Inspection on 12/06/07 for Chantry House Residential And Nursing Home

This inspection was carried out on 12th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found 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... 12/06/06

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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Paradise Lodge

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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 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chantry House Residential And Nursing Home DS0000024354.V333987.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.V333987.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.V333987.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. 12th June 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 AnchorHomes, 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. The accommodation is in three units, two on the ground floor and one on the first floor. Rooms are all single occupancy and have en suite facilities. Each unit has a lounge/dining room with a kitchenette used to serve meals brought from the main kitchen. Fees for the home are a flat rate of £829.25 per week. They do not cover the cost of toiletries and newspapers. Chantry House Residential And Nursing Home DS0000024354.V333987.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection looking at the core standards for care of older people took place on a weekday between 9.00 and 16.00. The registered manager was on annual leave although came in for feedback. The deputy manager assisted with the inspection process. This report has been compiled using information available and evidence found during the inspection. All areas of the home were visited during the day and a number of residents, staff and visitors were spoken with. A selection of documents and files were inspected including staff and residents’ details, the policy folder, some maintenance records and the duty rotas. Part of a medication administration round was observed and medication administration records (MAR sheets) were checked. On the day the home was clean and tidy with no unpleasant odours. Residents were in the lounges or their own rooms as they chose and staff chatted with them in a friendly manner. Residents all looked comfortable and at ease. The lunchtime meal looked appetising and was clearly enjoyed by residents. What the service does well: What has improved since the last inspection? The service has appointed a deputy manager who has been working in the home in a different capacity for a number of years. Chantry House Residential And Nursing Home DS0000024354.V333987.R01.S.doc Version 5.2 Page 6 The records of staff training have been improved and are up to date. The duty rotas now reflect the staff working in the home and the hours they work. Considerable work has been done to improve the gardens and bring in some colour. A grant has been obtained to further landscape them. 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. Chantry House Residential And Nursing Home DS0000024354.V333987.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.V333987.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6. Quality in this outcome area is good. People who use this service can expect to have adequate information to make an informed choice and have their needs assessed prior to admission. This service does not offer intermediate care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Anchor Homes produce a generic guide for the homes it owns that is informative and attractively printed. To complement that Chantry House has a comprehensive Statement of Purpose detailing the service offered in the home. It contains all the required elements and includes the admission process, part of which is a pre-admission assessment of needs and preferences. The residents’ files seen contained details of their past medical history and present needs together with life history work. The pre-admission assessment covered areas of need following the aids to daily living (ADLs) model. Chantry House Residential And Nursing Home DS0000024354.V333987.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. 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 health needs met and be treated with respect but they cannot be assured that their care plan will cover all their assessed needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files seen all contained contact details of health professionals involved with the resident such as their GP and community psychiatric nurse (CPN). There were records of visits to and by the health professionals and details of treatment prescribed or medication changes required. The service is in the process of changing care plan documentation so some residents have new format plans and some still have the old format. The plan for one resident who is partially sighted only contained interventions for urinary incontinence although there was a risk assessment done for falls and skin integrity. Chantry House Residential And Nursing Home DS0000024354.V333987.R01.S.doc Version 5.2 Page 10 One care plan seen covered areas of care following the ADL model so had interventions for mobility, personal hygiene, (prefers same gender carer to help with bathing), getting up/going to bed, continence, sensory needs, diet, and friends and family, (keeping in contact by letter and cards, does not like using the telephone). There were risk assessments for nutritional intake, skin integrity, falls and challenging behaviour. A number of documents in the files were not signed, dated or fully completed. Requirements have been made around incomplete care planning at previous inspections. The medication administration policy was seen and proved to be comprehensive with guidance on ordering, storing, dispensing and disposing of medicines. It included procedures for managing covert administration, homely remedies and altering medicine from the format licensed by the manufacturer. Part of a medication administration round was followed. The MAR sheet folder contained a list of specimen signatures for the staff permitted to give medication and a copy of the permission given by a GP to administer homely remedies. There was an identification photograph with each chart. The nurse locked the trolley each time they left it and when not in use the trolley is kept in the nurses’ office locked to the wall. There were a few signature gaps noted on the MAR sheets where it was unclear whether medication had been administered or not. This has been an area that has been subject to requirements in the past. In the clinic room is a drugs refrigerator that is kept locked. The temperature is monitored daily to ensure it is functioning within safe limits for the storage of medicines. The controlled drugs (CD) register was looked at and a random selection of CDs checked. They tallied with the records. During the day care practice was observed and staff were seen knocking on doors prior to entry. Residents were asked where they wanted to be and offered choices about food and drinks. Interactions between staff and residents were friendly with conversation about general items of interest. Chantry House Residential And Nursing Home DS0000024354.V333987.