict resident’s access to district nurse services, Abbey Court continues to receive this service in specific circumstances. Residents and visitors praised the standard of private chiropody services. A hairdresser Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 12 visited during the inspection and many residents said they felt better after hairdressing. The owner claimed that residents have good access to dentistry services and explained how this is achieved. The matron provided an example of a situation where an admission was delayed while a particular medical approach was researched further. The matron explained how medications are administered and how unwanted medicines are recorded and disposed of. The nurse on duty completes MAR sheets at the time of administration. The clinical room contains equipment and medical devices needed at the home. Emphasis was placed on meeting residents and visitors during the inspection. Staff met had a good knowledge of resident’s support needs and how these are addressed. Residents felt that staff supported them well and visitor’s views corresponded with this. Residents in shared bedrooms have the benefit of good accommodation as there are good arrangements for privacy. Some residents with hearing aids have given up on using them. This issue was not shown on care plans. Staff need to be able to deal effectively with keeping hearing aids clean, in good repair, accessible to residents and always fitted with a battery. They need also to be able to encourage residents to use hearing aids as residents tend to grow tired of using and maintaining them. The current management approach where the owner/manager has primary responsibility for the wider aspects of management and the matron has primary responsibility for clinical procedures serves residents and staff well. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. This judgement was made using available evidence including visits to this service. Residents receive good support on a day-to-day basis to remain mentally and physically active. EVIDENCE: Residents may receive their visitors at any reasonable time. Whilst they are not prevented in any way from visiting during lunchtime, it is preferred for visitors not to attend at that time. The owner said that, because there is such an emphasis on conducting nutritional assessments and helping residents with feeding, staff need to concentrate exceptionally fully on the required procedures. An outline of most resident’s interests, expectations and capabilities is kept in their care plan records. In many cases, relatives compile this record. In some cases, no such record exists because residents or their relatives do not provide the information. The matron and manager said that they would, if necessary Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 14 with the assistance of the activities organiser, develop this part of care plans further and, most likely, have a typed version that is reviewed and updated occasionally. The current pre-admission document claimed that an activities organiser was present each day during weekdays. During the inspection, this claim was not met over 2 days. Mrs Persand said that on the day the hairdresser attended the activities organiser would not. There was agreement during the inspection on two issues in this respect: that the new Resident’s Guide would contain accurate information about the home and that professional activity organiser hours of at least one hour per week per resident would be always be provided. This important input would also be used to assist other members of staff in helping residents remain as mentally and physically fit as possible. The home does well to help so many residents mobilise, to spend time in lounge areas and to have meals in the dining area. Residents and visitors gave examples of how residents are involved helped and encouraged to make decisions about how they use their time. There are a number of activities each day at the home. There are comfortable day care facilities. Residents are helped to attend church if they express a wish for this. A local minister of religion wrote to the commission with very positive information about the support available at the home for resident’s spiritual needs and preferences. Examples were seen of nutritional assessments. Detailed observations are made in these instances and information is recorded. In several cases discussed, residents made very good recoveries after they took up residence when their health was failing rapidly. Resident’s weights are taken weekly. Some consideration may need to be given as to whether the scales need to be replaced by a more modern type. The evening meal was observed on one day of the inspection and the lunchtime meal on the other. Food is liquidised where necessary. A number of residents received assistance with feeding. As previously stated, detailed nutritional assessments are carried out. The lunchtime meal is delivered and served in the lounge from a heated trolley. Individual meals are transported to residents who were unable to leave their bedrooms. In the examples seen, there were no delays as the system was efficient and meals were served hot. There is a hot/cooked component at evening meals and residents indicated they were content with the arrangements. The home provides 3 main meals, drinks at intervals and a suppertime drinks/snack. One respondent to the commission’s survey said that “patients should be given a better choice of menu. Food is not always very appetising. Also patients are not always able to communicate well with staff about their preferences”. The majority of feedback about food and support at mealtimes was more positive. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement was made using available evidence including visits to this service. Residents are well supported at the home and their views are listened to and acted upon. EVIDENCE: Members of staff receive training and support to enable them identify if abuse of residents was occurring. Those met stated that they know how to report any suspicious events to either the owner/manager or matron of directly to social services. The home has a copy of Social Services’ adult protection procedures. These procedures are, according to the induction checklist seen, included in the staff training. There is supervision of all activities by the matron and by the nurse on duty. The matron is confident that any unacceptable practices would be identified. The home has a complaint’s procedure. Residents and visitors are encouraged to make their views known about all aspects of life at the home. The CSCI survey elicited, in the main, positive feedback. Where comments were less than positive, respondents were telephoned to discuss their views. The result Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 16 was that there were no serious issues that needed further attention by the commission. The home also undertakes surveys of residents and relatives. The questionnaire was recently changed to enable more detailed comments to be made. The outcome in the examples seen was that users of services are confident that the home is meeting resident’s health and social needs well. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24, 26. Quality in this outcome area is good. This judgement was made using available evidence including visits to this service. Residents have the benefit of living in safe and comfortable premises. EVIDENCE: The premises are safe and comfortable. The shared bedrooms have good conditions for privacy. The indoor and outdoor facilities are suitable for residents and visitors needs. The mix of en-suite bedrooms, “assisted” bathrooms and other facilities is suitable for the support of residents. Two passenger lifts enable residents to easily get to separate parts of the first floor. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 18 There were no unacceptable odours that were not being dealt with. There is a high level of attention given to maintaining all areas of the premises. The home has a sluice room on the ground floor. There were perhaps too many information leaflets displayed throughout the premises and it is unlikely that staff, residents or visitors would pay much attention to them. Some televisions had poor reception. In one instance, the home had taken great trouble to install an aerial connection for a new digital TV brought in by a resident. All residents have the benefit of use of specialist hospital-type beds. There is a medication room for storage of medicines and clinical equipment including oxygen supplies. Residents have the benefit of access to call bells and extension leads. Bedrooms are well furnished and comfortable. There are good car parking facilities at the home. Two maintenance persons were carrying out part of a scheduled maintenance programme. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27-30. Quality in this outcome area is good. This judgement was made using available evidence including visits to this service. Residents have the benefit of being supported by an effective staff group. Improvements in recruitment procedures and training activities will contribute further to this good support. EVIDENCE: Staff files seen indicated that there is an established staff group. All new staff complete an application form, 2 written references are taken up, CRB checks are completed and induction/supervision/training follows. Mrs Persand is improving some aspects of recruitment. A new application form will be introduced that obtains more information about applicant’s previous employment, more accurate information about referees will be requested and the declaration about convictions/cautions will be updated. The administrator will also, for all new applicants, use the POVA-first system (ie. e-mail to the POVA office) as part of the recruitment procedure. A number of staff were recruited with only a CRB carried out in their country of origin. Mrs persand was advised to check that a UK CRB/POVA check was carried out for all staff. The culmination of this exercise would be that a list of all staff is available for Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 20 inspection that shows the member of staff’s name, CRB reference number, date of result of the check and a note of the outcome. Twenty-four hour care is provided. Two members of staff (registered general nurse and care assistant) are on duty at night. A registered general nurse and four care assistants are on duty in the morning and early afternoon. A registered general nurse and three care assistants are on duty in the afternoon and evening. The owner/manager and matron are additional to the above care staff complement. The home has an administrative officer, cook, 2 domestic workers and a maintenance person. There are 5 registered general nurses (including the matron), 9 carers and 5 other members of staff. Virtually all care staff achieved NVQ Level 2 or 3 in Care. It was not fully clear from staff files if all staff either completed or will soon complete “mandatory” training. The specialist training arranged for all care staff includes eye care for residents, swallowing difficulties and nutritional screening. The manager and matron are checking that all staff complete “mandatory” training during 2007. This would include manual handling and updates as necessary, fire safety, protection of vulnerable adults, food hygiene for all staff serving or cooking food. All nurses administering medication are trained and supervised by the matron but they need also to attend an appropriate training course during 2007. As part of the new Resident’s Guide, a training matrix for all staff will be produced and updated as members of staff complete their training. Mrs Persand and the matron also undertook to check that the induction procedure and the record maintained by each new member of staff over the first 3 months complied with current standards set by the appropriate organisation in the care sector (“Skills for Care”). All staff met during the inspection had a good knowledge of resident’s support needs. They were enthusiastic and hard working. A number of care staff met had qualified as nurses abroad but had not undertaken “adaptation” in the UK (ie. they had not completed a course of supervised study in the UK to enable them to obtain UKC registration). The services of such staff is a great asset to the home and the skills and knowledge they have brought with them is significant, but each must receive the support and training that other care assistants would receive. Mrs Persand would address this issue during the review and update of training now underway and the outcomes will be recorded, as stated above, in the new training matrix to be available for inspection. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38. Quality in this outcome area is good. This judgement was made using available evidence including visits to this service. Residents live in a home that is well managed and acts in their best interests. EVIDENCE: Mrs R Persand is a registered nurse and has experience in different areas of nursing in NHS wards and residential homes with nursing. The matron is a registered general nurse and has experience of hospital and district nursing. All members of staff are formally supervised every 4-6 weeks and an agreed record of matters discussed is kept. A part-time administrator assists in the running of the home. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 22 Case tracking exercises indicated that residents are assessed in detail before admission, appropriate arrangements are made to meet each resident’s support needs and every effort is made to meet their health and social care needs Mrs Persand and the administrator assist residents and relatives obtain assessed nurse care contributions. In most cases, a member of the resident’s family or solicitor is responsible for individual financial or legal matters. A personal contract (that will be improved soon) outlines contractual arrangements between both parties. Additional charges are clearly communicated to residents and relatives and monthly invoices are produced for all agreed costs incurred. There were appropriate declarations made (in the pre-inspection questionaire) by Mrs Persand about safety checks and associated records. Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.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 Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 4 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 3 x 3 3 x x 4 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 x 3 3 x 3 Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? This was the first inspection following new ownership of the home. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.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 Abbey Court (West Kingsdown) Nursing Home Limited DS0000063775.V320496.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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