Inspection on 13/06/06 for Ashlea House

This inspection was carried out on 13th June 2006.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashlea House 19/03/09

Ashlea House 04/09/08

Ashlea House 27/02/06

Ashlea House 15/08/05

Ashlea House 20/12/04

Ashlea House 25/05/04

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Insight - Eastchurch

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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 Ashlea House Bockhanger Lane Kennington Ashford Kent TN24 9BP Lead Inspector Mrs Sally Gill Unannounced Inspection 13th June 2006 9.45 Ashlea House DS0000044974.V297292.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 Ashlea House DS0000044974.V297292.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. Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashlea House Address Bockhanger Lane Kennington Ashford Kent TN24 9BP 01233 643635 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) Nexus Direct Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 2006 Brief Description of the Service: Ashlea House is registered to provide accommodation for up to 3 adults with a learning disability and admits people with low to medium dependencies. Nexus Direct owns the business and the newly appointed manager, Margaret Vanstone who is not yet registered with the commission has day-to-day control of the home. The service is set up to be of benefit to younger adults who wish to move into greater independence, and therefore the aims of the service are to provide a great deal of opportunities for responsibility taking and personal development. The home works closely with other Nexus Direct establishments and acts as a home that people aspire to live in. The home is not suitable for service users with mobility problems. The property is a detached, building set in its own grounds. Bedrooms are situated on the first floor, as is the staff sleep in room and the bathroom with shower cubicle and WC facility. The ground floor offers a separate WC, kitchen, dining room and lounge. Access to the private rear garden is via the kitchen door or lounge patio door. The garden features a patio area, mature shrubs/borders, lawn area and pond. There is parking for 3 vehicles to the front of the house. Ashlea House is situated in a quiet part of Kennington, Ashford, in a semi-rural setting, but only minutes walk away from local amenities. A public bus service is available a short walk away, but the home has a dedicated car for service user use. Access to town is a short drive away. The currently scale of charges range from £1435.00 to £2485.00 per week. Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 13th June 2006 between 9.45am and 3.30pm, the newly appointed manager, Margaret Vanstone and two staff who were interviewed assisted with the process. Two people were living at the home at the time of the visit. The inspector spoke to one service user who was at home during most of visit, the other was attending college. The inspector accessed all communal areas of the home and the garden and one service users bedroom by invitation. The inspection process consisted of information collected before and during the visit to the home. Surveys were sent to both service users, families, care managers and the psychotherapist. Surveys were received back from both service users (one of which was completed with support by the manager) all of which was positive feedback. Both families returned questionnaires one of which was positive and the other was mixed. One survey was received back from a care manager, which again was positive. Various records were viewed during the inspection. What the service does well: What has improved since the last inspection? Some policies/procedures have been reviewed and the home has ensured that staff are aware of their content. Protection for service users has improved with staff now knowledgeable in dealing with complaints and demonstrated they Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 6 knew how and where to whistle blow and report any abuse/incidents/accidents. Staff have received management of aggression training. The company have been responsive to meet most recommendations made at the planning meetings. Some improvements have been made to the medication systems/records. Relationships are supported within individual risk guidance. Sexual education and awareness coaching has been implemented for one service user and their partner. Induction training has been improved to ensure the right message gets across to staff regarding service users human and civil rights. The company has developed a new regulation 26 visit format but it is yet to be implemented. The company are looking at developing their quality assurance systems. What they could do better: To ensure service users are fully protected the outstanding recommendation from the closed adult protection alert must be addressed and the review of polices completed. A written agreement must be in place between the home and each service user. Information agreed with service users and care manager at reviews should be followed through into the care plan so that goals and recommendations are addressed and not forgotten. Behavioural guidelines should be in place for each service user, which they have agreed and should contain details of how they wish to be spoken to and supported. These must reflect new management of aggression training received by staff. Risk assessments must be regularly reviewed to ensure service users continued safety. Further improvements are required to the medication system including staff undertaking medication training. Further development of self-administration could be achieved for one service user. Implement a formal quality assurance process, which allows all those with input to the home an opportunity to feedback their views on what could be improved for those living at the home, and focus the regulation 26 visits on outcomes for service users. The new appointed manager should register with the commission and obtain the relevant qualification. For the protection of service users the duty rota must contain staff surnames and recruitment records must be kept at the home for inspection. Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 7 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. Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 8 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 Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 & 5 The Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are able to test drive the home and have the information which is being updated to make an informed choice. The home ensure that they can meet the service users assessed needs and aspirations following assessments. Not all service users have a contract of terms and conditions with the home. EVIDENCE: The statement of purpose (SOP) is currently being reviewed by head office and the manager is reviewing service users guide (SUG). The SUG still needs to add service users views and fee/contract conditions. Assessments from care managers and other professionals are held on file. Initial Nexus assessments using the Hampshire Assessment for Living with Others (HALO) format were held on file although these were not dated or signed by the assessors, which would be helpful. Both service users have transferred into the home from other Nexus establishments and this is how the home is intending to take admissions in the future as this is considered the last step before a more independent living for Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 10 service users in the company. Therefore the home is already familiar to prospective service users prior to admission, which are planned using reviews and trial visits. A contract could not be found on file for one service user and one must be drawn up and agreed. Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans should reflect all service users assessed needs and personal goals and detail how they wish to be supported by staff. Service users are involved in decisions about their lives and assistance given appropriately. Risk taking is supported to achieve independence but to ensure safety assessments must be regularly reviewed. EVIDENCE: Care plans are in place for both service users, which were evidenced as reviewed regularly. Behavioural guidelines are in place for one-service user and not for the other, which must be addressed. Those that were in place also need to be reviewed as they contain details of old techniques to be used when managing aggression, which are no longer relevant as staff have been trained in different techniques. It remains outstanding from the previous inspection that these guidelines should also include details of how the service users wish Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 12 to be spoken to and supported by staff. Recommendations agreed with service users at their reviews held with care management should be followed through into the care plan to ensure they are addressed and not forgotten, as was the case with one service user. Discussions and records confirmed service users are very independent and make their own decisions where appropriate about their own lives and also the day-to-day running of the home. Risk assessments are held on file for both service users although some are overdue for review and some were no longer relevant. Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have opportunities for appropriate activities and access to the local community. Service users are supported to have a variety of personal relationships. Service users rights and responsibilities are respected and they plan, cook and enjoy a varied healthy diet. EVIDENCE: One service user attends college four days per week and the other is actively seeking employment with the support of staff. Service users do have the opportunity for a variety of activities, which are enjoyed but also choose at times not to participate. Activities are at times undertaken jointly with other homes within the Nexus group. Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 14 Specialist sexual education and awareness has been introduced. Service users have and are supported to maintain relationships with families and a variety of friends. Service users are encouraged to be independent within the home undertaking tasks including cleaning, shopping, cooking and laundry. Routines are flexible and certainly promote independence. One service user has a pet rabbit. The home is non-smoking and no service user currently smokes. Meals are varied, planned by the service users who then shop, prepare and cook. Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. 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. Service users receive any personal support in the way they prefer when appropriate and their health care needs are met. The medication systems have been improved although the staff are still to receive training to fully protect service users. EVIDENCE: Service users carry out their own personal hygiene independently and are very independent when it comes to clothes and hairstyles. Service users are happy with their choice of link worker. All health care needs are met with a variety of health professionals in the community and service users are encouraged to manage their own appointments. Staff are still using paracetamol from stock which is not recommended and was a requirement at the previous inspection. A BNF journal has been obtained. Written PRN guidance is now in place for staff. MAR charts reflected appropriate use of signatures and codes. Discussion took place regarding Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 16 developing self-administration for one service user. Authorisation has been gained from the GP for the use of homely remedies. Staff are still to attend medication training which was planned then cancelled by the trainer as yet no new dates have been confirmed therefore this requirement timescale has been extended. Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. 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. Service users feel their views are listened to and acted on. Improvements have been made to ensure service users are protected from abuse however there are still some improvements required. EVIDENCE: A complaints procedure is in place, which has been reviewed although not displayed within the home. Service users confirmed they feel they are able to air their views, which are listened to and acted upon. All complaints are logged together with action taken. The whistle blowing policy has been reviewed and staff demonstrated that they are aware of how and where to report abuse both inside and outside of the company although not all staff have yet received adult protection training, which is recommended. The company is currently reviewing the adult protection policy, which is an outstanding requirement. Staff confirmed that they are aware of what incidents/accidents need to be reported to CSCI. Discussion took place regarding the level of detail required in regulation 37 reports but more importantly is to report quickly. In exceptional circumstances when starting staff prior to having a full CRB disclosure in place the home must ensure they have the correct supervisory procedures in place during this time and can evidence this at an inspection. Staff have received training to manage service users aggression since the last inspection although behaviour guidelines now require updating or drawing up (see previous standard). The adult protection alert raised at the previous inspection is now closed however Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 18 not all recommendations made at the strategy meeting have been implemented, staff are still to receive a copy of the homes restraint policy as when speaking to staff it was apparent they were not sure of the content. See previous standards also regarding staff supporting service users as they wish to be supported evidenced in their behavioural guidelines. Service users monies are handled appropriately. Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. 