Inspection on 12/06/06 for Chantry House Residential And Nursing Home

This inspection was carried out on 12th 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 but made no statutory requirements on the home.

Other inspections for this house

Chantry House Residential And... 14/04/08

Chantry House Residential And... 12/06/07

Chantry House Residential And... 25/01/06

Chantry House Residential And... 24/08/05

Chantry House Residential And... 03/02/05

Chantry House Residential And... 19/07/04

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

CARE HOMES FOR OLDER PEOPLE Chantry House Residential And Nursing Home Chantry Road Saxmundham Suffolk IP17 1DJ Lead Inspector Jane Offord Key Unannounced Inspection 12th June 2006 10:15 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 Chantry House Residential And Nursing Home DS0000024354.V298443.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. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chantry House Residential And Nursing Home Address Chantry Road Saxmundham Suffolk IP17 1DJ 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) 01728 603377 01728 605645 sharon.blackwell@anchor.org Anchor Trust Mr Jonathan Archie Ellis Care Home 24 Category(ies) of Dementia (24), Dementia - over 65 years of age registration, with number (24), Learning disability over 65 years of age of places (1), Mental disorder, excluding learning disability or dementia (8), Mental Disorder, excluding learning disability or dementia - over 65 years of age (8) Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 Chantry House may also care for one service user (as named in the letter from the Commission for Social Care Inspection to Mr John Ellis dated 11th May 2005) who is elderly and who has both a learning disability and dementia, falling in the registration categories of LD E, DE, E. 25th January 2006 Date of last inspection Brief Description of the Service: Chantry House is a registered care home, which provides nursing and residential care for up to 24 older people with mental health needs. The home is owned by Anchor Trust, a non profit making organisation, who provide care, support and housing to older people throughout the country. Chantry House is situated in the market town of Saxmundham and is close to all local amenities. Saxmundham is served by a local bus and train service and is a short distance from the main A12. The town is surrounded by open countryside and is a short drive from the Suffolk Coast. Chantry House opened in 1993 and is a purpose built resource, which is set back from the road and is surrounded by landscaped gardens. There is a large car parking area to the front of the building. Placement to the home is via the Social Care Services and Health Authority on completion of a Community Care and STARS assessment. Fees for the home range between£650 and £775 weekly depending on the funder and the level of care the resident requires. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that looked at the core standards for Care of Older People. It took place on a weekday between 10.15 and 15.30. The registered manager was available throughout the day to assist with the inspection process. During the day a number of staff and residents were spoken with, a tour of the building was undertaken, part of a medication administration round was observed and the serving of the lunchtime meal was seen. Three residents’ files and Individual Lifestyle Agreements (ILA), three staff files, the duty rotas, the menus and a number of policies were all inspected. In addition the accident/incident records, maintenance records, some medication administration records (MAR sheets) and the results of a satisfaction survey carried out by an external consultant were seen. The day of inspection was very hot but residents were suitably dressed and there were a number of fans being used around the home. Some residents were sitting in the gardens under sunshades. Doors and windows were open to allow any breeze to reach residents who remained indoors. The home was clean and tidy with no unpleasant odours. Interactions observed between staff and residents were friendly and appropriate. What the service does well: What has improved since the last inspection? A comprehensive induction programme folder has been introduced with a workbook to complete and a reflective diary. The learning is based on BTEC units and includes the principles of care, confidentiality, equality and diversity, health and safety, managing complaints, food hygiene, moving and handling, first aid and equal opportunities. It takes six weeks to be completed. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 7 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 Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6. Quality in this outcome area is good. People who use this service can expect to have their needs assessed and an assurance that they can be met before entering the home. This judgement has been made using available evidence including a visit to this service. The service does not offer Intermediate care. EVIDENCE: The home’s Statement of Purpose states that a senior member of staff will undertake a pre-admission assessment of prospective residents. It also offers visits to the home for people interested in living there or their family or representatives. Residents’ files see in the past had documented evidence that pre-admission assessment had taken place and covered wide areas of care and personal preferences. Pre-admission assessments were not inspected at this visit. One file seen had a record of a review that took place six weeks after the resident had entered the home and involved the resident and family, a key worker, the GP and the community psychiatric nurse (CPN). Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is adequate. People who use this service can expect to have their privacy respected, their health needs met and a plan of care in place to help meet their needs but they cannot be assured that the plan of care will address all their assessed needs or that the medication administration practice will protect them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents’ files and care plans were seen. The care plans are entitled Individual Lifestyle Agreements (ILA). Each file had contact details of the next of kin and health professionals involved with the resident. Two of the three files had a recent photograph of the resident and they all had a life history generally compiled by family members. The ILAs had interventions for individual areas of care for each resident and covered personal care, mobility, night needs, continence, medication, social activities, diet and behaviour. Specific needs such as care for eczema, wound care and sometimes special equipment required were recorded. The size of hoist slings needed for each resident was recorded. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 10 One resident had special dietary needs and that was clearly documented. Another file had a body map indicating the site of some bruising that the resident had suffered. The files included information on religious persuasion, allergies, records of weight and risk assessments covering falls, challenging behaviour, wandering and aggression. One resident was registered blind but there was no intervention in their ILA to address any need arising from that. Another resident had a Waterlow score for tissue viability that put them in a ‘very high risk’ category but there was no evidence that any preventative measures had been taken. Care practice was observed during the day and staff were seen knocking on doors before entering rooms or toilets. Interactions between staff and residents were respectful and staff offered residents choice about where they wanted to be and what they wanted to do. Each resident has a key worker who is responsible for resident’s personal shopping if the family is not available and for keeping the family up to date with the well being of the resident. They are involved with the nursing staff in care planning and included in the six monthly reviews of the resident and their needs. Part of a medication administration round was observed at the lunch time period. Each unit has its own medicine trolley that is kept securely. The home uses a monitored dosage system (MDS) so medication is delivered in blister packs from the local pharmacy ready for dispensing. Medication was offered to residents and help was given sensitively when needed. The MAR sheets were inspected in one unit. There were some gaps where a code should have been used to explain why a medication had not been taken. There was one prescription for senna that indicated there should be one tablet a day administered that was only signed occasionally. In discussion with the manager it was agreed that the prescription was not signed correctly. Reasons for non-administration should be recorded or the prescription made ‘as required’ (PRN). The controlled drugs (CDs) register was seen and a random check on the CDs tallied with the register. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is excellent. People who use this service can expect to be offered choice about how they spend their time, be encouraged to maintain contact with family and friends and be offered a balanced diet, attractively presented. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As noted earlier in the report all the residents’ files seen had contact details for the next of kin and the relationship to the resident. In addition to the life stories information about the resident’s social activities, interests, hobbies, pets and religion were recorded. The home has an activities co-ordinator who was planting pots with summer bedding plants on the day of inspection with varying degrees of assistance and interest from some residents. The co-ordinator said they had the use of a minibus several times each summer and planned outings for the residents who wanted to go and were able to participate. Last week some residents had gone to Great Yarmouth for a walk on the promenade and lunch in a restaurant. There were plans to visit the Norfolk Broads, Easton Farm Park, Colchester Zoo and the London Eye later in the summer. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 12 Less energetic activities are organised such as painting, doing jigsaws and playing games. Residents also have a snoozelum for relaxation if they wish. One resident with particular needs has a full programme of activities organised by their key workers. The family have helped by letting the key workers know what the resident enjoyed before their illness. The programme includes horse riding, swimming and walks on the beach. There were a number of visitors who came and went during the day. They were free to visit with the residents in their own rooms, the communal lounges or the garden, as the day was so fine. Staff said there was no restriction on visiting. The daily records seen noted when residents had had visitors and, in one case, recorded several outings with relatives or friends. The menus were seen and for the day of inspection the lunch was ‘Chinese style sea bass fillets with creamed potatoes and peas’. The dessert was fruit compote and ice cream. The compote was rhubarb and ginger and was presented with a sprinkling of icing sugar and some finely chopped mint. The residents enjoyed the meal. The menus are done on a four-week rotation but in consultation with the residents dishes can be changed. Rabbit in cider has recently been put back on the menu by request from a resident. There is a wide choice of alternative dishes for anyone who does not like or fancy the planned meal of the day. Residents can choose from cottage pie, fish pie, cauliflower cheese, baked fish, omelettes or jacket potatoes with various fillings. The chef said there are always salads and sausages available and there are several different frozen fish choices kept. A discussion was held about meeting the dietary needs of one resident who had a problem digesting fats. The chef explained how the regular menu could be adapted to meet the specific needs of that resident. The resident has gained weight since admission to Chantry House and the family have written to express their satisfaction for the care and attention their relative has received. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. People who use this service can expect to have any complaints taken seriously and to be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: CSCI has received one complaint about the home, which was investigated appropriately by the area manager using the Anchor Homes complaints procedure and was not upheld. The home has not received any complaints about the home or the care given since before the last inspection. The complaints policy was seen and is robust offering investigation and written outcomes. It refers to National Care Standards Commission (NCSC) instead of CSCI. Although staff training records were not up to date for this year it was clear staff had had POVA training within the last year. This was confirmed by staff spoken with who were clear about their duty of care to the residents and what steps to take if they had any suspicion of a potentially abusive situation. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is adequate. People who use this service can expect to live in a home that is clean and pleasant and generally well maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As noted earlier in this report the home was purpose built and has wide corridors and large windows letting in a lot of light. There are three units, Churchill, Atlee and Chamberlain, two on the ground floor and one on the first floor. Each unit has its own lounge with dining area and kitchenette. They were all suitably furnished and clean on the day of inspection. There is a secure garden area and patio for the residents’ use. The home has a security system on the external doors that do not lead to the secure garden. Bathrooms and the laundry were all tidy with paper towels and liquid soap available. The bathroom in Churchill had some tiles and a panel missing behind the bath. The manager explained they had been removed to deal with a plumbing problem. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 15 The home is to have some work done on a lot of tiled areas that are coming away from the plaster so the repairs in the bathroom will be done at the same time and within a couple of months. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is adequate. People who use this service can expect to be looked after by a staff team that has been trained for the work and that is rostered in sufficient numbers to meet their needs but they cannot be assured that all the correct recruitment check documents will be kept in staff files or that the rotas will reflect all the staff on duty. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff rotas were seen and showed that each day there were two team leaders and five or six carers for an early shift with two team leaders and five carers for a late shift and nights were covered by one team leader and three carers. Each day there was a laundry worker and domestic rostered, sometimes two domestics, a chef and kitchen assistant and three or four times a week a maintenance person. Staff spoken with felt the staff team was stable and supportive. They said there were adequate staff to meet the needs of the present group of residents. The rotas did not show the hours worked by the manager or the administrator. The deputy manager left their job earlier in the month but the on-call rota still has them on it. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 17 Three staff files were seen and contained documentary evidence of staff identification such as passport and birth certificate photocopies. There was also evidence that POVA 1st and criminal record bureau (CRB) checks had been done prior to the member of staff commencing in post. Two files did not have the required number of references. The training records seen covered training done up to the end of 2005. The manager said other training had been done but the records had not yet been updated. Staff spoken with confirmed they had had training in moving and handling, fire awareness, dementia care, POVA, first aid and health and safety. The manager said that of 26 carers 11 had achieved their NVQ level 2 with a further three or four working towards it at present. The manager is undertaking their registered managers award. Staff confirmed that they had had an induction when they commenced in post. The manager showed the inspector the new induction folder that is to be completed by any new staff. It was very comprehensive and worked on similar lines as the BTEC units. After each unit there was a workbook section to complete and a reflective diary for the member of staff to record their impressions of the work and training. The manager said it should be completed in the first six weeks of the job. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome area is good. People who use this service can expect to have their finances and health and safety protected, their opinions sought and the home run by a responsible manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The present manager is a registered mental nurse (RMN) and has been in post as manager for over a year. They have a number of years experience working in the mental health field prior to joining the team at Chantry House. In January 2006 a survey of residents and next of kin was undertaken by external consultants to establish the level of customer satisfaction. The response rate was 40 overall and the results were very positive. 37 attributes were scored and 36 for Chantry House scored above the mean average for all the homes surveyed by these consultants. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 19 Some of the comments included, ‘My mother has been at the home for 11 years, I would not wish her to be anywhere else’. ‘The cleaning and catering staff are outstanding’. ‘I am very satisfied with the care my sister receives’. A discussion with the manager confirmed that residents’ personal monies are managed in the same way as noted in previous reports. There is a central bank account but individual transactions are made and statements are available. As documented in previous reports the system is safe but offers no interest for residents’ money. Records of ongoing maintenance and equipment checks were inspected. They showed that the lift had been serviced in March 2006, the fire equipment tested by Chubb in May 2006, fire alarms and emergency lighting had been checked in January 2006 and hoists serviced in April 2006. There were contracts for waste disposal, pest control and window cleaning. Portable electrical equipment such as freezers, refrigerators, washing machines, lamps, televisions and even Christmas lights had all been checked in January 2006. The accident/incident records were seen and recorded a number of incidents of unexplained minor bruising and some episodes of threatening behaviour from some residents. Forms were correctly completed with actions taken recorded. A Safe Site award from Anchor Homes was achieved by Chantry House in May 2006. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 20 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 21 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 OP7 OP9 Regulation 15 (1) 13 (2) Requirement The care plans must reflect all the assessed needs of residents. The signature boxes on the MAR sheets must be completed to show that medication has been administered or a reason why it has not been. This is a repeat requirement. The complaints procedure must be updated to refer to CSCI not NCSC. The tiling in the bathroom in Churchill, and the panel behind the bath, must be made good. The duty rota must be maintained to reflect all staff working in the home and the hours they worked. The emergency on call rota must be updated to reflect the staff able to fulfil the role. Evidence that the required checks on prospective staff have been undertaken prior to employment must be kept in their files. Timescale for action 12/06/06 12/06/06 3. 4. 5. OP16 OP19 OP27 22 (7) 23 (2) (b) 17 (2) Sch. 4 (7) 17 (2) Sch. 4 (7) 19 (1) (b) (i) 30/06/06 31/07/06 12/06/06 6. 7. OP27 OP29 12/06/06 12/06/06 Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 22 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 OP30 Good Practice Recommendations Staff training records should be maintained up to date. Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Chantry House Residential And Nursing Home DS0000024354.V298443.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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