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. 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 encouraged to maintain contact with family and friends, be offered meaningful pastimes and appealing meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The residents’ files seen all contained contact details of the next of kin and any other family and friends important to the resident. The home has an open visiting policy and several people visited in the course of the day. One relative said they came every day for a period of time to see their parent. One of the files had a record that the resident had chosen to celebrate their birthday with other residents as well as their family. The home has an activities co-ordinator who organises pastimes in the home and outings to visit places of interest. They try to arrange a music session or outing at least weekly and have taken some residents to the Suffolk Wild Life park, the Museum of East Anglian life and Woodbridge to walk along the river bank. They also take residents on individual shopping trips or to the local public house for a drink and a meal. Chantry House Residential And Nursing Home DS0000024354.V333987.R01.S.doc Version 5.2 Page 12 The activities co-ordinator tries to identify particular interests held by residents when they are admitted. If the resident is unable to express their interests family and friends are asked to help build a picture of the resident’s life and hobbies. One record said, ‘likes to go shopping, especially charity shops’. Records are kept of a resident’s participation in activities. ‘Enjoyed keep fit’, ‘liked the music, plenty of dancing and singing’. The menus are planned on a four-week rotation that changes to reflect the seasonal ingredients available. On the day of inspection the main dish was chicken curry but the chef was aware that a number of residents do not like curries so alternatives were prepared. Several residents chose egg and chips, one had a jacket potato and cottage cheese, one had a salmon salad and another had a salmon fillet poached in wine. The dessert was home made ice cream, either banana or kolfi flavour, which is a traditional Indian ice cream, and short bread crescents. For residents who needed a soft diet the biscuits had been reduced to crumbs to sprinkle on top. One relative spoken with said their parent’s appetite had reduced recently and they had begun to lose some weight. The resident had been prescribed Fortisips, a high calorie drink, but had difficulty managing so much liquid. The chef had found a way of making them into jellies, which the resident enjoyed, and they had gained a little weight in the last week. The home has appointed a new deputy chef and the chef manager is going through a comprehensive induction programme with them. The chef manager has had updated training in control of substances hazardous to health (COSHH) regulations and achieved a level 2 in nutrition understanding. A visit to the kitchen showed them to be clean and tidy with a good supply of dry and fresh ingredients. Temperatures of refrigerators and freezers are monitored to ensure they are functioning correctly for safe food storage. The chef said they had a deep clean of the kitchen booked for next month. Chantry House Residential And Nursing Home DS0000024354.V333987.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. 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 complaints taken seriously and be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Neither CSCI nor the service have received a complaint about the home since before the last inspection. Anchor Homes has a compliments, concerns and complaints leaflet that is available in the front entrance of the home for anyone to use to raise an issue. One relative spoken with was quite clear about how to raise any concerns or make a complaint. The policy giving guidance on the protection of vulnerable adults (POVA) was seen and is in line with the guidelines issued by the Suffolk inter-agency committee. Some staff spoken with have had updated POVA training but some have not. All staff were clear about their duty of care but as some abuse can be subtle all staff need training in abuse awareness. Many of the carers have achieved NVQ awards and some POVA issues are covered in them. Chantry House Residential And Nursing Home DS0000024354.V333987.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is good. People who use this service can expect to live in an attractive home that is clean and tidy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was purpose built in 1993 and has a spacious and airy feel to the accommodation. The day of the inspection was hot and humid so many of the windows and doors were open onto the secure gardens to take advantage of any breeze. The two downstairs units benefit from patio doors that open onto paved areas for seating. The gardens have been tidied since the last inspection and look attractive. The manager said they applied for a grant, and were successful, to further improve the gardens. They plan to plant an area of sensory and scented shrubs and plants. Chantry House Residential And Nursing Home DS0000024354.V333987.R01.S.doc Version 5.2 Page 15 All areas of the home were visited during the day and were found clean and tidy with no unpleasant odours. A relative spoken with said they had never come to the home and found it dirty or with a smell and they had been visiting a number of years. Individual rooms were personalised with paintings, ornaments and small pieces of furniture. The laundry is on the ground floor and kept locked if there is no member of staff working in there. It is equipped with washing machines that have a sluice programme. The laundry worker was able to explain the management of soiled linen and the use of alginate bags to prevent cross infection. Liquid soap and paper towels were available at hand washing facilities and protective clothing was seen in use by the carers. Chantry House Residential And Nursing Home DS0000024354.V333987.