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. Service users take a pride in keeping their homely environment clean and hygienic. EVIDENCE: The home was clean, tidy and well maintained. One kitchen drawer was broken and this had been reported to maintenance. Staff reported that any maintenance issues are dealt with quickly. One bedroom was seen which was personalised and the service user stated they were happy with their room. Communal furniture was of good quality and suited the home and service users needs. Service users have access to a quiet and private garden and patio area. Ashlea House DS0000044974.V297292.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34, 35 & 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A competent and qualified staff team support the aims and objectives of the home and understand their roles. The home must evidence a thorough recruitment practice, which protects the service users. Staff have benefited from recent additional training with further training planned. Staff felt well supported and supervised informally. EVIDENCE: Since the last inspection there has almost been a completed turnover of staff and also the manager. Staff were positive and committed to developing service users skills and abilities wherever possible. In discussion staff appeared competent with varied degrees of experience and knowledge. Currently 50 of the staff are qualified to NVQ level 2 or above. A service user stated they are happy to approach staff with any concerns. Two staff in addition to the manager are on duty 7.30am –10pm and one member of staff sleeps in. The staff rota still does not show the staff members Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 21 full name which was recommended at the previous inspection. The staff team is male and female. Staff recruitment processes could not be fully checked and a robust recruitment process evidenced as not all records were held at the care home although the manager has requested them and they should be held at the home. Staff are started prior to full CRB being in place and the home must ensure that supervisory support is in place and records are maintained of this. New staff have undertaken or are completing their induction which is to Skills for Care specification. During induction it is highlighted and additional literature is given to staff concerning service users human and civil rights. Staff confirmed where they received induction at another Nexus home they were given a short induction including being introduced to the service users at Ashlea. Some staff training is still outstanding see previous standards. As the team are new and also the manager formal supervision sessions have not yet been undertaken although staff confirmed that informally they felt well supported by the manager. Ashlea House DS0000044974.V297292.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 41 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home where their health, safety and welfare is promoted and protected. A formal process to gather service users views could benefit and underpin the development of the home. The manager should register with CSCI and obtain the relevant qualification. Records are in place to protect service users but some policies and procedures still require reviewing. EVIDENCE: A new manager has been appointed since the last inspection. She has experience within learning disability services. She does have an NVQ Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 23 qualification although this is not to level 4 and will need to undertake level 4 in care and management. She has signed up to attend college in September. As yet CSCI have not received an application to register. She demonstrated a good caring and calm attitude and all feedback about her from service users and staff was positive. The atmosphere in home was relaxed with plenty of chatter. The company are currently reviewing their quality assurance processes, which at present are not really in place. Service users views however are sought on a day-to-day basis within the home by staff and the manager. The provider makes regular regulation 26 visits and CSCI receive a copy of the report these again do not focus on service users experiences within the home however a new format is about to be introduced by the company. The company has reviewed several policies and procedures since the last inspection although completion of some is still required (see other standards). Health and safety checks are carries out regularly. Good maintenance of the home is maintained. The accident reports were viewed and all reports are recorded appropriately. Most staff are trained in core subjects. Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 2 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 1 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 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 3 2 2 3 3 X Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA5 YA20 Regulation 5(1) c 13(2) Requirement The home shall draw up and agree a written contract with each individual service user Staff cease using stock paracetamol. Staff receive suitable medication training. (Previous timescale of 13/03/06 not met) The adult protection policy is reviewed (Previous timescale of 01/04/06 not met) Quality assurance process be reviewed to draw out any significant issues (Previous timescale of 13/03/06 not met) Maintain appropriate staff records at the home Visits by the registered provider seek information from service users and staff that assures the provider there are no adult protection issues occurring within the home (Previous timescale of 0/04/06 not met) Timescale for action 28/07/06 28/07/06 3 4 YA23 YA31 13 (6) 24 28/07/06 28/07/06 5 6 YA34 YA39 Schedule 2 26 13/07/06 30/06/06 Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations In consultation with each service user, a clear indicator of how they like to be spoken to, to be supported when upset etc and a statement to say what they do not wish staff to do is kept in the individual plan (Outstanding from previous inspection). Behavioural guidelines should be drawn up and agreed with each service user and then kept under review regularly Recommendations agreed with service users at their reviews held with care management should be followed through into the care plan to ensure they are addressed Risk assessments should be kept up to date and reviewed regularly All staff to receive adult protection training and recommendations made at the AP strategy meeting to be implemented The manager should be register with CSCI The manager should obtain the relevant managers qualification Review Quality Assurance process to prepare for Inspecting for Better Lives (Outstanding from previous inspection). Duty rota to state staff full name (Outstanding from previous inspection). 2 3 4 5 6 7 8 9 YA6 YA6 YA9 YA23 YA37 YA37 YA39 YA41 Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 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 Ashlea House DS0000044974.V297292.R01.S.doc Version 5.2 Page 28 - 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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