Inspection on 19/11/08 for Beechtree House

This inspection was carried out on 19th November 2008.

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

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

Beechtree House 20/05/08

Beechtree House 03/12/07

Beechtree House 19/02/07

Beechtree House 06/01/06

Beechtree House 29/04/05

Beechtree House 20/10/04

Beechtree House 23/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 13/01/2009.

CARE HOMES FOR OLDER PEOPLE Beechtree House Beech Tree House 62 Buckland Road Maidstone Kent ME16 0SH Lead Inspector Gary Bartlett Unannounced Inspection 19th November 2008 09:15 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 Beechtree House DS0000050691.V372952.R02.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. Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechtree House Address Beech Tree House 62 Buckland Road Maidstone Kent ME16 0SH 01622 752047 01622 752047 kupendrarajah@btconnect.com 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) Beechtree House Ltd Ms Demi Seager Care Home 24 Category(ies) of Dementia - over 65 years of age (24) registration, with number of places Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Shared rooms to be occupied by married couples, siblings or those where it is evidenced that it is in their best interest to share. 20th May 2008 Date of last inspection Brief Description of the Service: Beechtree House is a care home for 24 service users. The home’s registration has changed to one offering a service to older people with dementia. It is a detached property that has been extended and adapted to become a residential home. The accommodation is arranged on three floors and is mechanically accessible by way of a passenger lift. The majority of bedrooms are single occupancy, there are two shared bedrooms and most rooms have en-suite facilities. There are three bathrooms with one having an assisted bath. There is also a wheel-in shower facility. The home has a garden and limited parking facilities. Street parking is available but limited to two hours. The home is within walking distance of amenities such as a shopping centre, post office, railway and bus station and river walks. A copy of the inspection report is available to read at the home on request. Fees for this service range between £421 to £497 per week. Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This key unannounced inspection was conducted by Gary Bartlett, Regulatory Inspector, who was in Beechtree House from 9.15 a.m. until 4.15 p.m. Due to the nature of the service provided, it is difficult to reliably incorporate accurate reflections of some residents’ views of the service in the report. Judgements about quality of life and choices were taken from direct observation and by discussion with the owner and staff, inspection of records and a tour of the building and grounds. The Care Homes Regulations 2001 and the National Minimum Standards for Care Homes for Older People refer to people who use the service as “service users”. People living at Beechtree House prefer to be referred to as “residents”. Accordingly this shall be done in the text of this report. The Inspector would like to thank everyone involved for their contribution to the inspection. What the service does well: Residents say they enjoy living at Beechtree House and are happy here. They say the staff are kind and caring. There is an open, relaxed and friendly atmosphere with good interaction between residents and staff. Staff are enthusiastic about providing good quality care. Residents enjoy the meals that are of good quality. Personal health care needs are well supported and residents’ individual preferences are catered for where practicable. There is encouragement for residents to partake in activities suited to their preferences and capabilities. Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 6 Staff recruitment process are robust to ensure only appropriate people work at the home. Staff are encouraged to undertake training and receive supervision. What has improved since the last inspection? A new Manager has been appointed, as well as a Team Leader. The Manager has initiated a major overhaul of all the care plans. The new format is much better organised with important information about general health care needs more readily accessible to staff and information about people’s social history is being obtained to help staff provide sensitive support to people who live in the home. There is better evidence of how residents have access to healthcare support. The storage of medicines is much improved since the last key inspection. More activities are being provided. Residents have access to a safe garden. More training is available to staff and there are better systems for monitoring staff individual training needs. Staff have more regular supervision. Staff files are better organised. The lifts have been repaired and function properly and safely. Records are kept in a manner that preserves confidentialty. Information about the home is more easily accessible. All staff now attend fire drills/training at the frequency required by the Fire Safety Officer. Improved external fire doors have been fitted. Parts of the home have been redecorated and there is better signage to help orientate residents. Quality assurance systems have been improved and a monthly newsletter is now being produced. Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 7 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. Beechtree House DS0000050691.V372952.R02.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 Beechtree House DS0000050691.V372952.R02.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): 3, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Beechtree House has good pre-admission procedures so that residents can be confident the home can meet their needs. EVIDENCE: There is a procedure for making assessments of prospective residents before they come to live at Beechtree House. The Manager described how a thorough assessment would be carried out for prospective residents regardless of whether respite or longer-term support is under consideration. The assessment process includes recording the findings of the assessment, the detail of which then informs the initial care plan. She said prospective residents, their families, advocates, and relevant health care professionals are Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 10 involved in the assessment process. Specialist advice is sought from external sources where required. Prospective residents and their supporters are welcome to visit the home, meet staff and other residents and view the proposed bedroom and facilities. The procedure remains untested as no new residents have been admitted. Intermediate care is not offered at Beechtree House. Beechtree House DS0000050691.V372952.R02.