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is good. People who use this service can expect to be supported by staff who have been correctly recruited and trained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rotas were seen and showed that there are two team leaders rostered for an early shift assisted by six carers. The late shift has one team leader and six carers and the nights have a team leader and three carers. The manager is supernumerary. The ancillary staff includes an administrator, domestic staff, laundry staff and kitchen staff. The home also employs a maintenance person. The ancillary rotas seen showed that due to annual leave and sickness there was no rostered domestic staff for the next seven days. The deputy manager had been unaware of that until brought to their notice. A senior team leader who was on annual leave that week completes the ancillary rotas. Action was taken to cover the outstanding shifts. The files of three new staff members were seen and each contained a criminal record bureau (CRB) check and a POVA 1st check that was done prior to commencing employment. Two files had documentary evidence that the identity of the candidate had been verified, one file did not. Each file had a recent photograph and two references. Chantry House Residential And Nursing Home DS0000024354.V333987.R01.S.doc Version 5.2 Page 17 The files contained copies of the terms and conditions of work and evidence of an induction programme. The home uses a Btec workbook for the induction that should be completed over the first six weeks of employment and covers many areas of care, health and safety, fire awareness, food handling, confidentiality, POVA and communication. Staff spoken with confirmed they had had an induction on first starting in the home. Some said they had recently had updates in fire awareness, moving and handling and POVA. They had also had a very basic course on dementia but felt they needed more in depth training and some training on mental health issues. The home has a commitment to encouraging staff to achieve awards relevant to the work they perform. There are thirty-two carers employed and twenty have achieved NVQ level 2 or above with six more on the course at present. Chantry House Residential And Nursing Home DS0000024354.V333987.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. 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 be consulted and have their financial interests and welfare protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has strengthened the management team with the appointment of a deputy manager. The deputy manager has worked in the home as team leader for a number of years before they applied for the post. The financial arrangements for residents’ personal money remain the same as in previous inspections and safeguard their finances. The administrator confirmed that printouts of account balances were available to residents. Chantry House Residential And Nursing Home DS0000024354.V333987.R01.S.doc Version 5.2 Page 19 Meetings are held for residents and relatives and minutes are available. At a recent relatives’ meeting all those present expressed satisfaction with the service being provided and felt the food was of a very high standard. At the last residents’ meeting food and activities were discussed and most residents said they were happy in the home. Anchor Homes commissioned a survey of residents and relatives’ satisfaction across all their homes and the outcome showed an overall satisfaction level of 4.29 out of a maximum of 5, which is above the national average of 4.10. A number of maintenance and service records were seen. The passenger lift had been serviced in May 2007 and there was a certificate for testing the fire alarms and emergency lighting also in May 2007. The hoists were loler tested every six months and last done in April 2007. Gas safety certificates for the kitchen and laundry were both seen and in date. The fire log showed weekly fire alarm and fire door checks being done by the maintenance person with monthly checks on fire exit routes and storage of combustible materials. One area of monitoring that needed to be done was checking the temperature of the refrigerators used in the unit kitchenettes to store milk, juices and snack items for residents. Chantry House Residential And Nursing Home DS0000024354.V333987.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 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.V333987.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. Standard OP7 Regulation 15 (1) Requirement The care plans must reflect all residents’ assessed needs to ensure residents are supported correctly. This is a repeat requirement. MAR sheets must be completed with signatures or codes if medication is not given for any reason to ensure accurate records are kept of residents’ medicines. This is a repeat requirement. Documentary evidence that the required checks have been undertaken on prospective staff must be kept on file and available for inspection to ensure residents are protected by the recruitment procedures. This is a repeat requirement. Monitoring of the temperatures of the refrigerators in the kitchenettes must be undertaken to ensure they are functioning correctly for the storage of food to protect residents from harm. Timescale for action 12/06/07 2. OP9 13 (2) 12/06/07 3. OP29 19 (1) (b) (i) Sch 2 12/06/07 4. OP38 13 (4) (c) 12/06/07 Chantry House Residential And Nursing Home DS0000024354.V333987.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. 2. Refer to Standard OP27 OP30 Good Practice Recommendations A formal system should be established to alert management to inadequate ancillary staff cover to ensure residents’ comfort and safety is not compromised. Consideration should be given to enlarging the training programme to include in depth dementia and mental health instruction so residents are supported by knowledgeable staff. Chantry House Residential And Nursing Home DS0000024354.V333987.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: 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 Chantry House Residential And Nursing Home DS0000024354.V333987.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. 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