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 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Continued improvements to care plan records and risk assessments will better show how residents’ individual care needs are to be met. The home has good liaison with health care professionals to help meet residents’ health needs. Staff treat residents with respect and maintain their privacy and dignity. EVIDENCE: Each resident has a care plan. The Manager has been in post for a short while and has initiated a major overhaul of all the care plans. Three were inspected in detail. The new format is much better organised with important information Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 12 about general health care needs more readily accessible to staff and information about people’s social history is being sought to help staff provide sensitive support to people who live in the home. This is a work in progress and some care plans are more updated than others. Some need further work to clearly identify residents’ individual specialist care needs such as dementia and depression. How are these frailties present and how they should be cared for with a direct link to monitoring findings. To date, staff are making good progress in this. The daily records of care tell the reader what the resident has been doing in some detail but not how they feel. There was some discussion with staff about how they could use more common and meaningful terminology. Records show the home has developed a good working relationship with the specialist and local health care professionals. This greatly assists in supporting residents in their health care needs. Staff spoken with generally have a good understanding of getting a balance between perceived risks and promoting independence. There have been improvements to the risk assessments and the Manager understands that further work is required for them to more fully encompass activities undertaken by residents. There must also be a system whereby risk assessments are always written or reviewed promptly in response to incidents such as aggression. The facilities for the storage of medicines are much improved. There is a designated medicines room and a mobile drug trolley. Standards of storage and cleanliness in the medical room are kept to a good standard. Medicines are only administered by staff that are trained to do so. The Manager undertook to ensure all hand written entries on the Medication Record Administration Record (MAR) sheets are double signed to help ensure accuracy. The administration of medicines was not observed on this occasion. Residents say staff are kind and gentle, this was confirmed by observation and discussion with a visitor. Staff are considerate of the age and dignity of residents and treat them with courtesy. Beechtree House DS0000050691.V372952.R02.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Residents are able to maintain contact with families and friends. At current occupancy levels, the home is able to offer personal contact, and activities that residents appreciate. Residents enjoy the meals which are of good quality. EVIDENCE: Staff spoken with are aware of the need to plan the routines and activities of the home in a way which meets the choice and wishes of residents. Because of residents’ mental frailties, it is often difficult to consult them about providing a flexible lifestyle that meets their wishes. Consequently, it is essential for the home to promote close links with relatives and to make the Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 14 provision of independent advocacy available where necessary. The Manager understands this and is strengthening these links. Staff say that, as far as is practicable, residents have the opportunity to exercise their choice in the dayto-day routine. They can choose what time they get up and go to bed and what activities they participate in. One resident is very pleased that his preferred daily newspaper is now delivered to the home. The home recently trialled a service provided by Motivation & Co., who provide an hour with residents to do exercises and have music and stimulation. Feedback from residents and staff was very enthusiastic so it is being arranged for these sessions to be scheduled fortnightly in the immediate future and weekly at a later date. Other additional activities include a regular film night and board and card games have been purchased. At the time of inspection, residents were enjoying a game of sing-along-bingo. As staff complete their specific training in dementia, this will further increase the opportunities for residents to participate in meaningful activities that take account of their cognitive impairments. Care plans include some details of residents’ interests. Residents can choose to bring personal effects with them on admission to the home and are encouraged to keep personal items that are important to them in their own room. A monthly newsletter is now being produced and distributed to residents’ families. Family and friends feel welcome and know they can visit the home at any time. The visitors book records regular visits by families, friends and others. The design of the home provides seating areas within the communal areas of the home where residents can entertain their visitors, in addition to the privacy of their own room. The home holds small amounts of cash for some residents. These are kept securely and the Manager and Team Leader are the only staff that presently has access to them. The Manager acknowledges the home should make arrangements so residents have easy access to their money at all times so as to further promote their independence and autonomy of choice. Meal times are set for practical reasons and residents are complementary of the food served. The cook prefers to do “real” cooking and baking, which is appreciated by the residents. Mealtimes are relaxed; staff are patient and helpful and allow residents the time they need to finish their meal comfortably. The dining room can accommodate the current residents in comfort. Hot and cold drinks are served through out the day, as well as snacks. Beechtree House DS0000050691.V372952.R02.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are systems to investigate and respond to complaints and to protect residents from abuse. EVIDENCE: Residents state they feel safe and well supported and are satisfied with life at the home. The complaints procedure has been updated and is more readily available. Residents say they feel confident that they would be listened to and any necessary action would be taken. The home keeps a record is of all complaints received by them. The Commission has not received any formal complaints about the home since the last inspection. There are much improved procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of residents. The staff spoken with have a sound understanding of safeguarding adults’ procedures. There are not any current safeguarding adults alert in respect of the home. Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 16 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, 21 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a generally comfortable and clean environment. EVIDENCE: Beechtree House is built on three levels with two shaft lifts. The lifts have been repaired since the last inspection, enabling people with mobility difficulties easier access to all floors. Access to small rear garden has been greatly improved by the installation of a chair-lift and improvements to the slopes and steps and the provision of additional handrails. The Manager described how she is hoping to provide Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 17 raised flower beds that residents will be able to work, should they choose to do so. There have been some environmental improvements with some bedrooms being redecorated. The lighting in the dining room has been enhanced. Staff also have improved facilities for administrative work, meetings and relaxation. Mr Kupendrarajah acknowledges there are a number of areas in the home where redecoration and refurbishment is needed and plans to address these as resources become available. Beechtree House is not purpose built for caring for people with dementia and has many dead-end corridors that are not conducive for wandering. The Manager has introduced better signage to help orientate residents. There was some discussion as to how residents may better relate to photographs of them in their younger years on the bedroom door signs. Improved external fire doors that are easier to use have been fitted. Connecting these doors to an alarm system would alert staff to a resident leaving the building unsupervised Staff say that bathing and toileting facilities are adequate. Some free-standing support frames around toilets are not secured, posing a potential hazard for residents. The Manager undertook to arrange for the frames to be secured, first assessing if they are required for use by the residents. Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 18 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, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment processes are robust and offer protection to people living at the home. Training is available to the staff so they have the skills to meet the needs of the residents. EVIDENCE: Residents speak highly of the staff, saying they are friendly and helpful. Although registered for 24, the home currently has 11 people living there. Residents said the number of staff on duty is enough to meet their needs. The staff rosters seen indicate staffing levels are geared to peak times of activity. People applying to work at the home have to complete an application form, and provide satisfactory POVA and Criminal Records Bureau (CRB) checks as well as two references. The files of the most recently recruited staff show that appropriate checks are made prior to them commencing duties. The staff files are much better organised than previously. Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 19 All new staff are required to complete the Skills for Care induction programme. NVQ training in care is being encouraged. The Manager spoke of ongoing training for staff and a training matrix is used to monitor individual training needs. There has been a lot of training arranged for staff in recent months. As one staff member said “I didn’t know there were so many training courses!” Another said “We are all much more confident in doing our work”. All staff spoken with are positive about the changes made in recent months and are to be commended for their enthusiasm. Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 20 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, 37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has benefited from the recent appointment of a Manager and implementation of improved management systems. EVIDENCE: Demi Seager, the Manager, has been in post since 25th June 2008. She has extensive experience in residential care and was previously the registered Manager of another care home. The Manager has acquired the Registered Managers Award and NVQ level 4 in Care. As part of her ongoing professional development, she is intending to undertake further specialist training in Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 21 dementia care. A recommendation for her registration as Manager of Beechtree House was made very shortly after the inspection. Staff speak very highly of the Manager and of the improvements she has introduced. They say she is very approachable and supportive. Surveys completed by residents’ relatives included the comments: • “I feel the home has improved greatly in the last few months, (resident) appears to be much happier” • “…have noticed a great improvement in conditions at Beechtree since Demi took over as Manager”. The Management team structure has been augmented by the appointment of a Team Leader. An Administrator provides valuable support by dealing with invoicing, staff time sheets and wages etc. A lot of progress has been made in a short time. Care plans, staff training, staff supervision, policies and procedures and documentation have been improved. The next hurdle for the home is to ensure this is consistently translated into good daily practice by all staff. An example of poor practice in carrying a meal uncovered to a residents’ bedroom was observed. The Manager took immediate action in regard to this. This meant we did not have to issue an Immediate Requirement Notice. The Manager is monitoring the quality of records made by staff with the aim of achieving a high level of consistency. People who use the service and other stakeholders are invited to comment on the quality of the provision made for them using questionnaires. The results of these are published in the new monthly newsletters. There is now a suggestions box in the reception area. There is a sound system of holding and recording residents’ cash. As stated earlier in this report, the home should make arrangements so residents have easy access to their money when the Manager and Team Leader are not present so as to further promote independence. Records seen are kept in a manner that promotes confidentiality. The standard of cleanliness in the kitchen and surrounding area is satisfactory. Mr Kupendrarajah undertook to have the chipboard shelves in the larder sealed to better promote food hygiene. The Manager said improved environmental risk assessments are being undertaken on a regular basis. Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 22 There are records of regular fire systems safety checks and the staff spoken with have a sound understanding of emergency procedures. Mr Kupendrarajah stated that all records of maintenance and safety checks are up to date. These were not inspected on this occasion. Beechtree House DS0000050691.V372952.R02.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 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 2 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 2 3 3 3 Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 13(4) Requirement The registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated in that risk assessments must be more comprehensive to more fully encompass activities undertaken by residents and be recorded or reviewed promptly in response to incidents and changes in residents welfare. It is acknowledged good progress has been made. Comprehensive risk assessments must be in place by the given timescale, if not sooner, and maintained thereafter. The registered person shall ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety in that support frames around toilets must be secured. To be completed by the given timescale, if not sooner and Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 25 Timescale for action 31/03/09 2. OP22 13(4) 28/02/09 maintained thereafter. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP14 OP19 OP19 Good Practice Recommendations It is strongly recommended the home make arrangements so residents have easy access to their money at all times so as to further promote independence. It is strongly recommended the home proceeds with the programme for the redecoration and refurbishment of the premises as resources become available. It is strongly recommended the external fire doors are fitted to an alarm system to alert staff to a resident leaving the building unsupervised. Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beechtree House DS0000050691.V372952.R02.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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